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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
5301DSI SPOKANE RENAL CENTER50253712610 EAST MIRABEAU PARKWAY SUITE 100SPOKANEWA9921616100%4011%44Achievement10100%45100%43Achievement559%50352%493Achievement026%46721%331Achievement3%10101079%No reduction04/26/2002NATIONAL RENAL INSTITUTES05/27/2010
5302DSI NORTH SPOKANE RENAL CENTER5025387407 NORTH DIVISION SUITE FSPOKANEWA9920816100%608%65Achievement10100%5298%58Achievement973%64166%627Achievement417%60720%430Achievement7%10101091%No reduction04/12/2002NATIONAL RENAL INSTITUTES05/27/2010
5303FMC CHEHALIS502539505 SOUTHEAST ADAMS AVENUECHEHALISWA9853216100%433%31Achievement295%42100%31Achievement1077%51386%359Achievement711%4469%243Achievement9%10101073%No reduction08/01/2002RENAL CARE GROUP INC.06/01/2011
5304NKC SNOQUALMIE RIDGE KIDNEY CENTER50254035131 SOUTHEAST DOUGLAS STREET SUITE 113SNOQUALMIEWA9806516100%195%22Achievement10100%17100%22Achievement767%18072%172Achievement515%15115%107Achievement6%10101088%No reduction01/13/2003OTHER CHAIN(number of facilities <20 )05/27/2010
5305YAKIMA DIALYSIS CENTER5025411221 NORTH 16TH AVENUEYAKIMAWA9890216100%663%71Achievement898%6387%67Improvement1077%76575%783Achievement97%7318%550Achievement10%10101094%No reduction12/01/2002DAVITA05/27/2010
5306BELLEVUE DIALYSIS CENTER5025423535 FACTORIA BOULEVARD SOUTHEAST #150BELLEVUEWA9800616100%250%20Achievement10100%25100%20Achievement767%23573%219Achievement101%2134%141Achievement9%10101097%No reduction03/15/2004DAVITA06/01/2011
5307UNION GAP DIALYSIS CENTER5025431236 AHTANUM RIDGE BUSINESS PARKUNION GAPWA9890316100%632%58Achievement10100%4197%38Achievement1075%43473%440Achievement102%36110%323Achievement10%101010100%No reduction06/08/2004DAVITA05/27/2010
5308WESTWOOD DIALYSIS CENTER5025442615 SOUTHWEST TRENTON STREETSEATTLEWA9812616100%2212%26Achievement10100%2496%24Achievement767%24554%269Achievement103%24029%188Achievement9%010090%No reduction10/25/2004DAVITA05/27/2010
5309PUGET SOUND KIDNEY CENTER WHIDBEY ISLAND502545430 SOUTHEAST MIDWAY BOULEVARDOAK HARBORWA9827716100%230%26Achievement10100%2588%26Achievement869%29870%304Achievement515%27814%217Achievement7%10101091%No reduction02/01/2005OTHER CHAIN(number of facilities <20 )05/27/2010
5310PUGET SOUND KIDNEY CENTER SMOKEY POINT50254618828 SMOKEY POINT BOULEVARDARLINGTONWA9822316100%932%97Achievement899%8494%95Achievement1078%102669%1092Achievement515%95624%755Achievement8%10101088%No reduction03/15/2005OTHER CHAIN(number of facilities <20 )05/27/2010
5311DSI DOWNTOWN SPOKANE RENAL CENTER502547601 WEST 5TH STREET SUITE 101SPOKANEWA992041682%412%42Achievement10100%40100%41Achievement458%44063%481Achievement124%40123%341Achievement3%1010070%No reduction08/09/2005NATIONAL RENAL INSTITUTES05/27/2010
5312FMC SHELTON5025481872 NORTH 13TH LOOP ROADSHELTONWA9858416100%1919%16Achievement295%21100%17Achievement1090%24596%172Achievement105%2043%119Achievement10%10101076%No reduction01/10/2006RENAL CARE GROUP INC.06/01/2011
5313OLYMPIC PENINSULA KIDNEY CENTER - NORTH50254919472 POWDER HILL PLACE SUITE 100POULSBOWA9837016100%250%26Achievement086%2296%27Achievement1075%25175%314Achievement514%23618%205Achievement8%10101064%No reduction06/19/2006OTHER CHAIN(number of facilities <20 )06/01/2011
5314VANCOUVER DIALYSIS CENTER5025509120 NORTHEAST VANCOUVER MALL DRIVE SUITE 160VANCOUVERWA9868216100%360%41Achievement10100%3892%39Achievement663%42661%425Achievement416%38820%280Achievement5%10101085%No reduction04/26/2007DAVITA05/06/2011
5315TACOMA DIALYSIS CENTER5025513401 SOUTH 19TH STREETTACOMAWA9840516100%614%53Achievement10100%59100%44Achievement870%68365%553Achievement514%62912%379Achievement7%10101091%No reduction09/26/2007DAVITA05/27/2010
