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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
251322514 TAOS DIALYSIS (DCI)3225141335 MAESTAS RDTAOSNM875711595%87Insufficient dataN/A7Insufficient dataN/A487
252322515 SHIPROCK DIALYSIS (DVA)322515HIGHWAY 491 NSHIPROCKNM874201598%107Insufficient dataN/A7Insufficient dataN/A4107
253322516 DEMING DIALYSIS (FMC)322516814 W ADOBE DRDEMINGNM880301596%87Insufficient dataN/A7Insufficient dataN/A487
254322517 PLAINS REGIONAL DIALYSIS CENTER (FMC)3225172117 N THOMASCLOVISNM881011594%7778%47Insufficient dataN/A477
255322518 LAS VEGAS NM DIALYSIS (FMC)322518246 MILLS AVELAS VEGASNM877011598%107Insufficient dataN/A7Insufficient dataN/A4107
256322519 SOUTHEASTERN NM KIDNEY CENTER (FMC)3225192801 N MAIN SUITE HROSWELLNM882011598%10794%97Insufficient dataN/A4107
257322520 RIO RANCHO DIALYSIS (DCI)3225204045 JACKIE RD SERIO RANCHONM871241596%87Insufficient dataN/A7Insufficient dataN/A487
258322521 HOBBS DIALYSIS (FMC)3225212827 N DAL PASO STE 105HOBBSNM882401591%47Insufficient dataN/A7Insufficient dataN/A447
259322522 CARLSBAD DIALYSIS (DCI)3225223200632319 OSBORNE RDCARLSBADNM882201593%67Insufficient dataN/A7Insufficient dataN/A467
260322523 NORTH ALBUQUERQUE DIALYSIS CENTER (FMC)3225234700 JEFFERSON NE STE 300ALBUQUERQUENM871091597%97Insufficient dataN/A7Insufficient dataN/A497
261322524 ACL DIALYSIS (DCI)322524I-40 EXIT 102SAN FIDELNM870491597%97Insufficient dataN/A7Insufficient dataN/A497
262322526 RATON DIALYSIS (DCI)322526900 S SIXTH STRATONNM877401585%07Insufficient dataN/A7Insufficient dataN/A407
263322527 LAS CRUCES RENAL CENTER (DVA)3225273961 E LOHMAN AVE STE 29LAS CRUCESNM880111595%87Insufficient dataN/A7Insufficient dataN/A487
264322528 LAS CRUCES SOUTH DIALYSIS (FMC)3225282525 S TELSHOR BLVD STE BLAS CRUCESNM880111593%67Insufficient dataN/A7Insufficient dataN/A467
265322529 CARLSBAD DIALYSIS (FMC)322529902 A WEST PIERCECARLSBADNM882201592%57Insufficient dataN/A7Insufficient dataN/A457
266322530 ALBUQUERQUE EAST (DCI)322530905 LOUISIANA BLVD NEALBUQUERQUENM871101597%97Insufficient dataN/A7Insufficient dataN/A497
267322531 GIBSON DIALYSIS CENTER (FMC)3225315400 GIBSON BLVD SEALBUQUERQUENM871081592%5788%77Insufficient dataN/A467
268322533 NORTH RIO RANCHO DIALYSIS (FMC)3225337555 ENCHANTED HILLS BLVD STE 102RIO RANCHONM871441591%57Insufficient dataN/A7Insufficient dataN/A457
269322534 RED ROCKS DIALYSIS- GALLUP322534725 HOSPITAL DRGALLUPNM873011597%97Insufficient dataN/A7Insufficient dataN/A497
270322535 RED ROCKS DIALYSIS - ZUNI32253520 D AVENUEZUNINM873271599%107Insufficient dataN/A7Insufficient dataN/A4107
271322536 RED ROCKS DIALYSIS - CROWNPOINT322536JCT OF HWY 57 & RTE 9CROWNPOINTNM873131599%107Insufficient dataN/A7Insufficient dataN/A4107
272322537 ARTESIA DIALYSIS (DVA)322537702 N 13TH STARTESIANM882101595%87Insufficient dataN/A7Insufficient dataN/A487
273322538 SANTA FE HOME (FMC)3225382100 CALLE DE LA VUELTA, SUITE A101SANTA FENM8750515Insufficient dataN/A791%87Insufficient dataN/A487
274322539 SANTO DOMINGO PUEBLO (DCI)32253985 W HIGHWAY 22SANTO DOMINGO PUEBLONM870521598%107Insufficient dataN/A7Insufficient dataN/A4107
275322540 RED ROCKS HOME DIALYSIS, LLC3225401801 RED ROCKS DRGALLUPNM8730115Insufficient dataN/A790%87Insufficient dataN/A487
276322541 ALBUQUERQUE SOUTH (DCI)3225411725 ISLETA BLVD SWALBUQUERQUENM871051594%87Insufficient dataN/A7Insufficient dataN/A487
