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ESRD QIP - Complete QIP Data - Payment Year 2015

Row numberFacility NameCMS Certification Number (CCN)Alternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkHemoglobin 12 g/dL Measure ScoreHemoglobin 12 g/dL Performance Period RateNumber of Patients Included in Hemoglobin Measure Score Performance PeriodHemoglobin 12 g/dL Baseline Period RateNumber of Patients Included in Hemoglobin Measure Score Baseline PeriodHemoglobin 12 g/dL Performance Score AppliedKt/V Adult Hemodialysis Measure ScoreKt/V Adult Hemodialysis Performance Period RateNumber of Patients Included in Kt/V Adult Hemodialysis Measure Score Performance PeriodNumber of Kt/V Adult Hemodialysis Patient Months Performance PeriodKt/V Adult Hemodialysis Baseline Period RateNumber of Kt/V Adult Hemodialysis Patient Months Baseline PeriodKt/V Adult Hemodialysis Performance Score AppliedKt/V Adult Peritoneal Dialysis Measure ScoreKt/V Adult Peritoneal Dialysis Performance Period RateNumber of Patients Included in Kt/V Adult Peritoneal Dialysis Measure Score Performance PeriodNumber of Kt/V Adult Peritoneal Dialysis Patient Months Performance PeriodKt/V Adult Peritoneal Dialysis Baseline Period RateNumber of Kt/V Adult Peritoneal Dialysis Patient Months Baseline PeriodKt/V Adult Peritoneal Dialysis Performance Score AppliedKt/V Pediatric Hemodialysis Measure ScoreKt/V Pediatric Hemodialysis Performance Period RateNumber of Patients Included in Kt/V Pediatric Hemodialysis Measure Score Performance PeriodNumber of Kt/V Pediatric Hemodialysis Patient Months Performance PeriodKt/V Pediatric Hemodialysis Baseline Period RateNumber of Kt/V Pediatric Hemodialysis Patient Months Baseline PeriodKt/V Pediatric Hemodialysis Performance Score AppliedKt/V Dialysis Adequacy Combined Measure ScoreFistula Measure ScoreFistula Performance Period RateNumber of Patients Included in Fistula Measure Score Performance PeriodNumber of Fistula Patient Months Performance PeriodFistula Baseline Period RateNumber of Fistula Patient Months Baseline PeriodFistula Performance Score AppliedCatheter Measure ScoreCatheter Performance Period RateNumber of Patients Included in Catheter Measure Score Performance PeriodNumber 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 ScoreAnemia Management Reporting ScoreTotal Performance ScorePY2015 Payment Reduction PercentageCMS Certification DateOwnership as of December 31, 2013Date of ownership record update
5301CDC - ALEXANDRIA4925625999 STEVENSON AVENUESTE 100ALEXANDRIAVA223045100%330%32Achievement794%4639094%395AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7663%3739264%400Achievement710%393637%372Achievement7%1010101085%No reduction04/01/1992DAVITA07/19/2013
5302TOTAL RENAL CARE - HOPEWELL492563301 WEST BROADWAYHOPEWELLVA238605100%480%41Achievement895%5444396%400Achievement1097%1310389%105AchievementN/AInsufficient dataN/A0Insufficient data0N/A8974%4345270%395Achievement513%4441817%384Achievement7%1010101088%No reduction09/01/1992DAVITA08/10/2012
5303DAVITA - CHARLOTTESVILLE4925641460 PANTOPS MOUNTAIN PLACECHARLOTTESVILLEVA229115100%640%57Achievement693%10870493%655Achievement890%1714274%98AchievementN/AInsufficient dataN/A0Insufficient data0N/A6150%7374051%686Achievement710%7567013%624Achievement4%1010101075%No reduction08/01/1992DAVITA08/12/2011
5304BMA - FRANKLIN COUNTY492565300 TECHNOLOGY DRIVEROCKY MOUNTVA241515100%260%23Achievement081%4332690%311AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0974%3635572%337Achievement612%4231912%307Achievement7%101091067%No reduction01/01/1993FRESENIUS MEDICAL CARE10/01/2012
