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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
51032563 SCOTTSDALE DIALYSIS (FMC)0325631495 N HAYDEN STE D1-D4SCOTTSDALEAZ852571593%67Insufficient dataN/A7Insufficient dataN/A467
52032564 MARYVALE DIALYSIS (FMC)0325644502 W INDIAN SCHOOL RD STE A4-11PHOENIXAZ850311594%87Insufficient dataN/A7Insufficient dataN/A487
53032565 DESERT DIALYSIS CENTER SOUTH TUCSON (DCI)0325651011 E PENNSYLVANIA STTUCSONAZ857191595%87Insufficient dataN/A7Insufficient dataN/A487
54032568 RED MOUNTAIN DIALYSIS (FMC)0325681211 N COUNTRY CLUB DR STE 4MESAAZ852011593%67Insufficient dataN/A7Insufficient dataN/A467
55032571 NORTH SCOTTSDALE DIALYSIS (FMC)03257116101 N 82ND ST STE 6-7SCOTTSDALEAZ852601588%4774%37Insufficient dataN/A447
56032572 DESERT DIALYSIS SRVS INC-SUN CITY (DVA)03257213000 N 103RD AVE STE 66SUN CITYAZ853511597%97Insufficient dataN/A7Insufficient dataN/A497
57032573 PASCUA YAQUI DIALYSIS (DVA)0325737490 S CAMINO DE OESTETUCSONAZ857571596%87Insufficient dataN/A7Insufficient dataN/A487
58032575 SHOW LOW DIALYSIS (FMC)0325751500 S WHITE MOUNTAIN BLVD STE 204SHOW LOWAZ859011590%6775%57Insufficient dataN/A467
59032577 YAVAPAI DIALYSIS (FMC)0325773605 RANCH DRPRESCOTTAZ863031595%8775%37Insufficient dataN/A477
60032578 APACHE JUNCTION DIALYSIS (FMC)03257811540 E UNIVERSITY DR STE 109APACHE JUNCTIONAZ852201593%77Insufficient dataN/A7Insufficient dataN/A477
61032579 SUN LAKES DIALYSIS (FMC)0325799666 E RIGGS RD STE 143SUN LAKESAZ852481593%67Insufficient dataN/A7Insufficient dataN/A467
62032580 PALM VALLEY DIALYSIS (FMC)03258013657 W MCDOWELL RD STE 106GOODYEARAZ853381596%87Insufficient dataN/A7Insufficient dataN/A487
63032581 AK-CHIN DIALYSIS (FMC)03258103111416536 N MARICOPA RDMARICOPAAZ852391593%77Insufficient dataN/A7Insufficient dataN/A477
64032582 KINGMAN KIDNEY CENTER INC.0325824055 STOCKTON HILL RD STE 15KINGMANAZ864091594%77Insufficient dataN/A7Insufficient dataN/A477
65032583 SOUTH PHOENIX DIALYSIS (DSI)0325830311154621 S CENTRAL AVEPHOENIXAZ850401599%107Insufficient dataN/A7Insufficient dataN/A4107
66032586 TEMPE RENAL CENTER (DSI)0325868820 S KYRENE RDTEMPEAZ852841597%97Insufficient dataN/A7Insufficient dataN/A497
67032587 DEER VALLEY DIALYSIS (FMC)03258721241 N 23RD AVE STE 11PHOENIXAZ850271584%17Insufficient dataN/A7Insufficient dataN/A417
68032589 TUCSON SOUTH CENTRAL DIALYSIS (DVA)0325892024 E IRVINGTON RDTUCSONAZ857141596%87Insufficient dataN/A7Insufficient dataN/A487
69032592 HOPI DIALYSIS CENTER (DVA)032592HIGHWAY 264 MP 388POLACCAAZ860421598%107Insufficient dataN/A7Insufficient dataN/A4107
70032593 GRANITE VALLEY DIALYSIS (FMC)03259314510 W SHUMWAY DR STE 100SUN CITY WESTAZ853751594%77Insufficient dataN/A7Insufficient dataN/A477
71032594 SALT RIVER DIALYSIS CENTER (FMC)03259410301 E OSBORN RD BLDG 14SCOTTSDALEAZ852561597%97Insufficient dataN/A7Insufficient dataN/A497
72032595 GLENDALE FAMILY HEALTH CENTER - DIALYSIS0325955141 W LAMAR RDGLENDALEAZ8530115Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
73032596 NORTHEAST PHOENIX DIALYSIS (DSI)0325963305 E GREENWAY RD STE 1PHOENIXAZ850321592%57Insufficient dataN/A7Insufficient dataN/A457
74032597 SAN CARLOS DIALYSIS (FMC)032597US 70 & AZ ROUTE 170PERIDOTAZ855421599%107Insufficient dataN/A7Insufficient dataN/A4107
75032598 MAMMOTH DIALYSIS (FMC)03259814786 S HIGHWAY 77 - POB 729MAMMOTHAZ856181598%107Insufficient dataN/A7Insufficient dataN/A4107
