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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
5651GATEWAY PLAZA DIALYSIS CENTER5526611580 WEST ROSECRANS AVENUECOMPTONCA9022018100%530%46Achievement10100%5998%45Achievement353%58441%295Achievement711%53315%150Achievement5%10101085%No reduction09/22/2010DAVITA08/02/2010
5652KIDNEY DIALYSIS CENTER OF VERDUGO HILLS5526621808 VERDUGO BOULEVARD, SUITE 200GLENDALECA912081882%510%13Achievement10100%379Achievement552%55121%149Improvement235%41543%67Improvement4%10101076%No reduction08/30/2010INDEPENDENT06/26/2010
5653HIGHLAND RANCH DIALYSIS CENTER5526637223 CHURCH STREET, SUITE A-14HIGHLANDCA9234618100%166%17Achievement10100%20100%15Achievement559%22955%165Achievement711%20924%104Achievement6%10101088%No reduction04/22/2010DAVITA03/21/2010
5654DELTA VIEW DIALYSIS CENTER5526641150 EAST LELAND ROADPITTSBURGCA9456517100%306Achievement10100%307Achievement1081%30641Achievement105%26320Achievement10%101010100%No reduction12/17/2010DAVITA12/18/2010
5655REDWOOD CITY DIALYSIS CENTER5526651000 MARSHALL STREETREDWOOD CITYCA9406317100%356%17Achievement10100%3177%13Achievement449%35831%126Improvement425%32741%56Improvement4%10101082%No reduction11/12/2010DAVITA11/13/2010
5656GARFIELD HOME PROGRAM552666228 NORTH GARFIELD AVENUE, #301MONTEREY PARKCA9175418100%270%16AchievementN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction11/09/2010DAVITA10/14/2010
5657HUNTINGTON PARK DIALYSIS5526675942 RUGBY AVENUEHUNTINGTON PARKCA9025518100%535%22Achievement10100%59100%24Achievement973%62970%122Achievement89%5403%35Achievement9%1010094%No reduction01/28/2011DAVITA11/11/2010
5658PACIFIC DIALYSIS5526682351 CLAY STREET 4TH FLOORSAN FRANCISCOCA9411517100%1091%84Achievement898%8888%75Improvement972%102870%407Achievement514%99116%161Achievement7%10101085%No reduction02/01/2011DAVITA02/02/2011
5659DAVIES DIALYSIS55266945 CASTRO STREET, SOUTH TOWER 2ND FLOORSAN FRANCISCOCA9411417100%530%52Achievement898%4889%46Improvement662%60863%260Achievement417%56920%104Achievement5%10101079%No reduction02/01/2011DAVITA12/01/2011
5660SATELLITE DIALYSIS MENLO PARK5526701040 HAMILTON COURTMENLO PARKCA9402517100%290Achievement10100%270Achievement765%3240Achievement318%2840Achievement5%10101085%No reduction03/14/2011SATELLITE HEALTHCARE03/15/2011
5661FMC-EUCALYPTUS552671610 NORTH EUCALYPTUS AVENUEINGLEWOODCA9030218100%918Achievement295%839Achievement343%100824%72Improvement616%86136%22Improvement5%10101061%No reduction02/09/2011FRESENIUS MEDICAL CARE11/04/2010
5662HAYWARD5526721661 INDUSTRIAL PARKWAY WESTHAYWARDCA9454417100%330Achievement10100%290Achievement039%3700Achievement319%3130Achievement2%10N/A071%No reduction04/28/2011DAVITA04/29/2011
5663LA QUINTA KIDNEY CENTER, LLC55267343576 WASHINGTON STREET, SUITE 101LA QUINTACA922531873%360Achievement082%390Achievement458%3690Achievement221%3110Achievement3%10101040%1.0%03/21/2011INDEPENDENT01/01/2011
5664NORTHRIDGE DIALYSIS CENTER5526749325 RESEDA BOULEVARDNORTHRIDGECA9132418100%670Achievement10100%670Achievement561%7790Achievement319%6670Achievement4%10101082%No reduction04/06/2011INDEPENDENT01/15/2011
5665HOME DIALYSIS CENTERS OF RANCHO CUCAMONGA5526758221 ROCHESTER AVENUE, SUITE 130RANCHO CUCAMONGACA9173018N/A60N/AN/A00N/A765%9418Achievement030%819Achievement4%N/A01041%1.0%10/21/2010INDEPENDENT08/09/2010
