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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
801FRESENIUS MEDICAL CARE BRANDYWINE HOME THERAPIES0825204923 OGLETOWN-STANTON ROADSUITE 210NEWARKDE197134100%400AchievementN/A00N/AN/A580N/AN/A260N/A10N/A095%No reduction03/27/2012FRESENIUS MEDICAL CARE03/02/2012
802FRESENIUS MEDICAL CARE FOX RUN0825212520 WRANGLE HILL ROADBEARDE197014100%600Achievement295%660Achievement1074%5090Achievement612%2730Achievement8%1010067%No reduction05/21/2012FRESENIUS MEDICAL CARE06/26/2012
803ALFRED I. DUPONT HOSPITAL FOR CHILDREN DIALYSIS CENTER0833000823021600 ROCKLAND ROADWILMINGTONDE198994N/A00N/AN/A00N/AN/A40N/AN/A40N/AN/A1010100%No reduction07/21/1993INDEPENDENT01/02/1980
804GEORGETOWN UNIVERSITY HOSPITAL0900040923023800 RESERVOIR ROAD NORTHWEST 2ND MAINRENAL DIALYSIS UNITWASHINGTONDC200075N/A00N/AN/A00N/AN/A00N/AN/A00N/A0000%2.0%09/01/1977INDEPENDENT01/02/1980
805WASHINGTON HOSPITAL CENTER090011092304110 IRVING STREET NORTHWEST ROOM 2A70SECTION OF NEPHROLOGYWASHINGTONDC200105N/A00N/AN/A00N/AN/A00N/AN/A00N/A0000%2.0%09/01/1977INDEPENDENT09/02/1999
806BMA - DUPONT CIRCLE09250111 DUPONT CIRCLE NORTHWESTSTE LL100WASHINGTONDC20036564%7112%74Achievement899%7299%76Achievement354%82648%822Achievement710%77310%577Achievement5%10101067%No reduction01/01/1979FRESENIUS MEDICAL CARE01/02/1980
807BMA - COLUMBIA HEIGHTS092503106 IRVING STREET NORTHWESTSTE 1400WASHINGTONDC200105100%17413%158Achievement899%171100%156Achievement149%193044%1745Achievement711%183512%1241Achievement4%10101076%No reduction09/01/1977FRESENIUS MEDICAL CARE01/02/1980
808GREATER SOUTHEAST COMMUNITY DIALYSIS CENTER0925051350 SOUTHERN AVENUE SOUTHEASTWASHINGTONDC200325100%610%61Achievement10100%6297%61Achievement559%70355%672Achievement104%6586%482Achievement8%10101094%No reduction02/01/1977FRESENIUS MEDICAL CARE01/02/1980
809FMC - ANACOSTIA0925083929 MINNESOTA AVENUE NORTHEASTWASHINGTONDC20019564%746%80Achievement597%7696%73Achievement664%84849%847Achievement97%81219%598Achievement8%10101067%No reduction06/01/1983FRESENIUS MEDICAL CARE01/02/1980
810DAVITA - LEE STREET DIALYSIS0925105155 LEE STREET NORTHEASTWASHINGTONDC200195100%785%85Achievement10100%8099%83Achievement252%86945%897Achievement318%80918%611Achievement3%1010076%No reduction01/01/1986DAVITA01/02/1980
811DAVITA - EIGHTH STREET092513300 8TH STREET NORTHEASTWASHINGTONDC20002582%947%101Achievement10100%9399%101Achievement354%109050%1121Achievement96%102311%802Achievement6%10101082%No reduction10/01/1988DAVITA01/02/1980
812BMA - NORTHEAST WASHINGTON092515817 VARNUM STREET NORTHEASTWASHINGTONDC200175100%801%84Achievement899%8399%84Achievement353%92846%941Achievement88%8659%662Achievement6%10101082%No reduction03/01/1990FRESENIUS MEDICAL CARE01/02/1980
