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ESRD QIP - Dialysis Adequacy - Payment Year 2015

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 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
201SUN CITY WEST DIALYSIS (FMC)03254612213 WEST BELL ROAD SUITE 110SURPRISEAZ853741591%67Insufficient dataN/A7Insufficient dataN/A867
202SUN CITY DIALYSIS (FMC)03254710050 WEST BELL ROAD SUITE 29-31SUN CITYAZ853511589%37Insufficient dataN/A7Insufficient dataN/A837
203SAFFORD DIALYSIS (FMC)0325491250 SOUTH 20TH AVENUESAFFORDAZ855461591%67Insufficient dataN/A7Insufficient dataN/A867
204NORTH PHOENIX DIALYSIS (FMC)0325501957 WEST DUNLAP AVENUE SUITE 6CPHOENIXAZ850211588%2772%37Insufficient dataN/A827
205MESA DIALYSIS (DSI)0325511337 SOUTH GILBERT ROAD SUITE 109MESAAZ852041597%107Insufficient dataN/A7Insufficient dataN/A8107
206ARROWHEAD DIALYSIS (FMC)03255216844 NORTH 59TH AVENUEGLENDALEAZ853061590%47Insufficient dataN/A7Insufficient dataN/A847
207PAPAGO DIALYSIS (DVA)0325535115 EAST THOMAS, SUITE #115PHOENIXAZ850181596%97Insufficient dataN/A7Insufficient dataN/A897
208SOUTH YUMA DIALYSIS (DVA)0325567179 EAST 31ST PLACEYUMAAZ853651595%87Insufficient dataN/A7Insufficient dataN/A887
209TUCSON SOUTH DIALYSIS (DVA)0325573662 SOUTH 16TH AVENUETUCSONAZ857131595%87Insufficient dataN/A7Insufficient dataN/A887
210BULLHEAD CITY DIALYSIS (FMC)0325582650 MIRACLE MILEBULLHEAD CITYAZ864421590%47Insufficient dataN/A7Insufficient dataN/A847
211FOUR CORNERS DIAL CLINIC KAYENTA (DVA)032559US HIGHWAY 163 NORTHKAYENTAAZ860331598%107Insufficient dataN/A7Insufficient dataN/A8107
212CASA GRANDE DIALYSIS (FMC)032561695 EAST COTTONWOOD LANECASA GRANDEAZ851221594%77Insufficient dataN/A7Insufficient dataN/A877
213COTTONWOOD DIALYSIS (DVA)032562203 SOUTH CANDY LANE SUITE 11 A & BCOTTONWOODAZ863261593%67Insufficient dataN/A7Insufficient dataN/A867
214SCOTTSDALE DIALYSIS (FMC)0325631495 NORTH HAYDEN SUITE D1-D4SCOTTSDALEAZ852571595%87Insufficient dataN/A7Insufficient dataN/A887
215MARYVALE DIALYSIS (FMC)0325644502 WEST INDIAN SCHOOL ROAD SUITE A4-11PHOENIXAZ850311580%07Insufficient dataN/A7Insufficient dataN/A807
216DESERT DIALYSIS CENTER SOUTH TUCSON (DCI)0325651011 EAST PENNSYLVANIA STREETTUCSONAZ857191593%67Insufficient dataN/A7Insufficient dataN/A867
217RED MOUNTAIN DIALYSIS (FMC)0325681211 NORTH COUNTRY CLUB DRIVE SUITE 4MESAAZ852011592%57Insufficient dataN/A7Insufficient dataN/A857
218NORTH SCOTTSDALE DIALYSIS (FMC)03257116101 NORTH 82ND STREET SUITE 6-7SCOTTSDALEAZ852601580%0777%57Insufficient dataN/A817
219DESERT DIALYSIS SRVS INC-SUN CITY (DVA)03257213000 NORTH 103RD AVENUE SUITE 66SUN CITYAZ853511595%87Insufficient dataN/A7Insufficient dataN/A887
220PASCUA YAQUI DIALYSIS (DVA)0325737490 SOUTH CAMINO DE OESTETUCSONAZ857571595%87Insufficient dataN/A7Insufficient dataN/A887
221SHOW LOW DIALYSIS (FMC)0325751500 SOUTH WHITE MOUNTAIN BOULEVARD SUITE 204SHOW LOWAZ859011575%0750%07Insufficient dataN/A807
222YAVAPAI DIALYSIS (FMC)0325773605 RANCH DRIVEPRESCOTTAZ863031595%8785%77Insufficient dataN/A887
223APACHE JUNCTION DIALYSIS (FMC)03257811540 EAST UNIVERSITY DRIVE SUITE 109APACHE JUNCTIONAZ852201577%07Insufficient dataN/A7Insufficient dataN/A807
224SUN LAKES DIALYSIS (FMC)0325799666 EAST RIGGS ROAD SUITE 143SUN LAKESAZ852481593%87Insufficient dataN/A7Insufficient dataN/A887
225PALM VALLEY DIALYSIS (FMC)03258013657 WEST MCDOWELL ROAD SUITE 106GOODYEARAZ853381592%57Insufficient dataN/A7Insufficient dataN/A857
226AK-CHIN DIALYSIS (FMC)03258103111416536 NORTH MARICOPA ROADMARICOPAAZ852391582%07Insufficient dataN/A7Insufficient dataN/A807
