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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
701BRIGHTON DIALYSIS (DVA)0625424700 EAST BROMLEY LANE SUITE 103BRIGHTONCO8060115100%193%33Achievement10100%25100%35Achievement1076%29177%405Achievement612%26512%278Achievement8%10101094%No reduction05/27/2004DAVITA04/13/2004
702LONETREE DIALYSIS (DVA)0625439777 PYRAMID COURT SUITE 140ENGLEWOODCO8011215100%2111%28Achievement10100%24100%29Achievement870%27564%318Achievement89%2498%214Achievement8%10101094%No reduction11/17/2004DAVITA08/26/2005
703BELCARO DIALYSIS (DVA)062544755 SOUTH COLORADO BOULEVARDDENVERCO8024615100%307%30Achievement10100%30100%30Achievement868%32974%358Achievement96%3059%251Achievement9%10101097%No reduction11/19/2004DAVITA11/16/2004
704AURORA DIALYSIS (FMC)062545962 POTOMAC CIRCLEAURORACO800111591%7214%74Achievement295%8399%75Achievement870%94475%913Achievement711%8868%639Achievement8%10101067%No reduction02/02/2005RENAL CARE GROUP INC.01/20/2005
705DENVER DIALYSIS (DVA)0625462900 DOWNING STREET SUITE CDENVERCO802051555%223%30Achievement10100%24100%31Achievement1084%27281%299Achievement100%2540%199Achievement10%10101085%No reduction04/27/2005DAVITA04/26/2005
706DURANGO DIALYSIS CENTER (DVA)06254772 SUTTLE STREET SUITE DDURANGOCO8130115100%278%24Achievement10100%29100%24Achievement1085%30583%284Achievement101%2780%204Achievement10%101010100%No reduction05/04/2005DAVITA05/05/2005
707STAPLETON DIALYSIS (FMC)0625487606 EAST 36TH AVENUEDENVERCO8023815100%303%31Achievement10100%31100%27Achievement1079%38657%361Achievement88%35315%256Achievement9%10101097%No reduction09/14/2005FRESENIUS MEDICAL CARE01/02/2011
708ALAMOSA DIALYSIS (DVA)062550612 DEL SOL DRIVEALAMOSACO8110115100%266%35Achievement597%36100%41Achievement869%42972%479Achievement97%41910%340Achievement9%10101082%No reduction04/01/2005DAVITA01/23/2007
709FOUNTAIN DIALYSIS CENTER (DVA)0625526910 BANDLEY DRIVE SUITE 100FOUNTAINCO8081715100%2126%31Achievement10100%26100%35Achievement561%30367%369Achievement105%2865%254Achievement8%10101094%No reduction09/27/2006DAVITA09/26/2006
710GRAND JUNCTION DIALYSIS CENTER (DVA)062553710 WELLINGTON AVENUE SUITE 20GRAND JUNCTIONCO8150115100%4211%64Achievement798%52100%67Achievement1076%57378%731Achievement89%53412%501Achievement9%10101088%No reduction10/01/2006DAVITA10/02/2006
711KIDNEY CENTER OF ARVADA (ARA)0625545265 VANCE STREETARVADACO8000215100%478%52Achievement10100%50100%53Achievement1081%58077%591Achievement89%5417%418Achievement9%10101097%No reduction07/14/2008AMERICAN RENAL ASSOCIATES07/15/2008
712KIDNEY CENTER OF LAFAYETTE (ARA)0625552655 CRESCENT DRIVE SUITE CLAFAYETTECO8002615100%205%19Achievement10100%24100%21Achievement1087%26186%214Achievement88%22510%145Achievement9%10101097%No reduction07/10/2008AMERICAN RENAL ASSOCIATES07/12/2008
713KIDNEY CENTER OF LAKEWOOD (ARA)0625566166 WEST ALAMEDA AVENUEDENVERCO8022615100%398%40Achievement10100%45100%42Achievement1080%50877%502Achievement612%4779%357Achievement8%10101094%No reduction07/15/2008AMERICAN RENAL ASSOCIATES07/16/2008
714KIDNEY CENTER OF LONGMONT (ARA)0625571960 KEN PRATT BOULEVARD SUITE ALONGMONTCO8050115100%354%49Achievement496%54100%52Achievement972%59057%584Achievement223%55428%405Improvement6%10101070%No reduction07/08/2008AMERICAN RENAL ASSOCIATES07/09/2008
715KIDNEY CENTER OF WESTMINSTER (ARA)0625588410 DECATUR STREET SUITE 200WESTMINSTERCO8003115100%6712%74Achievement10100%6897%69Achievement1090%77484%798Achievement96%7086%560Achievement10%101010100%No reduction08/26/2008AMERICAN RENAL ASSOCIATES08/27/2008
716NORTH METRO DENVER DIALYSIS (DVA)06255912365 HURON STREET SUITE 500WESTMINSTERCO8023415100%1716%25Achievement10100%23100%27Achievement869%24274%333Achievement105%2293%217Achievement9%1001094%No reduction07/07/2008DAVITA07/08/2008
