Missouri Dialysis Provider StatisticsStatistical breakdown of 149 Medicare certified dialysis facilties in Missouri

General Totals

Number of Dialysis Providers

6,236Nation
149Missouri

Total Number of Dialysis Stations

110,108Nation
2,284Missouri

Average Number of Dialysis Stations

17.66Nation
15.33Missouri

Services Totals

Total Number Offering Hemodialysis

6,236Nation
149Missouri

Total Number Offering Peritoneal Dialysis

3,114Nation
94Missouri

Total Number Offering Home Training

1,705Nation
60Missouri

Have Shifts after 5pm

1,124Nation
15Missouri

Total Number of For Profit Facilities

5,346Nation
116Missouri

Total Number of Non Profit Facilities

890Nation
33Missouri

Total Number of Chain Owned

5,347Nation
116Missouri

Total Number of Not Chain Owned

889Nation
33Missouri

Performance Scores

Total Performance Score

Nation
81.97Average
0.00Least
100.00Most
Missouri
82.15Average
0.00Least
100.00Most

ICH CAHPS Admin Score

Nation
9.60Average
0.00Least
10.00Most
Missouri
9.69Average
0.00Least
10.00Most

NHSN Event Reporting Score

Nation
9.80Average
0.00Least
10.00Most
Missouri
9.78Average
0.00Least
10.00Most

Measure Scores

Patient(s) who had an average hemoglobin value greater than 12.0 g/dL

Nation
9.52Average
0.00Least
10.00Most
Missouri
9.52Average
0.00Least
10.00Most

Hemoglobin Score Applied

Nation
5,241Achievement
59Improvement
936Not Available
Missouri
123Achievement
26Not Available

Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%

Nation
8.35Average
0.00Least
10.00Most
Missouri
8.49Average
0.00Least
10.00Most

URR Score Applied

Nation
5,034Achievement
173Improvement
1,029Not Available
Missouri
117Achievement
2Improvement
30Not Available

Vascular Catheter Measure Score

Nation
6.26Average
0.00Least
10.00Most
Missouri
6.47Average
0.00Least
10.00Most

Vascular Catheter Score Applied

Nation
4,992Achievement
337Improvement
907Not Available
Missouri
112Achievement
12Improvement
25Not Available

Fistula Measure Score

Nation
5.69Average
0.00Least
10.00Most
Missouri
5.67Average
0.00Least
10.00Most

Fistula Score Applied

Nation
5,011Achievement
297Improvement
928Not Available
Missouri
117Achievement
7Improvement
25Not Available

Vascular Access Combined Measure Score

Nation
6.22Average
0.00Least
10.00Most
Missouri
6.28Average
0.00Least
10.00Most

Mineral Metabolism Reporting Score

Nation
9.08Average
0.00Least
10.00Most
Missouri
8.89Average
0.00Least
10.00Most

Hospitalization Rate

Hospitalization Rate

Nation
5,435As Expected
54Better than Expected
282Worse than Expected
465Not Available
Missouri
132As Expected
9Worse than Expected
8Not Available

Data Availablilty

Nation
5,771Data Available
232The number of patients is too small to report. Call the facility to discuss this quality measure.
66Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Missouri
141Data Available
3The number of patients is too small to report. Call the facility to discuss this quality measure.
2Data not reported – Call the facility to discuss this quality measure.
3The facility was not open for the entire reporting period.

Number of Patients Included in Hospitalization Summary

Nation
440,405Total
72.23Average
0Least
467Most
Missouri
8,568Total
57.89Average
0Least
237Most

Standardized Hospitalization Ratio

Nation
1.00Average
0.07Least
3.48Most
Missouri
1.08Average
0.28Least
2.35Most

Survivability Rate

Survival Rate

Nation
4,741As Expected
462Better than Expected
520Worse than Expected
513Not Available
Missouri
114As Expected
7Better than Expected
13Worse than Expected
15Not Available

Data Availablilty

Nation
5,723Data Available
294The number of patients is too small to report. Call the facility to discuss this quality measure.
38Data not reported – Call the facility to discuss this quality measure.
15CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Missouri
134Data Available
11The number of patients is too small to report. Call the facility to discuss this quality measure.
1Data not reported – Call the facility to discuss this quality measure.
3The facility was not open for the entire reporting period.