5305KEMPSVILLE DIALYSIS CENTER4925676320 NORTH CENTER DRIVEBLDG 15 STE 140NORFOLKVA235025100%891%95Achievement794%10191494%886Achievement475%2516880%182AchievementN/AInsufficient dataN/A0Insufficient data0N/A6458%9097260%940Achievement416%9693213%897Achievement4%101091074%No reduction06/01/1993FRESENIUS MEDICAL CARE09/05/2006
5306BMA - CRYSTAL SPRING492570404 MCCLANAHAN STREETROANOKEVA240145100%690%45Achievement079%9769185%577Achievement1094%3626249%57AchievementN/AInsufficient dataN/A7Insufficient data3N/A31075%8279475%613Achievement88%837139%530Achievement9%1010101080%No reduction09/01/1993FRESENIUS MEDICAL CARE12/04/2012
5307BMA - RUSSELL COUNTY492572150 EAST MAIN STREETLEBANONVA242665100%227%30Achievement592%3529192%327AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5253%3130658%342Achievement317%3228517%314Achievement3%101091069%No reduction04/01/1994FRESENIUS MEDICAL CARE08/23/2011
5308FRONT ROYAL DIALYSIS4925731360 NORTH SHENANDOAH AVENUEFRONT ROYALVA226305100%420%44Achievement996%6440295%463Achievement1099%1196Insufficient data28AchievementN/AInsufficient dataN/A0Insufficient data0N/A9871%4544868%473Achievement96%504159%454Achievement9%1010101095%No reduction04/01/1994DAVITA02/12/2013
5309DAVITA - NEWPORT NEWS492574711 79TH STREETNEWPORT NEWSVA236055100%1010%102Achievement1098%143110297%1172AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10458%121120456%1196Achievement96%12111027%1113Achievement7%1010101093%No reduction09/01/1994DAVITA04/15/2010
5310DAVITA - VIRGINIA BEACH492575740 INDEPENDENCE CIRCLEVIRGINIA BEACHVA234555100%820%83Achievement895%13792296%933AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A8665%9599260%943Achievement87%9992410%868Achievement7%1010101088%No reduction12/01/1994DAVITA11/03/2010
5311SOUTHAMPTON DIALYSIS CENTER4925761333 ARMORY DRIVEFRANKLINVA238515100%500%63Achievement794%6660594%649AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7146%6063040%707Improvement611%6260515%659Achievement4%1010101078%No reduction12/01/1994FRESENIUS MEDICAL CARE08/15/2007
5312BMA - WYTHEVILLE492578340 PEPPERS FERRY ROADWYTHEVILLEVA243825100%240%21Achievement490%3825791%294AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A41076%3331077%339Achievement416%3729213%307Achievement7%1010101078%No reduction06/23/1995FRESENIUS MEDICAL CARE11/03/2010
5313BMA - GARRISONVILLE492579396 GARRISONVILLE ROADSTAFFORDVA225545100%300%31Achievement187%6240388%389AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data5N/A1870%3738560%390Achievement105%393633%358Achievement9%1010101075%No reduction04/07/1995FRESENIUS MEDICAL CARE07/16/2012
5314DAVITA - TYSONS CORNER4925808391 OLD COURTHOUSE ROADVIENNAVA221825100%612%54Achievement592%7749794%463AchievementN/AInsufficient dataN/A6680%113N/AN/AInsufficient dataN/A0Insufficient data0N/A5767%6364570%583Achievement88%6858811%530Achievement8%1010101083%No reduction07/27/1995DAVITA07/26/2013
5315RAI - CHURCHLAND-CHESAPEAKE4925813204 CHURCHLAND BOULEVARDCHESAPEAKEVA233215100%330%30Achievement490%5342893%383AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A4353%4344342%382Improvement416%4340717%352Achievement4%109101069%No reduction03/06/1996FRESENIUS MEDICAL CARE07/11/2012
5316DAVITA - AMELIA49258315151 PATRICK HENRY HIGHWAYAMELIAVA230025100%330%28Achievement996%4330787%293Achievement785%1179Insufficient data50AchievementN/AInsufficient dataN/A0Insufficient data0N/A9869%3434679%295Achievement219%3632011%285Achievement5%1010101085%No reduction11/25/1996DAVITA07/27/2012
