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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
5601RAI OAKLAND HOME PROGRAM 15526052710 TELEGRAPH AVENUE #205OAKLANDCA9461217100%160%14AchievementN/A00N/A972%11171Achievement221%9547Achievement6%N/AN/A1082%No reduction07/28/2008RENAL ADVANTAGE07/29/2008
5602YOSEMITE STREET DIALYSIS5526061650 WEST YOSEMITE AVENUEBldg 2MANTECACA9533717100%388%26Achievement10100%4289%28Achievement1078%44475%292Achievement514%38812%198Achievement8%10101094%No reduction01/07/2009DAVITA01/08/2009
5603NORTHGATE DIALYSIS CENTER552607650 LAS GALLINAS ROADSAN RAFAELCA9490317100%245%20Achievement10100%22100%19Achievement870%27665%199Achievement96%24910%139Achievement9%10101097%No reduction01/23/2009DAVITA01/24/2009
5604CORNERHOUSE DIALYSIS CENTER5526082005 NAGLEE AVENUESAN JOSECA9512817100%602%58Achievement10100%6193%59Achievement561%75160%694Achievement613%66612%496Achievement6%10101088%No reduction11/26/2008DAVITA11/27/2008
5605SATELLITE DIALYSIS OF ORANGE5526091518 WEST LA VETA AVENUEORANGECA9286818100%9422%87Achievement10100%83100%72Achievement973%103973%903Achievement711%97510%632Achievement8%10101094%No reduction12/29/2008SATELLITE HEALTHCARE11/15/2008
5606WALNUT CREEK AT HOME552611400 NORTH WIGET LANEWALNUT CREEKCA9459817N/A87N/AN/A00N/AN/A9186N/AN/A8360N/A0000%2.0%10/31/2008DAVITA11/01/2008
5607SUNSET DIALYSIS CENTER5526123071 GOLD CANAL DRIVERANCHO CORDOVACA9567017100%683%30Achievement899%71100%26Achievement457%78653%300Achievement515%70611%195Achievement5%10101079%No reduction01/07/2009DAVITA01/08/2009
5608DIALYSIS CENTER OF ONTARIO, LLC5526132850 INLAND EMPIRE BOULEVARD, SUITE CONTARIOCA9176418100%657%61Achievement10100%7096%55Achievement663%81752%664Achievement613%74418%424Achievement6%10101088%No reduction10/15/2008INDEPENDENT10/02/2008
5609BIXBY KNOLLS DIALYSIS5526143744 LONG BEACH BOULEVARDLONG BEACHCA9080718100%730%51Achievement10100%7298%53Achievement664%81347%590Achievement612%76319%389Achievement6%10101088%No reduction09/29/2008DAVITA06/19/2008
5610FMC-LOMA LINDA552616269 EAST CAROLINE STREET, SUITE ASAN BERNARDINOCA9240818100%414%47Achievement10100%47100%47Achievement561%56550%512Achievement514%51521%346Achievement5%10101085%No reduction12/10/2008FRESENIUS MEDICAL CARE12/04/2008
5611MAGNOLIA WEST AT HOME5526173660 PARK SIERRA DRIVESuite 103RIVERSIDECA9250518N/A34N/AN/A00N/AN/A4648N/AN/A4436N/AN/AN/A10100%No reduction04/17/2009INDEPENDENT05/01/2007
5612SAN MARCOS DIALYSIS CENTER5526182135 MONTIEL ROAD, BUILDING BSAN MARCOSCA920691891%967%74Achievement10100%59100%38Achievement973%66578%411Achievement612%5898%280Achievement8%10101091%No reduction05/20/2009DAVITA05/05/2009
5613WESTBOROUGH DIALYSIS CENTER552619925 EL CAMINO REALSOUTH SAN FRANCISCOCA9408017100%190%16Achievement10100%1894%18Achievement971%20766%161Achievement88%1829%105Achievement9%10101097%No reduction06/25/2009DAVITA06/26/2009
