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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
751MILFORD DIALYSIS072514470 BRIDGEPORT AVENUEMILFORDCT064601100%627%67Achievement10100%61100%65Achievement870%72265%726Achievement88%7028%514Achievement8%10101094%No reduction03/17/1999DAVITA01/01/2012
752NEW LONDON DIALYSIS0725155 SHAW'S COVESuite 100NEW LONDONCT063201100%671%83Achievement10100%6099%75Achievement1081%69976%839Achievement711%65717%598Achievement9%10101097%No reduction09/09/1999DAVITA10/02/2006
753HARTFORD DIALYSIS072516675 TOWER AVENUEHARTFORDCT061121100%1127%117Achievement10100%99100%89Achievement765%114060%1082Achievement97%109714%770Achievement8%10101094%No reduction10/18/1999DAVITA05/20/2010
754BRANFORD DIALYSIS072517249 WEST MAIN STREETBRANFORDCT06405155%427%42Achievement10100%4598%43Achievement1083%47576%497Achievement102%3306%356Achievement10%10101085%No reduction12/03/1999DAVITA10/02/2006
755PHYSICIANS DIALYSIS INC., - ROCKY HILL07251830 WATERCHASE DRIVEROCKY HILLCT060671100%627%73Achievement10100%5098%60Achievement971%70964%810Achievement96%6778%556Achievement9%10101097%No reduction12/15/1999DAVITA10/01/2004
756UCONN DIALYSIS CENTER072519230 FARMINGTON AVENUEFARMINGTONCT060321100%582%63Achievement798%5293%55Achievement662%61247%683Achievement417%55028%474Achievement5%10101076%No reduction12/29/1999DIALYSIS CLINIC, INC.10/08/2003
757NORWICH DIALYSIS072520113 SALEM TURNPIKENORWICHCT063601100%764%70Achievement10100%69100%62Achievement355%76043%689Achievement613%69918%497Achievement5%10101085%No reduction11/01/1999DAVITA01/01/2008
758SOUTH NORWALK DIALYSIS07252131 STEVENS STREETNORWALKCT068561100%1064%103Achievement899%10598%96Achievement973%121967%1122Achievement104%116311%771Achievement10%10101094%No reduction07/28/2000DAVITA10/02/2006
759SHORELINE DIALYSIS CENTER07252234 EAST INDUSTRIAL ROADBRANFORDCT064051100%680%77Achievement10100%62100%70Achievement458%76650%793Achievement224%72529%561Improvement3%10101079%No reduction08/17/2000FRESENIUS MEDICAL CARE08/22/2006
760TORRINGTON DIALYSIS072523780 LITCHFIELD STREET, SUITE 100C/O JOSEPH MARCANTONIO KIDNEY CENTERTORRINGTONCT06790182%657%69Achievement798%5392%51Achievement767%63059%563Achievement613%58722%401Achievement7%10101076%No reduction10/05/2000DAVITA03/27/2010
761MIDDLESEX DIALYSIS CENTER, LLC.072524100 MAIN STREET, SUITE AMIDDLETOWNCT064571100%715%83Achievement10100%7097%75Achievement869%77069%864Achievement710%73212%611Achievement8%10101094%No reduction11/15/2000DAVITA01/01/2011
762FMC DIALYSIS SERVICES FORESTVILLE072527135 MIDDLE STREETBRISTOLCT060101100%522%55Achievement10100%4798%50Achievement971%53869%558Achievement88%5239%397Achievement9%10101097%No reduction01/30/2002FRESENIUS MEDICAL CARE02/26/2010
763BLOOMFIELD DIALYSIS07252829 GRIFFIN ROAD SOUTHBLOOMFIELDCT060021100%506%47Achievement10100%57100%47Achievement662%64652%568Achievement88%6114%407Achievement7%1010088%No reduction06/16/2003DAVITA10/02/2006
