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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
5451SAINT LOUIS WEST DIALYSIS262583400 NORTH LINDBERG BOULEVARDSAINT LOUISMO631411297%97Insufficient dataN/A7Insufficient dataN/A497
5452SAINT LOUIS WEST PD DIALYSIS2625859632 OLIVE BLVDSAINT LOUISMO6313212Insufficient dataN/A794%97Insufficient dataN/A497
5453SAINT MARYS HOSPITAL DIALYSIS UNIT100288102303901 45TH STWEST PALM BEACHFL33407788%2718%07Insufficient dataN/A427
5454SAINT VINCENT'S HOSPITAL220028222319HEMODIALYSIS UNIT123 SUMMER ST, SUITE 380WORCESTERMA01608189%377%07Insufficient dataN/A427
5455SALEM DIALYSIS3825023550 LIBERTY RD S SUITE 100SALEMOR973021695%8795%107Insufficient dataN/A497
5456SALEM KIDNEY CENTER OF WAKE FOREST UNIVERSITY3425692705 BOULDER PARK COURTWINSTON SALEMNC27101695%87Insufficient dataN/A7Insufficient dataN/A487
5457SALEM MEMORIAL HOSPITAL260172262315HWY 72 NORTHP. O. BOX 774SALEMMO65560124%07Insufficient dataN/A7Insufficient dataN/A407
5458SALEM NORTH DIALYSIS3825301220 LIBERTY ST NESALEMOR973011694%77Insufficient dataN/A7Insufficient dataN/A477
5459SALEM NORTHEAST DIALYSIS22254310 COLONIAL ROADSUITE 205SALEMMA01970197%97Insufficient dataN/A7Insufficient dataN/A497
5460SALINAS DIALYSIS CENTER052602955 BLANCO CIRCLE, STE. #CSALINASCA939011797%97Insufficient dataN/A7Insufficient dataN/A497
5461SAN ANGELO DIALYSIS6727193518 KNICKERBOCKER RDSAN ANGELOTX769041492%57Insufficient dataN/A7Insufficient dataN/A457
5462SAN ANTONIO WEST DIALYSIS4525874530 CALLAGHAN ROADSAN ANTONIOTX782281497%9792%97Insufficient dataN/A497
5463SAN BERNARDINO VALLEY HOME DIALYSIS CENTER5525651500 N. WATERMAN AVENUE, SUITE BSAN BERNARDINOCA9240418Insufficient dataN/A783%67Insufficient dataN/A467
5464SAN DIMAS DIALYSIS CENTER, INC.5525521335 CYPRESS STREET, SUITE 102SAN DIMASCA917731893%6789%87Insufficient dataN/A467
5465SAN FERNANDO WEST KIDNEY CENTER0525887230 MEDICAL CENTER DRIVE, SUITE 101WEST HILLSCA913071899%107Insufficient dataN/A7Insufficient dataN/A4107
5466SAN FRANCISCO DIALYSIS CENTER0527191499 WEBSTER STREETSAN FRANCISCOCA941151797%97Insufficient dataN/A7Insufficient dataN/A497
5467SAN FRANCISCO GENERAL HOSPITAL RENAL CENTER0528130523971001 POTRERO BLDG. 100, ROOM 342SAN FRANCISCOCA941101711%0715%07Insufficient dataN/A407
5468SAN FRANCISCO HOME TRAINING5527361493 WEBSTER STREETSAN FRANCISCOCA9411517Insufficient dataN/A793%97Insufficient dataN/A497
5469SAN GABRIEL NEPHROLOGY SERVICES, LLC552657801 S. SAN GABRIEL BLVD.SAN GABRIELCA917761898%10782%87Insufficient dataN/A4107
5470SAN JACINTO DIALYSIS45253011430 E FREEWAY STE 330HOUSTONTX770291497%97Insufficient dataN/A7Insufficient dataN/A497
5471SAN JOAQUIN GENERAL HOSPITAL0535260501677783 SOUTH FREEDOM ROADFRENCH CAMPCA952311792%57Insufficient dataN/A7Insufficient dataN/A457
5472SAN JOAQUIN VALLEY DIALYSIS0526773636 NORTH FIRST #144FRESNOCA937261790%4791%87Insufficient dataN/A457
5473SAN JOSE AT HOME5526024400 STEVENS CREEK BLVD. SUITE 50SAN JOSECA9512917Insufficient dataN/A793%97Insufficient dataN/A497
5474SAN JUAN CAPISTRANO SOUTH DIALYSIS05264831736 RANCHO VIEJO ROAD, SUITE BSAN JUAN CAPISTRANOCA926751893%67Insufficient dataN/A7Insufficient dataN/A467
5475SAN LEANDRO DIALYSIS55263315555 EAST 14TH STREET SUITE 520SAN LEANDROCA945781795%87Insufficient dataN/A7Insufficient dataN/A487