5614FOSTER CITY DIALYSIS CENTER5526201261 EAST HILLSDALE BOULEVARD #2FOSTER CITYCA9440417100%180%16Achievement194%17100%14Achievement765%20750%155Achievement419%18331%95Improvement6%10101061%No reduction07/01/2009DAVITA07/02/2009
5615WELLBOUND OF SAN FRANCISCO5526211166 POST STREET #201SAN FRANCISCOCA9410917100%1410AchievementN/A00N/AN/A5531N/AN/A5219N/AN/AN/A10100%No reduction07/03/2009SATELLITE HEALTHCARE07/04/2009
5616DAVITA-CANYON SPRINGS DIALYSIS55262222555 ALESSANDRO BOULEVARD, SUITE AMORENO VALLEYCA9255318100%707%43Achievement10100%7398%42Achievement662%71671%407Achievement613%60012%252Achievement6%10101088%No reduction05/21/2009DAVITA04/09/2009
5617PEGASUS DIALYSIS, LLC5526233101 PEGASUS DRIVE, SUITE 100BAKERSFIELDCA9330818100%7514%85Achievement494%8089%80Improvement352%93240%903Improvement319%90520%617Achievement3%10101061%No reduction04/06/2009INDEPENDENT04/07/2009
5618DOWNEY LANDING DIALYSIS CENTER55262411611 BELLFLOWER BOULEVARDDOWNEYCA9024118100%158%13Achievement10100%14100%11Achievement1078%17860%134Achievement711%16118%93Achievement9%10101097%No reduction06/08/2009DAVITA02/05/2009
5619HESPERIA DIALYSIS CENTER55262614135 MAIN STREET, SUITE 501HESPERIACA9234518100%866%78Achievement10100%8195%65Achievement353%86555%739Achievement319%80013%528Achievement3%1010076%No reduction06/17/2009DAVITA06/03/2009
5620RIVERSIDE PD CENTRAL5526273660 PARK SIERRA, SUITE 108RIVERSIDECA925051892%6421%71ImprovementN/A00N/AN/A00N/AN/A00N/A10N/A1091%No reduction04/17/2009INDEPENDENT04/18/2007
5621RAI-JUNIPER AVE-FONTANA55262810557 JUNIPER AVENUE, SUITE BFONTANACA9233718100%602%61Achievement10100%5698%55Achievement868%75954%676Achievement612%72325%469Achievement7%10101091%No reduction04/24/2009FRESENIUS MEDICAL CARE04/23/2009
5622SATELLITE DIALYSIS SAN LEANDRO552629801 DAVIS STREETSAN LEANDROCA9457717100%796%72Achievement093%8097%65Achievement148%87850%818Achievement97%8576%577Achievement5%10101055%No reduction10/30/2009SATELLITE HEALTHCARE10/31/2009
5623DAVITA-FOUNTAIN VALLEY REGIONAL DIALYSIS55263017150 EUCLID STREET, SUITE 111FOUNTAIN VALLEYCA9270818100%216%18Achievement090%2094%16Achievement766%23160%182Achievement711%21225%120Achievement7%10101061%No reduction10/06/2009DAVITA08/14/2009
5624NEWPORT MESA DIALYSIS SERVICES5526311175 BAKER STREET, SUITE BCOSTA MESACA926261882%566%36Achievement496%54100%35Achievement664%64448%372Achievement517%55530%232Improvement6%10101064%No reduction10/15/2009OTHER CHAIN(number of facilities <20 )09/22/2009
5625SATELLITE DIALYSIS OF TRACY5526322156 WEST GRANT LINE ROAD #150TRACYCA9537717100%436%31Achievement10100%33100%32Achievement766%51375%364Achievement97%4502%250Achievement8%10101094%No reduction10/14/2009SATELLITE HEALTHCARE06/22/2011
