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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
5551PURITY DIALYSIS - WATERTOWN522525123 HOSPITAL DRIVE, #1004WATERTOWNWI530981193%67Insufficient dataN/A7Insufficient dataN/A867
5552DAVITA - FOND DU LAC DIALYSIS522526210 WISCONSIN AMERICAN DRIVEDIALYSIS UNITFOND DU LACWI549371195%87Insufficient dataN/A7Insufficient dataN/A887
5553DAVITA - SHEBOYGAN DIALYSIS5225271338 NORTH TAYLOR DRIVESHEBOYGANWI530811195%87Insufficient dataN/A7Insufficient dataN/A887
5554FRESENIUS MEDICAL CARE MIDWEST RYAN ROAD5225289420 SOUTH 22ND STREETOAK CREEKWI531541155%07Insufficient dataN/A7Insufficient dataN/A807
5555DAVITA - CEDARBURG522529N54 WEST 6135 MILL STREETCEDARBURGWI530121197%107Insufficient dataN/A7Insufficient dataN/A8107
5556FMC - CENTRE POINT52253011340 WEST THEODORE TRECKER WAYWEST ALLISWI532141185%0774%47Insufficient dataN/A817
5557FMC - SHOREWOOD5225311409 EAST CAPITOL DRIVESHOREWOODWI532111182%27Insufficient dataN/A7Insufficient dataN/A827
5558DAVITA - CAPITOL DRIVE52253219395 WEST CAPITOL DRIVE, SUITE 100BROOKFIELDWI530451193%67Insufficient dataN/A7Insufficient dataN/A867
5559PURITY DIALYSIS - FORT ATKINSON522533525 HANDEYSIDE LANEFORT ATKINSONWI535381185%37Insufficient dataN/A7Insufficient dataN/A837
5560TRI STATE DIALYSIS - PLATTEVILLE5225341250 EAST BUSINESS HIGHWAY 151, SUITE BPLATTEVILLEWI538181197%107Insufficient dataN/A7Insufficient dataN/A8107
5561PURITY DIALYSIS - WAUKESHA SOUTH5225351260 SENTRY DRIVEWAUKESHAWI531861197%107Insufficient dataN/A7Insufficient dataN/A8107
5562DAVITA - BLUEMOUND PD522536601 NORTH 99TH STREETSUITE 300WAUWATOSAWI5322611787%77Insufficient dataN/A877
5563DAVITA - LAKE GENEVA DIALYSIS522537650 NORTH EDWARDS BOULEVARDLAKE GENEVAWI531471196%97Insufficient dataN/A7Insufficient dataN/A897
5564FMC DIALYSIS - SUPERIOR5225383500 TOWER AVENUESUPERIORWI548801183%07Insufficient dataN/A7Insufficient dataN/A807
5565FMC DIALYSIS - CHEQUAMEGON BAY5225391815 BEASER AVENUEASHLANDWI548061195%87Insufficient dataN/A7Insufficient dataN/A887
5566FRESENIUS MEDICAL CARE MIDWEST RACINE5225405409 DURAND AVENUERACINEWI534061153%07Insufficient dataN/A7Insufficient dataN/A807
5567FRESENIUS MEDICAL CARE MIDWEST GLENDALE522542400 WEST ESTABROOK BOULEVARDMILWAUKEEWI532121150%07Insufficient dataN/A7Insufficient dataN/A807
5568DAVITA - SOUTH RIDGE5225437740 WEST LAYTON AVENUEGREENFIELDWI532201193%67Insufficient dataN/A7Insufficient dataN/A867
5569FRESENIUS MEDICAL CARE MIDWEST WEST BEND5225442050 CONTINENTAL DRIVEWEST BENDWI530951153%07Insufficient dataN/A7Insufficient dataN/A807
5570FMC DIALYSIS - OSHKOSH5225452700 WEST 9TH AVENUESUITE 101AOSHKOSHWI549041194%77Insufficient dataN/A7Insufficient dataN/A877
5571FMC DIALYSIS - APPLETON5225462701 NORTH ONEIDA STREET, SUITE EASTAPPLETONWI549111190%47Insufficient dataN/A7Insufficient dataN/A847
5572FMC - RIPON SOUTH52254737 STONEY RIDGE ROADSTE 100RIPONWI549711190%57Insufficient dataN/A7Insufficient dataN/A857
5573DAVITA - WEST APPLETON52254810130 WEST APPLETON AVENUE, SUITE 500MILWAUKEEWI532251197%107Insufficient dataN/A7Insufficient dataN/A8107
5574FMC - KAUKAUNA5225502259 PROGRESS WAYKAUKAUNAWI541301188%27Insufficient dataN/A7Insufficient dataN/A827
5575DAVITA - MARINETTE DIALYSIS5225512706 CAHILL ROADMARINETTEWI541431198%107Insufficient dataN/A7Insufficient dataN/A8107