277322542 HOME DIALYSIS OF NEW MEXICO322542700 LOMAS BLVD NETHREE WOODWARD CENTERALBUQUERQUENM8710215Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
278322543 CUBA DIALYSIS (DCI)32254314 EAST CORDOVA AVECUBANM8710315Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
279460009 UNIVERSITY OF UTAH/IPAD46000946230050 N MEDICAL DR RM 220SALT LAKE CITYUT8413215Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
280460014 TOOELE VALLEY DIALYSIS CENTER460014462308196 E 2000 N STE 112TOOELEUT840741597%97Insufficient dataN/A7Insufficient dataN/A497
281460015 LOGAN REGIONAL HOSPITAL DIALYSIS CENTER4600154623071400 N 550 ESUITE KLOGANUT843411589%37Insufficient dataN/A7Insufficient dataN/A437
282460056 BLUE MOUNTAIN HOSPITAL DIALYSIS460056462319802 S 200 WBLANDINGUT845111598%107Insufficient dataN/A7Insufficient dataN/A4107
283462311 HEBER VALLEY DIALYSIS462311461307380 EAST 1500 SOUTHHEBER CITYUT8403215Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
284462500 FARMINGTON BAY DIALYSIS CENTER462500942 S MAIN STLAYTONUT840411598%107Insufficient dataN/A7Insufficient dataN/A4107
285462503 KOLFF DIALYSIS CENTER/UNIV. OF UTAH46250385 N MEDICAL DR E RM 2O1SALT LAKE CITYUT841121596%8784%67Insufficient dataN/A477
286462504 UNIVERSITY OF UTAH PROVO DIALYSIS CENTER4625041675 N FREEDOM BLVD STE 15PROVOUT846041596%87Insufficient dataN/A7Insufficient dataN/A487
287462510 CASTLEVIEW DIALYSIS462510230 N HOSPITAL DR STE 1PRICEUT845011599%107Insufficient dataN/A7Insufficient dataN/A4107
288462511 DIXIE DIALYSIS CENTER462511720 S RIVER RD STE D1100SAINT GEORGEUT847901594%7781%57Insufficient dataN/A477
289462518 SOUTH VALLEY DIALYSIS CENTER4625188750 S SANDY PKWYSANDYUT840701594%77Insufficient dataN/A7Insufficient dataN/A477
290462519 BONNEVILLE DIALYSIS CENTER4625195575 S 500 EOGDENUT844051597%9768%17Insufficient dataN/A467
291462520 WEST BOUNTIFUL DIALYSIS (DVA)462520724 W 500 S STE 300W BOUNTIFULUT840871586%17Insufficient dataN/A7Insufficient dataN/A417
292462521 LAKESIDE DIALYSIS CENTER462521532 S 500 WBOUNTIFULUT840101598%107Insufficient dataN/A7Insufficient dataN/A4107
293462524 TIMPANOGOS DIALYSIS CENTER (DVA)4625241055 N 500 W STE 222PROVOUT8460415Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
294462525 UTAH VALLEY DIALYSIS (DVA)4625254600011055 N 500 W STE 221PROVOUT846041597%97Insufficient dataN/A7Insufficient dataN/A497
295462528 IRON MISSION DIALYSIS CENTER4625281277 N NORTHFIELD RD STE A100CEDAR CITYUT847211597%97Insufficient dataN/A7Insufficient dataN/A497
296462529 OQUIRRH ARTIFICIAL KIDNEY CENTER4625292496 W 4700 STAYLORSVILLEUT841181597%97Insufficient dataN/A7Insufficient dataN/A497
297462530 WASATCH ARTIFICIAL KIDNEY CENTER462530650 E 4500 S STE 150SALT LAKE CITYUT841071595%8789%87Insufficient dataN/A487
298462532 SOUTH MOUNTAIN DIALYSIS46253210969 S RIVERFRONT PKWY STE 100SOUTH JORDANUT840951597%97Insufficient dataN/A7Insufficient dataN/A497
299462533 WEST VALLEY DIALYSIS CLINIC4625333854 W 5400 STAYLORSVILLEUT841291597%97Insufficient dataN/A7Insufficient dataN/A497
300462534 AMERICAN FORK DIALYSIS CENTER462534120 N 1220 E STE 14AMERICAN FORKUT840031587%67Insufficient dataN/A7Insufficient dataN/A467

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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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