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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
551FMC-IMPERIAL COUNTY052792200 WAKE AVENUEEL CENTROCA9224318100%1174%104Achievement10100%11993%100Achievement765%131762%1060Achievement105%12438%723Achievement9%10101097%No reduction08/20/1996FRESENIUS MEDICAL CARE05/19/1999
552SATELLITE DIALYSIS REDWOOD CITY0527931410 MARSHALL STREETREDWOOD CITYCA9406317100%668%80Achievement496%6799%77Achievement662%74458%878Achievement515%69324%600Achievement6%10101070%No reduction07/25/1996SATELLITE HEALTHCARE01/01/2004
553DAVITA-USC KIDNEY CENTER0527942310 ALCAZAR STREETLOS ANGELESCA9003318100%1265%134Achievement10100%116100%120Achievement767%136471%1408Achievement710%132410%1016Achievement7%10101091%No reduction11/05/1996DAVITA06/08/1999
554DCI MADISON DIALYSIS CLINIC0527965222 MADISON AVENUESACRAMENTOCA9584117100%300%32Achievement10100%3094%34Achievement870%36470%354Achievement515%33818%249Achievement7%10101091%No reduction12/23/1996DIALYSIS CLINIC, INC.01/23/2004
555FMC ARDENWOOD05279737478 CEDAR BOULEVARD SUITE ANEWARKCA9456017100%330%31Achievement597%31100%27Achievement765%38857%332Achievement124%36525%233Achievement4%10101067%No reduction01/31/1997FRESENIUS MEDICAL CARE01/02/1980
556RAI-NEWHOPE-FOUNTAIN VALLEY05279817197 NEWHOPE STREET, SUITE A, B, C & DFOUNTAIN VALLEYCA9270818100%693%99Achievement10100%6598%87Achievement869%78862%993Achievement612%75118%695Achievement7%10101091%No reduction05/01/1997FRESENIUS MEDICAL CARE11/24/2005
557DAVITA-SAN DIEGO SOUTH DIALYSIS052799995 GATEWAY CENTER WAY, SUITE 101SAN DIEGOCA9210218100%566%63Achievement798%6197%64Achievement458%65250%701Achievement101%6078%483Achievement7%10101082%No reduction02/28/1997DAVITA10/06/2005
558DAVITA-DIALYSIS CENTER OF SANTA PAULA052800253 MARCH STREETSANTA PAULACA9306018100%360%29Achievement10100%3593%29Achievement973%40763%339Achievement103%37311%241Achievement10%1010097%No reduction03/17/1997DAVITA05/19/1999
559HOLLYWOOD DIALYSIS CENTER0528015108 SUNSET BOULEVARDLOS ANGELESCA9002718100%696%85Achievement10100%7097%88Achievement664%75961%981Achievement97%73713%700Achievement8%10101094%No reduction04/04/1997DAVITA10/08/2005
560DAVITA-HARBOR UCLA05280221602 SOUTH VERMONT AVENUETORRANCECA905021891%1224%127Achievement899%9099%87Achievement1074%101966%1003Achievement105%9909%714Achievement10%10101091%No reduction04/02/1997DAVITA06/09/1999
561DAVITA-CARSON DIALYSIS0528031309 EAST CARSON STREETCARSONCA9074518100%514%78Achievement899%6997%76Achievement251%30050%901Achievement027%28821%634Achievement1%1010064%No reduction04/23/1997DAVITA04/24/1997
562DAVITA-MONTCLAIR DIALYSIS CENTER0528045050 PALO VERDE STREET, SUITE 100MONTCLAIRCA9176318100%502%50Achievement10100%4996%47Achievement765%48947%502Achievement711%43415%331Achievement7%10101091%No reduction05/23/1997DAVITA06/10/1999
