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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
301FMCNA - STUTTGART DIALYSIS0425372202 SOUTH MAIN STREETSTUTTGARTAR721601393%87Insufficient dataN/A7Insufficient dataN/A887
302DAVITA - FAYETTEVILLE042539509 EAST MILLSAP SUITE 111FAYETTEVILLEAR727031393%67Insufficient dataN/A7Insufficient dataN/A867
303DAVITA - BENTONVILLE0425401104 SOUTHEAST 30TH STREETBENTONVILLEAR727121397%10793%97Insufficient dataN/A8107
304FMCNA - MONTICELLO042543774 JORDAN DRIVEMONTICELLOAR716551394%77Insufficient dataN/A7Insufficient dataN/A877
305DAVITA - SW ARKANSAS DIALYSIS-MAGNOLIA042545225 NORTH DUDNEYMAGNOLIAAR717531398%107Insufficient dataN/A7Insufficient dataN/A8107
306DAVITA - LITTLE ROCK MIDTOWN DIALYSIS042547#2 LILE COURT SUITE 102LITTLE ROCKAR722051397%107Insufficient dataN/A7Insufficient dataN/A8107
307DAVITA - NORTH LITTLE ROCK DIALYSIS CTR0425484505 EAST MCCAIN BOULEVARDNORTH LITTLE ROCKAR721171391%57Insufficient dataN/A7Insufficient dataN/A857
308DAVITA - SILOAM SPRINGS042549500 SOUTH MOUNT OLIVE SUITE 107SILOAM SPRINGSAR727611395%87Insufficient dataN/A7Insufficient dataN/A887
309FMCNA - BLYTHEVILLE0425501001 EAST MOULTRIEBLYTHEVILLEAR723151395%87Insufficient dataN/A7Insufficient dataN/A887
310LEWISVILLE DIALYSIS CTR042551PO BOX 742LEWISVILLEAR718451397%107Insufficient dataN/A7Insufficient dataN/A8107
311DAVITA - JACKSONVILLE CENTRAL DIALYSIS CTR042553400 T P WHITE DRIVEJACKSONVILLEAR720761392%5783%67Insufficient dataN/A857
312DAVITA - JACKSON COUNTY DX0425541912 MCCLAINPRATT SQUARENEWPORTAR721121398%107Insufficient dataN/A7Insufficient dataN/A8107
313FMCNA - BENTON0425562101 CONGO ROADBENTONAR720151395%87Insufficient dataN/A7Insufficient dataN/A887
314DAVITA - INDEPENDENCE COUNTY DX0425571700 HARRISON STREET SUITE FBATESVILLEAR725011397%107Insufficient dataN/A7Insufficient dataN/A8107
315DAVITA - SALINE COUNTY DIALYSIS042558GROUND LEVEL-1200 NORTH MAIN SUITE 2BENTONAR720151394%77Insufficient dataN/A7Insufficient dataN/A877
316DAVITA - ASHLEY DIALYSIS CTR0425601019 FRED LAGRONE DRIVECROSSETTAR716351397%107Insufficient dataN/A7Insufficient dataN/A8107
317US RENAL CARE OF NORTHEAST AR - PARAGOULD042562901 WEST KINGS HIGHWAYPARAGOULDAR724501393%67Insufficient dataN/A7Insufficient dataN/A867
318DAVITA - HEMPSTEAD COUNTY DIALYSIS UNIT0425631803 SOUTH LAURELHOPEAR718011397%107Insufficient dataN/A7Insufficient dataN/A8107
319US RENAL CARE - PINE BLUFF0425642800 WEST 28TH STREETPINE BLUFFAR716031391%5777%57Insufficient dataN/A857
320PINE BLUFF DIALYSIS - KIDNEY CTR OF MCGEHEE042565610 WEST HOLLY STREETMCGEHEEAR716541394%77Insufficient dataN/A7Insufficient dataN/A877
321RVM - RENAL CTR OF MTN HOME042567200 EAST 8TH STREET #101MOUNTAIN HOMEAR726531395%8795%107Insufficient dataN/A887
322DAVITA - SPRINGDALE042568708 QUANDT AVENUESPRINGDALEAR727641396%97Insufficient dataN/A7Insufficient dataN/A897
323HOPE DIALYSIS CENTER042569407 WEST 16TH STREETHOPEAR718011399%107Insufficient dataN/A7Insufficient dataN/A8107
324DAVITA - MALVERN DIALYSIS0425701590 TANNER ROADMALVERNAR721041396%97Insufficient dataN/A7Insufficient dataN/A897
325DVA RENAL HEALTHCARE - LITTLE ROCK DIALYSIS0425716 FREEWAY DRIVESUITE 100LITTLE ROCKAR722041395%8791%97Insufficient dataN/A887
326DAVITA - RENAL CARE OF MARION0425731120 STATE HIGHWAY 77 SUITE 2MARIONAR723641394%77Insufficient dataN/A7Insufficient dataN/A877