5626SAN LEANDRO DIALYSIS55263315555 EAST 14TH STREET SUITE 520SAN LEANDROCA9457817100%885%61Achievement899%8798%57Achievement663%95561%694Achievement89%8649%476Achievement7%10101085%No reduction12/14/2009DAVITA12/02/2009
5627FMC SAN JOSE5526346850 A SANTA TERESA BOULEVARDSAN JOSECA9511917N/A76N/AN/A108N/A1075%10956Achievement97%9131Achievement10%101010100%No reduction11/20/2009FRESENIUS MEDICAL CARE11/22/2009
5628SATELLITE SANTA TERESA5526357019 REALM DRIVESAN JOSECA9511917100%407%30Achievement597%36100%25Achievement663%44253%312Achievement122%40019%196Achievement4%10101067%No reduction01/05/2010SATELLITE HEALTHCARE01/06/2010
5629RAI-EAST SIXTH STREET-BEAUMONT5526361536 EAST 6TH STREETBEAUMONTCA9222318100%320%25Achievement10100%2795%21Achievement1074%33159%228Achievement711%28223%147Achievement9%10101097%No reduction09/10/2009FRESENIUS MEDICAL CARE06/27/2009
5630LIVERMORE DIALYSIS CENTER5526383201 DOOLAN ROAD SUITE 175LIVERMORECA9455117100%433%31Achievement798%4691%33Achievement561%52563%395Achievement514%46412%276Achievement5%10101076%No reduction02/03/2010DAVITA02/04/2010
5631DAVITA-IOWA STREET DIALYSIS5526398333 IOWA STREET, SUITE 100DOWNEYCA9024118100%180%13Achievement194%16100%13Achievement560%16766%150Achievement89%14910%105Achievement7%10101064%No reduction09/25/2009DAVITA04/28/2009
5632MONTEBELLO ARTIFICIAL KIDNEY CENTER5526403404 WEST BEVERLY BOULEVARDMONTEBELLOCA9064018100%370%23Achievement697%3691%23Improvement766%45258%274Achievement89%3928%183Achievement8%10101082%No reduction09/28/2009INDEPENDENT04/21/2009
5633FMC-NORWALK EAST55264113063 ROSECRANS AVENUESANTA FE SPRINGSCA9067018100%310%11Achievement091%3310Achievement766%32852%115Achievement514%29123%79Achievement6%10101058%No reduction12/04/2009FRESENIUS MEDICAL CARE05/22/2009
5634WESTLAKE DALY CITY DIALYSIS CENTER5526422201 JUNIPERO SIERRA BOULEVARD #ADALY CITYCA9401417100%515%38Achievement798%4897%34Achievement766%54051%391Achievement514%50224%255Achievement6%10101079%No reduction02/18/2010DAVITA02/19/2010
5635ABORN DIALYSIS CENTER5526433162 SOUTH WHITE ROADSAN JOSECA9514817100%575%38Achievement798%5897%33Achievement663%64851%416Achievement612%60024%274Achievement6%10101079%No reduction03/02/2010DAVITA03/03/2010
5636HANFORD AT HOME DIALYSIS552644900 NORTH DOUTY STREET, SUITE AHANFORDCA9323018100%190%25AchievementN/A00N/AN/A4746N/AN/A4630N/AN/AN/A10100%No reduction01/20/2010DAVITA07/02/2008
5637FRESNO AT HOME CENTER552645568 EAST HERNDON AVENUE SUITE 301FRESNOCA937201782%510%50AchievementN/A00N/AN/A4530N/AN/A3921N/AN/AN/A1082%No reduction01/12/2010DAVITA01/13/2010
5638FMC NORTH FRESNO DIALYSIS5526466737 NORTH WILLOW BUILDING CFRESNOCA9371017100%732%45Achievement496%6798%41Achievement044%80948%462Achievement029%69125%306Achievement0%10101052%0.5%12/07/2009FRESENIUS MEDICAL CARE12/10/2009