813DAVITA GEORGETOWN HOME TRAINING0925162233 WISCONSIN AVENUESUITE 214WASHINGTONDC200075N/A910%30N/AN/A0100%21N/A1082%10064%294Achievement612%10121%198Achievement8%001075%No reduction12/01/1990DAVITA01/02/1980
814DAVITA - GWU SE0925173857 A PENNSYLVANIA AVENUE SOUTHEASTRENAL DIALYSIS UNITWASHINGTONDC200205100%791%71Achievement10100%86100%75Achievement663%95160%791Achievement612%87412%554Achievement6%1010085%No reduction03/01/1995DAVITA01/02/1980
815DAVITA - K STREET DIALYSIS0925182131 K STREET NORTHWESTSTE 300WASHINGTONDC200375100%803%91Achievement10100%77100%70Achievement560%81353%767Achievement89%73817%542Achievement7%10101091%No reduction03/01/1995DAVITA01/02/1980
816DAVITA - BRENTWOOD0925191231 BRENTWOOD ROAD NORTHEASTWASHINGTONDC20018591%8511%93Achievement899%88100%88Achievement664%102057%1040Achievement88%9629%744Achievement7%10101082%No reduction04/01/1995DAVITA01/02/1980
817UNION PLAZA DIALYSIS CENTER092520810 1ST STREET NORTHEASTSTE 100WASHINGTONDC200025100%653%72Achievement798%64100%63Achievement662%73047%700Achievement710%68719%495Achievement7%10101082%No reduction12/12/1996DAVITA03/02/1999
818CAPITOL DIALYSIS092521140 Q STREET NORTHEASTWASHINGTONDC200025100%12913%148Achievement798%15098%143Achievement353%166049%1637Achievement710%153712%1164Achievement5%10101076%No reduction05/21/2001AMERICAN RENAL ASSOCIATES04/22/2001
819GRANT PARK DIALYSIS FACILITY0925225000 NANNIE HELEN BURROUGHS AVENUE NORTHEASTWASHINGTONDC200195100%372%41Achievement10100%37100%38Achievement037%40639%393Achievement613%35016%248Achievement3%1010076%No reduction05/25/2001DAVITA01/29/2002
820WASHINGTON NURSING DIALYSIS0925242425 25TH STREET SOUTHEASTWASHINGTONDC200205100%380%22Achievement10100%39100%19Achievement453%40734%228Improvement613%33016%140Achievement5%10101085%No reduction11/04/2009DAVITA11/05/2009
821INTERNATIONAL DIALYSIS CENTER LLC0925251730 HAMLIN STREET NORTHEASTWASHINGTONDC200185100%575%59Achievement10100%6098%55Achievement250%65041%637Achievement418%60930%443Improvement3%010072%No reduction02/24/2010OTHER CHAIN(number of facilities <20 )02/25/2010
822KAISER HEALTH PLAN OF THE MID-ATLANTIC STATES092526700 SECOND STREET NORTHEAST6TH FLOOR - NEPHROLOGYWASHINGTONDC200025N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/AN/A10100%No reduction02/11/2011OTHER CHAIN(number of facilities <20 )02/12/2011
823RAI - CHILLUM-WASHINGTON0925276411 CHILLUM PLACE NORTHWESTWASHINGTONDC200125100%320Achievement194%340Achievement250%3490Achievement514%2280Achievement4%10101055%No reduction12/09/2011FRESENIUS MEDICAL CARE12/10/2011
824HOWARD UNIVERSITY DIALYSIS CENTER, LLC0925282041 GEORGIA AVENUE NORTHWESTTOWER BUILDING SUITE 1119BWASHINGTONDC200605100%580Achievement10100%660Achievement252%6630Achievement97%4410Achievement6%10101088%No reduction03/01/2012INDEPENDENT07/11/2012