717LIBERTY DIALYSIS - PUEBLO062560850 EAGLERIDGE BOULEVARDPUEBLOCO8100815100%230%23Achievement10100%30100%28Achievement353%32065%320Achievement104%2996%227Achievement7%10101091%No reduction12/17/2008LIBERTY DIALYSIS HAWAII09/02/2011
718NORTH COLORADO SPRINGS DIALYSIS (DVA)0625616071 EAST WOODMEN ROAD SUITE 100/120COLORADO SPRINGSCO8092315N/A105%19N/A291%1188%16Improvement1076%11450%175Achievement103%1046%124Achievement10%1010061%No reduction12/24/2008DAVITA12/25/2008
719PARKER DIALYSIS (DVA)06256210371 SOUTH PARK GLENN WAY SUITE 180PARKERCO8013815100%1916%19Achievement295%19100%17Achievement973%21073%207Achievement103%1980%136Achievement10%10101076%No reduction01/14/2009DAVITA01/15/2009
720LIBERTY DIALYSIS - COLORADO SPRINGS NORTH (FMC)0625632180 HOLLOWBROOK DRIVECOLORADO SPRINGSCO8091815100%200%29Achievement10100%29100%28Achievement1074%34063%337Achievement105%3104%236Achievement10%101010100%No reduction05/23/2009LIBERTY DIALYSIS HAWAII05/24/2009
721LIBERTY DIALYSIS - COLORADO SPRINGS SOUTH (FMC)0625642508 AIRPORT ROADCOLORADO SPRINGSCO8090915100%343%33Achievement10100%37100%37Achievement561%45650%399Achievement89%4078%267Achievement7%10101091%No reduction04/27/2009LIBERTY DIALYSIS HAWAII04/28/2009
722LIBERTY DIALYSIS - CASTLE ROCK (FMC)0625654352 TRAILBOSS DRIVECASTLE ROCKCO8010415N/A89N/AN/A88N/A1076%9878Achievement103%7847Achievement10%101010100%No reduction06/01/2009LIBERTY DIALYSIS HAWAII06/02/2009
723LIBERTY DIALYSIS COLORADO SPRINGS CENTRAL (FMC)0625661910 EAST LELARAY STREETCOLORADO SPRINGSCO8090915100%557%59Achievement10100%6498%46Achievement559%77562%499Achievement318%7188%343Achievement4%10101082%No reduction01/20/2010LIBERTY DIALYSIS HAWAII01/21/2010
724MESA COUNTY DIALYSIS (DVA)062567561 25 ROAD SUITE DGRAND JUNCTIONCO8150515100%1514%22Achievement10100%15100%16Achievement458%22472%197Achievement514%21314%140Achievement5%10101085%No reduction06/15/2010DAVITA06/16/2010
725PUEBLO WEST DIALYSIS (FMC)06256873 NORTH ASPEN SKI WAYPUEBLO WESTCO8100715100%130%12Achievement10100%20100%16Achievement1086%21874%129Achievement97%20220%75Achievement10%101010100%No reduction09/15/2010FRESENIUS MEDICAL CARE09/16/2010
726BLACK CANYON DIALYSIS (DVA)0625693421 SOUTH RIO GRANDE SUITE DMONTROSECO8140115100%143Achievement10100%144Achievement457%18337Achievement318%15922Achievement4%10101082%No reduction10/15/2010DAVITA10/16/2010
727KIDNEY CENTER OF BEAR CREEK (ARA)06257011058 WEST JEWELL AVENUELAKEWOODCO8023215N/A30N/A10100%120Achievement1082%1410Achievement711%1100Achievement9%10101095%No reduction06/13/2011AMERICAN RENAL ASSOCIATES06/14/2011
728THORNTON KIDNEY CENTER LLC (ARA)0625718451 PEARL STREETTHORNTONCO8022915100%140Achievement10100%190Achievement1080%1880Achievement417%1490Achievement7%10101091%No reduction10/12/2011AMERICAN RENAL ASSOCIATES10/13/2011
729SOUTHWEST DENVER DIALYSIS (DVA)0625728601 WEST CROSS DRIVE SUITE C2DENVERCO8012315N/A70N/AN/A70N/AN/A650N/AN/A420N/A101010100%No reduction11/23/2011DAVITA11/24/2011
730KIDNEY CENTER ON MAIN (ARA)0625732144 MAIN STREET SUITE 2LONGMONTCO8050115100%120Achievement10100%160Achievement1076%1640Achievement711%980Achievement9%10101097%No reduction03/16/2012AMERICAN RENAL ASSOCIATES03/17/2012
731RED HAWK DIALYSIS (DVA)0625744348 WOODLAND BOULEVARD SUITE 131CASTLE ROCKCO8010415N/A30N/AN/A40N/AN/A270N/AN/A140N/A101010100%No reduction05/03/2012DAVITA08/17/2012
732PAVILION DIALYSIS (FMC)062575723 DELAWARE STREET #M105DENVERCO8020415N/A20N/AN/A30N/AN/A260N/AN/A110N/A101010100%No reduction05/02/2012FRESENIUS MEDICAL CARE05/03/2012
733SABLE DIALYSIS (DVA)062576509 NORTH SABLE BOULEVARDAURORACO8001115N/A90N/A10100%140Achievement1085%1060Achievement104%550Achievement10%101010100%No reduction05/04/2012DAVITA05/05/2012