563GRASS VALLEY DIALYSIS CENTER05280536O CROWN POINT CIRCLE, SUITE 210GRASS VALLEYCA9594517100%436%36Achievement795%3983%29Improvement973%46571%384Achievement88%4338%247Achievement9%10101088%No reduction05/02/1997DAVITA04/13/2010
564KIDNEY DIALYSIS CENTER OF BALDWIN HILLS, LLC0528063705 SOUTH LA BREA AVENUELOS ANGELESCA9001618100%204%83Achievement10100%1994%78Achievement038%21540%821Achievement416%18016%547Achievement2%10101076%No reduction07/03/1997OTHER CHAIN(number of facilities <20 )04/02/2011
565DAVITA-VALLEY VIEW DIALYSIS05280726900 CACTUS AVENUEMORENO VALLEYCA9255518100%764%79Achievement10100%74100%76Achievement971%77670%831Achievement97%7026%575Achievement9%10101097%No reduction11/06/1998DAVITA05/10/2000
566SADDLEBACK DIALYSIS05280823141 PLAZA POINTE DRIVELAGUNA HILLSCA9265318100%841%83Achievement899%8595%83Achievement1074%93875%909Achievement612%86111%631Achievement8%10101088%No reduction09/10/1997DAVITA10/06/2005
567KIDNEY DIALYSIS CENTER OF WEST LOS ANGELES, LLC0528091801 SOUTH LA CIENEGA BOULEVARDLOS ANGELESCA9003518100%580%48Achievement10100%5694%49Achievement147%67760%566Achievement318%66220%389Achievement2%10101076%No reduction09/03/1997INDEPENDENT05/19/1999
568BENICIA DIALYSIS CENTER052810560 FIRST STREET BUILDING D103BENICIACA9451017100%3310%20Achievement093%28100%14Achievement561%30850%197Achievement318%25716%128Achievement4%10101052%0.5%06/30/1997DAVITA11/24/2005
569SAN LUIS OBISPO DIALYSIS0528111043 MARSH STREETSAN LUIS OBISPOCA934011891%710%65Achievement798%5592%38Achievement662%54548%455Achievement518%46834%317Improvement6%10101076%No reduction11/19/1997DAVITA06/09/1999
570FMC-BLYTHE DESERT DIALYSIS052812737 WEST HOBSON WAYBLYTHECA9222518100%180%22Achievement10100%24100%23Achievement972%25774%218Achievement710%24616%153Achievement8%10101094%No reduction10/09/1997FRESENIUS MEDICAL CARE07/10/1999
571SAN FRANCISCO GENERAL HOSPITAL RENAL CENTER0528130523971001 POTRERO BUILDING 100, ROOM 342SAN FRANCISCOCA9411017100%520%57Achievement295%41100%43Achievement868%45764%511Achievement318%43319%370Achievement6%10101064%No reduction11/01/1997INDEPENDENT08/05/2004
572TRACY DIALYSIS CENTER052814425 BEVERLY PLACE, SUITE ATRACYCA9537617100%436%51Achievement10100%37100%49Achievement870%43778%507Achievement101%4050%360Achievement9%10101097%No reduction10/01/1997DAVITA11/24/2005
573RAI BANCROFT0528156955 FOOTHILL BOULEVARD SUITE 220OAKLANDCA9460517100%500%58Achievement798%4796%57Achievement664%56566%646Achievement710%5539%462Achievement7%10101082%No reduction10/28/1997RENAL ADVANTAGE11/24/2005
574DESERT CITIES DIALYSIS OF BARSTOW052816655 SOUTH 7TH STREETBARSTOWCA923111873%370%29Achievement597%37100%27Achievement869%39362%330Achievement105%3607%232Achievement9%10101073%No reduction11/12/1997INDEPENDENT06/09/1999
575RAI-CARE CENTERS OF COLTON, LLC0528171275 WEST "C" STREETCOLTONCA9232418100%644%57Achievement10100%62100%54Achievement353%70451%593Achievement221%63326%409Achievement3%10101079%No reduction01/23/1998FRESENIUS MEDICAL CARE10/06/2005
