# CMS ESRD QIP Total Performance Score (dialysis pay-for-performance)

`medicare_silver.fact_esrd_qip` · Medicare Advantage, Part D, Medicaid · status live · 7,558 rows

The CMS ESRD Quality Incentive Program Total Performance Score — per dialysis facility the Total Performance Score vs state and national averages, and the resulting payment_reduction_pct (0–2%). The dialysis pay-for-performance / penalty layer (the dialysis counterpart to HVBP/HRRP for hospitals).

**Grain.** One row per (payment_year, dialysis facility CCN) — TPS + payment reduction.

| column | type | meaning |
|---|---|---|
| payment_year | int |  |
| ccn | string |  |
| facility_name | string |  |
| alternate_ccn | string |  |
| state | string |  |
| zip_code | string |  |
| network | string |  |
| total_performance_score | double |  |
| state_avg_tps | double |  |
| national_avg_tps | double |  |
| payment_reduction_pct | double |  |
| observed_period | date |  |
| asserted_at | date |  |
| effective_period_start | date |  |
| effective_period_end | date |  |
| cms_vintage_sequence | int |  |
| parse_revision | int |  |
| parser_artifact_hash | string |  |
| source_url | string |  |
| sha256_content_hash | string |  |
| source_id | string |  |
| is_current | boolean |  |
| bronze_object_key | string |  |
| s3_version_id | string |  |
| vintage_tag | string |  |
| drug_source_version_id | string |  |

Query it: `query_substrate` with `SELECT ... FROM medicare_silver.fact_esrd_qip WHERE ... LIMIT 100`; read `describe_data_source("medicare_silver.fact_esrd_qip")` first.