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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
501OAKLAND DIALYSIS CENTER0527295354 CLAREMONT AVENUEOAKLANDCA9461817100%902%106Achievement10100%9498%95Achievement663%102960%1032Achievement710%96510%725Achievement7%10101091%No reduction04/23/1993DAVITA11/24/2005
502DAVITA-MURRIETA05273027602 CLINTON KEITH ROAD, BUILDING FMURRIETACA9256218100%2912%34Achievement10100%3494%31Achievement973%35162%356Achievement710%33313%239Achievement8%10101094%No reduction05/31/1993DAVITA05/28/1999
503FMC-BALBOA-MARINA BAY052731630 BAY BOULEVARD, SUITE 101CHULA VISTACA9191018100%1534%169Achievement798%14898%136Achievement560%170359%1563Achievement96%16126%1147Achievement7%10101082%No reduction06/14/1993FRESENIUS MEDICAL CARE10/02/2009
504ANAHEIM DIALYSIS0527341107 WEST LA PALMA AVENUEANAHEIMCA9280118100%763%89Achievement10100%7696%71Achievement1076%81177%853Achievement711%75612%595Achievement9%10101097%No reduction09/27/1993DAVITA11/11/2005
505DAVITA-TEMECULA DIALYSIS CENTER05273540945 COUNTY CENTER DRIVE, SUITE GTEMECULACA9259118100%550%53Achievement10100%5793%57Achievement251%61548%601Achievement97%5448%402Achievement6%10101088%No reduction10/06/1993DAVITA05/19/1999
506LOS BANOS DIALYSIS CENTER05273860 G STREET, BUILDING DLOS BANOSCA9363517100%705%59Achievement10100%7095%60Achievement971%79372%696Achievement612%72413%499Achievement8%10101094%No reduction07/02/1993DAVITA03/21/2012
507CHINO DIALYSIS0527394445 RIVERSIDE DRIVECHINOCA9171018100%530%59Achievement10100%57100%57Achievement252%58757%607Achievement612%5498%422Achievement4%10101082%No reduction11/08/1993DAVITA10/06/2005
508RAI-FLETCHER PARKWAY-EL CAJON052740858 FLETCHER PARKWAYEL CAJONCA9202018100%290%38Achievement10100%3395%37Achievement767%37566%410Achievement104%3671%283Achievement9%10101097%No reduction10/01/1987FRESENIUS MEDICAL CARE11/24/2005
509RAI E. 14TH052742198 EAST 14TH STREETSAN LEANDROCA9457717100%240%21Achievement092%2695%19Achievement766%30860%218Achievement97%2779%149Achievement8%10101064%No reduction01/11/1994RENAL ADVANTAGE11/24/2005
510DAVITA-MOUNTAIN VISTA DIALYSIS CENTER0527434041 UNIVERSITY PARKWAYSAN BERNARDINOCA9240718100%583%64Achievement10100%41100%58Achievement040%48950%655Achievement220%43424%461Achievement1%10101073%No reduction01/01/1994DAVITA05/19/1999
511SOUTH VALLEY DIALYSIS05274417815 VENTURA BOULEVARD, SUITE 100ENCINOCA9131618100%10012%110Achievement899%8795%85Achievement1077%114274%1135Achievement96%10417%784Achievement10%10101094%No reduction01/01/1994DAVITA05/02/2007
512DAVITA-SUNRISE DIALYSIS CENTER05274613039 HAWTHORNE BOULEVARDHAWTHORNECA9025018100%1040%112Achievement10100%10298%104Achievement561%115758%1231Achievement105%11168%891Achievement8%10101094%No reduction01/01/1994DAVITA09/02/1999
