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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
401RAI-COMPTON-LOS ANGELES05259011859 COMPTON AVENUELOS ANGELESCA9005918100%681%78Achievement496%7795%79Achievement868%83765%836Achievement318%80411%590Achievement6%10101070%No reduction07/19/1983FRESENIUS MEDICAL CARE11/24/2005
402POMONA DIALYSIS0525912111 NORTH GAREY AVENUEPOMONACA9176718100%851%77Achievement10100%8597%78Achievement561%95367%867Achievement89%91813%612Achievement7%N/A101091%No reduction07/15/1983DAVITA10/06/2005
403MISSION VIEJO DIALYSIS05259727640 MARGUERITE PARKWAYMISSION VIEJOCA9269218100%7710%71Achievement597%7195%58Achievement765%78257%683Achievement416%72525%461Achievement6%10101073%No reduction08/12/1977DAVITA12/13/2005
404DAVITA-BEVERLY HILLS DIALYSIS CENTER05259950 NORTH LA CIENEGA BOULEVARD, SUITE 300BEVERLY HILLSCA9021118100%822%84Achievement899%8695%86Achievement149%94649%1008Achievement613%90213%716Achievement4%10101076%No reduction01/01/1984DAVITA10/07/1999
405SATELLITE DIALYSIS SAN JOSE052600393 BLOSSOM HILL ROAD SUITE 110SAN JOSECA9512317100%569%47Achievement093%46100%38Achievement766%68267%536Achievement417%63513%379Achievement6%10101058%No reduction09/14/1984SATELLITE HEALTHCARE01/02/1980
406LAKEPORT DIALYSIS CENTER052601804 ELEVENTH STREETLAKEPORTCA954531764%270%26Achievement10100%2896%25Achievement146%33145%281Achievement89%3033%195Achievement5%10101073%No reduction09/17/1984DAVITA09/14/2001
407SALINAS DIALYSIS CENTER052602955 BLANCO CIRCLE, SUITE #CSALINASCA9390117100%1675%171Achievement10100%15499%136Achievement1074%172076%1629Achievement103%16423%1167Achievement10%101010100%No reduction10/03/1984DAVITA07/08/2000
408MANZANITA DIALYSIS CENTER0526044005 MANZANITA AVENUE SUITE 17 & 18CARMICHAELCA9560817100%866%79Achievement798%5995%56Achievement765%87459%800Achievement96%80312%534Achievement8%10101085%No reduction09/05/1984DAVITA07/02/2004
409SANTA BARBARA ARTIFICIAL KIDNEY CENTER, LLC0526061704 STATE STREETSANTA BARBARACA931011891%686%69Achievement295%5793%54Achievement664%63953%666Achievement100%6148%472Achievement8%10101067%No reduction12/03/1984INDEPENDENT07/06/2005
410FRESNO DIALYSIS CENTER0526084753 WEST SHAW AVENUE, SUITE 101FRESNOCA9372217100%990%91Achievement899%10293%87Achievement354%105848%1002Achievement89%93114%701Achievement6%10101082%No reduction07/20/1984DAVITA11/24/2005
411SATELLITE DIALYSIS SONORA052609136 EAST COLUMBIA WAYSONORACA9537017100%408%40Achievement295%37100%38Achievement1086%45479%454Achievement103%4116%312Achievement10%10101076%No reduction11/05/1984SATELLITE HEALTHCARE01/02/1980
412RAI PIEDMONT0526102710 TELEGRAPH AVENUE SUITE #100OAKLANDCA9461217100%790%74Achievement798%8199%76Achievement559%74452%888Achievement710%68915%645Achievement6%10101079%No reduction01/14/1985RENAL ADVANTAGE11/24/2005
