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Complete QIP Data - Payment Year 2014

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkHemoglobin 12 g/dL Measure ScoreHemoglobin 12 g/dL Performance Period RateNumber of Hemoglobin Eligible Patients Performance PeriodHemoglobin 12 g/dL Baseline Period RateNumber of Hemoglobin Eligible Patients Baseline PeriodHemoglobin 12 g/dL Performance Score AppliedURR Measure ScoreURR Performance Period RateNumber of URR Eligible Patients Performance PeriodURR Baseline Period RateNumber of URR Eligible Patients Baseline PeriodURR Performance Score AppliedFistula Measure ScoreFistula Performance Period RateNumber of Fistula Patient Months Performance PeriodFistula Baseline Period RateNumber of Fistula Patient Months Baseline PeriodFistula Performance Score AppliedCatheter Measure ScoreCatheter Performance Period RateNumber of Catheter Patient Months Performance PeriodCatheter Baseline Period RateNumber of Catheter Patient Months Baseline PeriodCatheter Performance Score AppliedVascular Access Combined Measure ScoreICH CAHPS Admin ScoreNHSN Event Reporting ScoreMineral Metabolism Reporting ScoreTotal Performance ScorePY2014 Payment Reduction PercentageCMS Certification DateOwnership as of December 31, 2012Date of ownership record update
451FMC-CAMARILLO DIALYSIS CENTER0526683801 LAS POSAS ROAD, SUITE 103CAMARILLOCA9301018100%270%29Achievement10100%30100%32Achievement664%32063%345Achievement102%3121%245Achievement8%10101094%No reduction02/10/1988FRESENIUS MEDICAL CARE05/19/1999
452IMPERIAL DIALYSIS0526702738 WEST IMPERIAL HIGHWAYINGLEWOODCA9030318100%904%98Achievement10100%90100%88Achievement354%105552%1025Achievement96%9966%739Achievement6%10101088%No reduction05/19/1988DAVITA10/06/2005
453DAVITA-UNITED DIALYSIS CENTER0526713111 LONG BEACH BOULEVARDLONG BEACHCA9080718100%960%124Achievement10100%9597%112Achievement868%116457%1295Achievement97%10707%919Achievement9%10101097%No reduction09/01/1988DAVITA06/04/1999
454BAKERSFIELD DIALYSIS CENTER0526735143 OFFICE PARK DRIVEBAKERSFIELDCA9330918100%2603%263Achievement999%25989%237Improvement662%293259%2849Achievement613%275013%2032Achievement6%10101085%No reduction08/18/1988DAVITA05/19/1999
455DELANO DIALYSIS052674905 MAIN STREETDELANOCA9321518100%8014%72Achievement10100%8499%67Achievement868%100568%839Achievement613%95217%609Achievement7%10101091%No reduction10/07/1988DAVITA10/06/2005
456EAST BAY PERITONEAL DIALYSIS05267513939 EAST 14TH STREET SUITE 110SAN LEANDROCA9457817100%184%23AchievementN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction11/04/1988DAVITA07/16/2002
457DCI UNIVERSITY DIALYSIS CLINIC0526761771 STOCKTON BOULEVARDSACRAMENTOCA9581617100%990%91Achievement192%7891%82Improvement560%99755%937Achievement416%95721%670Achievement5%10101058%No reduction11/01/1988DIALYSIS CLINIC, INC.12/14/2004
458SAN JOAQUIN VALLEY DIALYSIS0526773636 NORTH FIRST #144FRESNOCA937261791%1104%125Achievement10100%10197%101Achievement250%114646%1097Achievement127%108030%768Improvement2%1010070%No reduction01/20/1989FRESENIUS MEDICAL CARE01/02/1980
459FMC-GATEWAY DIALYSIS CENTER-EAST052678720 GATEWAY CENTER DRIVE, SUITE BSAN DIEGOCA9210218100%802%86Achievement899%8799%82Achievement355%97756%946Achievement103%9144%668Achievement7%10101085%No reduction01/20/1989FRESENIUS MEDICAL CARE06/03/1999