Number of Patients Included in Survival Summary

Nation
2,100,956Total
344.53Average
0Least
2,461Most
Missouri
39,276Total
265.38Average
0Least
1,095Most

Standardized Mortality Ratio

Nation
1.02Average
0.00Least
3.29Most
Missouri
1.07Average
0.00Least
2.41Most

Anemia Management

Patient Transfusions Rate

Nation
4,983As Expected
27Better than Expected
358Worse than Expected
868Not Available
Missouri
112As Expected
6Worse than Expected
31Not Available

Data Availablilty

Nation
5,468Data Available
654The number of patients is too small to report. Call the facility to discuss this quality measure.
65Data not reported – Call the facility to discuss this quality measure.
3CMS determined that the percentage was not accurate.
46The facility was not open for the entire reporting period.
Missouri
118Data Available
26The number of patients is too small to report. Call the facility to discuss this quality measure.
3Data not reported – Call the facility to discuss this quality measure.
2The facility was not open for the entire reporting period.

Performance Rate 1 - Average hemoglobin value greater than 12.0 g/dL

Nation
0.56Average
0.00Least
64.00Most
Missouri
0.59Average
0.00Least
24.00Most

Performance Rate 2 - Average hemoglobin value greater than 12.0 g/dL

Nation
4.99Average
0.00Least
62.00Most
Missouri
5.03Average
0.00Least
25.00Most

Standarized Transfusion Ratio

Nation
1.01Average
0.00Least
7.15Most
Missouri
0.97Average
0.11Least
3.33Most

Number of Patients in Summary

Nation
378,886Total
62.56Average
0Least
349Most
Missouri
7,383Total
50.57Average
0Least
212Most

Patient(s) who had an average hemoglobin value greater than 12.0 g/dL

Nation
1,604Total
0.29Average
0Least
21Most
Missouri
63Total
0.48Average
0Least
21Most

Data Availablilty

Nation
5,486Data Available
401The number of patients is too small to report. Call the facility to discuss this quality measure.
181Data not reported – Call the facility to discuss this quality measure.
2CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Missouri
131Data Available
13The number of patients is too small to report. Call the facility to discuss this quality measure.
2Data not reported – Call the facility to discuss this quality measure.
3The facility was not open for the entire reporting period.

Patient(s) who had an average hemoglobin value less than 10.0 g/dL

Nation
70,587Total
12.87Average
0Least
91Most
Missouri
1,822Total
13.91Average
0Least
72Most

Data Availablilty

Nation
5,486Data Available
401The number of patients is too small to report. Call the facility to discuss this quality measure.
181Data not reported – Call the facility to discuss this quality measure.
2CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Missouri
131Data Available
13The number of patients is too small to report. Call the facility to discuss this quality measure.
2Data not reported – Call the facility to discuss this quality measure.
3The facility was not open for the entire reporting period.

Number of Dialysis Patients with Hemoglobin Data

Nation
275,176Total
45.44Average
0Least
283Most
Missouri
5,248Total
35.95Average
0Least
150Most

Number of Hemoglobin Eligible Patients - Performance Period

Nation
274,010Total
47.04Average
0Least
274Most
Missouri
5,292Total
37.80Average
0Least
164Most

Number of Hemoglobin Eligible Patients - Baseline Period

Nation
279,098Total
47.91Average
0Least
317Most
Missouri
5,570Total
39.79Average
0Least
179Most

Dialysis Adequacy - URR

Hemodialysis patients who had enough wastes removed from their blood during dialysis: Urea Reduction Ratio greater than or equal to 65%

Nation
98.77Average
0.00Least
100.00Most
Missouri
98.62Average
88.00Least
100.00Most

Data Availablilty

Nation
5,394Data Available
346The number of patients is too small to report. Call the facility to discuss this quality measure.
237Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
92The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Missouri
124Data Available
15The number of patients is too small to report. Call the facility to discuss this quality measure.
6Data not reported – Call the facility to discuss this quality measure.
1The facility does not provide hemodialysis.
3The facility was not open for the entire reporting period.