5316ELLENSBURG DIALYSIS CENTER5025522101 WEST DOLAR WAY ROAD SUITE 1ELLENSBURGWA9892616100%1210Achievement10100%1310Achievement868%14463%101Achievement105%12720%65Achievement9%10101097%No reduction04/18/2008DAVITA09/02/2010
5317NKC KENT KIDNEY CENTER50255325316 74TH AVENUE SOUTH SUITE 101KENTWA9803216100%6917%66Achievement899%7094%63Achievement973%67067%565Achievement97%59820%366Achievement9%10101091%No reduction12/16/2008OTHER CHAIN(number of facilities <20 )05/27/2010
5318GRAHAM DIALYSIS CENTER50255410219 196TH STREET COURT EAST SUITE CGRAHAMWA9833816100%254%24Achievement496%28100%26Achievement1087%29874%277Achievement97%24517%189Achievement10%10101082%No reduction03/05/2009DAVITA05/27/2010
5319OLYMPIA DIALYSIS CENTER502555335 COOPER POINT ROAD NORTHWESTOLYMPIAWA9850216100%244%26Achievement10100%15100%15Achievement1083%27390%221Achievement97%2143%145Achievement10%1010097%No reduction05/05/2009DAVITA05/27/2010
5320NKC BROADWAY KIDNEY CENTER502556700 BROADWAYSEATTLEWA9812216100%3417%23Achievement090%3991%23Achievement1076%36281%189Achievement104%3208%99Achievement10%10101070%No reduction06/05/2009OTHER CHAIN(number of facilities <20 )05/27/2010
5321FMC COLVILLE502557147 GARDEN HOMES DRIVECOLVILLEWA991141655%200%20Achievement10100%20100%21Achievement765%26561%246Achievement96%2505%170Achievement8%10101079%No reduction06/22/2009FRESENIUS MEDICAL CARE09/21/2011
5322FMC LEAH LAYNE DIALYSIS CENTER502558530 SOUTH 1ST AVENUEOTHELLOWA9934416100%1315%13Achievement10100%11100%13Achievement353%12165%134Achievement025%1182%94Achievement2%10101076%No reduction07/22/2009FRESENIUS MEDICAL CARE11/23/2011
5323CHINOOK KIDNEY CENTER5025591315 AARON DRIVERICHLANDWA9935216100%358%24Achievement10100%36100%26Achievement766%39264%290Achievement612%37110%205Achievement7%10101091%No reduction11/20/2009DAVITA08/13/2010
5324EVERETT DIALYSIS CENTER5025608130 EVERGREEN WAY SUITE CEVERETTWA9820316100%395%20Achievement597%3010Achievement869%38971%154Achievement515%34416%102Achievement7%10101076%No reduction11/23/2009DAVITA05/27/2010
5325MILL CREEK DIALYSIS CENTER50256118001 BOTHELL EVERETT HIGHWAY SUITE 112BOTHELLWA9801216100%200%17Achievement10100%16100%11Achievement1082%15581%99Achievement613%1272%61Achievement8%1010091%No reduction12/15/2009DAVITA11/03/2011
5326SEAVIEW DIALYSIS CENTER502562101 18TH STREET SOUTHLONG BEACHWA9863116100%110%12AchievementN/A1010N/A869%12070%118Achievement88%11122%67Achievement8%10101091%No reduction12/15/2009DAVITA05/27/2010
5327FMC LONGVIEW5025635616 OCEAN BEACH HIGHWAY SUITE 260LONGVIEWWA9863216N/A15N/AN/A56N/AN/A5862N/AN/A4538N/A101010100%No reduction12/18/2009FRESENIUS MEDICAL CARE05/27/2010
5328WHIDBEY ISLAND DIALYSIS CENTER50256432650 STATE ROUTE 20 BUILDING EASTOAK HARBORWA982771637%159Achievement10100%159Achievement353%16146%125Achievement321%14531%80Improvement3%1010055%No reduction05/17/2010DAVITA05/18/2010
5329OLYMPIC PENINSULA KIDNEY CENTER NORTHWEST5025652500 SIMS WAY SUITE 102PORT TOWNSENDWA9836816N/A78N/AN/A85N/AN/A8861N/AN/A8329N/A1051083%No reduction09/23/2010OTHER CHAIN(number of facilities <20 )09/24/2010
5330PARKLAND DIALYSIS CENTER502566311 140TH STREET SOUTHTACOMAWA9844416100%400Achievement10100%400Achievement971%4530Achievement97%3500Achievement9%10101097%No reduction10/11/2011DAVITA10/12/2011
5331PANORAMA DIALYSIS502567822 SOUTH MAINDEER PARKWA9900616N/A50N/AN/A80N/AN/A550N/AN/A310N/A101010100%No reduction04/13/2012FRESENIUS MEDICAL CARE04/14/2012
5332WENATCHEE VALLEY DIALYSIS502568116 OLDS STATION ROADWENATCHEEWA988011682%490Achievement798%490Achievement252%3860Achievement88%2070Achievement5%10101070%No reduction06/01/2012DAVITA09/07/2012
5333EAST WENATCHEE DIALYSIS502569300 NORTH COLORADOEAST WENATCHEEWA9880216N/A80N/AN/A40N/AN/A360N/AN/A160N/A101010100%No reduction05/30/2012DAVITA09/07/2012