825CHILDRENS NATIONAL MEDICAL CENTER093300092305111 MICHIGAN AVENUE NORTHWESTCHILDRENS HOSP DIALYSIS UNIT RM 3130WASHINGTONDC200105N/A14N/AN/A13N/AN/A721N/AN/A712N/AN/A51075%No reduction08/01/1977INDEPENDENT01/02/1980
826SHANDS JACKSONVILLE - ESRD100001102300655 WEST 8TH STREETJACKSONVILLEFL32209791%1732%156Achievement899%140100%129Achievement242%168632%1530Improvement228%158135%1072Improvement2%10101067%No reduction09/01/1976INDEPENDENT09/22/2004
827HEWELL KIDS KIDNEY CENTER AT ORLANDO HEALTH10000610234192 WEST MILLER STREETORLANDOFL328067N/A00N/AN/A00N/AN/A00N/AN/A00N/AN/A10050%0.5%06/22/2012INDEPENDENT01/02/2012
828FLORIDA HOSPITAL ESRD100007102302601 EAST ROLLINS STREETORLANDOFL328037N/A00%15N/AN/A791%11N/A017%13232%173Achievement046%10941%113Achievement0%05105%2.0%09/01/1976INDEPENDENT06/09/2006
829JACKSON MEMORIAL HOSP DIALYSIS PEDIATRIC1000221023041611 NORTHWEST 12TH AVENUEMIAMIFL331367N/A68N/AN/A79N/AN/A6794N/AN/A5865N/A101010100%No reduction09/01/1976INDEPENDENT04/03/2012
830MEMORIAL REGIONAL HOSP - PEDIATRIC DIALYSIS1000381023063501 JOHNSON STREETHOLLYWOODFL330217N/A10N/AN/A10N/AN/A78N/AN/A11N/AN/A1010100%No reduction09/01/1976INDEPENDENT05/15/1999
831BAPTIST MEDICAL CENTER - PEDIATRIC DIALYSIS100088102330800 PRUDENTIAL DRIVEM2WESTJACKSONVILLEFL322077N/A00N/AN/A00N/AN/A2314N/AN/A20N/AN/A1010100%No reduction06/15/1998INDEPENDENT12/21/2004
832TAMPA GENERAL HOSPITAL ESRD1001281023142 COLUMBIA DRIVEPO BOX 1289TAMPAFL336017N/A11N/AN/A11N/AN/A124N/AN/A121N/AN/A1010100%No reduction09/01/1976INDEPENDENT06/25/2003
833SAINT MARYS HOSPITAL DIALYSIS UNIT100288102303901 45TH STREETWEST PALM BEACHFL33407791%7614%71Achievement597%62100%53Achievement458%65755%608Achievement318%61213%416Achievement4%0101061%No reduction09/01/1976INDEPENDENT01/02/2008
834SHANDS HOSPITAL - PEDIATRIC DIALYSIS1023121001131600 SOUTHWEST ARCHER ROADGAINESVILLEFL326107N/A00N/AN/A10N/AN/A110N/AN/A110N/AN/A000%2.0%09/01/1976INDEPENDENT11/30/2004
835RENAL CARE GROUP - PENSACOLA1025011717 NORTH EAST STREET SUITE 501PENSACOLAFL325017100%993%102Achievement899%8099%78Achievement559%88860%903Achievement613%86922%628Achievement6%10101082%No reduction09/01/1976RENAL CARE GROUP INC.12/16/2003
836BMA - SOUTH MIAMI1025028770 SOUTHWEST 144TH STREETMIAMIFL331767100%602%61Achievement10100%60100%60Achievement458%67452%693Achievement318%63518%497Achievement4%10101082%No reduction09/01/1976FRESENIUS MEDICAL CARE05/15/1999
837DADE DIALYSIS CENTER1025031601 NORTHWEST 8TH AVENUEMIAMIFL331367100%352%45Achievement10100%42100%45Achievement560%47554%501Achievement221%43726%355Achievement4%10101082%No reduction09/01/1976FRESENIUS MEDICAL CARE04/07/2004
838SOUTH BROWARD ARTIFICIAL KIDNEY CTR1025044401 HOLLYWOOD BOULEVARDHOLLYWOODFL330217100%864%85Achievement10100%96100%86Achievement868%105871%953Achievement89%9649%658Achievement8%10101094%No reduction09/01/1976DAVITA11/22/2003