5666ANAHEIM WEST DIALYSIS5526761821 WEST LINCOLN AVENUEANAHEIMCA9280118100%510Achievement10100%390Achievement662%4480Achievement319%3740Achievement5%10101085%No reduction05/17/2011DAVITA11/30/2010
5667FMC-BALBOA SOUTH BAY HOME THERAPIES552677340 4TH AVENUE, SUITE 18CHULA VISTACA9191018100%190AchievementN/A00N/AN/A160N/AN/A130N/A10N/A10100%No reduction05/10/2011FRESENIUS MEDICAL CARE12/28/2010
5668VAN BUREN DIALYSIS5526783595 VAN BUREN BOULEVARD, SUITE 101RIVERSIDECA9250318100%341Achievement091%331Achievement354%42616Achievement318%3674Achievement3%10101049%0.5%03/17/2011INDEPENDENT12/16/2010
5669LEMOORE DIALYSIS5526791345 WEST BUSH STREETLEMOORECA9324518100%540Achievement10100%570Achievement766%6620Achievement318%5940Achievement5%10101085%No reduction06/30/2011DAVITA05/05/2011
5670FMC EAST ANTIOCH5526802163 COUNTRY HILLS DRIVEANTIOCHCA9450917100%200Achievement295%210Achievement868%2560Achievement319%2060Achievement6%10101064%No reduction06/27/2011FRESENIUS MEDICAL CARE10/04/2011
5671DAVITA BURLINGAME5526811720 EL CAMINO REALBURLINGAMECA9401017100%650Achievement10100%540Achievement1082%6210Achievement88%5900Achievement9%10101097%No reduction07/01/2011DAVITA10/01/2011
5672DAVITA MILLS DIALYSIS552682100 SOUTH SAN MATEO DRIVESAN MATEOCA944011791%710Achievement10100%590Achievement1081%7340Achievement710%7010Achievement9%10101094%No reduction07/01/2011DAVITA07/04/2011
5673CALVINE DIALYSIS CENTER5526838243 EAST STOCKTON BOULEVARD #100SACRAMENTOCA9582817100%350Achievement10100%310Achievement354%4020Achievement318%3140Achievement3%10101079%No reduction07/22/2011DAVITA07/23/2011
5674DAVITA-OXNARD DIALYSIS CENTER5526841900 OUTLET CENTER DRIVEOXNARDCA930301891%770Achievement899%790Achievement561%8670Achievement97%6830Achievement7%10101082%No reduction09/21/2011DAVITA05/30/2011
5675SATELLITE DIALYSIS MORGAN HILL55268516060 CAPUTO DRIVE, SUITE 140MORGAN HILLCA9503717100%270Achievement496%260Achievement1075%3280Achievement613%2430Achievement8%10101076%No reduction11/21/2011OTHER CHAIN(number of facilities <20 )11/22/2011
5676HAWAIIAN GARDENS DIAYSIS55268612191 226TH STREETHAWAIIAN GARDENSCA9071618N/A93N/AN/A102N/A559%11227Achievement027%9011Achievement3%10101037%1.0%01/28/2011DAVITA11/26/2010
5677RAI-SOUTH BRAND-SAN FERNANDO552687501 SOUTH BRAND BOULEVARDSAN FERNANDOCA9134018N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction09/02/2011FRESENIUS MEDICAL CARE08/25/2011
5678DAVITA RICHMOND DIALYSIS5526884200 MACDONALD AVENUE, SUITE ARICHMONDCA9480517100%310Achievement10100%390Achievement1079%4510Achievement100%3000Achievement10%010093%No reduction11/30/2011DAVITA12/01/2011
5679DCI UKIAH552689275 SOUTH ORCHARDUKIAHCA954821755%210Achievement10100%190Achievement560%2190Achievement710%1440Achievement6%10101073%No reduction12/16/2011DIALYSIS CLINIC, INC.12/17/2011
5680TORRANCE PENINSULA DIALYSIS CENTER55269020430 HAWTHORNE BOULEVARDTORRANCECA9050318100%420Achievement10100%390Achievement149%5500Achievement027%4180Achievement1%10101073%No reduction10/04/2011INDEPENDENT07/02/2011
5681DAVITA-LOS ALAMITOS DIALYSIS5526914141 KATELLA AVENUELOS ALAMITOSCA9072018N/A100N/AN/A70N/A868%920Achievement319%680Achievement6%105059%No reduction09/16/2011DAVITA07/26/2011
5682GALA DIALYSIS, LLC5526921666 WEST THIRD STREETLOS ANGELESCA9001718100%500Achievement10100%460Achievement353%6170Achievement220%4860Achievement3%10101079%No reduction10/24/2011INDEPENDENT07/17/2011
