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ESRD QIP - Dialysis Adequacy - Payment Year 2016

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Address 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
5401ROSEDALE KIDNEY DISEASE CLINIC452616411 NORTH GENERAL MCMULLENSAN ANTONIOTX782371494%77Insufficient dataN/A7Insufficient dataN/A477
5402ROSEMEAD DIALYSIS CENTER0527917403 HELLMAN AVENUEROSEMEADCA917701885%07Insufficient dataN/A7Insufficient dataN/A407
5403ROSENBERG DIALYSIS FACILITY4525422510 B. F. TERRY BLVD.ROSENBERGTX774711496%87Insufficient dataN/A7Insufficient dataN/A487
5404ROXBORO DIALYSIS342562718 RIDGE ROADROXBORONC27573699%10797%107Insufficient dataN/A4107
5405RRC - DAVISON2326022031 FAIRWAY DRDAVISONMI484231195%87Insufficient dataN/A7Insufficient dataN/A487
5406RRC - DAVISON HOME2326732031 FAIRWAY DRDAVISONMI4842311Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
5407RRC - LAPEER2326291375 N MAIN STREETLAPEERMI484461196%87Insufficient dataN/A7Insufficient dataN/A487
5408RRC - LAPEER HOME CHOICE DIALYSIS232700582 S MAIN STLAPEERMI4844611Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
5409RRC - MT MORRIS232594G-7220 N SAGINAW RDMOUNT MORRISMI484581199%107Insufficient dataN/A7Insufficient dataN/A4107
5410RRC - WEST FLINT232644232337G4007 CORUNNA RDFLINTMI485321198%107Insufficient dataN/A7Insufficient dataN/A4107
5411RRC EAST FORT WORTH4525631032 SANDY LANEFORT WORTHTX761201499%107Insufficient dataN/A7Insufficient dataN/A4107
5412RRC NORTHRIDGE0126184400 WATERMELON ROADSUITE ANORTHPORTAL35473897%9784%67Insufficient dataN/A487
5413RRC WEST FORT WORTH6725755601 LOCKE AVENUESUITE 101FORT WORTHTX761071499%107Insufficient dataN/A7Insufficient dataN/A4107
5414RSA - SOUTH PLAINS, LLP6725933801 21ST STREETSUITE 100LUBBOCKTX794101496%8776%37Insufficient dataN/A477
5415RSA SCHERTZ6725775000 BAPTIST HEALTH DRSUITE 124SHERTZTX781541492%57Insufficient dataN/A7Insufficient dataN/A457
5416RTC - HAMPTON AVENUE DIALYSIS2626071425 HAMPTON AVENUESAINT LOUISMO631391296%87Insufficient dataN/A7Insufficient dataN/A487
5417RTC - LEESBURG102551801 E DIXIE AVE # A-108LEESBURGFL34748799%107100%107Insufficient dataN/A4107
5418RTC - VENICE102675816 PINEBROOK RDVENICEFL34285794%77Insufficient dataN/A7Insufficient dataN/A477
5419RTC COLUMBIA DIALYSIS2626111701 E BROADWAY SUITE G-102COLUMBIAMO652011290%47Insufficient dataN/A7Insufficient dataN/A447
5420RTC-LAMPLIGHTER DIALYSIS26260612654 LAMPLIGHTER SQUARESAINT LOUISMO631281297%97Insufficient dataN/A7Insufficient dataN/A497
5421RTC-SOUTHEAST, LP0126661612 NOBLE STREETANNISTONAL36201894%77Insufficient dataN/A7Insufficient dataN/A477
5422RTC-SOUTHEAST, LP012661300 MEDICAL CENTER DRIVESUITE 100GADSDENAL35903897%97Insufficient dataN/A7Insufficient dataN/A497
5423RUSH-UNIVERSITY-ST LUKES MED CTR1401191423121750 W HARRISON PEDS UNITSTE 735 KELLOGGCHICAGOIL60612100%07Insufficient dataN/A7Insufficient dataN/A407
5424RUSSELLVILLE DIALYSIS01260214897 HWY 43RUSSELLVILLEAL35653899%107Insufficient dataN/A7Insufficient dataN/A4107
5425RV BAYONNE312561434-436 BROADWAYBAYONNENJ07002398%107Insufficient dataN/A7Insufficient dataN/A4107
5426RV BRICK312563RENAL CENTER150 BRICK BOULEVARDBRICKNJ08723398%107Insufficient dataN/A7Insufficient dataN/A4107
