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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
301462535 LONE PEAK DIALYSIS (DVA)4625351175 E 50 S STE 111AMERICAN FORKUT840031592%57Insufficient dataN/A7Insufficient dataN/A457
302462536 HURRICANE DIALYSIS CENTER46253648 S 2500 W STE 100HURRICANEUT847371592%57Insufficient dataN/A7Insufficient dataN/A457
303462537 LIBERTY DIALYSIS - LAYTON (FMC)4625372132 N 1700 W STE 120LAYTONUT840411594%77Insufficient dataN/A7Insufficient dataN/A477
304462538 LIBERTY DIALYSIS - WOODSCROSS (FMC)462538572 W 750 SBOUNTIFULUT840101592%57Insufficient dataN/A7Insufficient dataN/A457
305462539 WEBER VALLEY DIALYSIS (DVA)4625391920 W 250 NOGDENUT8440415100%107Insufficient dataN/A7Insufficient dataN/A4107
306462540 LIBERTY DIALYSIS - OGDEN (FMC)4625404780 OLD POST RDOGDENUT844031597%9783%67Insufficient dataN/A477
307462541 PLEASANT VIEW DIALYSIS CENTER4625412715 N HIGHWAY 89OGDENUT844141597%97Insufficient dataN/A7Insufficient dataN/A497
308462542 LIBERTY DIALYSIS - ST GEORGE (FMC)4625421173 S 250 W STE 406SAINT GEORGEUT847701592%5786%77Insufficient dataN/A467
309462543 PAYSON REGIONAL DIALYSIS46254315 S 1000 E STE 50PAYSONUT846511597%97Insufficient dataN/A7Insufficient dataN/A497
310462544 MARK LINDSAY DIALYSIS CENTER4625441154 E COUNTRY HILLS DROGDENUT844051592%57Insufficient dataN/A7Insufficient dataN/A457
311462545 LIBERTY DIALYSIS WEST JORDAN (FMC)4625453823 W 9000 S STE DWEST JORDANUT840881595%87Insufficient dataN/A7Insufficient dataN/A487
312463501 INTERMOUNTAIN MEDICAL CENTER DIALYSIS SERVICES46350146001074 WEST VINE STREETMURRAYUT841071596%8782%57Insufficient dataN/A487
313463502 UTAH DIALYSIS LAB4635021000 S MAIN ST STE 105SALT LAKE CITYUT841011596%87Insufficient dataN/A7Insufficient dataN/A487
314463504 SEVIER VALLEY DIALYSIS4635044600061100 NORTH MAINRICHFIELDUT847011599%107Insufficient dataN/A7Insufficient dataN/A4107
315463505 UINTAH BASIN MED CTR DIALYSIS - ROOSEVELT463505460019205 W 300 N #75-2ROOSEVELTUT840661590%47Insufficient dataN/A7Insufficient dataN/A447
316463506 UINTAH BASIN MED CTR DIALYSIS- VERNAL463506224 E 500 S STE AVERNALUT840781589%37Insufficient dataN/A7Insufficient dataN/A437
317530002 CCMH DIALYSIS UNIT530002532305501 S BURMAGILLETTEWY827161592%57Insufficient dataN/A7Insufficient dataN/A457
318530006 BILLINGS CLINIC SHERIDAN DIALYSIS5300065323021401 W 5TH STSHERIDANWY828011584%07Insufficient dataN/A7Insufficient dataN/A407
319530011 MEM HOSP OF SWEETWATER COUNTY/DIALYSIS5300115323041200 COLLEGE DRROCK SPRINGSWY829011599%107Insufficient dataN/A7Insufficient dataN/A4107
320530025 IVINSON MEMORIAL HOSP - DIALYSIS CENTER530025532306255 N 30TH STLARAMIEWY820721599%107Insufficient dataN/A7Insufficient dataN/A4107
321532501 CHEYENNE DIALYSIS (FMC)5325011739 MEADOWLAND DRCHEYENNEWY820091595%8773%27Insufficient dataN/A477
322532503 WIND RIVER DIALYSIS CENTER53250311 SHIPTON LNFORT WASHAKIEWY825141593%67Insufficient dataN/A7Insufficient dataN/A467
323532504 WYOMING KIDNEY CENTER5325041141 WILKINS CIRCASPERWY826011596%87Insufficient dataN/A7Insufficient dataN/A487
324532505 BIG HORN BASIN REGIONAL DIALYSIS (DCI)532505424 YELLOWSTONE AVE, STE 150CODYWY824141591%47Insufficient dataN/A7Insufficient dataN/A447
325533501 EVANSTON REGIONAL HOSPITAL/DIALYSIS533501532307112 YELLOWCREEK RDEVANSTONWY82930151%07Insufficient dataN/A7Insufficient dataN/A407