327NORTH HILLS DIALYSIS042574107 EAST MONTE PAINTER DRIVEFAYETTEVILLEAR727031393%6779%57Insufficient dataN/A867
328BENTON COUNTY DIALYSIS CTR042575801 SOUTHEAST PLAZA AVENUE SUITE 1BENTONVILLEAR727121392%57Insufficient dataN/A7Insufficient dataN/A857
329DAVITA - BRADLEY COUNTY DIALYSIS042576204 NORTH BRAGGWARRENAR716711392%57Insufficient dataN/A7Insufficient dataN/A857
330NEA BAPTIST CLINIC - MIDDLEFIELD0425773005 MIDDLEFIELDJONESBOROAR724011390%4762%47Insufficient dataN/A847
331DAVITA - MILLER COUNTY DIALYSIS042578816 EAST STREETTEXARKANAAR718541397%107Insufficient dataN/A7Insufficient dataN/A8107
332DIALYSIS CENTER OF SILOAM SPRINGS0425802125 EAST MAIN SUITE 12SILOAM SPRINGSAR727611395%87Insufficient dataN/A7Insufficient dataN/A887
333VAMANA, INC042581422 BEECH STREETTEXARKANAAR718541390%47Insufficient dataN/A7Insufficient dataN/A847
334DAVITA - MENA DIALYSIS0425821200 CRESTWOOD CIRCLEMENAAR719531396%97Insufficient dataN/A7Insufficient dataN/A897
335DCI - MCCRORY042583139 WEST HIGHWAY 64 SUITE 100MCCRORYAR721011398%107Insufficient dataN/A7Insufficient dataN/A8107
336HARRISON DIALYSIS0425841409 GLADDENHARRISONAR726011393%67Insufficient dataN/A7Insufficient dataN/A867
337DAVITA - FORREST CITY0425851501 NORTH WASHINGTON STREETFORREST CITYAR723351397%107Insufficient dataN/A7Insufficient dataN/A8107
338RENAL SOUTH OF ROGERS, LLC042586101 NORTH 37THROGERSAR727561393%77Insufficient dataN/A7Insufficient dataN/A877
339DAVITA - MARKED TREE DX042587216 HESTER PARKER DRIVEMARKED TREEAR7236513100%107Insufficient dataN/A7Insufficient dataN/A8107
340NEA BAPTIST CLINIC - HILLTOP0425884909 EAST JOHNSON AVENUEJONESBOROAR724011380%0768%27Insufficient dataN/A817
341FMCNA - EAST LITTLE ROCK0425895320 WEST 12TH STREETEAST LITTLE ROCKAR72204137Insufficient dataN/A7Insufficient dataN/A87
342ST BERNARDS-WYNNE043501310 SOUTH FALLS BOULEVARDPO BOX 590WYNNEAR723961399%107Insufficient dataN/A7Insufficient dataN/A8107
343SANTA CLARA VALLEY RENAL CARE CENTER0500380523052220 MOORPARK AVENUESAN JOSECA951281789%3746%07Insufficient dataN/A827
344ST. JOSEPH HOSPITAL RENAL CENTER0500690523110523681100 WEST STEWART DRIVESR. ELIZABETH BLDG.ORANGECA928681898%10793%97Insufficient dataN/A8107
345KAISER PERMANENTE - SANTA CLARA050071052392710 LAWRENCE EXPRESSWAY #460SANTA CLARACA95051177Insufficient dataN/A7Insufficient dataN/A87
346KAISER PERMANENTE MARTINEZ050072052403200 MUIR ROAD, HACIENDA BUILDING, SECOND FLOORMARTINEZCA94553177Insufficient dataN/A7Insufficient dataN/A87
347KAISER FOUNDATION HOSPITAL MEDICAL CTR.- SUNSET0501380523234700 SUNSET BOULEVARD, 2ND FLOORDIALYSIS UNITLOS ANGELESCA90027187Insufficient dataN/A7Insufficient dataN/A87
348KAISER FOUNDATION HOSPITAL MEDICAL CTR. -DOWNEY0501390523899333 EAST IMPERIAL HIGHWAYCAPD DEPARTMENT-BASEMENTDOWNEYCA90242187Insufficient dataN/A7Insufficient dataN/A87
349KAISER FOUNDATION HOSPITAL MEDICAL CTR.- FONTANA0501400523809985 SIERRA AVENUE MOB-3PERITONEAL DIALYSIS UNITFONTANACA92335187Insufficient dataN/A7Insufficient dataN/A87
350ARROWHEAD REGIONAL MEDICAL CENTER050245052334400 NORTH PEPPER AVENUECOLTONCA923241898%107Insufficient dataN/A7Insufficient dataN/A8107

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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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