460COASTAL DIALYSIS CENTER052679514 NORTH PROSPECT AVENUEREDONDO BEACHCA9027718100%2510%21Achievement10100%24100%21Achievement662%26559%247Achievement710%24912%181Achievement7%10101091%No reduction02/01/1989OTHER CHAIN(number of facilities <20 )08/12/1999
461FONTANA DIALYSIS05268217950 FOOTHILL BOULEVARDFONTANACA9233518100%486%49Achievement10100%54100%50Achievement664%52566%509Achievement96%4524%353Achievement8%10101094%No reduction06/26/1989DAVITA10/06/2005
462RAI-EAST OLYMPIC-LOS ANGELES0526835714 EAST OLYMPIC BOULEVARDLOS ANGELESCA9002218100%610%47Achievement597%6298%47Achievement1077%71156%546Achievement96%63410%370Achievement10%10101085%No reduction05/22/1989FRESENIUS MEDICAL CARE11/24/2005
463PERITONEAL DIALYSIS CENTER OF AMERICA SAN GABRIEL PC052684809 SOUTH ATLANTIC BOULEVARD, SUITE 103MONTEREY PARKCA9175418N/A44N/AN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction07/22/1989INDEPENDENT10/14/2005
464HAYWARD DIALYSIS CENTER05268521615 HESPERIAN BOULEVARD SUITE FHAYWARDCA9454117100%842%103Achievement899%8394%101Achievement559%98357%1097Achievement97%9296%760Achievement7%10101085%No reduction10/18/1989DAVITA07/25/2006
465FMC-LA MESA DIALYSIS CENTER0526865995 SEVERIN DRIVELA MESACA9194218100%774%75Achievement899%7796%73Achievement870%86554%791Achievement89%79816%545Achievement8%10101088%No reduction09/26/1989FRESENIUS MEDICAL CARE05/19/1999
466FMC-CARSON05268720710 SOUTH LEAPWOOD AVENUE, SUITE FCARSONCA9074618100%393%37Achievement10100%3897%36Achievement662%45758%385Achievement710%42214%275Achievement7%10101091%No reduction06/09/1989FRESENIUS MEDICAL CARE06/09/1999
467WALNUT CREEK DIALYSIS052689404 NORTH WIGET LANEWALNUT CREEKCA9459817100%300%33Achievement10100%34100%32Achievement767%33866%318Achievement97%31614%219Achievement8%10101094%No reduction08/25/1989DAVITA05/19/2008
468FMC-EL CENTRO DESERT VALLEY DIALYSIS CENTER052690110 SOUTH FIFTH STREETEL CENTROCA9224318100%543%58Achievement10100%61100%60Achievement250%68444%645Achievement101%6473%454Achievement6%10101088%No reduction10/31/1989FRESENIUS MEDICAL CARE05/28/1999
469CAMERON PARK DIALYSIS0526913311 COACH LANE SUITE CCAMERON PARKCA9568217100%552%58Achievement798%5993%59Achievement560%64557%658Achievement710%56915%445Achievement6%10101079%No reduction08/30/1989DAVITA12/02/2011
470FMC LOS GATOS05269414651 SOUTH BASCOM SUITE 100LOS GATOSCA9503217100%2829%31Achievement597%30100%29Achievement663%34763%337Achievement319%29716%224Achievement5%10101070%No reduction03/26/1990FRESENIUS MEDICAL CARE12/14/2005
471DAVITA-LOS ANGELES DIALYSIS CENTER0526953901 SOUTH WESTERN AVENUELOS ANGELESCA900621882%8313%79Achievement899%80100%64Achievement251%82355%726Achievement88%7642%528Achievement5%10101073%No reduction03/01/1990DAVITA06/09/1999
472VISALIA DIALYSIS0526965429 WEST CYPRESS AVENUE, SUITE AVISALIACA9327718100%1132%93Achievement10100%8699%86Achievement766%104563%989Achievement613%96815%683Achievement7%10101091%No reduction07/06/1990DAVITA10/06/2005
473HIGH DESERT HEMODIALYSIS0526991007 WEST AVENUE M-14, SUITE BPALMDALECA9355118100%340%29Achievement479%3462%29Improvement662%37262%329Achievement124%36221%231Achievement4%1051062%No reduction09/05/1990INDEPENDENT05/12/2000
474DAVITA-MONTEREY PARK DIALYSIS CENTER0527002560 CORPORATE PLACE, BUILDING D, SUITE 100-101MONTEREY PARKCA9175418100%1286%141Achievement899%11896%133Achievement971%137471%1508Achievement96%13326%1086Achievement9%10101091%No reduction08/30/1990DAVITA05/10/2000
