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ESRD QIP - Dialysis Adequacy - Payment Year 2015

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkKt/V Adult Hemodialysis Performance Period RateKt/V Adult Hemodialysis Measure ScoreNational Avg Kt/V Adult Hemodialysis Measure ScoreKt/V Adult Peritoneal Dialysis Performance Period RateKt/V Adult Peritoneal Dialysis Measure ScoreNational Avg Kt/V Adult Peritoneal Dialysis Measure ScoreKt/V Pediatric Hemodialysis Performance Period RateKt/V Pediatric Hemodialysis Measure ScoreNational Avg Kt/V Pediatric Hemodialysis Measure ScoreKt/V Dialysis Adequacy Combined Measure ScoreNational Avg Kt/V Dialysis Adequacy Combined Measure Score
5401UVA ALTAVISTA DIALYSIS493514701 5TH STREET SUITE 102ALTAVISTAVA24517595%87Insufficient dataN/A7Insufficient dataN/A887
5402PEACEHEALTH DIALYSIS CENTER500041502308600 NORTH BROADWAYLONGVIEWWA986321699%10784%77Insufficient dataN/A897
5403TRI-STATE MEMORIAL HOSPITAL INC DIALYSIS UNIT5000575023101221 HIGHLANDCLARKSTONWA994031692%57Insufficient dataN/A7Insufficient dataN/A857
5404ST JOSEPH MEDICAL CENTER NEPHROLOGY SERVICES5001085023071717 SOUTH "J" STREETTACOMAWA984011691%573%07Insufficient dataN/A857
5405NKC SEATTLE KIDNEY CENTER502500548 15TH AVENUESEATTLEWA981221693%6795%107Insufficient dataN/A887
5406MT BAKER KIDNEY CENTER502501410 BIRCHWOOD SUITE 100BELLINGHAMWA982251699%10786%77Insufficient dataN/A8107
5407OLYMPIC PENINSULA KIDNEY CENTER5025022613 WHEATON WAYBREMERTONWA983101691%5766%27Insufficient dataN/A857
5408PUGET SOUND KIDNEY CENTER5025031005 PACIFIC AVENUEEVERETTWA982011696%9779%57Insufficient dataN/A897
5409MID-COLUMBIA KIDNEY CENTER5025046825 BURDEN BOULEVARD SUITE APASCOWA993011697%10795%107Insufficient dataN/A8107
5410NKC LAKE WASHINGTON KIDNEY CENTER5025051474 112TH AVENUE NORTHEAST, SUITE 100BELLEVUEWA980041697%107Insufficient dataN/A7Insufficient dataN/A8107
5411NKC SCRIBNER KIDNEY CENTER5025072150 NORTH 107TH, SUITE 160SEATTLEWA981331694%77Insufficient dataN/A7Insufficient dataN/A877
5412NKC RENTON KIDNEY CENTER502508602 OAKESDALE AVENUE SOUTHWESTRENTONWA980571696%9725%07Insufficient dataN/A887
5413NKC SEATAC KIDNEY CENTER50250917900 INTERNATIONAL BOULEVARD SUITE 301SEATACWA981881698%107Insufficient dataN/A7Insufficient dataN/A8107
5414NKC PORT ANGELES KIDNEY CENTER502510809 GEORGIANA STREETPORT ANGELESWA983621693%6790%87Insufficient dataN/A867
5415NKC ELLIOTT BAY KIDNEY CENTER502511600 BROADWAY, SUITE 240SEATTLEWA981221694%77Insufficient dataN/A7Insufficient dataN/A877
5416FEDERAL WAY COMMUNITY DIALYSIS CENTER5025131015 SOUTH 348TH STREETFEDERAL WAYWA980031695%87100%107Insufficient dataN/A887
5417MT ADAMS KIDNEY CENTER5025143220 PICARD PLACESUNNYSIDEWA989441696%97Insufficient dataN/A7Insufficient dataN/A897
5418NKC KIRKLAND KIDNEY CENTER50251612303 NORTHEAST 130TH LANE, SUITE 300KIRKLANDWA980341696%97Insufficient dataN/A7Insufficient dataN/A897
5419QUALICENTERS - WALLA WALLA LLC502517301 WEST POPLAR SUITE 120WALLA WALLAWA993621688%2795%107Insufficient dataN/A847
5420FMC COLUMBIA BASIN502518510 NORTH COLORADO, SUITE BKENNEWICKWA993361695%87Insufficient dataN/A7Insufficient dataN/A887
5421LAKEWOOD COMMUNITY DIALYSIS CENTER5025195919 LAKEWOOD TOWNE CENTER BOULEVARD SOUTHWEST #ALAKEWOODWA984991698%10799%107Insufficient dataN/A8107
5422NKC AUBURN KIDNEY CENTER5025201501 WEST VALLEY HIGHWAY NORTHAUBURNWA980011694%77Insufficient dataN/A7Insufficient dataN/A877
5423PUGET SOUND KC SOUTH50252121309 44TH AVENUE WESTMOUNTLAKE TERRACEWA980431695%87Insufficient dataN/A7Insufficient dataN/A887
5424PNRS FT VANCOUVER502522312 SOUTHEAST STONEMILL DRIVE SUITE 150VANCOUVERWA986841688%2788%87Insufficient dataN/A837
5425NKC WEST SEATTLE KIDNEY CENTER5025234045 DELRIDGE WAY SOUTHWEST, SUITE 100SEATTLEWA981061694%77Insufficient dataN/A7Insufficient dataN/A877