764VERNON DIALYSIS CENTER072529460 HARTFORD TURNPIKEVERNON ROCKVILLECT060661100%801%85Achievement10100%7299%78Achievement457%83854%942Achievement711%82212%674Achievement6%10101088%No reduction03/27/2006DAVITA09/02/2006
765WINDHAM DIALYSIS CENTER072530375-C TUCKIE ROADNORTH WINDHAMCT062561100%290%27Achievement10100%3096%28Achievement1077%33073%341Achievement710%30810%242Achievement9%1010094%No reduction09/01/2006DAVITA07/17/2009
766FMC OF HARTFORD0725313580 MAIN STREET, SUITE 3HARTFORDCT06120173%350%39Achievement10100%3897%39Achievement558%43340%426Improvement97%41517%311Achievement7%10101082%No reduction05/09/2007FRESENIUS MEDICAL CARE05/10/2007
767DSI NORTH HAVEN072532510 WASHINGTON AVENUENORTH HAVENCT064731100%530%60Achievement10100%50100%55Achievement252%58146%625Achievement028%56822%430Achievement1%10101073%No reduction06/04/2007DIVERSIFIED SPECIALTY INSTITUTES (DSI)09/01/2007
768DAVITA WATERBURY HEIGHTS DIALYSIS072533150 MATTATUCK HEIGHTSWATERBURYCT067051100%612%55Achievement10100%5298%45Achievement1079%75164%613Achievement89%69418%439Achievement9%10101097%No reduction01/11/2008DAVITA01/12/2008
769FRESENIUS MEDICAL CARE OF SOUTHINGTON072534341 WEST STREETPLANTSVILLECT064791100%290%33Achievement10100%31100%33Achievement1075%34576%362Achievement105%33611%259Achievement10%101010100%No reduction03/12/2008FRESENIUS MEDICAL CARE03/16/2008
770BLACK ROCK DIALYSIS072535427 STILLSON ROADFAIRFIELDCT068241011%353%30Achievement597%31100%29Achievement971%38378%306Achievement612%3528%211Achievement8%1010046%0.5%10/08/2008DAVITA01/14/2009
771LIBERTY DIALYSIS - FAIRFIELD072536500 KINGS HIGHWAYFAIRFIELDCT068251100%210%16Achievement10100%20100%15Achievement870%21071%163Achievement710%20317%109Achievement8%10101094%No reduction11/14/2008INDEPENDENT11/15/2008
772NORTH HAVEN DIALYSIS CENTER072537266 STATE STREET SUITE 2NORTH HAVENCT064731100%660%36Achievement798%63100%37Achievement868%61273%427Achievement318%49922%302Achievement6%10101079%No reduction06/01/2009FRESENIUS MEDICAL CARE06/19/2009
773MANCHESTER DIALYSIS CENTER072538319 MAIN STREETMANCHESTERCT060401100%358%24Achievement10100%29100%22Achievement455%34140%273Improvement612%32528%190Achievement5%10101085%No reduction09/16/2009DIALYSIS CLINIC, INC.09/17/2009
774DSI ORANGE DIALYSIS072539240 INDIAN RIVER ROAD, SUITE DORANGECT064771100%280%20Achievement10100%2894%16Achievement765%30663%211Achievement417%27524%142Achievement6%10101088%No reduction04/27/2010DIVERSIFIED SPECIALTY INSTITUTES (DSI)01/01/2012
775FMC OF WESTERN HARTFORD072540725 PARK AVENUE,BLOOMFIELDCT060021100%139Achievement10100%147Achievement663%14757Achievement105%14130Achievement8%10101094%No reduction11/22/2010FRESENIUS MEDICAL CARE12/10/2010
776WILLARD AVENUE DIALYSIS072541445E WILLARD AVENUENEWINGTONCT061111N/A93N/AN/A73N/A456%9712Achievement612%833Achievement5%10101055%No reduction03/09/2011DAVITA03/02/2011