413BMA OF CENTRAL VALLEY RURAL DIALYSIS0526121421 NORTH ACACIAREEDLEYCA9365417100%380%46Achievement10100%43100%45Achievement353%50547%488Achievement122%48622%348Achievement2%10101076%No reduction02/04/1985FRESENIUS MEDICAL CARE10/30/2002
414DAVITA-EATON CANYON DIALYSIS0526132551 EAST WASHINGTON BOULEVARDPASADENACA9110718100%650%80Achievement10100%6099%69Achievement561%70765%798Achievement515%69112%572Achievement5%10101085%No reduction02/20/1985DAVITA07/23/1999
415AUBURN DIALYSIS CENTER0526143126 PROFESSIONAL DRIVE #100AUBURNCA9560317100%455%41Achievement795%4076%38Improvement973%46053%455Achievement711%42715%314Achievement8%10101085%No reduction02/06/1985DAVITA07/27/2011
416NAPA DIALYSIS CENTER0526153900-C BEL AIRE PLAZA #CNAPACA945581782%605%58Achievement798%53100%54Achievement971%62877%648Achievement88%5937%460Achievement9%10101082%No reduction03/25/1985DAVITA09/18/2001
417RAI-GARDEN GROVE BLVD.-GARDEN05261712555 GARDEN GROVE BOULEVARD, SUITE 100GARDEN GROVECA9284318100%300%35Achievement10100%3295%39Achievement560%38658%412Achievement105%35914%275Achievement8%10101094%No reduction01/01/1987FRESENIUS MEDICAL CARE11/24/2005
418FAIRFIELD DIALYSIS CENTER0526184660 CENTRAL WAYFAIRFIELDCA9453417100%1113%96Achievement798%9096%85Achievement869%102966%1034Achievement89%9687%729Achievement8%10101085%No reduction03/29/1985DAVITA01/29/2008
419HUNTINGTON DIALYSIS CENTER052619806 SOUTH FAIR OAKS AVENUEPASADENACA9110518100%1040%120Achievement295%10598%109Achievement1076%124271%1284Achievement710%118713%896Achievement9%10101073%No reduction04/01/1985OTHER CHAIN(number of facilities <20 )05/19/1999
420DAVITA-HEMET0526203050 WEST FLORIDA AVENUEHEMETCA9254518100%704%73Achievement10100%7096%71Achievement662%77553%764Achievement97%70413%512Achievement8%10101094%No reduction05/09/1985DAVITA05/10/2000
421DAVITA-BREA DIALYSIS CENTER052621595 TAMARACK AVENUE, SUITES A & BBREACA928211882%5212%57Achievement10100%47100%56Achievement765%53665%590Achievement612%47012%412Achievement7%10101085%No reduction05/15/1985DAVITA05/19/1999
422DAVITA-EAST LA PLAZA DIALYSIS0526221700 CESAR EAST CHAVEZ AVENUE, SUITE L-100LOS ANGELESCA900331891%1081%115Achievement10100%9999%101Achievement870%110166%1174Achievement89%105413%834Achievement8%1010088%No reduction04/11/1985DAVITA09/20/2006
423FMC PETALUMA052624715 SOUTH POINT BOULEVARD, SUITE APETALUMACA949541755%387%46Achievement10100%42100%44Achievement1077%46455%445Achievement97%43419%300Achievement10%10101085%No reduction08/14/1985FRESENIUS MEDICAL CARE12/13/2005
424DAVITA-LA PALMA DIALYSIS0526275451 LA PALMA AVENUE, SUITE 35LA PALMACA9062318100%483%64Achievement496%47100%61Achievement664%47964%695Achievement89%4759%496Achievement7%05065%No reduction07/11/1985DAVITA05/28/1999
425HANFORD DIALYSIS052628402 WEST EIGHTH STREETHANFORDCA9323018100%737%104Achievement899%7395%104Achievement767%83066%1186Achievement514%72621%829Achievement6%10101082%No reduction08/05/1985DAVITA10/06/2005