839CENTRAL FLORIDA KIDNEY CENTERS INC102505203 ERNESTINE STREETORLANDOFL32801773%1132%125Achievement10100%10499%121Achievement456%114559%1364Achievement612%111418%961Achievement5%10101076%No reduction09/01/1976OTHER CHAIN(number of facilities <20 )02/27/2002
840BMA - TAMPA1025063242 HENDERSON BOULEVARD #200TAMPAFL336097100%3911%44Achievement10100%34100%40Achievement146%38042%415Achievement519%35433%288Improvement3%10101079%No reduction09/01/1976FRESENIUS MEDICAL CARE05/15/1999
841DIALYSIS ASSOC OF THE PALM BEACHES1025102611 POINSETTIA AVENUEWEST PALM BEACHFL334077100%382%49Achievement10100%41100%48Achievement870%43069%520Achievement88%41112%354Achievement8%1010091%No reduction09/01/1976DAVITA06/06/2002
842ORLANDO ARTIFICIAL KIDNEY CENTER1025113100 CLAY AVENUE SUITE 151ORLANDOFL328047100%1427%11AchievementN/A00N/AN/A1212N/AN/A129N/A10N/A10100%No reduction09/01/1976FRESENIUS MEDICAL CARE04/30/2010
843BMA - GAINESVILLE1025121775 NORTHWEST 80TH BOULEVARDGAINESVILLEFL326067100%7312%84Achievement295%6198%61Achievement251%69863%649Achievement417%63321%441Achievement3%1051053%No reduction09/01/1976FRESENIUS MEDICAL CARE03/02/2009
844FORT MYERS DIALYSIS1025134220 EXECUTIVE CIRCLE #38FORT MYERSFL339167100%1161%115Achievement999%9890%89Improvement044%98143%979Achievement89%87110%686Achievement4%10101079%No reduction09/01/1976DAVITA10/06/2005
845PANAMA CITY DIALYSIS CENTER102514615 HIGHWAY 231PANAMA CITYFL32405782%923%108Achievement10100%7999%94Achievement868%90161%1107Achievement89%86511%787Achievement8%10101088%No reduction09/01/1976DAVITA04/01/2005
846MELBOURNE KIDNEY CENTER1025171400 SOUTH APOLLO BOULEVARDMELBOURNEFL329017100%613%71Achievement596%7091%77Improvement1075%80562%860Achievement613%74724%583Achievement8%10101079%No reduction09/01/1976OTHER CHAIN(number of facilities <20 )05/15/1999
847WEST FLORIDA DIALYSIS1025188333 NORTH DAVIS HIGHWAYPENSACOLAFL32514791%847%92Achievement899%7397%70Achievement765%84269%763Achievement97%78910%527Achievement8%10101085%No reduction09/01/1976DAVITA09/02/2005
848FMC - PINELLAS PARK1025197910 US HIGHWAY 19NPINELLAS PARKFL337817100%630%67Achievement597%6897%67Achievement559%71956%761Achievement515%67115%537Achievement5%10101070%No reduction09/01/1976FRESENIUS MEDICAL CARE02/04/2009
849BOCA RATON ARTIFICIAL KIDNEY CENTER102520998 NORTHWEST 9TH COURTBOCA RATONFL334867100%277%29Achievement496%2595%21Achievement973%24960%223Achievement417%21721%136Achievement7%1010070%No reduction09/01/1976DAVITA05/15/1999
850DAYTONA BEACH DIALYSIS102521578 HEALTH BOULEVARDDAYTONA BEACHFL32114791%756%69Achievement10100%47100%44Achievement870%59359%507Achievement515%53420%363Achievement7%10101088%No reduction09/01/1976GAMBRO HEALTHCARE01/01/2008

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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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