5317FMC - FORT BELVOIR4925878796 P SACRAMENTO DRIVEALEXANDRIAVA223095100%570%61Achievement895%7653586%663AchievementN/AInsufficient dataN/A85Insufficient data32N/AN/AInsufficient dataN/A0Insufficient data0N/A8459%6156060%672Achievement88%675319%632Achievement6%101081084%No reduction07/07/1997FRESENIUS MEDICAL CARE08/08/2011
5318BMA - GREATER NORFOLK4925881902 OMOHUNDRO AVENUE(GRANBY DIALYSIS)NORFOLKVA235175100%570%62Achievement693%9473392%749AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6972%6974170%760Achievement611%7069613%712Achievement7%1010101083%No reduction09/26/1997FRESENIUS MEDICAL CARE08/03/2011
5319DAVITA - ALEXANDRIA4925895150 DUKE STREETALEXANDRIAVA223045100%560%67Achievement1097%8671197%788AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10767%7276773%835Achievement612%7573513%789Achievement6%1010101090%No reduction03/27/1998DAVITA07/20/2012
5320WESTHAMPTON DIALYSIS CENTER LLC4925905320 PATTERSON AVENUERICHMONDVA232265100%360%43Achievement1097%4431897%376Achievement683%1514180%138AchievementN/AInsufficient dataN/A0Insufficient data0N/A9356%3433657%379Achievement514%4132219%357Achievement4%1010101083%No reduction04/22/1998AMERICAN RENAL ASSOCIATES11/05/2012
5321TOTAL RENAL CARE - FAIRFAX4925918501 ARLINGTON BOULEVARDSTE 100FAIRFAXVA220315100%931%90Achievement1098%9375198%812Achievement1095%3424094%216AchievementN/AInsufficient dataN/A12Insufficient data12N/A10871%8686970%863Achievement88%888129%817Achievement8%1010101095%No reduction07/27/1998DAVITA01/23/2014
5322RAI - AIRLINE-PORTSMOUTH 72534925922809 AIRLINE BOULEVARDPORTSMOUTHVA237015100%820%79Achievement794%8579593%773Achievement882%2015316%134ImprovementN/AInsufficient dataN/A0Insufficient data0N/A7035%7882734%785Achievement513%8379410%773Achievement3%1010101075%No reduction08/24/1998FRESENIUS MEDICAL CARE06/10/2013
5323BMA - BOWLING GREEN492593102 WEST BROADDUS AVENUEPO BOX 490BOWLING GREENVA224275100%280%34Achievement693%3833486%382AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6869%3132862%387Achievement612%3432212%368Achievement7%1010101083%No reduction09/25/1998FRESENIUS MEDICAL CARE06/27/2013
5324APPOMATTOX DIALYSIS CENTER49259415 WEST OLD STREETPETERSBURGVA23803562%430%34Achievement895%4534793%363AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A81082%4646277%383Achievement102%494207%335Achievement10%1010101085%No reduction10/21/1998DAVITA02/07/2014
5325FMC - MONTGOMERY492595106 SOUTHPARK DRIVE SOUTHWESTSTE ABLACKSBURGVA240605100%180%23Achievement489%2420183%220ImprovementN/AInsufficient dataN/A7892%50N/AN/AInsufficient dataN/A0Insufficient data0N/A4972%2323065%244Achievement87%2522014%211Achievement8%101051077%No reduction02/09/1999FRESENIUS MEDICAL CARE08/08/2011
5326FMC - POTOMAC MILLS4925963057 GOLANSKY BOULEVARDWOODBRIDGEVA221925100%500%50Achievement186%7657489%481AchievementN/AInsufficient dataN/A34Insufficient data23N/AN/AInsufficient dataN/A0Insufficient data0N/A1869%5457563%513Achievement88%5753915%437Achievement8%1010101073%No reduction02/05/1999FRESENIUS MEDICAL CARE09/26/2012
5327DAVITA - HENRICO COUNTY4925985270 CHAMBERLAYNE ROADRICHMONDVA232275100%720%70Achievement996%8262192%692Achievement1096%2217592%192AchievementN/AInsufficient dataN/A0Insufficient data0N/A9561%6766661%671Achievement88%756176%617Achievement7%1010101090%No reduction04/01/1999DAVITA08/24/2012
5328TOTAL RENAL CARE - RICHMOND COMMUNITY492599913 NORTH 25TH STREETRICHMONDVA232235100%560%40Achievement1097%7351696%462AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10663%6357970%479Achievement513%6749819%452Achievement5%1010101088%No reduction07/30/1999DAVITA02/26/2014
5329RAI - WEST LEIGH-RICHMOND492600800 WEST LEIGH STREETRICHMONDVA232205100%940%90Achievement085%124113091%1093AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A0037%108116636%1143Achievement024%114112524%1085Achievement0%1010101050%0.5%09/15/1999FRESENIUS MEDICAL CARE04/17/2012