777COMPREHENSIVE DIALYSIS CARE LLC07254261 POMEROY AVENUE BUILDING AMERIDENCT064501100%240Achievement10100%200Achievement035%2880Achievement612%2430Achievement3%10101079%No reduction05/11/2011AMERICAN RENAL ASSOCIATES05/02/2011
778HAMDEN DIALYSIS0725433000 DIXWELL AVENUE SUITE 100HAMDENCT065181100%240Achievement10100%400Achievement1077%2890Achievement88%1120Achievement9%1010094%No reduction12/12/2011DAVITA12/13/2011
779DANBURY DIALYSIS CENTER072544111 OSBORNE STREET, SUITE 211DANBURYCT068101100%930Achievement10100%920Achievement1075%7630Achievement88%4570Achievement9%010090%No reduction05/01/2012DAVITA09/26/2012
780FARMINGTON DIALYSIS07254511 SOUTH ROAD, SUITE 110FARMINGTONCT060321N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/AN/ANo reduction12/12/2012DAVITA12/19/2012
781CHRISTIANA CARE HEALTH SYSTEM0800010823004755 OGLETON-STANTON ROADHEMODIALYSIS UNIT, CHRISTIANA HOSPITALNEWARKDE197184N/A410N/AN/A38N/A354%6549%122AchievementN/A3042%43N/A3%010030%1.5%09/01/1977INDEPENDENT10/25/2006
782BAYHEALTH MEDICAL CENTER, KENT GENERAL CAMPUS080004082301640 SOUTH STATE STREETDOVERDE199014N/A56N/AN/A34N/A663%7044%79AchievementN/A4136N/A6%10101064%No reduction01/01/1988INDEPENDENT01/02/1980
783FRESENIUS MEDICAL CARE BRANDYWINE082501303 A STREETWILMINGTONDE198014100%644%67Achievement10100%66100%62Achievement870%79669%734Achievement105%7477%508Achievement9%10101097%No reduction09/01/1977FRESENIUS MEDICAL CARE01/02/1980
784FRESENIUS MEDICAL CARE CENTRAL DELAWARE082502655 SOUTH BAY ROAD, SUITE 4MBLUE HEN CORPORATE CENTERDOVERDE19901491%835%76Achievement899%8496%77Achievement765%100067%864Achievement612%94012%609Achievement7%10101082%No reduction12/23/1978FRESENIUS MEDICAL CARE01/02/1980
785FRESENIUS MEDICAL CARE MID SUSSEX COUNTY08250334 GEORGETOWN PLAZAGEORGETOWNDE199474100%5211%90Achievement798%5599%84Achievement354%64356%893Achievement612%57912%610Achievement5%1010073%No reduction04/13/1988FRESENIUS MEDICAL CARE10/29/2005
786FRESENIUS MEDICAL CARE RIVERSIDE PARK082505700 WEST LEA BOULEVARDRIVERSIDE MEDICAL ARTS COMPLEX, UNIT G2WILMINGTONDE198024100%891%104Achievement899%7498%86Achievement766%88373%931Achievement105%8378%612Achievement9%10101091%No reduction12/15/1989FRESENIUS MEDICAL CARE07/15/2010
787FRESENIUS MEDICAL CARE CHRISTIANA08250663 UNIVERSITY PLAZAUNIVERSITY PLAZA SHOPPING CENTERNEWARKDE19702491%863%116Achievement295%6298%80Achievement972%52265%929Achievement514%48613%620Achievement7%1010061%No reduction12/29/1989FRESENIUS MEDICAL CARE01/02/1980
788FRESENIUS MEDICAL CARE MILFORD082507656D NORTH DUPONT HIGHWAYMILFORDDE199634100%804%100Achievement597%7194%80Achievement148%83649%986Achievement319%77818%689Achievement2%10101061%No reduction02/23/1995FRESENIUS MEDICAL CARE01/02/1980
789FRESENIUS MEDICAL CARE SEAFORD08250823006 SUSEX HIGHWAYSEAFORDDE199734100%375%39Achievement10100%3697%37Achievement662%37268%419Achievement318%36524%288Achievement5%1010082%No reduction03/16/1998FRESENIUS MEDICAL CARE01/02/1980