5576DAVITA - GREEN BAY DIALYSIS5225521751 DECKNER AVENUEGREEN BAYWI543021195%87Insufficient dataN/A7Insufficient dataN/A887
5577DAVITA - BAY SHORE5225545650 NORTH GREEN BAY AVENUE #150GLENDALEWI532091196%97Insufficient dataN/A7Insufficient dataN/A897
5578WI DIALYSIS INC - FITCHBURG CLINIC5225553034 FISH HATCHERY ROADMADISONWI537131193%6782%67Insufficient dataN/A867
5579DAVITA - STURGEON BAY DIALYSIS522556108 SOUTH 10TH AVENUESTURGEON BAYWI542351178%07Insufficient dataN/A7Insufficient dataN/A807
5580DAVITA - TITLE TOWN522558120 SIEGLER STREETGREEN BAYWI543031198%107Insufficient dataN/A7Insufficient dataN/A8107
5581WI DIALYSIS INC - EAST5225594600 AMERICAN PARKWAY, SUITE 108MADISONWI537181187%17Insufficient dataN/A7Insufficient dataN/A817
5582DAVITA - OSHKOSH DIALYSIS522560855 NORTH WESTHAVEN DRIVEDIALYSIS UNITOSHKOSHWI549041197%107Insufficient dataN/A7Insufficient dataN/A8107
5583FRESENIUS MEDICAL CARE MIDWEST LAKESHORE5225612000 EAST LAYTON AVENUE SUITE 200SAINT FRANCISWI532351155%07Insufficient dataN/A7Insufficient dataN/A807
5584DAVITA - MANITOWOC DIALYSIS522562601 REED AVENUEMANITOWOCWI542201196%97Insufficient dataN/A7Insufficient dataN/A897
5585DAVITA - WAUTOMA DIALYSIS522563900 EAST DIVISION STREETWAUTOMAWI549821194%77Insufficient dataN/A7Insufficient dataN/A877
5586FRESENIUS MEDICAL CARE MIDWEST KENOSHA5225646804 GREEN BAY ROADSUITE 108KENOSHAWI531421155%07Insufficient dataN/A7Insufficient dataN/A807
5587ARA - MILWAUKEE5225654775 NORTH GREEN BAY AVENUEMILWAUKEE DIALYSIS CENTERMILWAUKEEWI532091198%107Insufficient dataN/A7Insufficient dataN/A8107
5588DAVITA - BLUEMOUND522566601 NORTH 99TH STREETSUITE 100WAUWATOSAWI532261197%107Insufficient dataN/A7Insufficient dataN/A8107
5589KIDNEY REPLACEMENT THERAPIES5225686125 GREEN BAY ROADSUITE 100KENOSHAWI53142117Insufficient dataN/A7Insufficient dataN/A87
5590FMC DIALYSIS - WAUPACA522570102 GRAND SEASONS DRIVESUITE 7WAUPACAWI549811190%47Insufficient dataN/A7Insufficient dataN/A847
5591FRESENIUS MEDICAL CARE MIDWEST APPLETON AVE5225717793 WEST APPLETON AVENUEMILWAUKEEWI532221147%07Insufficient dataN/A7Insufficient dataN/A807
5592MONROE CLINIC DIALYSIS522572515 - 22ND AVENUEMONROEWI535661197%107Insufficient dataN/A7Insufficient dataN/A8107
5593FRESENIUS MEDICAL CARE MIDWEST 27TH STREET BRANCH5225733120 SOUTH 27TH STREETMILWAUKEEWI532151152%0746%07Insufficient dataN/A807
5594KENOSHA KIDNEY DIALYSIS5225746125 GREEN BAY ROADSUITE 200KENOSHAWI531421185%17Insufficient dataN/A7Insufficient dataN/A817
5595AMERY DIALYSIS OF DAVITA522575970 ELDEN AVENUEAMERYWI540011199%107Insufficient dataN/A7Insufficient dataN/A8107
5596DAVITA - HUMBOLDT RIDGE5225772211 NORTH HUMBOLDT BOULEVARDMILWAUKEEWI532121195%87Insufficient dataN/A7Insufficient dataN/A887
5597DAVITA - OAK CREEK5225788201 SOUTH HOWELL AVENUE, SUITE 600OAK CREEKWI531541197%107Insufficient dataN/A7Insufficient dataN/A8107
5598PURITY DIALYSIS - GERMANTOWN522579W175 N11056 STONEWOOD DRIVEGERMANTOWNWI530221193%67Insufficient dataN/A7Insufficient dataN/A867
5599FMC - HAYWARD52258010342 DYNO DRIVEHAYWARDWI548431170%07Insufficient dataN/A7Insufficient dataN/A807
5600FRESENIUS MEDICAL CARE MIDWEST WAUKESHA522581111 ANN STREETWAUKESHAWI531881155%07Insufficient dataN/A7Insufficient dataN/A807

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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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