5330RENAL CAREPARTNERS - ARLINGTON/ALEXANDRIA4926022445 ARMY NAVY DRIVEANDERSON BLDG 2ND FLOORARLINGTONVA222065100%390%42Achievement239%4137522%379ImprovementN/AInsufficient dataN/A67Insufficient data41N/AN/AInsufficient dataN/A0Insufficient data0N/A2871%3637864%404Achievement88%3934912%350Achievement8%1010101075%No reduction12/13/1999OTHER CHAIN(number of facilities <20 )11/05/2013
5331ARA - MECHANICSVILLE DIALYSIS4926038400 NORTH RUN MEDICAL DRIVEMECHANICSVILLEVA231165100%692%65Achievement1099%8378198%724Achievement993%1612390%98AchievementN/AInsufficient dataN/A0Insufficient data0N/A10458%7883356%773Achievement318%8179721%723Achievement3%1010101083%No reduction03/24/2000AMERICAN RENAL ASSOCIATES03/11/2010
5332GREAT BRIDGE DIALYSIS CENTER492604745 NORTH BATTLEFIELD BOULEVARDCHESAPEAKEVA233205100%1080%106Achievement1097%9981298%849Achievement992%4740990%432AchievementN/AInsufficient dataN/A0Insufficient data0N/A10974%8386973%867Achievement87%8883311%826Achievement8%1010101095%No reduction04/07/2000DAVITA09/05/2007
5333DAVITA - MECHANICSVILLE4926058191 ATLEE ROADMECHANICSVILLEVA231165100%580%54Achievement1098%7264996%631AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10663%6569662%661Achievement105%696636%624Achievement8%1010101095%No reduction05/15/2000DAVITA11/15/2005
5334DAVITA - CHESTER DIALYSIS49260710360 IRONBRIDGE ROADCHESTERVA238315100%510%54Achievement794%8055897%604AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A7767%6360268%628Achievement79%665499%577Achievement7%1010101085%No reduction08/14/2000DAVITA04/10/2013
5335DAVITA - MIDLOTHIAN DIALYSIS49260814281 MIDLOTHIAN TRNPKMIDLOTHIANVA231135100%460%51Achievement1097%6252797%554AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A101079%5355670%597Achievement87%585339%553Achievement9%1010101098%No reduction09/06/2000DAVITA09/09/2013
5336FMC - FRIENDSHIP MANOR492610331 HERSHBERGER ROADDIALYSIS UNITROANOKEVA240125100%670%66Achievement490%12782492%792AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A4766%9688062%828Achievement611%10576913%749Achievement6%1010101075%No reduction10/12/2000FRESENIUS MEDICAL CARE08/25/2011
5337RENAL CAREPARTNERS OF RESTON LLC49261512330 PINECREST ROAD SUITE 200RESTONVA201915100%400%33Achievement240%5842222%355ImprovementN/AInsufficient dataN/A29Insufficient data27N/AN/AInsufficient dataN/A0Insufficient data0N/A2870%4947371%393Achievement416%5342317%353Achievement6%101010969%No reduction07/31/2002OTHER CHAIN(number of facilities <20 )03/26/2010
5338PORTSMOUTH DIALYSIS CENTER4926162000 HIGH STREETPORTSMOUTHVA237045100%530%50Achievement996%7460695%568AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9251%5962352%590Achievement79%605906%570Achievement5%1010101085%No reduction03/07/2003DAVITA04/16/2010
5339PENINSULA DIALYSIS CENTER492617716 DENBIGH BOULEVARDSTES D1 & D2NEWPORT NEWSVA236085100%660%65Achievement996%9975597%743AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A9768%7375862%747Achievement79%777137%703Achievement7%1010101090%No reduction05/01/2003DAVITA12/01/2010
5340DAVITA - GREATER PORTSMOUTH4926183516 QUEEN STREETDIALYSIS UNITPORTSMOUTHVA237075100%480%58Achievement1097%6655997%602AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10458%5358656%651Achievement514%5957010%605Achievement5%1010101088%No reduction05/01/2003DAVITA03/05/2013
5341DAVITA - RADFORD DIALYSIS492619600 EAST MAIN STREETSUITE FRADFORDVA241415100%600%49Achievement1097%6244598%420AchievementN/AInsufficient dataN/A39Insufficient data32N/AN/AInsufficient dataN/A0Insufficient data0N/A10870%6765672%586Achievement710%706038%557Achievement7%1010101093%No reduction08/13/2003DAVITA08/12/2011