513WEST COAST DIALYSIS CENTER, LLC0527473780 KILROY AIRPORT WAY, SUITE 110LONG BEACHCA9080618100%1075%113Achievement899%10092%102Achievement250%115349%1186Achievement515%109313%850Achievement4%10101076%No reduction05/01/1994INDEPENDENT05/19/1999
514SATELLITE DIALYSIS CENTER0527517800 ARROYO CIRCLE #BGILROYCA9502017100%995%120Achievement10100%88100%104Achievement973%102170%1185Achievement710%94811%842Achievement8%10101094%No reduction08/17/1994SATELLITE HEALTHCARE03/28/2008
515RAI CERES AVENUE, CHICO0527523011 CERES AVENUE #125CHICOCA9597317100%512%55Achievement10100%4598%46Achievement1079%60772%614Achievement89%57111%434Achievement9%10101097%No reduction08/26/1994RENAL ADVANTAGE10/06/2009
516LODI DIALYSIS CENTER0527531610 WEST KETTLEMAN LANE, SUITE DLODICA9524217100%449%47Achievement10100%4191%45Achievement250%48546%512Achievement96%4554%365Achievement6%10101088%No reduction10/26/1997DAVITA03/16/2006
517AIRPORT DIALYSIS0527544632 WEST CENTURY BOULEVARDINGLEWOODCA9030418100%955%104Achievement10100%9997%96Achievement251%108746%1137Achievement96%10358%803Achievement6%10101088%No reduction12/01/1994DAVITA10/06/2005
518GREATER LOS ANGELES DIALYSIS, INC.05275511204 EAST RUSH STREETSOUTH EL MONTECA9173318012%425%38Achievement597%33100%35Achievement766%46258%448Achievement515%42919%318Achievement6%10101043%0.5%02/17/1995INDEPENDENT07/23/1999
519ENCINITAS DIALYSIS052756332 SANTA FE DRIVE, SUITE 100ENCINITASCA9202418100%410%29Achievement10100%3496%26Achievement663%43049%281Achievement515%36417%192Achievement6%10101088%No reduction03/27/1995DAVITA10/06/2005
520FMC DIABLO CENTRAL PITTSBURG0527572155 LOVERIDGE ROADPITTSBURGCA945651782%536%69Achievement798%5997%67Achievement972%64660%719Achievement613%63022%505Achievement8%10101079%No reduction01/01/1995FRESENIUS MEDICAL CARE01/09/2008
521FMC DIABLO WALNUT CREEK052758365 LENNON LANE #160WALNUT CREEKCA9459817100%733%75Achievement597%5897%60Achievement870%72064%706Achievement514%66620%499Achievement7%10101076%No reduction01/01/1995FRESENIUS MEDICAL CARE12/02/2010
522FMC DIABLO CONCORD052759508 CONTRA COSTA BOULEVARD #DPLEASANT HILLCA9452317100%804%90Achievement899%8599%96Achievement1077%100073%1024Achievement515%96118%713Achievement8%1051086%No reduction01/01/1995FRESENIUS MEDICAL CARE01/09/2008
523FMC-SAN GABRIEL DIALYSIS CENTER0527601801 WEST VALLEY BOULEVARD, SUITE 102ALHAMBRACA9180318100%486%18Achievement798%52100%15Achievement971%52556%210Achievement613%45315%145Achievement8%10101085%No reduction03/20/1995FRESENIUS MEDICAL CARE06/04/1999
524DAVITA-PREMIER DIALYSIS CENTER0527617612 ATLANTIC AVENUECUDAHYCA9020118100%1579%159Achievement10100%159100%154Achievement868%174558%1702Achievement88%165512%1177Achievement8%10101094%No reduction04/11/1995DAVITA06/16/1999
525FMC-OXNARD0527621801 HOLSER WALK, SUITE 310OXNARDCA930301891%820%88Achievement10100%85100%89Achievement664%93761%990Achievement102%8952%716Achievement8%10101091%No reduction06/12/1995FRESENIUS MEDICAL CARE05/20/1999