475BEACH CITIES DIALYSIS-TORRANCE05270120911 EARL STREET, SUITE 160TORRANCECA9050318100%442%44Achievement696%4687%45Improvement561%51763%512Achievement89%5036%362Achievement7%10101079%No reduction11/02/1990OTHER CHAIN(number of facilities <20 )05/19/1999
476RAI WEST MARCH0527033115 WEST MARCH LANE SUITE ASTOCKTONCA952191791%846%84Achievement899%7796%76Achievement353%92844%909Achievement710%87812%636Achievement5%10101076%No reduction11/19/1990RENAL ADVANTAGE11/24/2005
477RAI NORTH CALIFORNIA0527052350 NORTH CALIFORNIA STREETSTOCKTONCA9520417100%450%45Achievement10100%48100%45Achievement868%51557%523Achievement710%49016%379Achievement8%10101094%No reduction02/26/1991RENAL ADVANTAGE11/24/2005
478ATWATER DIALYSIS CENTER0527061201 COMMERCE AVENUEATWATERCA9530117100%480%44Achievement10100%50100%45Achievement1078%56368%519Achievement89%52416%360Achievement9%10101097%No reduction03/14/1991DAVITA07/26/2011
479ALHAMBRA DIALYSIS CENTER0527071315 ALHAMBRA BOULEVARD #100SACRAMENTOCA9581617100%623%63Achievement10100%6195%58Achievement765%69959%714Achievement710%66914%500Achievement7%10101091%No reduction03/22/1991DAVITA10/04/2003
480FMC-NORTH COAST KIDNEY CENTER0527083300 VISTA WAY, SUITE AOCEANSIDECA9205618100%1044%98Achievement10100%117100%108Achievement972%138773%1198Achievement103%12924%844Achievement10%101010100%No reduction03/29/1991FRESENIUS MEDICAL CARE05/28/1999
481VACAVILLE DIALYSIS CLINIC052709941 MERCHANT STREETVACAVILLECA9568817100%595%37Achievement798%5697%32Achievement870%61471%420Achievement612%5569%288Achievement7%10101082%No reduction02/28/1991DAVITA01/02/1980
482LA PUENTE DIALYSIS CENTER, INC.05271014557 TEMPLE AVENUELA PUENTECA917441891%684%76Achievement596%6792%72Improvement353%76556%846Achievement612%7158%597Achievement5%10101067%No reduction04/08/1991INDEPENDENT05/19/1999
483SOUTHGATE DIALYSIS0527117231 EAST SOUTHGATE DRIVESACRAMENTOCA9582317100%710%79Achievement091%6895%75Achievement662%78962%895Achievement613%75911%643Achievement6%10101058%No reduction04/26/1991DIALYSIS CLINIC, INC.10/04/2003
484INTERCOMMUNITY DIALYSIS CENTER05271212455 WASHINGTON BOULEVARDWHITTIERCA906021891%950%92Achievement798%9398%83Achievement1076%100070%1029Achievement710%92310%724Achievement9%10101085%No reduction06/17/1991INDEPENDENT05/19/1999
485UNIVERSITY PARK DIALYSIS CENTER0527133986 SOUTH FIGUEROA STREETLOS ANGELESCA9003718100%640%64Achievement10100%6798%65Achievement561%74267%739Achievement96%7052%528Achievement7%10101091%No reduction06/07/1991DAVITA10/08/2005
486DESERT CITIES DIALYSIS05271412675 HESPERIA ROADVICTORVILLECA923921882%1069%89Achievement693%10282%83Improvement349%119935%915Improvement426%106240%641Improvement4%10101064%No reduction08/05/1991INDEPENDENT06/08/1999
487PACIFIC DIALYSIS SERVICES, INC.0527151830 LOMITA BOULEVARDLOMITACA9071718100%875%95Achievement10100%9396%95Achievement561%102259%1100Achievement710%97612%785Achievement6%10101088%No reduction09/25/1991OTHER CHAIN(number of facilities <20 )05/19/1999
488DAVITA-SANTA ANA DIALYSIS CENTER0527161820 EAST DEERE AVENUESANTA ANACA9270518100%597%69Achievement10100%6294%65Achievement973%66866%736Achievement105%6319%516Achievement10%101010100%No reduction08/17/1977DAVITA06/04/1999