227KINGMAN KIDNEY CENTER INC.0325824055 STOCKTON HILL ROAD SUITE 15KINGMANAZ864091591%57Insufficient dataN/A7Insufficient dataN/A857
228SOUTH PHOENIX DIALYSIS (DSI)0325830311154621 SOUTH CENTRAL AVENUEPHOENIXAZ850401599%107Insufficient dataN/A7Insufficient dataN/A8107
229TEMPE RENAL CENTER (DSI)0325868820 SOUTH KYRENE ROADTEMPEAZ852841594%77Insufficient dataN/A7Insufficient dataN/A877
230DEER VALLEY DIALYSIS (FMC)03258721241 NORTH 23RD AVENUE SUITE 11PHOENIXAZ850271582%07Insufficient dataN/A7Insufficient dataN/A807
231TUCSON SOUTH CENTRAL DIALYSIS (DVA)0325892024 EAST IRVINGTON ROADTUCSONAZ857141596%97Insufficient dataN/A7Insufficient dataN/A897
232HOPI DIALYSIS CENTER (DVA)032592HIGHWAY 264 MP 388POLACCAAZ860421597%107Insufficient dataN/A7Insufficient dataN/A8107
233GRANITE VALLEY DIALYSIS (FMC)03259314510 WEST SHUMWAY DRIVE SUITE 100SUN CITY WESTAZ853751595%87Insufficient dataN/A7Insufficient dataN/A887
234SALT RIVER DIALYSIS CENTER (FMC)03259410301 EAST OSBORN ROAD BUILDING 14SCOTTSDALEAZ852561596%97Insufficient dataN/A7Insufficient dataN/A897
235GLENDALE FAMILY HEALTH CENTER - DIALYSIS0325955141 WEST LAMAR ROADGLENDALEAZ853011566%07Insufficient dataN/A7Insufficient dataN/A807
236NORTHEAST PHOENIX DIALYSIS (DSI)0325963305 EAST GREENWAY ROAD SUITE 1PHOENIXAZ850321585%07Insufficient dataN/A7Insufficient dataN/A807
237SAN CARLOS DIALYSIS (FMC)032597US 70 & AZ ROUTE 170PERIDOTAZ855421598%107Insufficient dataN/A7Insufficient dataN/A8107
238MAMMOTH DIALYSIS (FMC)03259814786 SOUTH HIGHWAY 77 - POB 729MAMMOTHAZ856181595%87Insufficient dataN/A7Insufficient dataN/A887
239AHWATUKEE DIALYSIS (FMC)0325994629 EAST CHANDLER BOULEVARD SUITE 100PHOENIXAZ850481594%87Insufficient dataN/A7Insufficient dataN/A887
240SCOTTSDALE DIALYSIS CENTER (DVA)0326004725 NORTH SCOTTSDALE ROAD SUITE 100SCOTTSDALEAZ852511595%87Insufficient dataN/A7Insufficient dataN/A887
241PALM BROOK DIALYSIS CENTER (DVA)03260114664 NORTH DEL WEBB BOULEVARDSUN CITYAZ853511595%87Insufficient dataN/A7Insufficient dataN/A887
242SOUTHWEST KIDNEY DIALYSIS - ARROWHEAD LAKES (DVA)03260420325 NORTH 51ST AVENUE SUITE 186 BUILDING 11GLENDALEAZ853081597%10795%107Insufficient dataN/A8107
243SOUTHWEST KIDNEY DIALYSIS - GILBERT (DVA)0326055222 EAST BASELINE ROAD SUITE 104GILBERTAZ852341597%107Insufficient dataN/A7Insufficient dataN/A8107
244AVONDALE DIALYSIS (FMC)03260710750 WEST MCDOWELL ROAD SUITE E500AVONDALEAZ853231593%67Insufficient dataN/A7Insufficient dataN/A867
245AVONDALE DIALYSIS (DSI)03260813055 WEST MCDOWELL ROAD SUITE F101AVONDALEAZ853921596%97Insufficient dataN/A7Insufficient dataN/A897
246SOUTHWEST KIDNEY DIALYSIS - TEMPE (DVA)0326092149 EAST WARNER ROAD SUITE 109 & SUITE 110TEMPEAZ852841596%9793%97Insufficient dataN/A897
247SOUTHEAST VALLEY DIALYSIS (FMC)03261022715 SOUTH ELLSWORTH ROAD SUITE DQUEEN CREEKAZ851421586%17Insufficient dataN/A7Insufficient dataN/A817
248SOUTHWEST KIDNEY DIALYSIS - PHOENIX (DVA)032611337 EAST CORONADO ROAD SUITE 101PHOENIXAZ850041597%107Insufficient dataN/A7Insufficient dataN/A8107
249SOUTHWEST KIDNEY DIALYSIS - ESTRELLA (DVA)0326128410 WEST THOMAS ROAD SUITE 100 BUILDING 1PHOENIXAZ850371597%107Insufficient dataN/A7Insufficient dataN/A8107
250NORTHWEST TUCSON DIALYSIS (FMC)0326136261 NORTH LA CHOLLA BOULEVARD SUITE 181TUCSONAZ857411584%07Insufficient dataN/A7Insufficient dataN/A807

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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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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