526FMC-SAN GABRIEL VALLEY PD CLINIC0527641801 WEST VALLEY BOULEVARD, SUITE 204ALHAMBRACA9180318N/A42N/AN/A00N/AN/A00N/AN/A00N/A10N/A10100%No reduction04/27/1995FRESENIUS MEDICAL CARE01/02/1980
527RAI FAIRWAY ROCKLIN0527656000 FAIRWAY DRIVE SUITE #14ROCKLINCA9567717100%253%36Achievement597%29100%36Achievement971%33468%402Achievement97%32411%280Achievement9%10101082%No reduction05/31/1995RENAL ADVANTAGE06/02/2007
528ASH TREE PD0527672666 NORTH GROVE INDUSTRIAL DRIVEFRESNOCA9372717N/A00N/AN/A00N/AN/A00N/AN/A00N/A10N/A10100%No reduction07/25/1995DAVITA04/02/2006
529DAVITA-DIAMOND VALLEY DIALYSIS CENTER0527681030 EAST FLORIDA AVENUEHEMETCA9254318100%307%28Achievement10100%33100%30Achievement766%34571%326Achievement612%32013%227Achievement7%10101091%No reduction07/06/1995DAVITA05/28/1999
530SF CHINATOWN DIALYSIS CENTER052769636 CLAY STREETSAN FRANCISCOCA9411117100%610%68Achievement10100%61100%64Achievement662%72258%740Achievement711%69514%525Achievement7%10101091%No reduction09/19/1995DAVITA11/24/2005
531SELMA DIALYSIS CENTER0527702711 CINEMA WAY #111SELMACA9366217100%804%74Achievement10100%8192%74Achievement868%92467%843Achievement514%87218%581Achievement7%10101091%No reduction09/27/1995DAVITA02/09/2010
532DAVITA-VISALIA AT HOME DIALYSIS0527711120 NORTH CHINOWTH STREETVISALIACA932911846%168%12AchievementN/A00N/AN/A00N/AN/A00N/A10N/A1046%0.5%10/03/1995DAVITA05/19/1999
533RAI-HOSPITAL CIRCLE-WESTMINSTER052772290 HOSPITAL CIRCLEWESTMINSTERCA9268318100%402%44Achievement10100%3598%44Achievement765%42062%503Achievement710%38822%347Achievement7%10101091%No reduction12/20/1995FRESENIUS MEDICAL CARE11/24/2005
534WESTMINSTER SOUTH DIALYSIS05277314014 MAGNOLIA STREETWESTMINSTERCA9268318100%911%82Achievement10100%8696%77Achievement1074%107371%855Achievement89%100217%568Achievement9%10101097%No reduction09/29/1995DAVITA10/06/2005
535RAI CESAR CHAVEZ0527751750 CESAR CHAVEZ STREET SUITE ASAN FRANCISCOCA9412417100%794%81Achievement295%8296%82Achievement662%99863%981Achievement123%94724%701Achievement4%10101058%No reduction02/05/1996RENAL ADVANTAGE11/24/2005
536HI-DESERT DIALYSIS05277658457 TWENTY-NINE PALMS HIGHWAY, SUITE 102YUCCA VALLEYCA9228418100%433%40Achievement798%43100%36Achievement868%46965%446Achievement514%44312%323Achievement7%10101082%No reduction02/06/1996DAVITA10/06/2005
537SANTA CLARITA KIDNEY CENTER05277823861 WEST MCBEAN PARKWAY, SUITE E-11VALENCIACA9135518100%556%47Achievement798%5998%42Achievement663%67460%513Achievement221%60812%353Achievement4%10101073%No reduction02/19/1996OTHER CHAIN(number of facilities <20 )07/23/1999
538RAI-MISSION GORGE-SAN DIEGO0527797007 MISSION GORGE ROAD, 1ST FLOORSAN DIEGOCA9212018100%270%32Achievement10100%19100%25Achievement664%23765%323Achievement96%2237%223Achievement8%10101094%No reduction03/04/1996RENAL ADVANTAGE11/24/2005
