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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
151FARRAGUT DIALYSIS, INC0126692958 DORCHESTER DRIVEMONTGOMERYAL36116871%07Insufficient dataN/A7Insufficient dataN/A807
152DVA RENAL HEALTHCARE INC012670300-B 22ND STREET SOUTHBIRMINGHAMAL352338789%87Insufficient dataN/A887
153FRESENIUS MEDICAL CARE HUNTSVILLE HOME, LLC0126712325 PANSY STREETHUNTSVILLEAL3580187Insufficient dataN/A7Insufficient dataN/A87
154BIO-MEDICAL APPLICATIONS OF ALABAMA, INC.01267229569 HUNTSVILLE BROWNS FERRY ROADMADISONAL3575687Insufficient dataN/A7Insufficient dataN/A87
155CHILDRENS HOSPITAL DIALYSIS0133000123061600 7TH AVENUE SOUTHBIRMINGHAMAL3523387Insufficient dataN/A7Insufficient dataN/A87
156FMC ANCHORAGE0225003950 LAUREL STREETANCHORAGEAK995081688%3773%37Insufficient dataN/A837
157FMC FAIRBANKS0225021863 AIRPORT WAYFAIRBANKSAK997011684%37Insufficient dataN/A7Insufficient dataN/A837
158FMC WASILLA0225033787 EAST MERIDIAN LOOPWASILLAAK996541687%47Insufficient dataN/A7Insufficient dataN/A847
159REIFENSTEIN DIALYSIS CENTER0225049109 MENDENHALL MALL ROAD SUITE #6JUNEAUAK998011684%17Insufficient dataN/A7Insufficient dataN/A817
160LIBERTY DIALYSIS - ALASKA LLC022506901 EAST DIMOND BOULEVARD SUITE GANCHORAGEAK995151697%10779%57Insufficient dataN/A887
161FMC COOK INLET0225079085 BLACKBERRY STREETANCHORAGEAK995021692%7789%87Insufficient dataN/A877
162FMC SOLDOTNA022508289 NORTH FIREWOOD LANE SUITE ASOLDOTNAAK996691685%47Insufficient dataN/A7Insufficient dataN/A847
163DENALI DIALYSIS CENTER022509360 BONIFACE PARKWAY SUITE A11ANCHORAGEAK995041691%57Insufficient dataN/A7Insufficient dataN/A857
164MARICOPA MEDICAL CTR - DIALYSIS0300220323022525 EAST ROOSEVELT STREETPHOENIXAZ850081577%07Insufficient dataN/A7Insufficient dataN/A807
165UAMC DIALYSIS UNIT030064032316PO BOX 245148TUCSONAZ85724157Insufficient dataN/A7Insufficient dataN/A87
166GILA RIVER DIALYSIS EAST031308032315565 WEST SEED FARM ROADSACATONAZ852471596%97Insufficient dataN/A7Insufficient dataN/A897
167TUCSON WEST DIALYSIS (DVA)0325001780 WEST ANKLAM ROADTUCSONAZ857451588%2795%107Insufficient dataN/A847
168TUCSON EAST DIALYSIS (DVA)0325016420 EAST BROADWAY BOULEVARD SUITE C300TUCSONAZ857101595%8787%77Insufficient dataN/A887
169YUMA DIALYSIS (DVA)0325022130 WEST 24TH STREETYUMAAZ853641597%10795%107Insufficient dataN/A8107
170PHOENIX ARTIFICIAL KIDNEY CENTER (FMC)03250313090 NORTH 94TH DRIVE SUITE 100PEORIAAZ853811593%67Insufficient dataN/A7Insufficient dataN/A867
171CAMELBACK DIALYSIS (DVA)0325047321 EAST OSBORN DRIVESCOTTSDALEAZ85251157Insufficient dataN/A7Insufficient dataN/A87
172TUBA CITY DIALYSIS UNIT (DVA)032506500 EDGEWATER DRIVEPO Box 2910TUBA CITYAZ860451598%10799%107Insufficient dataN/A8107
173SOUTH PHOENIX DIALYSIS SERVICES (FMC)0325081021 SOUTH 7TH AVENUE SUITE 108PHOENIXAZ850071594%77Insufficient dataN/A7Insufficient dataN/A877
174EAST VALLEY DIALYSIS (FMC)032509135 SOUTH POWER ROAD SUITE 103MESAAZ852061582%27Insufficient dataN/A7Insufficient dataN/A827
175SELLS DIALYSIS (DVA)032513HWY 86 - MP 113SELLSAZ856341598%107Insufficient dataN/A7Insufficient dataN/A8107
176DESERT DIALYSIS CENTER (DCI)0325142022 EAST PRINCE ROADTUCSONAZ857191592%5760%27Insufficient dataN/A847
177WHITERIVER DIALYSIS (FMC)032515HWY 73 MP 342WHITERIVERAZ859411596%97Insufficient dataN/A7Insufficient dataN/A897