5427RV MORRISTOWN312624100 MADISON AVENUE4TH FLOORMORRISTOWNNJ07960396%87Insufficient dataN/A7Insufficient dataN/A487
5428RV NEWTON312572RENAL CENTER OF NEWTON7 EAST CLINTON STREETNEWTONNJ07860397%97Insufficient dataN/A7Insufficient dataN/A497
5429RV OLL SEWELL312565RENAL CENTER660 WOODBURY-GLASSBORO RD, SUITESEWELLNJ08080395%87Insufficient dataN/A7Insufficient dataN/A487
5430RV RENAL CENTER OF PASSAIC31255310 CLIFTON BLVDCLIFTONNJ07011398%107Insufficient dataN/A7Insufficient dataN/A4107
5431RV SOMERVILLE DC3125831 ROUTE 206 NORTHSOMERVILLENJ08876398%107Insufficient dataN/A7Insufficient dataN/A4107
5432RV TRENTON DIALYSIS CTR312571C/O ST. FRANCIS HOSPITAL601 HAMILTON AVE 1ST FLOORTRENTONNJ08629399%107Insufficient dataN/A7Insufficient dataN/A4107
5433RV WESTWOOD312523363 OLD HOOK ROADWESTWOODNJ07675395%8783%67Insufficient dataN/A487
5434RVM - RENAL CTR OF MTN HOME042567200 EAST 8TH ST #101MOUNTAIN HOMEAR726531394%7791%87Insufficient dataN/A477
5435S. MANHATTAN DIALYSIS CENTER332530510-526 AVENUE OF THE AMERICASSUB CELLARNEW YORKNY10011289%37Insufficient dataN/A7Insufficient dataN/A437
5436S. NASSAU COMMUNITIES HOSP.3301983323881 HEALTHY WAYDIALYSIS - ACUTE UNITOCEANSIDENY115722Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
5437SABETHA DIALYSIS172534106 N 12TH ST.SABETHAKS665341292%57Insufficient dataN/A7Insufficient dataN/A457
5438SACRED HEART DIALYSIS AT ST JOSEPHS HOSP5235252661 COUNTY TRUNK ICHIPPEWA FALLSWI5472911100%107Insufficient dataN/A7Insufficient dataN/A4107
5439SACRED HEART HOSPITAL DIALYSIS520013522327900 W CLAIREMONT AVEEAU CLAIREWI547011199%107Insufficient dataN/A7Insufficient dataN/A4107
5440SADDLEBACK DIALYSIS05280823141 PLAZA POINTE DRIVELAGUNA HILLSCA926531898%107Insufficient dataN/A7Insufficient dataN/A4107
5441SAGEMEADOW DIALYSIS67267010923 SCARSDALE BLVDHOUSTONTX770891496%87Insufficient dataN/A7Insufficient dataN/A487
5442SAGEMONT DIALYSIS45261210851 SCARSDALE BLVD STE 200HOUSTONTX770891496%87Insufficient dataN/A7Insufficient dataN/A487
5443SAGINAW DIALYSIS CLINIC - DAVITA232586311 HOYT STREETSAGINAWMI486071192%57Insufficient dataN/A7Insufficient dataN/A457
5444SAH DIALYSIS CLINIC @26TH ST1427583059 W 26TH STCHICAGOIL6062310Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
5445SAHARA DIALYSIS, LLC392810133 CHELTENHAM AVENUECHELTENHAMPA19012497%97Insufficient dataN/A7Insufficient dataN/A497
5446SAINT ANTHONYS REGIONAL HOSPITAL160005162314311 S CLARK STDIALYSIS UNITCARROLLIA514011297%97Insufficient dataN/A7Insufficient dataN/A497
5447SAINT AUGUSTINE DIALYSIS102692264 SOUTHPARK CIR ESAINT AUGUSTINEFL32086792%57Insufficient dataN/A7Insufficient dataN/A457
5448SAINT CHARLES COUNTY DIALYSIS262521335 MID RIVERS MALL DRSAINT PETERSMO633761294%7793%97Insufficient dataN/A477
5449SAINT ELIZABETH'S MEDICAL CENTER OF BOSTON220036222303DIALYSIS UNIT - CCP 7736 CAMBRIDGE STREETBRIGHTONMA02135197%97Insufficient dataN/A7Insufficient dataN/A497
5450SAINT LOUIS CHILDRENS HOSPITAL DIALYSIS263301262309ONE CHILDRENS PLACE2N90SAINT LOUISMO6311012Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7

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cms cms

created Oct 23, 2012

updated Jan 27, 2016

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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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