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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
5501FMC - CLARKSBURG51252316 STERLING DRIVEBRIDGEPORTWV26330582%0730%07Insufficient dataN/A807
5502FMC - WESTON512524MARKET PLACE PLAZASTE 1 CWESTONWV26452596%97Insufficient dataN/A7Insufficient dataN/A897
5503MOUNTAIN RIDGE DIALYSIS512525229 MERCHANTS WALKSUMMERSVILLEWV26651593%67Insufficient dataN/A7Insufficient dataN/A867
5504FMC - BRUCETON MILLS512527RR 3 BOX 300 CASTEEL ROADBRUCETON MILLSWV26525587%27Insufficient dataN/A7Insufficient dataN/A827
5505FMC - CHARLES TOWN512528179 EAST BURR BOULEVARDUNIT AKEARNEYSVILLEWV25430587%17Insufficient dataN/A7Insufficient dataN/A817
5506FMC - RIPLEY5125291000 NEW STONE RIDGE ROADRIPLEYWV25271592%67Insufficient dataN/A7Insufficient dataN/A867
5507POINT PLEASANT DIALYSIS5125303683 OHIO RIVER ROADPOINT PLEASANTWV25550598%107Insufficient dataN/A7Insufficient dataN/A8107
5508GREATER BOONE DIALYSIS512531300 4TH STREETDANVILLEWV25053580%07Insufficient dataN/A7Insufficient dataN/A807
5509J ROBERT PRITCHARD DIALYSIS CENTER5125321690 MEDICAL CENTER DRIVEHUNTINGTONWV25701585%07Insufficient dataN/A7Insufficient dataN/A807
5510FMC - KANAWHA COUNTY512533951 DUNBAR VILLAGEDUNBARWV25064577%07Insufficient dataN/A7Insufficient dataN/A807
5511FMC - GREENBRIER COUNTY5125341215 MAPLEWOOD AVENUELEWISBURGWV24901591%57Insufficient dataN/A7Insufficient dataN/A857
5512FMC - RIVER HILLS5125355170 US RTE 60 EASTHUNTINGTONWV25705589%37Insufficient dataN/A7Insufficient dataN/A837
5513FMC - OCEANA5125361777 COOK PARKWAYOCEANAWV24870582%07Insufficient dataN/A7Insufficient dataN/A807
5514RENAL CENTER OF KEYSER, LLC5125371080 NEW CREEK HIGHWAYKEYSERWV26726594%77Insufficient dataN/A7Insufficient dataN/A877
5515MOUNTAINEER DIALYSIS5125382958 ROBERT C BYRD DRIVEBECKLEYWV2580157Insufficient dataN/A7Insufficient dataN/A87
5516FMC - APPALACHIAN DIALYSIS512539115 SOLAR DRIVEBECKLEYWV2580157Insufficient dataN/A7Insufficient dataN/A87
5517MAYO CLINIC DIALYSIS - MENOMONIE520003522331407 21ST STREETMENOMONIEWI547511191%57Insufficient dataN/A7Insufficient dataN/A857
5518LAKEVIEW MEDICAL CENTER5200115223201700 WEST STOUT STREETRICE LAKEWI548681193%67Insufficient dataN/A7Insufficient dataN/A867
5519SACRED HEART HOSPITAL DIALYSIS520013522327900 WEST CLAIREMONT AVENUEEAU CLAIREWI5470111100%107Insufficient dataN/A7Insufficient dataN/A8107
5520ST CATHERINES KIDNEY CTR - UNITED HOSP SYSTEM5200215223359555 76TH STREETST CATHERINES MEDICAL CTR CAMPUSPLEASANT PRAIRIEWI531581197%107Insufficient dataN/A7Insufficient dataN/A8107
5521WAUPUN REGIONAL DIALYSIS52002552230110 BEAVER DAM STREETWAUPUNWI539631198%107Insufficient dataN/A7Insufficient dataN/A8107
5522DIVINE SAVIOR HEALTHCARE DIALYSIS5200415223392817 NEW PINERY ROADPORTAGEWI539011186%17Insufficient dataN/A7Insufficient dataN/A817
5523ST NICHOLAS HOSPITAL - DIALYSIS5200445223232925 SAEMANN AVENUESHEBOYGANWI530811199%107Insufficient dataN/A7Insufficient dataN/A8107
5524ST CLARE DIALYSIS CTR5200575223321600 JEFFERSON STREETSUITE 200BARABOOWI539131198%107Insufficient dataN/A7Insufficient dataN/A8107
5525MERCY REGIONAL DIALYSIS CENTER520066522329903 MINERAL POINT AVENUEJANESVILLEWI535481196%97Insufficient dataN/A7Insufficient dataN/A897
5526LUTHER HOSPITAL - MAYO CLINIC DIALYSIS5200705223111221 WHIPPLE STREETEAU CLAIREWI547021190%47Insufficient dataN/A7Insufficient dataN/A847