539FMC-EAST COUNTY DIALYSIS CENTER052780570 NORTH SECOND STREETEL CAJONCA9202118100%859%87Achievement899%9099%86Achievement870%99869%899Achievement96%8908%613Achievement9%10101091%No reduction02/19/1996FRESENIUS MEDICAL CARE06/03/1999
540NORTH HOLLYWOOD DIALYSIS05278112126 VICTORY BOULEVARDNORTH HOLLYWOODCA9160618100%1015%92Achievement798%9194%83Achievement1075%112369%970Achievement88%104415%661Achievement9%10101088%No reduction03/11/1996DAVITA10/06/2005
541MOUNTAIN VIEW DIALYSIS CENTER, INC.052782900 SOUTH MOUNTAIN AVENUEMONROVIACA9101618100%367%46Achievement10100%3493%40Achievement1076%38878%488Achievement613%35312%310Achievement8%10101094%No reduction05/01/1996INDEPENDENT06/08/1999
542MODESTO KIDNEY CENTER, LLC052783305 EAST GRANGER AVENUE, SUITE 102MODESTOCA9535017100%559%58Achievement10100%5294%47Achievement662%58557%580Achievement220%54817%408Achievement4%0101079%No reduction04/09/1996OTHER CHAIN(number of facilities <20 )12/18/2007
543DELTA SIERRA DIALYSIS CENTER052784555 WEST BENJAMIN HOLT DRIVE #200STOCKTONCA952071782%636%51Achievement597%6198%49Achievement561%68956%552Achievement319%60614%385Achievement4%10101061%No reduction04/12/1996DAVITA12/11/2004
544DOCTORS DIALYSIS CENTER OF MONTEBELLO0527851721 WEST WHITTIER BOULEVARDMONTEBELLOCA9064018100%525%63Achievement10100%53100%58Achievement664%57661%656Achievement97%5339%446Achievement8%10101094%No reduction05/03/1996DAVITA01/30/2009
545EL CERRITO DIALYSIS CENTER05278610690 SAN PABLO AVENUEEL CERRITOCA945301782%522%54Achievement10100%5194%50Achievement561%53565%529Achievement89%51811%368Achievement7%10101085%No reduction04/24/1996DAVITA11/24/2005
546ALAMEDA COUNTY DIALYSIS CENTER05278710700 MACARTHUR BOULEVARD SUITE 14AOAKLANDCA9460517100%570%65Achievement798%6098%62Achievement458%64053%713Achievement711%62010%503Achievement6%10101079%No reduction04/24/1996DAVITA11/24/2005
547NEPHRON DIALYSIS CENTER OF LAKEWOOD, LLC0527885820 DOWNEY AVENUELONG BEACHCA9080518100%390%24Achievement488%4077%22Improvement1082%44465%278Achievement96%39415%182Achievement10%05074%No reduction08/08/1996DAVITA10/12/2005
548INDIAN WELLS VALLEY052789212 SOUTH RICHMOND ROADRIDGECRESTCA9355518100%470%49Achievement798%5096%45Achievement765%58763%522Achievement417%5558%366Achievement6%10101079%No reduction06/03/1996DAVITA05/28/1999
549KIDNEY CARE CENTER OF THE NORTH VALLEY05279016907 DEVONSHIRE STREETGRANADA HILLSCA9134418100%813%116Achievement899%7695%101Achievement456%95862%1160Achievement122%93118%808Achievement3%10101073%No reduction07/24/1996INDEPENDENT07/23/1999
550ROSEMEAD DIALYSIS CENTER0527917403 HELLMAN AVENUEROSEMEADCA9177018100%370%51Achievement295%3894%48Achievement767%43562%552Achievement88%4246%396Achievement8%10101070%No reduction08/20/1996INDEPENDENT06/09/1999

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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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