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ESRD QIP - Anemia - Payment Year 2015

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkHemoglobin gt 12 g/dL Performance RateHemoglobin gt 12 g/dL Measure ScoreNational Avg Hemoglobin gt 12 g/dL Measure Score
5551PURITY DIALYSIS - WATERTOWN522525123 HOSPITAL DRIVE, #1004WATERTOWNWI53098110%1010
5552DAVITA - FOND DU LAC DIALYSIS522526210 WISCONSIN AMERICAN DRIVEDIALYSIS UNITFOND DU LACWI54937110%1010
5553DAVITA - SHEBOYGAN DIALYSIS5225271338 NORTH TAYLOR DRIVESHEBOYGANWI53081110%1010
5554FRESENIUS MEDICAL CARE MIDWEST RYAN ROAD5225289420 SOUTH 22ND STREETOAK CREEKWI53154110%1010
5555DAVITA - CEDARBURG522529N54 WEST 6135 MILL STREETCEDARBURGWI53012110%1010
5556FMC - CENTRE POINT52253011340 WEST THEODORE TRECKER WAYWEST ALLISWI53214110%1010
5557FMC - SHOREWOOD5225311409 EAST CAPITOL DRIVESHOREWOODWI53211110%1010
5558DAVITA - CAPITOL DRIVE52253219395 WEST CAPITOL DRIVE, SUITE 100BROOKFIELDWI53045115%110
5559PURITY DIALYSIS - FORT ATKINSON522533525 HANDEYSIDE LANEFORT ATKINSONWI53538110%1010
5560TRI STATE DIALYSIS - PLATTEVILLE5225341250 EAST BUSINESS HIGHWAY 151, SUITE BPLATTEVILLEWI53818110%1010
5561PURITY DIALYSIS - WAUKESHA SOUTH5225351260 SENTRY DRIVEWAUKESHAWI53186110%1010
5562DAVITA - BLUEMOUND PD522536601 NORTH 99TH STREETSUITE 300WAUWATOSAWI53226110%1010
5563DAVITA - LAKE GENEVA DIALYSIS522537650 NORTH EDWARDS BOULEVARDLAKE GENEVAWI53147112%610
5564FMC DIALYSIS - SUPERIOR5225383500 TOWER AVENUESUPERIORWI54880110%1010
5565FMC DIALYSIS - CHEQUAMEGON BAY5225391815 BEASER AVENUEASHLANDWI5480611N/A10
5566FRESENIUS MEDICAL CARE MIDWEST RACINE5225405409 DURAND AVENUERACINEWI53406110%1010
5567FRESENIUS MEDICAL CARE MIDWEST GLENDALE522542400 WEST ESTABROOK BOULEVARDMILWAUKEEWI53212110%1010
5568DAVITA - SOUTH RIDGE5225437740 WEST LAYTON AVENUEGREENFIELDWI53220110%1010
5569FRESENIUS MEDICAL CARE MIDWEST WEST BEND5225442050 CONTINENTAL DRIVEWEST BENDWI53095110%1010
5570FMC DIALYSIS - OSHKOSH5225452700 WEST 9TH AVENUESUITE 101AOSHKOSHWI54904110%1010
5571FMC DIALYSIS - APPLETON5225462701 NORTH ONEIDA STREET, SUITE EASTAPPLETONWI54911110%1010
5572FMC - RIPON SOUTH52254737 STONEY RIDGE ROADSTE 100RIPONWI54971110%1010
5573DAVITA - WEST APPLETON52254810130 WEST APPLETON AVENUE, SUITE 500MILWAUKEEWI53225113%410
5574FMC - KAUKAUNA5225502259 PROGRESS WAYKAUKAUNAWI54130110%1010
5575DAVITA - MARINETTE DIALYSIS5225512706 CAHILL ROADMARINETTEWI54143110%1010
5576DAVITA - GREEN BAY DIALYSIS5225521751 DECKNER AVENUEGREEN BAYWI54302110%1010
5577DAVITA - BAY SHORE5225545650 NORTH GREEN BAY AVENUE #150GLENDALEWI53209110%1010
5578WI DIALYSIS INC - FITCHBURG CLINIC5225553034 FISH HATCHERY ROADMADISONWI53713110%1010
5579DAVITA - STURGEON BAY DIALYSIS522556108 SOUTH 10TH AVENUESTURGEON BAYWI54235110%1010
5580DAVITA - TITLE TOWN522558120 SIEGLER STREETGREEN BAYWI54303110%1010
5581WI DIALYSIS INC - EAST5225594600 AMERICAN PARKWAY, SUITE 108MADISONWI53718110%1010
5582DAVITA - OSHKOSH DIALYSIS522560855 NORTH WESTHAVEN DRIVEDIALYSIS UNITOSHKOSHWI54904110%1010
5583FRESENIUS MEDICAL CARE MIDWEST LAKESHORE5225612000 EAST LAYTON AVENUE SUITE 200SAINT FRANCISWI53235110%1010
5584DAVITA - MANITOWOC DIALYSIS522562601 REED AVENUEMANITOWOCWI54220110%1010
5585DAVITA - WAUTOMA DIALYSIS522563900 EAST DIVISION STREETWAUTOMAWI54982110%1010
5586FRESENIUS MEDICAL CARE MIDWEST KENOSHA5225646804 GREEN BAY ROADSUITE 108KENOSHAWI53142110%1010
5587ARA - MILWAUKEE5225654775 NORTH GREEN BAY AVENUEMILWAUKEE DIALYSIS CENTERMILWAUKEEWI53209110%1010
5588DAVITA - BLUEMOUND522566601 NORTH 99TH STREETSUITE 100WAUWATOSAWI53226110%1010
5589KIDNEY REPLACEMENT THERAPIES5225686125 GREEN BAY ROADSUITE 100KENOSHAWI5314211N/A10
5590FMC DIALYSIS - WAUPACA522570102 GRAND SEASONS DRIVESUITE 7WAUPACAWI54981110%1010
5591FRESENIUS MEDICAL CARE MIDWEST APPLETON AVE5225717793 WEST APPLETON AVENUEMILWAUKEEWI53222110%1010
5592MONROE CLINIC DIALYSIS522572515 - 22ND AVENUEMONROEWI53566110%1010
5593FRESENIUS MEDICAL CARE MIDWEST 27TH STREET BRANCH5225733120 SOUTH 27TH STREETMILWAUKEEWI53215110%1010
5594KENOSHA KIDNEY DIALYSIS5225746125 GREEN BAY ROADSUITE 200KENOSHAWI53142110%1010
5595AMERY DIALYSIS OF DAVITA522575970 ELDEN AVENUEAMERYWI54001110%1010
5596DAVITA - HUMBOLDT RIDGE5225772211 NORTH HUMBOLDT BOULEVARDMILWAUKEEWI53212110%1010
5597DAVITA - OAK CREEK5225788201 SOUTH HOWELL AVENUE, SUITE 600OAK CREEKWI53154110%1010
5598PURITY DIALYSIS - GERMANTOWN522579W175 N11056 STONEWOOD DRIVEGERMANTOWNWI5302211N/A10
5599FMC - HAYWARD52258010342 DYNO DRIVEHAYWARDWI54843110%1010
5600FRESENIUS MEDICAL CARE MIDWEST WAUKESHA522581111 ANN STREETWAUKESHAWI53188110%1010

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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QIP data by facility: % patients with Hgb >12.

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