DCI Big Sky is a medicare approved dialysis facility center in Billings, Montana and it has 40 dialysis stations. It is located in Yellowstone county at 720 Saint Mary Way, Billings, MT, 59106. You can reach out to the office of DCI Big Sky at (406) 252-9270. This dialysis clinic is managed and/or owned by Dialysis Clinic, Inc.. DCI Big Sky has the following ownership type - Non-profit. It was first certified by medicare in November, 1995. The medicare id for this facility is 272502 and it accepts patients under medicare ESRD program.
Dialysis Center Profile
| Name | DCI Big Sky |
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| Location | 720 Saint Mary Way, Billings, Montana |
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| No. of Dialysis Stations | 40 |
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| Medicare ID | 272502 |
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| Managed By | Dialysis Clinic, Inc. |
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| Ownership Type | Non-profit |
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| Late Shifts | No |
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NPI Associated with this Dialysis Facility:
Dialysis facilities may have several NPI numbers. We have found possible NPI numbers associated with DCI Big Sky
from NPPES records by matching their name, address or phone number, so please use this information accordingly.
| NPI Number | 1427081801 |
| Match | Possible same name, address or phone number |
| Organization Name | Dialysis Clinic Inc. |
| Address | 720 St Mary Way, Billings, Montana 59106 |
| Phone Number | (406) 252-9270 |
Survey of Patient's Experiences
Nephrologists Performance Ratings
| Experience Measure | Provider | National Avg. |
|---|
| Patients who reported that nephrologists always communicated and cared for them. | 75% | 67% |
| Patients who reported that nephrologists usually communicated and cared for them. | 12% | 15% |
| Patients who reported that nephrologists sometimes or never communicated and cared for them. | 13% | 18% |
| Patients who gave their nephrologists a rating of 9 or 10 on a scale of 0 (worst possible) to 10 (best possible). | 77% | 60% |
| Patients who gave their nephrologists a rating of 7 or 8 on a scale of 0 (worst possible) to 10 (best possible). | 16% | 26% |
| Patients who gave their nephrologists a rating of 6 or lower on a scale of 0 (worst possible) to 10 (best possible). | 7% | 14% |
Dialysis Center Staff Performance Ratings
| Experience Measure | Provider | National Avg. |
|---|
| Patients who reported that dialysis center staff always communicated well and kept patients as comfortable and pain-free as possible. | 75% | 65% |
| Patients who reported that dialysis center staff usually communicated well and kept patients as comfortable and pain-free as possible. | 18% | 18% |
| Patients who reported that dialysis center staff sometimes or never communicated well and kept patients as comfortable and pain-free as possible. | 7% | 17% |
| Patients who gave their dialysis facility staff a rating of 9 or 10 on a scale of 0 (worst possible) to 10 (best possible). | 79% | 67% |
| Patients who gave their dialysis facility staff a rating of 7 or 8 on a scale of 0 (worst possible) to 10 (best possible). | 20% | 23% |
| Patients who gave their dialysis facility staff a rating of 6 or lower on a scale of 0 (worst possible) to 10 (best possible). | 1% | 10% |
Overall Dialysis Center Performance Ratings
| Experience Measure | Provider | National Avg. |
|---|
| Patients who reported 'YES', their nephrologists and dialysis center staff gave them the information they needed to take care of themselves. | 91% | 80% |
| Patients who reported 'NO', their nephrologists and dialysis center staff did not give them the information they needed to take care of themselves. | 9% | 20% |
| Patients who gave their dialysis center a rating of 9 or 10 on a scale of 0 (worst possible) to 10 (best possible). | 88% | 71% |
| Patients who gave their dialysis center a rating of 7 or 8 on a scale of 0 (worst possible) to 10 (best possible). | 11% | 19% |
| Patients who gave their dialysis center a rating of 6 or lower on a scale of 0 (worst possible) to 10 (best possible). | 1% | 10% |
Services Offered
- Hemodialysis
- Peritoneal Dialysis
- Home Hemodialysis Training
Patient Distribution
Anemia Management
| Dialysis patients with Hemoglobin data | 44 |
| Medicare patients who had average hemoglobin (hgb) less than 10 g/dL | 9 |
Dialysis Adequacy
For adult patients on hemodialysis, Kt/V should be at least 1.2 and for peritoneal dialysis at least 1.7; that means they are receiving the right amount of dialysis. For pediatric patients, Kt/V should be at least 1.2 on hemodialysis and 1.8 on peritoneal dialysis.
Higher percentages are better.