5527ST VINCENT HOSPITAL REGIONAL DIALYSIS CTR5200755223121920 LIBAL STREETGREEN BAYWI543011197%107Insufficient dataN/A7Insufficient dataN/A8107
5528SSM DIALYSIS - MADISON STATION5200835223332840 INDEX ROADMADISONWI537131198%10797%107Insufficient dataN/A8107
5529GUNDERSEN LUTHERAN RENAL DIALYSIS - LA CROSSE5200875223131900 SOUTH AVENUELA CROSSEWI546011182%4787%77Insufficient dataN/A857
5530BELOIT HEALTH SYSTEM - DIALYSIS5201005223241969 WEST HART ROADBELOITWI535111188%27Insufficient dataN/A7Insufficient dataN/A827
5531HESS MEMORIAL HOSPITAL5201095223281050 DIVISION STREETMAUSTONWI539481182%07Insufficient dataN/A7Insufficient dataN/A807
5532ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.521324522343135 SOUTH GIBSON STREETMEDFORDWI544511196%97Insufficient dataN/A7Insufficient dataN/A897
5533UPLAND HILLS DIALYSIS CTR521352522341800 COMPASSION WAYDODGEVILLEWI535331174%67Insufficient dataN/A7Insufficient dataN/A867
5534FMC - NEENAH522500300 NORTH COMMERCIAL STREET, SUITE 100NEENAHWI549561175%0784%77Insufficient dataN/A837
5535DAVITA - FOX RIVER5225011910 RIVERSIDE DRIVEGREEN BAYWI543011194%7793%97Insufficient dataN/A877
5536DAVITA - WISCONSIN AVE5225023801 WEST WISCONSIN AVENUEMILWAUKEEWI532081198%107Insufficient dataN/A7Insufficient dataN/A8107
5537DAVITA - JANESVILLE5225031305 WOODMAN ROADJANESVILLEWI535451191%57Insufficient dataN/A7Insufficient dataN/A857
5538PURITY DIALYSIS - WAUKESHA522504721 AMERICAN AVENUE, SUITE 204WAUKESHAWI531881198%10784%77Insufficient dataN/A897
5539FRESENIUS MEDICAL CARE MIDWEST SOUTH5225063267 SOUTH 16TH STREET SUITE 203MILWAUKEEWI532151153%07Insufficient dataN/A7Insufficient dataN/A807
5540DAVITA - LOOMIS RD5225074120 WEST LOOMIS ROADGREENFIELDWI532211195%87Insufficient dataN/A7Insufficient dataN/A887
5541DAVITA - RIVERCENTER DR522509117 NORTH JEFFERSON STREETMILWAUKEEWI532021197%107Insufficient dataN/A7Insufficient dataN/A8107
5542FMC DIALYSIS - MILWAUKEE522510200 WEST PLEASANT STREETMILWAUKEEWI532121191%57Insufficient dataN/A7Insufficient dataN/A857
5543GREEN BAY NORTHWOOD DIALYSIS OF DAVITA522511W 7305 ELM AVENUESHAWANOWI541661195%87Insufficient dataN/A7Insufficient dataN/A887
5544FRESENIUS MEDICAL CARE MIDWEST CAPITOL5225124021 NORTH 52ND STREETMILWAUKEEWI532161146%07Insufficient dataN/A7Insufficient dataN/A807
5545PURITY DIALYSIS - BROOKFIELD52251318740 WEST BLUEMOUND ROADBROOKFIELDWI530451191%57Insufficient dataN/A7Insufficient dataN/A857
5546PURITY DIALYSIS - OCONOMOWOC5225171253 CORPORATE CENTER DRIVEOCONOMOWOCWI530661185%07Insufficient dataN/A7Insufficient dataN/A807
5547ST CROIX FALLS DIALYSIS OF DAVITA522519744 LOUISIANA STREET EASTSAINT CROIX FALLSWI540241196%97Insufficient dataN/A7Insufficient dataN/A897
5548PURITY DIALYSIS - MUKWONAGO522521400 BAY VIEW ROAD, SUITE FMUKWONAGOWI531491190%47Insufficient dataN/A7Insufficient dataN/A847
5549PURITY DIALYSIS - MENOMONEE FALLS522523N87 W17301 MAIN STREETMENOMONEE FALLSWI530511193%67Insufficient dataN/A7Insufficient dataN/A867
5550FRESENIUS MEDICAL CARE MIDWEST GOOD HOPE5225247701 WEST CLINTON AVENUEMILWAUKEEWI532231151%07Insufficient dataN/A7Insufficient dataN/A807

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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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