178CHANDLER DIALYSIS (FMC)032516912 WEST CHANDLER BOULEVARD BUILDING A-DCHANDLERAZ852251587%47Insufficient dataN/A7Insufficient dataN/A847
179CENTRAL PHX DIALYSIS (FMC)0325173421 NORTH 7TH AVENUEPHOENIXAZ850131592%57Insufficient dataN/A7Insufficient dataN/A857
180FOUR CORNERS DIALYSIS CLINIC CHINLE (DVA)032518US HIGHWAY 191CHINLEAZ865031598%107Insufficient dataN/A7Insufficient dataN/A8107
181SIERRA VISTA DIALYSIS (DVA)032520629 NORTH HIGHWAY 90 SUITE 6 & 7SIERRA VISTAAZ856351595%87Insufficient dataN/A7Insufficient dataN/A887
182DIALYSIS CENTER OF GLENDALE (FMC)0325215957 WEST NORTHERN AVENUE SUITE 108GLENDALEAZ853011597%107Insufficient dataN/A7Insufficient dataN/A8107
183PARKER DIALYSIS CENTER (FMC)032522AGENCY ROAD BUILDING 173Rural Rt 1/Agency RoadPARKERAZ853441587%17Insufficient dataN/A7Insufficient dataN/A817
184PRESCOTT DIALYSIS (DVA)032523980 WILLOW CREEK ROAD SUITE 101PRESCOTTAZ863011597%107Insufficient dataN/A7Insufficient dataN/A8107
185FLAGSTAFF DIALYSIS CENTER (FMC)0325245200 EAST CORTLAND BOULEVARD SUITE A1-A4FLAGSTAFFAZ860041581%07Insufficient dataN/A7Insufficient dataN/A807
186DESERT MOUNTAIN DIALYSIS (DVA)0325259220 EAST MOUNTAIN VIEW ROAD SUITE 105SCOTTSDALEAZ852581593%67Insufficient dataN/A7Insufficient dataN/A867
187SOUTHWEST MESA DIALYSIS (DSI)0325261457 WEST SOUTHERN AVENUE SUITE 19MESAAZ852021599%107Insufficient dataN/A7Insufficient dataN/A8107
188THUNDERBIRD DIALYSIS (FMC)0325285750 WEST THUNDERBIRD ROAD BUILDING G #750GLENDALEAZ853061588%2781%67Insufficient dataN/A837
189DESERT VALLEY DIALYSIS (FMC)03253015846 NORTH CAVE CREEK ROAD SUITE 2PHOENIXAZ850321594%77Insufficient dataN/A7Insufficient dataN/A877
190GLOBE DIALYSIS (FMC)0325332250 HIGHWAY 60 SUITE O-2MIAMIAZ855391580%07Insufficient dataN/A7Insufficient dataN/A807
191HOME DIALYSIS OF MESA (FMC)0325351337 SOUTH GILBERT ROAD SUITE 106MESAAZ8520415780%77Insufficient dataN/A877
192WINSLOW DIALYSIS CENTER (FMC)0325361313 EAST THIRD STREETWINSLOWAZ860471595%87Insufficient dataN/A7Insufficient dataN/A887
193ESTRELLA DIALYSIS CENTER (FMC)0325375546 WEST ROOSEVELT STREET SUITE 1PHOENIXAZ850431595%87Insufficient dataN/A7Insufficient dataN/A887
194MESA DIALYSIS CENTER (FMC)0325391525 NORTH GILBERT ROAD SUITE 121GILBERTAZ852341587%37Insufficient dataN/A7Insufficient dataN/A837
195WESTERN SKIES DIALYSIS INC.0325401041 NORTH ARIZOLA ROADCASA GRANDEAZ851221593%67Insufficient dataN/A7Insufficient dataN/A867
196TEMPE DIALYSIS (FMC)0325411449 WEST SOUTHERN AVENUETEMPEAZ852821595%87Insufficient dataN/A7Insufficient dataN/A887
197ARCADIA DIALYSIS CENTER (FMC)0325422702 NORTH 44TH STREET SUITE 107BPHOENIXAZ850081595%87Insufficient dataN/A7Insufficient dataN/A887
198NOGALES DIALYSIS (DVA)0325431605 NORTH INDUSTRIAL PARK DRIVE SUITE HNOGALESAZ856211593%67Insufficient dataN/A7Insufficient dataN/A867
199LAKE HAVASU DIALYSIS (FMC)0325441761 MCCULLOCH BOULEVARD SUITE GLAKE HAVASU CITYAZ864031582%4771%67Insufficient dataN/A847
200SOUTH MOUNTAIN DIALYSIS CENTER (FMC)03254526 EAST BASELINE SUITE 142PHOENIXAZ850421596%97Insufficient dataN/A7Insufficient dataN/A897

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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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