5334NKC ENUMCLAW KIDNEY CENTER502570857 ROOSEVELT AVE EENUMCLAWWA9802216N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction03/04/2013OTHER CHAIN(number of facilities <20 )
5335SEATTLE CHILDRENS HOSPITAL DIALYSIS5033005023064800 SAND POINT WAY NORTHEAST T-2134SEATTLEWA9810516N/A44N/AN/A22N/AN/A2821N/AN/A2819N/AN/A51075%No reduction09/01/1977INDEPENDENT05/06/2011
5336SKAGIT VALLEY KIDNEY CENTER503505500003208 HOSPITAL PARKWAYMOUNT VERNONWA982741682%1049%103Achievement898%8689%80Improvement561%99460%989Achievement028%91830%678Achievement3%10101067%No reduction12/26/1992INDEPENDENT05/06/2011
5337GREATER PUYALLUP DIALYSIS CENTER503507702 SOUTH HILL PARK DRIVE SUITE 105PUYALLUPWA9837316100%3816%43Achievement10100%41100%41Achievement1087%44471%464Achievement104%40411%322Achievement10%101010100%No reduction09/18/2000OTHER CHAIN(number of facilities <20 )06/01/2011
5338ST JOSEPH DIALYSIS CENTER GIG HARBOR5035104700 POINT FOSDICK DRIVE NORTHWEST SUITE 101GIG HARBORWA9833516100%3319%27Achievement10100%35100%25Achievement971%41367%265Achievement97%38213%175Achievement9%10101097%No reduction03/29/2004OTHER CHAIN(number of facilities <20 )11/03/2011
5339FRANCISCAN DIALYSIS CENTER EASTSIDE5035111415 EAST 72ND STREET SUITE DTACOMAWA9840416N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction12/17/2012OTHER CHAIN(number of facilities <20 )03/07/2013
5340CAMP ORKILA503700484 CAMP ORKILA ROADEASTSOUNDWA9824516N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/A01050%0.5%07/20/2010INDEPENDENT07/21/2010
5341WEST VIRGINIA UNIVERSITY HOSPITALS INC510001512300RENAL DIALYSIS CENTERMEDICAL CENTER DR BOX 8043MORGANTOWNWV265085N/A13N/AN/A22N/AN/A2831N/AN/A1722N/A101010100%No reduction02/23/2000INDEPENDENT01/02/1980
5342CHARLESTON AREA MEDICAL CENTER510022512309501 MORRIS STREETKIDNEY DIALYSIS UNITCHARLESTONWV253255N/A00N/AN/A00N/AN/A1420N/AN/A910N/A0000%2.0%10/01/1986INDEPENDENT01/02/1980
5343BMA - MARTINSBURG512502103 MARCLEY DRIVEMARTINSBURGWV254015100%803%73Achievement899%7999%72Achievement456%96850%808Achievement514%89518%577Achievement5%10101079%No reduction09/01/1977FRESENIUS MEDICAL CARE01/02/1980
5344FMS - CHARLESTON5125032345 CHESTERFIELD AVENUECHARLESTONWV253045100%982%91Achievement496%9296%77Achievement560%100848%952Achievement613%64913%658Achievement6%10101070%No reduction04/01/1980FRESENIUS MEDICAL CARE01/02/1980
5345BMA - BECKLEY5125051737 HARPER ROADBECKLEYWV258015100%818%86Achievement597%7496%84Achievement348%93332%971Improvement515%86418%679Achievement4%10101067%No reduction06/01/1984FRESENIUS MEDICAL CARE01/02/1980
5346BMA - MORGANTOWN51250611 COMMERCE DRIVESTE 102MORGANTOWNWV265015100%578%65Achievement496%5196%55Achievement663%67062%629Achievement227%59733%434Improvement4%10101064%No reduction09/01/1977FRESENIUS MEDICAL CARE01/02/1980
5347BMA - WELCH512507394 MCDOWELL STREETWELCHWV248015100%185%22Achievement10100%1895%22Achievement354%19459%245Achievement514%17012%166Achievement4%10101082%No reduction08/01/1985FRESENIUS MEDICAL CARE01/02/1980
5348FMC - ELKINS512508100 MAIN STREETELKINSWV262415100%315%38Achievement194%3497%34Achievement973%38470%365Achievement711%35214%244Achievement8%10101067%No reduction05/01/1986FRESENIUS MEDICAL CARE01/02/1980
5349DAVITA - GREENBRIER DIALYSIS512509129 SENECA TRAILUS RTE 219LEWISBURGWV249015100%185%22Achievement10100%1991%22Achievement1080%21776%245Achievement96%20615%164Achievement10%101010100%No reduction03/01/1990DAVITA01/02/1980
5350FMC - OAK HILL512511185 LAUREL CREEK ROADFAYETTEVILLEWV258405100%3010%29Achievement093%3096%26Achievement039%37145%328Achievement319%35014%225Achievement2%10101046%0.5%11/21/1996FRESENIUS MEDICAL CARE01/02/1980

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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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