326A UNIQUE KIDNEY CENTER LLC6825043105 N UNIVERSITY DRDAVIEFL330247Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
327ABBEVILLE DIALYSIS422628904 W GREENWOOD STABBEVILLESC29620697%97Insufficient dataN/A7Insufficient dataN/A497
328ABERCORN DIALYSIS11263111706 MERCY BLVDBLDG 9SAVANNAHGA31419692%57Insufficient dataN/A7Insufficient dataN/A457
329ABERDEEN DIALYSIS212650780 W BEL AIR AVEABERDEENMD21001598%107Insufficient dataN/A7Insufficient dataN/A4107
330ABORN DIALYSIS CENTER5526433162 S WHITE ROADSAN JOSECA951481797%97Insufficient dataN/A7Insufficient dataN/A497
331ACCESSCARE EASTLAND DIALYSIS6727102300 WEST COMMERCE STEASTLANDTX764481496%87Insufficient dataN/A7Insufficient dataN/A487
332ADC1 INC - PINEVIEW2126809106 PINE VIEW LNCLINTONMD20735587%17Insufficient dataN/A7Insufficient dataN/A417
333ADIRONDACK MEDICAL CENTER - DIALYSIS333564144 WAWBEEK AVENUETUPPER LAKENY129862Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
334ADIRONDACK MEDICAL CENTER ESRD3300793324042233 STATE ROUTE 86SARANAC LAKENY12983296%87Insufficient dataN/A7Insufficient dataN/A487
335ADVANCED DIALYSIS CENTER5525013932 DOWNING AVENUEBALDWIN PARKCA917061899%107Insufficient dataN/A7Insufficient dataN/A4107
336ADVANCED DIALYSIS CENTER - EASTON212649610 E DUTCHMANS LNEASTONMD21601596%87Insufficient dataN/A7Insufficient dataN/A487
337ADVANCED DIALYSIS CENTER - POTOMAC4926351785 S HAYES STARLINGTONVA22202593%67Insufficient dataN/A7Insufficient dataN/A467
338ADVANCED DIALYSIS CENTER - ROCKVILLE212656299 HURLEY AVEROCKVILLEMD20850596%87Insufficient dataN/A7Insufficient dataN/A487
339ADVANCED DIALYSIS CENTER OF FT LAUDERDALE102878911 E OAKLAND PARK BLVDOAKLAND PARKFL33334793%67Insufficient dataN/A7Insufficient dataN/A467
340ADVANCED DIALYSIS SERVICES2626452655 MUEGGE ROAD SUITE 101SAINT CHARLESMO633031296%9781%77Insufficient dataN/A487
341ADVANCED KIDNEY THERAPIES OF FOXBOROUGH22257910 LINCOLN RDSUITE 101FOXBOROUGHMA02035195%87Insufficient dataN/A7Insufficient dataN/A487
342ADVANCED RENAL CARE1028153614 W KENNEDY BLVD SUITE ATAMPAFL33609779%27Insufficient dataN/A7Insufficient dataN/A427
343AFFILIATED DIALYSIS CENTERS142676715 LAKE STREET, STE. 318OAK PARKIL603011084%07Insufficient dataN/A7Insufficient dataN/A407
344AFFILIATED DIALYSIS OF GLEN ELLYN142752800 ROOSEVELT RD STE C-16GLEN ELLYNIL601371092%87Insufficient dataN/A7Insufficient dataN/A487
345AFFILIATED DIALYSIS OF JOLIET1427731352 HOUBOLT RDJOLIETIL6043110Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
346AFFILIATED HOME DIALYSIS - ELK GROVE1426991014 BONAVENTURE DRIVEELK GROVE VILLAGEIL6000710Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
347AFFILIATED HOME DIALYSIS, LLC1426832500 NORTH MAIN ST., SUITE 1AEAST PEORIAIL6161110Insufficient dataN/A7Insufficient dataN/A7Insufficient dataN/A4NO SCORE7
348AHOSKIE DIALYSIS342570129 HERTFORD COUNTY HIGH RDAHOSKIENC27910699%107Insufficient dataN/A7Insufficient dataN/A4107
349AIKEN DIALYSIS422512775 MEDICAL PARK DRIVEAIKENSC29801695%87Insufficient dataN/A7Insufficient dataN/A487
350ALAMEDA COUNTY DIALYSIS CENTER05278710700 MACARTHUR BLVD. BUILDING 7OAKLANDCA946051794%77Insufficient dataN/A7Insufficient dataN/A477

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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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