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ESRD QIP - Dialysis Adequacy - Payment Year 2015

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkKt/V Adult Hemodialysis Performance Period RateKt/V Adult Hemodialysis Measure ScoreNational Avg Kt/V Adult Hemodialysis Measure ScoreKt/V Adult Peritoneal Dialysis Performance Period RateKt/V Adult Peritoneal Dialysis Measure ScoreNational Avg Kt/V Adult Peritoneal Dialysis Measure ScoreKt/V Pediatric Hemodialysis Performance Period RateKt/V Pediatric Hemodialysis Measure ScoreNational Avg Kt/V Pediatric Hemodialysis Measure ScoreKt/V Dialysis Adequacy Combined Measure ScoreNational Avg Kt/V Dialysis Adequacy Combined Measure Score
5351FMC - ABINGDON492630341 FALLS DRIVEABINGDONVA24210590%47Insufficient dataN/A7Insufficient dataN/A847
5352FMC - VIRGINIA BEACH492631525 SOUTH INDEPENDENCE BOULEVARD SUITE 150VIRGINIA BEACHVA23452592%57Insufficient dataN/A7Insufficient dataN/A857
5353FMC - PRINCE WILLIAM COUNTY DIALYSIS4926329302 WEST COURTHOUSE ROADMANASSASVA20110594%77Insufficient dataN/A7Insufficient dataN/A877
5354DOMINION DIALYSIS CENTER492633910 GREAT BRIDGE BOULEVARD SUITE 101CHESAPEAKEVA23320595%87Insufficient dataN/A7Insufficient dataN/A887
5355LIBERTY DIALYSIS PETERSBURG4926343400 SOUTH CRATER ROADPETERSBURGVA23805596%9791%97Insufficient dataN/A897
5356ADVANCED DIALYSIS CENTER - POTOMAC4926351785 SOUTH HAYES STREETARLINGTONVA22202595%87Insufficient dataN/A7Insufficient dataN/A887
5357CHARLOTTESVILLE NORTH DIALYSIS4926361800 TIMBERWOOD BOULEVARD SUITE CCHARLOTTESVILLEVA22911596%97Insufficient dataN/A7Insufficient dataN/A897
5358DAVITA - GARRISONVILLE49263770 DOC STONE ROAD #101STAFFORDVA22556592%57Insufficient dataN/A7Insufficient dataN/A857
5359FIRST COLONIAL - DAVITA AT HOME4926381157 FIRST COLONIAL ROAD SUITE 200VIRGINIA BEACHVA234545795%107Insufficient dataN/A8107
5360FMC - LORTON4926398986 LORTON STATION BOULEVARD SUITE 100LORTONVA22079589%67Insufficient dataN/A7Insufficient dataN/A867
5361RAI - MERCURY BLVD-HAMPTON4926403319 WEST MERCURY BOULEVARDHAMPTONVA23666593%67Insufficient dataN/A7Insufficient dataN/A867
5362RAI - SOUTH CHURCH-SMITHFIELD4926411812-C SOUTH CHURCH STREETSMITHFIELDVA23430596%97Insufficient dataN/A7Insufficient dataN/A897
5363RAI - JOHN TYLER HWY-WILLIAMSBURG4926434511 JOHN TYLER HIGHWAYUNIT JWILLIAMSBURGVA23185585%07Insufficient dataN/A7Insufficient dataN/A807
5364RAI - CHESAPEAKE-NEWPORT NEWS492645225 CHESAPEAKE AVENUENEWPORT NEWSVA23607592%57Insufficient dataN/A7Insufficient dataN/A857
5365RAI - MEDICAL DRIVE-GLOUCESTER4926467547 MEDICAL DRIVE SUITE 1400GLOUCESTERVA23061594%77Insufficient dataN/A7Insufficient dataN/A877
5366RENAL CAREPARTNERS - WOODBRIDGE49264714000 CROWN COURT SUITE 110WOODBRIDGEVA22193541%27Insufficient dataN/A7Insufficient dataN/A827
5367SOUTH LABURNUM DIALYSIS LLC4926484817 SOUTH LABURNUM AVENUERICHMONDVA23231599%107Insufficient dataN/A7Insufficient dataN/A8107
5368FMC - SPOTSYLVANIA49264910718 BALLANTRAYE DRIVEBLDG 400 STE 406FREDERICKSBURGVA22407584%07Insufficient dataN/A7Insufficient dataN/A807
5369CHARTER COLONY DIALYSIS CENTER4926502312 COLONY CROSSING PLACEMIDLOTHIANVA23112590%47Insufficient dataN/A7Insufficient dataN/A847
5370WILLIAMSBURG DIALYSIS492651500 SENTARA CIRCLE SUITE 103WILLIAMSBURGVA23188591%57100%107Insufficient dataN/A867
5371HAYMARKET DIALYSIS49265214664 GAP WAY #2268GAINESVILLEVA20155593%67Insufficient dataN/A7Insufficient dataN/A867
5372BUTLER FARM DIALYSIS492653501 A BUTLER FARM ROADHAMPTONVA23666597%10798%107Insufficient dataN/A8107
5373LEESBURG VIRGINIA DIALYSIS492654224-D CORNWALL STREET SUITE 100LEESBURGVA20176594%77Insufficient dataN/A7Insufficient dataN/A877
5374FMC - HERITAGE HUNT4926557001 HERITAGE VILLAGE PLAZASTE 150GAINESVILLEVA20155591%57Insufficient dataN/A7Insufficient dataN/A857