576UCSD DIALYSIS CENTER052818200 WEST ARBOR DRIVEDIALYSIS PROGRAM, MAIL CODE 8781SAN DIEGOCA9210318100%770%79Achievement596%7892%78Improvement559%90844%902Achievement515%85927%628Achievement5%10101070%No reduction02/17/1998INDEPENDENT01/03/1980
577SATELLITE DIALYSIS SAN MATEO0528192000 SOUTH EL CAMINO REALSAN MATEOCA9440317100%7118%68Achievement10100%71100%64Achievement1082%80471%739Achievement89%75611%509Achievement9%10101097%No reduction03/10/1998SATELLITE HEALTHCARE01/04/2006
578RAI-FOOTHILL BLVD.-GLENDORA052820120 WEST FOOTHILL BOULEVARDGLENDORACA9174018100%494%50Achievement10100%4796%50Achievement146%59246%574Achievement221%55319%398Achievement2%10101076%No reduction01/29/1998FRESENIUS MEDICAL CARE12/13/2005
579PACIFIC GATEWAY DIALYSIS, LLC0528211149 WEST 190TH STREET, SUITE 1004GARDENACA9024818100%774%81Achievement10100%7191%69Achievement561%78251%834Achievement105%76214%588Achievement8%10101094%No reduction02/04/1998INDEPENDENT05/19/1999
580OAKLAND PERITONEAL DIALYSIS CENTER0528225352 CLAREMONT AVENUEOAKLANDCA9461817100%132AchievementN/A00N/AN/A220N/AN/A130N/AN/AN/A10100%No reduction03/10/1998DAVITA11/26/2003
581WOODLAND DIALYSIS SERVICES, LLC05282535 WEST MAIN STREETWOODLANDCA956951782%5213%52Achievement798%5591%53Achievement250%57349%582Achievement97%4899%418Achievement6%10101073%No reduction03/20/1998INDEPENDENT01/02/1980
582NORTH HIGHLANDS DIALYSIS CENTER0528264986 WATT AVENUE SUITE FNORTH HIGHLANDSCA9566017100%500%48Achievement10100%4097%33Achievement663%45755%402Achievement104%4176%270Achievement8%10101094%No reduction03/19/1998DAVITA01/02/1980
583KIDNEY CENTER OF PANORAMA CITY, INC.05282714860 ROSCOE BOULEVARD, SUITE 101PANORAMA CITYCA9140218100%870%83Achievement597%7697%79Achievement561%89855%932Achievement417%85525%661Achievement5%10101070%No reduction04/27/1998INDEPENDENT06/25/1999
584DAVITA-LOS ANGELES DOWNTOWN0528282021 SOUTH FLOWER STREETLOS ANGELESCA9000718100%748%87Achievement10100%8098%88Achievement971%86670%991Achievement105%8306%695Achievement10%101010100%No reduction04/24/1998DAVITA10/06/2005
585FMC-SANTA PAULA052829242 EAST HARVARD BOULEVARDSANTA PAULACA9306018100%250%31Achievement10100%2797%33Achievement458%31153%376Achievement104%3014%273Achievement7%10101091%No reduction05/29/1998FRESENIUS MEDICAL CARE05/19/1999
586FMC-CALEXICO DESERT DIALYSIS052830408 EAST THIRD STREET, SUITE ACALEXICOCA9223118100%868%89Achievement899%8999%87Achievement765%100865%900Achievement103%9493%625Achievement9%10101091%No reduction05/29/1998FRESENIUS MEDICAL CARE05/20/1999
587FMC DIABLO WEST ANTIOCH0528312386 BUCHANAN ROADANTIOCHCA9450917100%711%73Achievement10100%67100%74Achievement1078%80070%824Achievement612%74419%593Achievement8%10101094%No reduction06/13/1998FRESENIUS MEDICAL CARE01/02/1980
588KIDNEY INSTITUTE AT EISENHOWER MEDICAL CENTER05283239000 BOB HOPE DRIVE, SUITE 103PROBST BUILDINGRANCHO MIRAGECA9227018100%658%78Achievement288%6684%81Improvement458%73763%858Achievement027%63214%576Achievement2%10101052%0.5%03/25/1998INDEPENDENT04/07/2000