5476SAN LEANDRO MARINA DIALYSIS CENTER5527492551 MERCED STSAN LEANDROCA945771792%57Insufficient dataN/A7Insufficient dataN/A457
5477SAN LUIS OBISPO DIALYSIS0528111043 MARSH STREETSAN LUIS OBISPOCA934011891%4799%107Insufficient dataN/A467
5478SAN MARCOS DIALYSIS CENTER5526182135 MONTIEL ROAD, BLDG. BSAN MARCOSCA920691895%8796%107Insufficient dataN/A497
5479SAN PABLO DIALYSIS CENTER05256014020 SAN PABLO AVENUESAN PABLOCA948061796%87Insufficient dataN/A7Insufficient dataN/A487
5480SAN YSIDRO DIALYSIS0528661445 30TH STREET, SUITE ASAN DIEGOCA921541898%10797%107Insufficient dataN/A4107
5481SANDERLING DIALYSIS - KIRKSVILLE262670315 S OSTEOPATHYKIRKSVILLEMO6350112Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
5482SANDERLING DIALYSIS CENTER OF HOLDENVILLE372589102 CRESTVIEW DRHOLDENVILLEOK748481391%47Insufficient dataN/A7Insufficient dataN/A447
5483SANDERSVILLE DIALYSIS CLINIC, LLC112534614 S HARRIS STREET STE FSANDERSVILLEGA31082698%107Insufficient dataN/A7Insufficient dataN/A4107
5484SANDHILLS DIALYSIS342690809 S. LONG DRIVEROCKINGHAMNC28379698%107Insufficient dataN/A7Insufficient dataN/A4107
5485SANDLIN DIALYSIS, LLC442716110 HERITAGE COURTGREENEVILLETN37743895%87Insufficient dataN/A7Insufficient dataN/A487
5486SANDS DIALYSIS LLC1026172655 W ATLANTIC AVEDELRAY BEACHFL33445795%87Insufficient dataN/A7Insufficient dataN/A487
5487SANDUSKY DIALYSIS CENTER362700211 LAKESIDE PARKSANDUSKYOH44870993%67Insufficient dataN/A7Insufficient dataN/A467
5488SANFORD CANBY DIALYSIS243525241347112 ST OLAF AVE SCANBYMN5622011Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
5489SANFORD DETROIT LAKES HOME DIALYSIS2425861245 WASHINGTON AVEDETROIT LAKESMN5650111Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
5490SANFORD DIALYSIS1028271701 W 1ST STSANFORDFL32771797%97Insufficient dataN/A7Insufficient dataN/A497
5491SANFORD DIALYSIS BEMIDJI2435181600 ANNE ST NWBEMIDJIMN566011197%97Insufficient dataN/A7Insufficient dataN/A497
5492SANFORD DIALYSIS DETROIT LAKES240101242318114 EAST FRAZEE STREETDETROIT LAKESMN565011194%77Insufficient dataN/A7Insufficient dataN/A477
5493SANFORD DIALYSIS FARGO3535072801 UNIVERSITY DR SFARGOND581031196%8725%07Insufficient dataN/A467
5494SANFORD DIALYSIS MORRIS243530400 E 1ST STREETMORRISMN562671199%107Insufficient dataN/A7Insufficient dataN/A4107
5495SANFORD DIALYSIS RED LAKE243534240206RED LAKE HOSPITALHIGHWAY 1RED LAKEMN566711196%87Insufficient dataN/A7Insufficient dataN/A487
5496SANFORD DIALYSIS THIEF RIVER FALLS243538120 LABREE AVE STHIEF RIVER FALLSMN567011197%97Insufficient dataN/A7Insufficient dataN/A497
5497SANFORD FORT YATES DIALYSIS353505STANDING ROCK HOSPRIVER ROADFORT YATESND585381196%87Insufficient dataN/A7Insufficient dataN/A487
5498SANFORD HEALTH - DIALYSIS UNIT4300274323031305 W 18TH STSIOUX FALLSSD571171194%7780%57Insufficient dataN/A467
5499SANFORD HEALTH DIALYSIS HOSPERS162536112 SUNRISE DRIVEPO BOX 426HOSPERSIA512381299%107Insufficient dataN/A7Insufficient dataN/A4107
5500SANFORD JAMESTOWN DIALYSIS353504300 2ND AVE NEJAMESTOWNND584011191%47Insufficient dataN/A7Insufficient dataN/A447

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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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