426SATELLITE DIALYSIS05262940 PENNY LANE SUITE 1WATSONVILLECA9507617100%1035%91Achievement798%8499%72Achievement1080%97773%936Achievement96%9338%666Achievement10%10101091%No reduction08/29/1985SATELLITE HEALTHCARE04/20/2000
427SATELLITE DIALYSIS SANTA ROSA0526302301 CIRCADIAN WAY #CSANTA ROSACA9540717100%1219%115Achievement091%9898%90Achievement148%136556%1240Achievement026%125322%867Achievement1%10101043%0.5%09/23/1985SATELLITE HEALTHCARE05/19/2008
428WILSHIRE DIALYSIS CENTER0526311212 WILSHIRE BOULEVARDLOS ANGELESCA900171882%10214%106Achievement10100%8699%88Achievement869%93766%989Achievement97%8956%700Achievement9%10101091%No reduction09/09/1985DAVITA10/04/2005
429GLENDALE DIALYSIS0526321000 EAST PALMER AVENUEGLENDALECA9120518100%913%94Achievement10100%8494%79Achievement354%89949%952Achievement612%8355%667Achievement5%10101085%No reduction09/13/1985DAVITA10/06/2005
430FMC-MISSION HILLS05263311550 INDIAN HILLS ROAD, SUITE 100MISSION HILLSCA9134518100%1102%109Achievement899%10999%102Achievement664%124857%1054Achievement514%116516%725Achievement6%10101082%No reduction10/28/1985FRESENIUS MEDICAL CARE06/03/1999
431RAI-CENTINELA-INGLEWOOD0526341416 CENTINELA AVENUEINGLEWOODCA9030218100%402%47Achievement088%4398%48Achievement560%47741%567Achievement89%44710%405Achievement7%10101061%No reduction11/20/1985FRESENIUS MEDICAL CARE11/24/2005
432BRIMHALL DIALYSIS0526358501 BRIMHALL ROAD, BUILDING 500BAKERSFIELDCA9331218100%662%58Achievement10100%66100%60Achievement766%79257%715Achievement612%74814%497Achievement7%10101091%No reduction11/06/1985DAVITA10/06/2005
433DAVITA-BURBANK DIALYSIS0526371211 NORTH SAN FERNANDO BOULEVARDBURBANKCA9150418100%728%80Achievement10100%7799%81Achievement972%93371%979Achievement711%87313%686Achievement8%10101094%No reduction01/27/1986DAVITA10/06/2005
434DAVITA-DIALYSIS CENTER OF SIMI VALLEY0526382950 NORTH SYCAMORE DRIVE, SUITE 100SIMI VALLEYCA9306518100%766%72Achievement798%6097%62Achievement1074%82775%815Achievement100%7597%578Achievement10%10101091%No reduction11/26/1985DAVITA11/10/1999
435HUNTINGTON BEACH DIALYSIS05264116892 BOLSA CHICA AVENUE, SUITE 100HUNTINGTON BEACHCA9264918100%180%20Achievement10100%19100%20Achievement973%19760%203Achievement89%17417%140Achievement9%10101097%No reduction02/06/1986DAVITA10/06/2005
436TOWER DIALYSIS0526438635 WEST THIRD STREET, SUITE 560-WLOS ANGELESCA9004818100%11211%106Achievement899%9195%76Achievement457%102456%946Achievement710%93613%671Achievement6%10101082%No reduction07/01/1986DAVITA10/06/2005
437ALHAMBRA COMMUNITY DIALYSIS UNIT0526442300 WEST VALLEY BOULEVARDALHAMBRACA918031855%447%56Achievement595%4088%49Improvement662%48356%580Achievement104%44016%392Achievement8%10101064%No reduction04/14/1986INDEPENDENT05/19/1999
438SATELLITE DIALYSIS TURLOCK0526471729 NORTH OLIVE #9TURLOCKCA9538217100%8410%86Achievement798%85100%77Achievement1079%101162%940Achievement711%94920%652Achievement9%10101088%No reduction03/20/1986SATELLITE HEALTHCARE11/14/2002