Performance Rate #1 - Urea Reduction Ratio greater than or equal to 65%

Nation
98.79Average
57.00Least
100.00Most
Missouri
98.83Average
85.00Least
100.00Most

Performance Rate #2 - Urea Reduction Ratio greater than or equal to 65%

Nation
97.27Average
34.00Least
100.00Most
Missouri
96.83Average
60.00Least
100.00Most

Number of Hemodialysis Patients with URR Data

Nation
269,264Total
44.46Average
0Least
297Most
Missouri
4,965Total
34.01Average
0Least
152Most

Number of URR Eligible Patients - Performance Period

Nation
265,552Total
45.59Average
0Least
273Most
Missouri
4,927Total
35.19Average
0Least
147Most

Number of URR Eligible Patients - Baseline Period

Nation
256,555Total
44.04Average
0Least
283Most
Missouri
4,843Total
34.59Average
0Least
157Most

Dialysis Adequacy - Adult HD

Adult hemodialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.2

Nation
88.05Average
0.00Least
100.00Most
Missouri
87.37Average
3.00Least
99.00Most

Data Availablilty

Nation
5,616Data Available
188The number of patients is too small to report. Call the facility to discuss this quality measure.
160Data not reported – Call the facility to discuss this quality measure.
22CMS determined that the percentage was not accurate.
84The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Missouri
134Data Available
4The number of patients is too small to report. Call the facility to discuss this quality measure.
7Data not reported – Call the facility to discuss this quality measure.
1The facility does not provide hemodialysis.
3The facility was not open for the entire reporting period.

Number of Adult HD Patients with Kt/V Data

Nation
69.74Average
0.00Least
641.00Most
Missouri
55.22Average
0.00Least
183.00Most

Number of Adult HD Patient-Months with Kt/V Data

Nation
507.90Average
0.00Least
3,182.00Most
Missouri
387.90Average
0.00Least
1,716.00Most

Dialysis Adequacy - Adult PD

Adult Peritoneal Dialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.7

Nation
80.98Average
0.00Least
99.00Most
Missouri
81.03Average
22.00Least
98.00Most

Data Availablilty

Nation
1,189Data Available
1,272The number of patients is too small to report. Call the facility to discuss this quality measure.
598Data not reported – Call the facility to discuss this quality measure.
18CMS determined that the percentage was not accurate.
2,993The facility does not provide peritoneal dialysis.
166The facility was not open for the entire reporting period.
Missouri
36Data Available
35The number of patients is too small to report. Call the facility to discuss this quality measure.
21Data not reported – Call the facility to discuss this quality measure.
54The facility does not provide peritoneal dialysis.
3The facility was not open for the entire reporting period.

Number of Adult PD Patients with Kt/V Data

Nation
6.12Average
0.00Least
172.00Most
Missouri
7.52Average
0.00Least
76.00Most

Number of Adult PD Patient-Months with Kt/V Data

Nation
46.35Average
0.00Least
1,533.00Most
Missouri
55.32Average
0.00Least
532.00Most

Dialysis Adequacy - Ped. HD

Pediatric hemodialysis patients who had enough wastes removed from their blood during dialysis: Kt/V greater than or equal to 1.2

Nation
84.15Average
63.00Least
94.00Most
Missouri
N/AAverage
N/ALeast
N/AMost

Data Availablilty

Nation
13Data Available
207The number of patients is too small to report. Call the facility to discuss this quality measure.
313Data not reported – Call the facility to discuss this quality measure.
5,535The facility does not provide hemodialysis to pediatric patients.
2CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Missouri
6The number of patients is too small to report. Call the facility to discuss this quality measure.
9Data not reported – Call the facility to discuss this quality measure.
131The facility does not provide hemodialysis to pediatric patients.
3The facility was not open for the entire reporting period.

Number of Pediatric HD Patients with Kt/V Data

Nation
0.10Average
0.00Least
15.00Most
Missouri
0.13Average
0.00Least
8.00Most

Number of Pediatric HD Patient-Months with Kt/V Data

Nation
0.54Average
0.00Least
112.00Most
Missouri
0.62Average
0.00Least
34.00Most

Vascular Catheters

Percentage of Patients with Vascular Catheter in Use for 90 Days or Longer

Nation
10.76Average
0.00Least
58.00Most
Missouri
9.75Average
0.00Least
27.00Most

Data Availablilty

Nation
5,671Data Available
184The number of patients is too small to report. Call the facility to discuss this quality measure.
127Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
87The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Missouri
138Data Available
5The number of patients is too small to report. Call the facility to discuss this quality measure.
2Data not reported – Call the facility to discuss this quality measure.
1The facility does not provide hemodialysis.
3The facility was not open for the entire reporting period.