734NORTHEASTERN COLORADO DIALYSIS (DVA)062577603 HOLLY DRIVESTERLINGCO8075115N/A00N/AN/A00N/AN/A00N/AN/A00N/A10N/A050%0.5%02/01/2012DAVITA09/07/2012
735WEST HAMPDEN DIALYSIS (FMC)062578750 WEST HAMPDEN AVENUE #110ENGLEWOODCO8011015N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction12/14/2012FRESENIUS MEDICAL CARE12/12/2012
736THE CHILDRENS HOSPITAL KIDNEY CTR.06330106231113123 EAST 16TH AVENUE #328AURORACO8004515N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/A1010100%No reduction02/02/1992INDEPENDENT01/01/2009
737HARTFORD HOSPITAL07002507230780 SEYMOUR STREET, JB8HARTFORDCT06102193%11841%138Improvement10100%121100%123Achievement458%134049%1432Achievement711%128713%989Achievement6%10101085%No reduction08/25/1977INDEPENDENT07/18/2002
738NEW BRITAIN GENERAL HOSPITAL070035072310100 GRAND STREETDIALYSIS UNITNEW BRITAINCT060501100%871%99Achievement899%8599%81Achievement458%98153%993Achievement221%95726%720Achievement3%10101073%No reduction08/25/1977INDEPENDENT01/02/1980
739BRIDGEPORT DIALYSIS072501900 MADISON AVENUEBRIDGEPORTCT06606173%2016%201Achievement10100%16899%163Achievement354%191059%1845Achievement104%18053%1308Achievement7%10101082%No reduction08/25/1977DAVITA01/02/2007
740NEW HAVEN HOME DIALYSIS072503136 SHERMAN AVENUESuite 206NEW HAVENCT065111100%307%41AchievementN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction09/21/1983FRESENIUS MEDICAL CARE01/01/2011
741STAMFORD DIALYSIS07250430 COMMERCE ROADSTAMFORDCT069021100%1194%117Achievement10100%10799%107Achievement1074%136270%1275Achievement88%126610%904Achievement9%10101097%No reduction09/03/1985DAVITA10/02/2006
742DIALYSIS CENTER OF NEWINGTON072505375 WILLARD AVENUENEWINGTONCT06111182%442%54Achievement10100%3998%49Achievement664%50065%562Achievement026%48225%390Achievement3%10101073%No reduction10/17/1989FRESENIUS MEDICAL CARE01/02/1980
743ENFIELD DIALYSIS CENTER072506113 ELM STREETENFIELDCT060821100%447%57Achievement798%4798%56Achievement147%57344%591Achievement515%54416%406Achievement3%10101070%No reduction09/28/1990FRESENIUS MEDICAL CARE02/01/2006
744NEW HAVEN DIALYSIS072507100 CHURCH STREET SOUTHSuite CNEW HAVENCT065191100%1242%148Achievement10100%8399%96Achievement559%100352%1159Achievement515%96523%807Achievement5%10101085%No reduction10/12/1993DAVITA10/02/2006
745CENTRAL CT DIALYSIS CENTER072508377 RESEARCH PARKWAYMERIDENCT06450182%421%70Achievement10100%4799%69Achievement664%54955%740Achievement417%53720%523Achievement5%10101079%No reduction01/13/1994FRESENIUS MEDICAL CARE01/02/1980
746EAST HARTFORD DIALYSIS CENTER072509200 PITKIN STREETEAST HARTFORDCT06108191%800%80Achievement597%68100%75Achievement560%81258%866Achievement515%77519%611Achievement5%10101067%No reduction02/04/1994FRESENIUS MEDICAL CARE09/07/2005
747SHELTON DIALYSIS072510750 BRIDGEPORT AVENUESHELTONCT06484137%761%68Achievement10100%69100%67Achievement1076%83072%760Achievement89%78012%530Achievement9%10101076%No reduction03/31/1995DAVITA10/02/2006
748GREATER WATERBURY DIALYSIS072511209 HIGHLAND AVENUEWATERBURYCT067081100%1176%143Achievement798%10398%120Achievement663%118850%1354Achievement515%114424%955Achievement6%10101079%No reduction12/01/1995DAVITA10/02/2006
749ST. RAPHAEL DIALYSIS CENTER - NEW HAVEN072512137 WATER STREETDIALYSIS UNITNEW HAVENCT06511191%1252%142Achievement798%12696%137Achievement457%131755%1603Achievement319%125624%1148Achievement4%0101067%No reduction08/05/1996FRESENIUS MEDICAL CARE03/09/2011
750MILFORD DIALYSIS CENTER07251350 COMMERCE PARK DRIVEMILFORDCT06460182%602%56Achievement798%6295%56Achievement355%62355%640Achievement123%53821%460Achievement2%10101061%No reduction02/22/1999FRESENIUS MEDICAL CARE01/01/2006

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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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