589PEAR TREE DIALYSIS CENTER052833126 NORTH ORCHARDUKIAHCA9548217100%487%72Achievement10100%4895%64Achievement458%52751%738Achievement97%5438%522Achievement7%10101091%No reduction07/08/1998DAVITA11/24/2005
590DSI OCEANSIDE DIALYSIS0528342227- B EL CAMINO REALOCEANSIDECA9205418100%393%40Achievement10100%2997%34Achievement869%37968%413Achievement105%3307%294Achievement9%10101097%No reduction07/10/1998INDEPENDENT04/01/2012
591DSI CHULA VISTA DIALYSIS0528351181 BROADWAY, SUITE 5CHULA VISTACA9191118100%260%38Achievement10100%29100%38Achievement1076%33964%407Achievement101%3222%290Achievement10%101010100%No reduction07/10/1998INDEPENDENT04/01/2012
592TOIYABE DIALYSIS CENTER05283644 TU SU LANEBISHOPCA9351418100%167%15Achievement10100%1689%18Achievement1087%21180%210Achievement102%1894%139Achievement10%1051098%No reduction08/10/1998INDEPENDENT05/19/1999
593WESTSIDE DIALYSIS CENTER, LLC052837300 SOUTH ROBERTSON BOULEVARDLOS ANGELESCA9004818100%1557%134Achievement898%12387%103Improvement148%146249%1246Achievement224%133729%868Improvement2%10101070%No reduction08/19/1998INDEPENDENT11/10/2005
594LOMPOC ARTIFICIAL KIDNEY CENTER, LLC052838127 WEST PINE AVENUELOMPOCCA9343618110%824%70Achievement696%7287%61Improvement1077%85072%711Achievement100%7832%503Achievement10%10101061%No reduction10/10/1998INDEPENDENT06/16/1999
595NORTHEAST BAKERSFIELD DIALYSIS0528393761 MALL VIEW ROADBAKERSFIELDCA9330618100%462%53Achievement10100%5096%52Achievement767%58068%580Achievement89%5268%409Achievement8%1010091%No reduction12/14/1998DAVITA10/06/2005
596LONG BEACH DIALYSIS CENTER0528401045 ATLANTIC AVENUE, SUITE 108LONG BEACHCA908131891%1044%98Achievement798%10695%100Achievement560%118659%1144Achievement711%11416%805Achievement6%10101076%No reduction12/02/1998INDEPENDENT05/27/1999
597ANTIOCH DIALYSIS CENTER0528413100 DELTA FAIR BOULEVARDANTIOCHCA9450917100%350%41Achievement594%3487%39Improvement971%37170%437Achievement416%35710%307Achievement7%10101076%No reduction10/14/1998DAVITA11/06/2004
598FMC-BUENA CREEK052842950 HACIENDA DRIVEVISTACA9208118100%602%56Achievement10100%59100%48Achievement766%67567%544Achievement103%6352%384Achievement9%10101097%No reduction03/01/1998FRESENIUS MEDICAL CARE05/13/1999
599MONTEBELLO DIALYSIS CENTER, LLC052843111 WEST BEVERLY BOULEVARD, SUITE AMONTEBELLOCA9064018100%462%45Achievement10100%4398%47Achievement1077%52173%522Achievement97%4966%367Achievement10%101010100%No reduction04/05/1999INDEPENDENT06/08/1999
600DAVITA-IMPERIAL CARE DIALYSIS CENTER0528444345 EAST IMPERIAL HIGHWAYLYNWOODCA9026218100%986%129Achievement10100%9997%124Achievement560%108354%1310Achievement89%104516%876Achievement7%10101091%No reduction04/23/1999DAVITA06/22/1999

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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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