Performance Period - Catheter Rate

Nation
12.54Average
0.00Least
63.00Most
Missouri
12.33Average
0.00Least
50.00Most

Performance Period - Number of Catheter Patient Months

Nation
2,822,013Total
484.47Average
0Least
2,871Most
Missouri
53,168Total
379.77Average
0Least
1,526Most

Baseline Period - Catheter Rate

Nation
15.13Average
0.00Least
82.00Most
Missouri
17.75Average
1.00Least
65.00Most

Baseline Period - Number of Catheter Patient Months

Nation
2,011,527Total
345.33Average
0Least
2,281Most
Missouri
37,813Total
270.09Average
0Least
830Most

Arteriovenous Fistulae

Percentage of Patients with Arteriovenous Fistulae in Place

Nation
63.16Average
0.00Least
100.00Most
Missouri
63.49Average
28.00Least
89.00Most

Data Availablilty

Nation
5,671Data Available
184The number of patients is too small to report. Call the facility to discuss this quality measure.
127Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
87The facility does not provide hemodialysis.
166The facility was not open for the entire reporting period.
Missouri
138Data Available
5The number of patients is too small to report. Call the facility to discuss this quality measure.
2Data not reported – Call the facility to discuss this quality measure.
1The facility does not provide hemodialysis.
3The facility was not open for the entire reporting period.

Performance Period - Fistula Rate

Nation
62.10Average
0.00Least
98.00Most
Missouri
62.06Average
33.00Least
90.00Most

Performance Period - Number of Fistula Patient Months

Nation
3,060,336Total
525.38Average
0Least
3,083Most
Missouri
57,370Total
409.79Average
0Least
1,613Most

Baseline Period - Fistula Rate

Nation
57.98Average
3.00Least
100.00Most
Missouri
55.66Average
22.00Least
90.00Most

Baseline Period - Number of Fistula Patient Months

Nation
2,906,552Total
498.98Average
0Least
3,197Most
Missouri
54,545Total
389.61Average
0Least
1,168Most

Hypercalcemia

Percentage Of Adult Patients With Hypercalcemia Serum Calcium Greater Than 10.2 mg/dL

Nation
2.36Average
0.00Least
96.00Most
Missouri
2.09Average
0.00Least
11.00Most

Data Availablilty

Nation
5,707Data Available
221The number of patients is too small to report. Call the facility to discuss this quality measure.
141Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Missouri
138Data Available
7The number of patients is too small to report. Call the facility to discuss this quality measure.
1Data not reported – Call the facility to discuss this quality measure.
3The facility was not open for the entire reporting period.

Number of Patients in Summary

Nation
487,975Total
80.58Average
0Least
494Most
Missouri
8,771Total
60.08Average
0Least
242Most

Number of Patient Months in Summary

Nation
4,102,316Total
677.40Average
0Least
4,454Most
Missouri
72,432Total
496.11Average
0Least
2,316Most

Serum Phosphorus

Number of Patients in Serum Phosphorus Summary

Nation
514,568Total
84.97Average
0Least
524Most
Missouri
9,198Total
63.00Average
0Least
242Most

Data Availablilty

Nation
5,727Data Available
211The number of patients is too small to report. Call the facility to discuss this quality measure.
131Data not reported – Call the facility to discuss this quality measure.
1CMS determined that the percentage was not accurate.
166The facility was not open for the entire reporting period.
Missouri
136Data Available
9The number of patients is too small to report. Call the facility to discuss this quality measure.
1Data not reported – Call the facility to discuss this quality measure.
3The facility was not open for the entire reporting period.

Number of Patient Months in Summary

Nation
4,294,671Total
709.16Average
0Least
4,692Most
Missouri
74,897Total
512.99Average
0Least
2,132Most

Percentage of Adult Patients with SP Less Than 3.5 mg/dL

Nation
10.46Average
0.00Least
44.00Most
Missouri
9.43Average
0.00Least
26.00Most

Percentage of Adult Patients with SP Between 3.5 – 4.5 mg/dl

Nation
28.52Average
0.00Least
54.00Most
Missouri
27.71Average
13.00Least
39.00Most

Percentage of Adult Patients with SP Between 4.6 – 5.5 mg/dl

Nation
31.56Average
3.00Least
57.00Most
Missouri
31.80Average
10.00Least
51.00Most

Percentage of Adult Patients with SP Between 5.6 – 7.0 mg/dl

Nation
19.11Average
0.00Least
48.00Most
Missouri
19.43Average
3.00Least
39.00Most

Percentage of Adult Patients with SP Greater Than 7.0 mg/dl

Nation
10.36Average
0.00Least
70.00Most
Missouri
11.65Average
1.00Least
39.00Most