489DAVITA-GREATER EL MONTE DIALYSIS CENTER0527171938 TYLER AVENUE, SUITE J-168SOUTH EL MONTECA9173318100%354%46Achievement10100%36100%47Achievement1089%39375%524Achievement103%37311%371Achievement10%101010100%No reduction10/15/1991DAVITA05/19/1999
490DAVITA-NORWALK DIALYSIS CENTER05271812375 EAST IMPERIAL HIGHWAYNORWALKCA9065018100%541%75Achievement10100%5697%65Achievement766%57461%738Achievement88%54211%529Achievement8%10101094%No reduction11/13/1991DAVITA05/28/1999
491SAN FRANCISCO DIALYSIS CENTER0527191499 WEBSTER STREETSAN FRANCISCOCA9411517100%642%64Achievement10100%5798%61Achievement870%63672%703Achievement88%59712%487Achievement8%10101094%No reduction06/17/1991DAVITA11/24/2005
492CITRUS DIALYSIS CENTER052720315 NORTH THIRD AVENUE, SUITE 104COVINACA917231882%445%41Achievement898%4590%42Improvement035%55036%472Achievement613%47711%333Achievement3%10101067%No reduction12/02/1991INDEPENDENT05/19/1999
493RAI PERALTA0527212757 TELEGRAPH AVENUEOAKLANDCA9461217100%910%96Achievement899%9797%94Achievement141%107037%1087Improvement514%102922%790Achievement3%10101073%No reduction02/12/1992RENAL ADVANTAGE11/24/2005
494FMC FREMONT05272239505 PASEO PADRE PARKWAYFREMONTCA9453817100%986%98Achievement899%8195%85Achievement354%93560%928Achievement124%84824%646Achievement2%10101070%No reduction03/06/1992FRESENIUS MEDICAL CARE07/17/2007
495MANTECA DIALYSIS CENTER0527231156 SOUTH MAIN STREETMANTECACA9533617100%136%17Achievement10100%16100%21Achievement868%16979%214Achievement613%15112%147Achievement7%10101091%No reduction03/10/1992DAVITA11/24/2005
496SFS DIALYSIS05272410012 NORWALK BOULEVARD, SUITE 190SANTA FE SPRINGSCA9067018100%1717%18Achievement595%1988%17Improvement664%22070%174Achievement514%21914%118Achievement6%10101073%No reduction06/11/1992DAVITA05/19/1999
497DOCTORS DIALYSIS CENTER OF EAST LOS ANGELES052725950 SOUTH EASTERN AVENUEEAST LOS ANGELESCA9002218100%744%72Achievement10100%74100%67Achievement766%84355%789Achievement710%78314%533Achievement7%10101091%No reduction07/15/1992DAVITA01/30/2009
498MOHAN DIALYSIS CENTER OF COVINA052726158 WEST COLLEGE STREETCOVINACA9172318100%460%53Achievement10100%49100%55Achievement559%57664%651Achievement711%54910%459Achievement6%10101088%No reduction08/10/1992INDEPENDENT05/19/1999
499RAI-INDIANA COURT-REDLANDS0527271210 INDIANA COURTREDLANDSCA9237418100%540%60Achievement10100%5290%52Achievement355%59458%718Achievement416%56114%510Achievement4%10101082%No reduction10/14/1992FRESENIUS MEDICAL CARE11/24/2005
500RAI OCEAN AVENUE0527281738 OCEAN AVENUESAN FRANCISCOCA9411217100%602%57Achievement798%52100%47Achievement870%61063%608Achievement123%56121%425Achievement5%10101076%No reduction11/05/1992RENAL ADVANTAGE11/24/2005

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cms cms

created Oct 23, 2012

updated Jan 15, 2014

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Description

Includes data for number of eligible patients by measure, % patients with Hemoglobin >12, % patients with median URR >=65%, % of hemodialysis patients using an arteriovenous fistula during last treatment of the month, % of hemodialysis patients using an intravenous catheter during the last treatment of the month and for at least 89 days priorHemoglobin measure score, URR measure score, the Total Performance Score, and payment reduction percentage.

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