790FRESENIUS MEDICAL CARE FIRST STATE082509608 FERRY CUTOFFNEW CASTLEDE197204100%993%103Achievement899%10094%99Achievement765%110771%1105Achievement97%103210%764Achievement8%10101088%No reduction04/27/1998FRESENIUS MEDICAL CARE01/02/1980
791FRESENIUS MEDICAL CARE REHOBOTH08251020699 COASTAL HIGHWAYUNIT 3REHOBOTH BEACHDE199714100%435%57Achievement798%42100%55Achievement765%53460%629Achievement416%47621%437Achievement6%10101079%No reduction06/28/2000FRESENIUS MEDICAL CARE03/14/2000
792FRESENIUS MEDICAL CARE WILMINGTON0825117TH AND CLAYTON STREETST. FRANCIS MEDICAL OFFICE BUILDING, SUIWILMINGTONDE198054100%559%58Achievement597%5895%57Achievement1079%63679%626Achievement104%5816%440Achievement10%10101085%No reduction05/23/2001FRESENIUS MEDICAL CARE04/02/2001
793FRESENIUS MEDICAL CARE SMYRNA082512210 STADIUM STREET - RT 13GATEWAY NORTH SHOPPING CENTERSMYRNADE199774100%526%50Achievement496%5194%48Achievement251%63351%532Achievement417%57116%348Achievement3%10101061%No reduction11/20/2002FRESENIUS MEDICAL CARE10/04/2002
794FRESENIUS MEDICAL CARE NEWPORT PIKE082513605 WEST NEWPORT PIKEWILMINGTONDE19804482%594%54Achievement10100%62100%55Achievement1085%70681%598Achievement96%6519%392Achievement10%10101094%No reduction04/07/2004FRESENIUS MEDICAL CARE04/08/2004
795FRESENIUS MEDICAL CARE MIDDLETOWN082514104 SLEEPY HOLLOW DRIVEMIDDLETOWNDE197094100%512%56Achievement10100%50100%55Achievement973%56474%571Achievement710%52011%399Achievement8%10101094%No reduction01/09/2006FRESENIUS MEDICAL CARE12/31/2005
796FRESENIUS MEDICAL CARE GREENTREE08251597 COMMERCE WAY, SUITE 104DOVERDE199044100%662%63Achievement10100%57100%62Achievement144%71338%681Improvement710%66319%479Achievement4%10101082%No reduction07/09/2007FRESENIUS MEDICAL CARE01/02/2007
797FRESENIUS MEDICAL CARE NORTH WILMINGTON0825164000 WASHINGTON STREETWILMINGTONDE198024100%500%54Achievement798%5496%55Achievement972%58074%587Achievement89%51111%380Achievement9%10101088%No reduction05/14/2008FRESENIUS MEDICAL CARE01/20/2010
798LIBERTY DIALYSIS - WILMINGTON082517913 DELAWARE AVENUEWILMINGTONDE198064100%610%54Achievement10100%57100%48Achievement870%64370%593Achievement104%59311%419Achievement9%10101097%No reduction10/15/2008INDEPENDENT10/01/2008
799LIBERTY DIALYSIS - SEAFORD082518600 HEALTH SERVICES DRIVESEAFORDDE199734100%510%49Achievement10100%4998%48Achievement870%58962%581Achievement104%55310%416Achievement9%10101097%No reduction08/03/2009INDEPENDENT06/02/2009
800FRESENIUS MEDICAL CARE MILLSBORO08251930164 COMMERCE DRIVEMILLSBORODE199664100%4515%13Achievement10100%44100%11Achievement559%53453%68Achievement613%49215%20Achievement6%10101088%No reduction03/01/2011FRESENIUS MEDICAL CARE10/02/2010

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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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