439SAN JUAN CAPISTRANO SOUTH DIALYSIS05264831736 RANCHO VIEJO ROAD, SUITE BSAN JUAN CAPISTRANOCA9267518100%338%48Achievement10100%32100%45Achievement767%40251%493Achievement515%38527%329Achievement6%10101088%No reduction08/01/1986DAVITA10/06/2005
440FMC BERKELEY0526512895 7TH STREETBERKELEYCA947101782%650%72Achievement797%5990%71Improvement355%67947%785Achievement613%65221%564Achievement5%10101070%No reduction12/03/1986FRESENIUS MEDICAL CARE07/03/2004
441DAVITA-PARAMOUNT DIALYSIS CENTER0526528319 ALONDRA BOULEVARDPARAMOUNTCA9072318100%9112%107Achievement10100%9998%100Achievement354%107549%1063Achievement416%100315%742Achievement4%10101082%No reduction01/05/1987DAVITA05/28/1999
442FMC-CHULA VISTA DIALYSIS CENTER- SOUTH0526532252 VERUS STREET, SUITE DSAN DIEGOCA9215418100%969%87Achievement10100%96100%84Achievement560%108953%914Achievement103%10607%610Achievement8%10101094%No reduction01/01/1987FRESENIUS MEDICAL CARE05/19/1999
443GAREY DIALYSIS CENTER PARTNERSHIP052654150 EAST ARROW HIGHWAYPOMONACA917671891%771%78Achievement899%7399%74Achievement560%83454%879Achievement220%79324%623Achievement4%10101073%No reduction01/06/1987FRESENIUS MEDICAL CARE11/24/2005
444FMC-VENTURA0526564567 TELEPHONE ROAD, SUITE 101VENTURACA9300318100%874%98Achievement798%8396%90Achievement662%98957%982Achievement97%9407%713Achievement8%10101085%No reduction02/20/1987FRESENIUS MEDICAL CARE05/19/1999
445RAI-CORPORATE WAY-PALM DESERT05265741-501 CORPORATE WAYPALM DESERTCA9226018100%754%81Achievement899%7399%70Achievement662%91058%860Achievement319%84517%590Achievement5%10101079%No reduction03/16/1987FRESENIUS MEDICAL CARE11/24/2005
446KIDNEY INSTITUTE OF THE DESERT05265881715 DOCTOR CARREON BOULEVARD, SUITE B-2INDIOCA922011891%884%112Achievement493%8987%110Improvement1074%102676%1226Achievement97%9694%858Achievement10%10101079%No reduction03/08/1987INDEPENDENT05/26/1999
447DAVITA-CORONA DIALYSIS CENTER0526612057 COMPTON AVENUE, #101CORONACA9288118100%183%30Achievement10100%18100%26Achievement353%22952%261Achievement89%22214%161Achievement6%10101088%No reduction08/18/1987DAVITA05/28/1999
448ANTELOPE DIALYSIS CENTER0526636406 TUPELO DRIVE STE-ACITRUS HEIGHTSCA9562117100%620%57Achievement798%6591%56Achievement355%72457%653Achievement711%6654%461Achievement5%10101076%No reduction06/15/1987DAVITA05/30/2009
449SANTA MONICA DIALYSIS0526651260 15TH STREET, SUITE 102SANTA MONICACA9040418100%905%96Achievement10100%86100%94Achievement457%105754%1086Achievement416%101215%776Achievement4%10101082%No reduction09/01/1987DAVITA10/06/2005
450TULARE DIALYSIS052666545 EAST TULARE AVENUETULARECA9327418100%603%68Achievement10100%6095%63Achievement765%69356%746Achievement612%66022%514Achievement7%10101091%No reduction10/05/1987DAVITA10/06/2005

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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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