5375FMC - BLAIRS DIALYSIS4926569325 US HIGHWAY 29BLAIRSVA24527594%77Insufficient dataN/A7Insufficient dataN/A877
5376FMC - GOOCHLAND4926572913-K RIVER ROAD WESTGOOCHLANDVA23063587%37Insufficient dataN/A7Insufficient dataN/A837
5377MIDTOWNE NORFOLK DIALYSIS4926582201 COLONIAL AVENUENORFOLKVA23517597%107Insufficient dataN/A7Insufficient dataN/A8107
5378TOTAL RENAL CARE - HARBOR VIEW DIALYSIS4926591039 CHAMPIONS WAYBLDG H STE 500SUFFOLKVA23435597%10797%107Insufficient dataN/A8107
5379JEFFERSON AVENUE DIALYSIS49266011234 JEFFERSON AVENUENEWPORT NEWSVA23601595%87Insufficient dataN/A7Insufficient dataN/A887
5380FMC - KING GEORGE49266110344 INDIANTOWN ROADKING GEORGEVA22485583%07Insufficient dataN/A7Insufficient dataN/A807
5381LIBERTY DIALYSIS - SOUTH HILL492662201A EAST FERRELL STREETSOUTH HILLVA23970590%47Insufficient dataN/A7Insufficient dataN/A847
5382LIVINGSTON DIALYSIS LLC4926634900 FOREST HILL AVENUERICHMONDVA23225593%67Insufficient dataN/A7Insufficient dataN/A867
5383WEST HAMPTON REGIONAL DIALYSIS CENTER, LLC492664500 EAST LABURNUM AVENUERICHMONDVA23222595%87Insufficient dataN/A7Insufficient dataN/A887
5384TOTAL RENAL CARE - LITTLE CREEK DIALYSIS4926651817 EAST LITTLE CREEK ROADSTE ANORFOLKVA23518595%87Insufficient dataN/A7Insufficient dataN/A887
5385USRC COLONIAL HEIGHTS LLC4926661617 BOULEVARDSuites B&CCOLONIAL HEIGHTSVA23834594%77Insufficient dataN/A7Insufficient dataN/A877
5386TOTAL RENAL CARE LYNCHBURG HOME TRAINING4926672091 LANGHORNE ROADLYNCHBURGVA2450157Insufficient dataN/A7Insufficient dataN/A87
5387MONAHANS DIALYSIS LLC4926681587 NORTH MAIN STREETMARIONVA243545100%107Insufficient dataN/A7Insufficient dataN/A8107
5388STINES DIALYSIS LLC492669230 CLEARFIELD AVENUE SUITE 106VIRGINIA BEACHVA234625781%67Insufficient dataN/A867
5389KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, I4926708008 WESTPARK DRIVEsuite 425MCLEANVA2210257Insufficient dataN/A7Insufficient dataN/A87
5390GILES COUNTY DIALYSIS492671377 BOXWOOD LANEPEARISBURGVA24134599%107Insufficient dataN/A7Insufficient dataN/A8107
5391LANSDOWNE DIALYSIS49267244084 RIVERSIDE PARKWAYSUITE 100LEESBURGVA2017657Insufficient dataN/A7Insufficient dataN/A87
5392FMC - LOCUST GROVE4926734122 PARTNERSHIP WAYLOCUST GROVEVA2250857Insufficient dataN/A7Insufficient dataN/A87
5393CHILDRENS HOSPITAL OF KINGS DAUGHTERS493301492321601 CHILDRENS LANEPEDIATRIC DIALYSIS CTRNORFOLKVA2350757Insufficient dataN/A7Insufficient dataN/A87
5394FAIRFAX HOSPITAL FOR CHILDREN4935044900638505 ARLINGTON BOULEVARD SUITE 100PEDIATRIC KIDNEY CENTERFAIRFAXVA2203157Insufficient dataN/A7Insufficient dataN/A87
5395UVA ZION CROSSROADS DIALYSIS49350575 CIRCLE POINTE DRIVEGORDONSVILLEVA22942599%107Insufficient dataN/A7Insufficient dataN/A8107
5396UVA ORANGE DIALYSIS493507661 UNIVERSITY LANE SUITE EASTORANGEVA22960598%107Insufficient dataN/A7Insufficient dataN/A8107
5397UVA AUGUSTA DIALYSIS49350970 MEDICAL CENTER CIRCLESTE 105FISHERSVILLEVA22939597%107Insufficient dataN/A7Insufficient dataN/A8107
5398UVA PAGE DIALYSIS493511235 MEDICAL CENTER DRIVESTANLEYVA22851598%107Insufficient dataN/A7Insufficient dataN/A8107
5399UVA AMHERST DIALYSIS493512143 AMBRIAR PLAZAAMHERSTVA24521597%107Insufficient dataN/A7Insufficient dataN/A8107
5400UVA LYNCHBURG DIALYSIS493513103 CLIFTON STREETLYNCHBURGVA24501597%107Insufficient dataN/A7Insufficient dataN/A8107

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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Description

ESRD QIP data by facility: % of hemodialysis patient-months with spKt/V >= 1.2; % of peritoneal patient-months with Kt/V >= 1.7 Kt/V (dialytic + residual) during the four-month study period; % of pediatric in-center hemodialysis patient-months with spKt/V >= 1.2

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