5683RAI-FOUNTAIN VALLEY HOME55269317197 NEWHOPE STREET, SUITE EASTSANTA ANACA9270818N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction11/28/2011FRESENIUS MEDICAL CARE12/08/2011
5684DAVITA-ARTESIA HOME TRAINING55269416506 LAKEWOOD BOULEVARD, SUITE 100BELLFLOWERCA9070618100%280AchievementN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction11/30/2011DAVITA08/26/2011
5685SATELLITE DIALYSIS OF SOUTH GATE5526958716 GARFIELD AVENUE, SUITE 100SOUTH GATECA9028018100%260Achievement10100%250Achievement765%3080Achievement319%2160Achievement5%10101085%No reduction12/21/2011SATELLITE HEALTHCARE10/08/2011
5686CARSON-AVALON DIALYSIS CENTER552696930 EAST DOMINGUEZ STREET, SUITE ACARSONCA9074618100%180Achievement10100%160Achievement045%1720Achievement515%1060Achievement3%10101079%No reduction01/25/2012INDEPENDENT10/30/2011
5687RAI MACK ROAD5526974660 MACK ROAD, SUITE 168SACRAMENTOCA9582317N/A00N/AN/A00N/AN/A00N/AN/A00N/A101010100%No reduction04/20/2012RENAL ADVANTAGE03/02/2012
5688DAVITA FREMONT DIALYSIS5526982599 STEVENSON BOULEVARDFREMONTCA9453817100%200Achievement10100%200Achievement870%1620Achievement417%890Achievement6%10101088%No reduction04/10/2012DAVITA01/02/2012
5689DAVITA FREMONT HOME TRAINING55269939355 CALIFORNIA AVENUEFREMONTCA9453817N/A50N/AN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction02/09/2012DAVITA09/15/2011
5690CATHEDRAL CITY DIALYSIS55270030885 DATE PALM DRIVECATHEDRAL CITYCA9223418100%310Achievement10100%340Achievement972%3240Achievement97%2420Achievement9%10101097%No reduction10/17/2011DAVITA07/24/2011
5691FMC-VAN NUYS55270114812 OXNARD STREETVAN NUYSCA9141118N/A00N/AN/A00N/AN/A00N/AN/A00N/A10N/A10100%No reduction08/03/2012FRESENIUS MEDICAL CARE05/01/2012
5692DAVITA HERNDON DIALYSIS CENTER552702560 EAST HERNDON AVENUE, SUITE 101FRESNOCA9372017N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/A1010100%No reduction09/26/2012DAVITA10/10/2012
5693MADERA KIDNEY CENTER5527031560 COUNTRY CLUB ROAD, SUITE 101MADERACA9363817N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction09/28/2012AMERICAN RENAL ASSOCIATES08/14/2012
5694SATELLITE DIALYSIS STOCKTON - UNIVERSITY PARK552704590 EAST HARDING WAYSTOCKTONCA9520417N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction11/08/2012SATELLITE HEALTHCARE09/28/2012
5695NORTH SACRAMENTO DIALYSIS CENTER552705251 LATHROP WAYSACRAMENTOCA9581517N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/A10N/A100%No reduction11/21/2012DAVITA02/12/2013
5696DAVITA-BERMUDA DUNES DIALYSIS55270778030 WILDCAT DRIVEPALM DESERTCA9221118N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction08/08/2012DAVITA
5697LONG BEACH QUEST DIALYSIS CENTER5527093140 LONG BEACH BLVD.LONG BEACHCA9080718N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction10/12/2012INDEPENDENT
5698DAVITA SILICON VALLEY DIALYSIS552711725 RIDDER PARK., STE 10SAN JOSECA9513117N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction03/13/2013DAVITA
5699DAVITA SILICON VALLEY HOME TRAINING552712725 RIDDER PARK DR., STE 50SAN JOSECA9513117N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction03/12/2013DAVITA
5700LBJ MEDICAL CENTER640001642300DIALYSIS UNITPO BOX LBJPAGO PAGOAS967991785%7834%85Improvement899%79100%80Achievement765%72666%883Achievement416%46510%527Achievement6%10101076%No reduction06/24/1982INDEPENDENT06/05/2007

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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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