- Hemodialysis
| Adult patients getting regular hemodialysis at the center | 105 |
| Adult patient months included in Kt/V greater than or equal to 1.2 | 973 |
| Percentage of adult hemodialysis patients with Kt/V greater than or equal to 1.2 | 98 |
| Pediatric patients getting regular hemodialysis at the center | 2 |
| Pediatric patient months included in Kt/V greater than or equal to 1.2 | 13 |
- Peritoneal Dialysis
| Adult patients getting regular peritoneal dialysis at the center | 25 |
| Adult patient months included in Kt/V greater than or equal to 1.7 | 164 |
| Percentage of adult peritoneal dialysis patients with Kt/V greater than or equal to 1.7 | 70 |
| Pediatric patients getting regular peritoneal dialysis at the center | 1 |
| Pediatric patient months included in Kt/V greater than or equal to 1.8 | 4 |
Mineral and Bone Disorder
An important goal of dialysis is to maintain normal levels of various minerals
in the body, such as calcium. This shows the percentage of patients
treated at DCI Big Sky with elevated calcium levels.
| Patients in the hypercalcemia summary | 132 |
| Hypercalcemia patient months | 1191 |
| Percentage of adult patients with serum calcium greater than 10.2 mg/dL | 1 |
| Patients in the serum phosphorus summary | 146 |
| Percentage of patients with serum phosphorus less than 3.5 mg/dL | 6 |
| Percentage of patients with serum phosphorus from 3.5 to 4.5 mg/dL | 20 |
| Percentage of patients with serum phosphorus from 4.6 to 5.5 mg/dL | 22 |
| Percentage of patients with serum phosphorus from 5.6 to 7 mg/dL | 27 |
| Percentage of patients with serum phosphorus greater than 7 mg/dL | 25 |
Vascular Access
The arteriovenous (AV) fistula is considered the best long-term vascular access for hemodialysis because it
allows good blood flow, lasts a long time, and is less likely to get infected or cause blood clots than other types of access.
Patients who don't have time to get a permanent vascular access before they start hemodialysis treatments may need to use a venous catheter as a temporary access.
| Patients included in arteriovenous fistula and catheter summaries | 126 |
| Patient months included in arteriovenous fistula and catheter summaries | 1073 |
| Percentage of patients getting regular hemodialysis at the center that used an arteriovenous (AV) fistula for their treatment | 63.7 |
| Percentage of patients receiving treatment through a vascular catheter for 90 days or longer | 21 |
Hospitalization Rate
The rate of hospitalization shows you whether patients who were being treated regularly at DCI Big Sky were admitted to the
hospital more often (worse than expected), less often (better than expected), or about the same (as expected),
compared to similar patients treated at other centers.
| Standardized Hospitalization Ratio (SHR) Period | January, 2024 - December, 2024 |
| Patients in facility's Hospitalization Summary | 114 |
| Hospitalization Rate in facility | 118.6 (As Expected) |
| Hospitalization Rate: Upper Confidence Limit | 188.7 |
| Hospitalization Rate: Lower Confidence Limit | 80.1 |
Readmission Rate
The rate of readmission shows you whether patients who were being treated regularly at DCI Big Sky
were readmitted more often (worse than expected), less often (better than expected), or
about the same (as expected), compared to similar patients treated at other dialysis centers.
| Standardized Readmission Ratio (SRR) Period | January, 2024 - December, 2024 |
| Readmission Rate in facility | 22.5 (As Expected) |
| Readmission Rate: Upper Confidence Limit | 32.9 |
| Readmission Rate: Lower Confidence Limit | 14 |
Infection Rate
Hemodialysis treatment requires direct access to the bloodstream, which can be an opportunity for germs to
enter the body and cause infection. This information shows how often patients at DCI Big Sky get infections in their blood each year
compared to the number of infections expected for the center based on the national average.
| Standardized Infection Ratio (SIR) Period | January, 2024 - December, 2024 |
| Infection Ratio in facility | 0.23 (Better than Expected) |
| SIR: Upper Confidence Limit | 0.75 |
| SIR: Lower Confidence Limit | 0.04 |
Transfusion Summary
Patients with anemia require blood transfusions if their anemia is not managed well by their
dialysis center. This information shows whether DCI Big Sky's rate of transfusions is better than expected,
as expected, or worse than expected, compared to other centers that treat similar patients.
| Standardized Transfusion Ratio (STrR) Period | January, 2024 - December, 2024 |
| Patients in facility's Transfusion Summary | 65 |
| Transfusion Rate in facility | 19.3 (As Expected) |
| Transfusion Rate: Upper Confidence Limit | 51.3 |
| Transfusion Rate: Lower Confidence Limit | 9.2 |
Survival Summary
The rate of mortality shows you whether patients who were being treated regularly at DCI Big Sky lived longer than
expected (better than expected), did not live as long as expected (worse than expected), or lived as long as expected (as expected), compared
to similar patients treated at other facilities.
| Standardized Mortality Ratio (SMR) Period | January, 2021 - December, 2024 |
| Patients in facility's Survival Summary | 494 |
| Mortality Rate in facility | 17.1 (As Expected) |
| Mortality Rate: Upper Confidence Limit | 26.2 |
| Mortality Rate: Lower Confidence Limit | 11.5 |