5639YOSEMITE DIALYSIS CENTER552647464 EAST YOSEMITE AVENUE SUITE BMERCEDCA953401773%400%27Achievement597%3696%23Achievement869%42160%285Achievement416%37716%198Achievement6%1051062%No reduction12/09/2009INDEPENDENT12/10/2009
5640RAI LINCOLN DIALYSIS552648811 STERLING PARKWAYLINCOLNCA9564817100%220%22Achievement10100%25100%24Achievement1080%31870%237Achievement104%27322%102Achievement10%101010100%No reduction02/03/2010RENAL ADVANTAGE02/05/2010
5641CARABELLO DIALYSIS CENTER552649757 EAST WAHINGTON BOULEVARDLOS ANGELESCA9002118100%320%16Achievement10100%3187%15Achievement1074%34977%176Achievement97%3047%119Achievement10%101010100%No reduction01/29/2010DAVITA12/08/2009
5642SANGER SEQUOIA DIALYSIS CENTER5526502517 JENSEN AVENUE BUILDING BSANGERCA9365717100%4316%45Achievement10100%4992%38Achievement664%60653%486Achievement613%55517%324Achievement6%10101088%No reduction03/10/2010DAVITA03/11/2010
5643SATELLITE DIALYSIS WHITE ROAD5526521450 SOUTH WHITE ROAD #30SAN JOSECA9512717100%6711%35Achievement295%57100%24Achievement044%75949%376Achievement613%66510%247Achievement3%10101055%No reduction07/08/2010SATELLITE HEALTHCARE07/09/2010
5644SATELLITE DIALYSIS MERCED5526533376 NORTH HIGHWAY 59 SUITE IMERCEDCA9534817100%7516%57Achievement194%53100%42Achievement456%60554%501Achievement416%56925%339Achievement4%10101055%No reduction06/16/2010SATELLITE HEALTHCARE06/17/2010
5645FMC-IMPERIAL VALLEY HOME THERAPIES5526552205 WEST ROSS AVENUE, SUITE 3EL CENTROCA9224318100%158AchievementN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction06/18/2010FRESENIUS MEDICAL CARE02/06/2010
5646ANGEL KIDNEY CARE OF INGLEWOOD, INC.552656994 SOUTH LA BREA AVENUEINGLEWOODCA9030118100%360%21Achievement091%3494%18Achievement247%40137%192Improvement033%36029%109Achievement1%10101043%0.5%05/10/2010INDEPENDENT11/02/2009
5647SAN GABRIEL NEPHROLOGY SERVICES, LLC552657801 SOUTH SAN GABRIEL BOULEVARDSAN GABRIELCA9177618100%1730%152Achievement10100%14298%122Achievement1075%171347%1462Achievement104%164510%1045Achievement10%0101097%No reduction06/04/2010INDEPENDENT04/26/2010
5648FMC MCKINLEYVILLE5526581550 HEARTWOOD DRIVEMCKINLEYVILLECA9551917100%264%28Achievement10100%22100%25Achievement1084%24681%264Achievement97%2345%174Achievement10%101010100%No reduction10/19/2009FRESENIUS MEDICAL CARE10/20/2009
5649DAVITA-SILVER LAKE DIALYSIS5526592723 WEST TEMPLE STREETLOS ANGELESCA9002618100%260%11Achievement10100%308Achievement1074%32663%98Achievement104%2907%56Achievement10%101010100%No reduction08/05/2010DAVITA06/08/2010
5650PASADENA FOOTHILLS DIALYSIS CENTER5526603722 EAST COLORADO BOULEVARDPASADENACA9110718100%670%23Achievement10100%6394%17Achievement456%76448%231Achievement88%68813%126Achievement6%10101088%No reduction09/29/2010DAVITA08/02/2010

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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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