5426PNRS SALMON CREEK5025249105 HIGHWAY 99 SUITE 102VANCOUVERWA986651694%77Insufficient dataN/A7Insufficient dataN/A877
5427OLYMPIC VIEW DIALYSIS CENTER502525125 16TH AVENUE EAST, CSB-5SEATTLEWA981121687%17Insufficient dataN/A7Insufficient dataN/A817
5428KENT COMMUNITY DIALYSIS CENTER50252621851 84TH AVENUE SOUTHKENTWA980321694%77Insufficient dataN/A7Insufficient dataN/A877
5429FMC SPOKANE KIDNEY CENTER502527610 SOUTH SHERMAN AVENUE SUITE 101SPOKANEWA992021692%5786%77Insufficient dataN/A867
5430FMC NORTHPOINTE DIALYSIS UNIT5025289651 NORTH NEVADA STREETSPOKANEWA992181694%77Insufficient dataN/A7Insufficient dataN/A877
5431FMC MOSES LAKE DIALYSIS UNIT5025291545 SOUTH PILGRIM STREETMOSES LAKEWA988371693%67Insufficient dataN/A7Insufficient dataN/A867
5432FMC LACEY502530719 SLEATER-KINNEY ROAD SOUTHEAST SUITE 152OLYMPIAWA985031692%7777%57Insufficient dataN/A877
5433FMC ABERDEEN5025312012 INDUSTRIAL PARKWAYABERDEENWA985201690%47Insufficient dataN/A7Insufficient dataN/A847
5434OLYMPIC PENINSULA KC - SOUTH KITSAP502532450 SOUTH KITSAP BOULEVARD BUILDING 1, SUITE 178PORT ORCHARDWA983661697%107Insufficient dataN/A7Insufficient dataN/A8107
5435FMC OMAK DIALYSIS CENTER502533800 JASMINE STREET SUITE 1OMAKWA988411695%87Insufficient dataN/A7Insufficient dataN/A887
5436PUYALLUP COMMUNITY DIALYSIS CENTER502534716 SOUTH HILL PARK DRIVESuite CPUYALLUPWA983731693%6797%107Insufficient dataN/A867
5437FMC VALLEY DIALYSIS UNIT5025351017 NORTH PINES ROADSPOKANEWA992061696%97Insufficient dataN/A7Insufficient dataN/A897
5438NKC LAKE CITY KIDNEY CENTER50253614524 BOTHELL WAY NORTHEASTLAKE FOREST PARKWA981551698%107Insufficient dataN/A7Insufficient dataN/A8107
5439SPOKANE VALLEY RENAL CENTER50253712610 EAST MIRABEAU PARKWAY SUITE 100SPOKANEWA992161695%87Insufficient dataN/A7Insufficient dataN/A887
5440NORTH SPOKANE RENAL CENTER5025387407 NORTH DIVISION SUITE FSPOKANEWA992081698%10792%97Insufficient dataN/A8107
5441FMC CHEHALIS502539505 SOUTHEAST ADAMS AVENUECHEHALISWA985321687%17Insufficient dataN/A7Insufficient dataN/A817
5442NKC SNOQUALMIE RIDGE KIDNEY CENTER50254035131 SOUTHEAST DOUGLAS STREET SUITE 113SNOQUALMIEWA980651694%77Insufficient dataN/A7Insufficient dataN/A877
5443YAKIMA DIALYSIS CENTER5025411221 NORTH 16TH AVENUEYAKIMAWA989021695%87Insufficient dataN/A7Insufficient dataN/A887
5444BELLEVUE DIALYSIS CENTER5025423535 FACTORIA BOULEVARD SOUTHEAST #150BELLEVUEWA980061688%27Insufficient dataN/A7Insufficient dataN/A827
5445UNION GAP DIALYSIS CENTER5025431236 AHTANUM RIDGE BUSINESS PARKUNION GAPWA989031697%10795%107Insufficient dataN/A8107
5446WESTWOOD DIALYSIS CENTER5025442615 SOUTHWEST TRENTON STREETSEATTLEWA981261695%87Insufficient dataN/A7Insufficient dataN/A887
5447PUGET SOUND KIDNEY CENTER WHIDBEY ISLAND502545430 SOUTHEAST MIDWAY BOULEVARDOAK HARBORWA982771696%97Insufficient dataN/A7Insufficient dataN/A897
5448PUGET SOUND KIDNEY CENTER SMOKEY POINT50254618828 SMOKEY POINT BOULEVARDARLINGTONWA982231696%97Insufficient dataN/A7Insufficient dataN/A897
5449DOWNTOWN SPOKANE RENAL CENTER502547601 WEST 5TH STREET SUITE 101SPOKANEWA992041696%97Insufficient dataN/A7Insufficient dataN/A897
5450FMC SHELTON5025481872 NORTH 13TH LOOP ROADSHELTONWA985841689%37Insufficient dataN/A7Insufficient dataN/A837

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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Description

ESRD QIP data by facility: % of hemodialysis patient-months with spKt/V >= 1.2; % of peritoneal patient-months with Kt/V >= 1.7 Kt/V (dialytic + residual) during the four-month study period; % of pediatric in-center hemodialysis patient-months with spKt/V >= 1.2

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