76032599 AHWATUKEE DIALYSIS (FMC)03259915930 48TH STREETPHOENIXAZ850481595%87Insufficient dataN/A7Insufficient dataN/A487
77032601 PALM BROOK DIALYSIS CENTER (DVA)03260114664 N DEL WEBB BLVDSUN CITYAZ853511594%77Insufficient dataN/A7Insufficient dataN/A477
78032604 SOUTHWEST KIDNEY DIALYSIS - ARROWHEAD LAKES (DVA)03260420325 N 51ST AVE STE 186 BLDG 11GLENDALEAZ853081595%8792%97Insufficient dataN/A487
79032605 SOUTHWEST KIDNEY DIALYSIS - GILBERT (DVA)0326055222 E BASELINE RD STE 104GILBERTAZ852341598%107Insufficient dataN/A7Insufficient dataN/A4107
80032607 AVONDALE DIALYSIS (FMC)03260710750 W MCDOWELL RD STE E500AVONDALEAZ853231593%67Insufficient dataN/A7Insufficient dataN/A467
81032608 AVONDALE DIALYSIS (DSI)03260813055 W MCDOWELL RD STE F101AVONDALEAZ853921599%107Insufficient dataN/A7Insufficient dataN/A4107
82032609 SOUTHWEST KIDNEY DIALYSIS - TEMPE (DVA)0326092149 E WARNER RD STE 109 & STE 110TEMPEAZ852841594%7793%97Insufficient dataN/A487
83032610 SOUTHEAST VALLEY DIALYSIS (FMC)03261022715 S ELLSWORTH RD STE DQUEEN CREEKAZ851421589%37Insufficient dataN/A7Insufficient dataN/A437
84032611 SOUTHWEST KIDNEY DIALYSIS - PHOENIX (DVA)032611337 E CORONADO RD STE 101PHOENIXAZ850041598%107Insufficient dataN/A7Insufficient dataN/A4107
85032612 SOUTHWEST KIDNEY DIALYSIS - ESTRELLA (DVA)0326128410 W THOMAS RD STE 100 BLDG 1PHOENIXAZ850371597%97Insufficient dataN/A7Insufficient dataN/A497
86032613 NORTHWEST TUCSON DIALYSIS (FMC)0326136261 N LA CHOLLA BLVD STE 181TUCSONAZ857411595%87Insufficient dataN/A7Insufficient dataN/A487
87032614 DOUGLAS DIALYSIS CENTER (DCI)03261499 E 16TH STDOUGLASAZ856071592%57Insufficient dataN/A7Insufficient dataN/A457
88032615 RIM COUNTRY DIALYSIS (DVA)032615809 W LONGHORN RD STE EPAYSONAZ855411592%57Insufficient dataN/A7Insufficient dataN/A457
89032616 DESERT DIALYSIS SAHUARITA (DCI)0326161700 W COMMERCE POINTE PLSAHUARITAAZ856291596%87Insufficient dataN/A7Insufficient dataN/A487
90032617 TUCSON WEST DIALYSIS CENTER (FMC)032617100 W GRANT RDTUCSONAZ857051595%87Insufficient dataN/A7Insufficient dataN/A487
91032618 NORTHWEST TUCSON DIALYSIS (DVA)0326182945 W INA RD STE 105TUCSONAZ857411596%97Insufficient dataN/A7Insufficient dataN/A497
92032619 MOUNTAIN VISTA DIALYSIS OF ARIZONA (DVA)03261910238 E HAMPTON AVE STE 108MESAAZ852091595%87Insufficient dataN/A7Insufficient dataN/A487
93032620 GRAND HOME DIALYSIS (DVA)03262014674 W MOUNTAIN VIEW BLVD STE 204SURPRISEAZ8537415Insufficient dataN/A798%107Insufficient dataN/A4107
94032621 WEST BROOK DIALYSIS (DVA)03262113907 W CAMINO DEL SOLSUN CITY WESTAZ853751587%17Insufficient dataN/A7Insufficient dataN/A417
95032622 GOODYEAR DIALYSIS (FMC)032622500 N BULLARD AVE STE C34GOODYEARAZ853381594%7769%17Insufficient dataN/A467
96032624 SOUTHWEST KIDNEY CENTRAL MESA (DVA)0326241134 E UNIVERSITY DR STE 101MESAAZ852031597%97Insufficient dataN/A7Insufficient dataN/A497
97032625 RAVEN DIALYSIS CENTER (DVA)0326253540 E BASELINE RD STE 110PHOENIXAZ850421597%97Insufficient dataN/A7Insufficient dataN/A497
98032626 MIDVALE PARK DIALYSIS (FMC)0326261430 W VALENCIA RD STE 1TUCSONAZ857461594%7790%87Insufficient dataN/A477
99032627 TUCSON CENTRAL DIALYSIS (DVA)0326272901 E GRANT RDTUCSONAZ857161596%87Insufficient dataN/A7Insufficient dataN/A487
100032628 KINGMAN DIALYSIS CLINIC (FMC)0326281721 AIRWAY AVEKINGMANAZ864091592%57Insufficient dataN/A7Insufficient dataN/A457

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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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