5342RENAL CAREPARTNERS - FAIRFAX4926203930 WALNUT STREET SUITE 100FAIRFAXVA220305100%470%53Achievement238%5044218%471Improvement03%1410210%136AchievementN/AInsufficient dataN/A0Insufficient data0N/A2973%4347168%496Achievement611%4846314%460Achievement7%1010101073%No reduction10/29/2003OTHER CHAIN(number of facilities <20 )03/04/2014
5343US RENAL CARE - WARSAW4926224709 RICHMOND ROADWARSAWVA225725100%470%45Achievement895%5839995%344AchievementN/AInsufficient dataN/A49Insufficient data71N/AN/AInsufficient dataN/A0Insufficient data0N/A8870%4846263%431Achievement104%534247%406Achievement9%1010101093%No reduction01/30/2004US RENAL CARE, INC.09/24/2012
5344FRANCONIA DIALYSIS CENTER4926235695 KING CENTER DRIVESTE 105ALEXANDRIAVA223155100%390%40Achievement592%7237894%486AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A5766%4744368%478Achievement88%5340313%428Achievement8%1010101083%No reduction02/18/2004DAVITA10/22/2012
5345RENAL CARE GROUP - PATRICK COUNTY492624221 RICH CREEK DRIVESTUARTVA241715N/A80%11N/A895%149688%110AchievementN/AInsufficient dataN/A29Insufficient data29N/AN/AInsufficient dataN/A0Insufficient data0N/A8N/A85111N/AN/A909%110N/A101081084%No reduction02/11/2004FRESENIUS MEDICAL CARE12/01/2010
5346RESTON DIALYSIS CENTER492625530 HUNTMAR PARK DRIVESTE DHERNDONVA201705100%300%23Achievement1098%5432595%275AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A10972%3733875%284Achievement611%3730012%243Achievement8%101091094%No reduction02/23/2004DAVITA02/21/2014
5347FAIR OAKS DIALYSIS4926263955 PENDER DRIVEFAIRFAXVA220305100%362%44Achievement693%6839295%416AchievementN/AInsufficient dataN/A0Insufficient data0N/AN/AInsufficient dataN/A0Insufficient data0N/A6664%4442655%433Achievement96%4637612%376Achievement8%1010101085%No reduction09/28/2004DAVITA08/15/2011
5348US RENAL CARE - ASHLAND492627113 NORTH WASHINGTON HIGHWAYASHLANDVA230055100%270%28Achievement996%4132097%360AchievementN/AInsufficient dataN/A0Insufficient data1N/AN/AInsufficient dataN/A0Insufficient data0N/A9663%3433658%355Achievement710%3731312%342Achievement7%1010101090%No reduction12/16/2004US RENAL CARE, INC.08/15/2011
5349FOREST PARK DIALYSIS CENTER4926281603 SANTA ROSA ROADSTE 100RICHMONDVA232295100%340%34Achievement1099%4239397%367AchievementN/AInsufficient dataN/A35Insufficient data25N/AN/AInsufficient dataN/A0Insufficient data0N/A10766%4344556%404Achievement513%4441617%370Achievement6%1010101090%No reduction02/03/2005AMERICAN RENAL ASSOCIATES11/16/2011
5350LEIGH DIALYSIS CENTER492629420 NORTH CENTER DRIVEBLDG 11 STE 128NORFOLKVA235025100%780%74Achievement1097%9778196%760Achievement10100%1512994%131AchievementN/AInsufficient dataN/A0Insufficient data0N/A10768%7980454%781Achievement79%8674815%729Achievement7%1010101093%No reduction03/01/2005DAVITA03/11/2010

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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Description

The data set includes the number of eligible patients by clinical measure; % patients with Hemoglobin > 12; 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; % 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 prior; Hemoglobin > 12 measure score; Dialysis Adequacy Measure Topic score; Vascular Access Type Measure Topic score; ICH CAHPS Admin score; NHSN Event Reporting score; Mineral Metabolism Reporting score; Anemia Management Reporting score; the Total Performance Score; and payment reduction percentage.

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