Billings Clinic Dialysis
✓ In-center✓ PD
47/ 100
DCI Big Sky
Dialysis center · 720 Saint Mary Way, Billings, MT 59106
CMS star rating · Patient survey: 5★
87/ 100
Excellent
Better than 87% of US centers
At a glance
- Operator
- Dialysis Clinic, Inc. · Non-profit
- Dialysis options
- ✓ In-center hemodialysis✓ Peritoneal dialysis (PD)✓ Home hemodialysis training
- Evening shift
- No shift starting after 5 pm reported
- Stations
- 40 dialysis chairs
- Medicare-certified
- Since 1995-11-29 · CCN 272502
- Rank in Billings, MT
- #1 of 2 dialysis centers
- Rank in Montana
- #2 of 17 scored centers
- County
- Yellowstone
- ESRD Network
- Network 16 (for grievances and help changing centers)
Patient outcomes and quality of care
CMS quality measures: better than the national average on 8 of 15 reported measures, worse on 5.
| Measure | This center | State | National | vs. national |
|---|---|---|---|---|
| Patient deaths (risk-adjusted rate) (lower is better) CMS: As Expected | 17.1 | 23.3 | 22.2 | Better |
| Hospital admissions (risk-adjusted rate) (lower is better) CMS: As Expected | 118.6 | 130.3 | 148 | Better |
| Readmitted within 30 days of a hospital stay (lower is better) CMS: As Expected | 22.5% | 21.7% | 27.2% | Better |
| Blood transfusions (risk-adjusted rate) (lower is better) CMS: As Expected | 19.3 | 19.4 | 32.5 | Better |
| Bloodstream infections (ratio to expected) (lower is better) CMS: Better than Expected | 0.23 | 0.42 | 1 | Better |
| Emergency room visits (ratio to expected) (lower is better) CMS: As Expected | 0.93 | 1.2 | 0.99 | Better |
| ER visits within 30 days of a hospital stay (ratio to expected) (lower is better) CMS: As Expected | 1.1 | 1.28 | 1.04 | Worse |
| Patients dialyzing through an AV fistula CMS: As Expected | 63.7% | 57.3% | 57.1% | Better |
| Patients with a long-term catheter (90+ days) (lower is better) | 21% | 25.7% | 19% | Worse |
| Hemodialysis patients getting adequate dialysis (Kt/V ≥ 1.2) | 98% | 94.1% | 97% | About the same |
| Peritoneal dialysis patients getting adequate dialysis (Kt/V ≥ 1.7) | 70% | 88.7% | 92% | Worse |
| Patients with high blood calcium (over 10.2 mg/dL) (lower is better) | 1% | 2.3% | 1% | About the same |
| Patients with very high phosphorus (over 7.0 mg/dL) (lower is better) | 25% | 22.4% | 18% | Worse |
| New patients put on the transplant waitlist (ratio to expected) CMS: As Expected | 1.33 | 0.96 | 1 | Better |
| Patients on the kidney transplant waitlist CMS: As Expected | 14.2% | 12.7% | 16.5% | Worse |
Rates for deaths, hospital admissions and transfusions are risk-adjusted per 100 patient-years; ratios compare the center to what CMS expects for its patients (1.00 = as expected). State figures are the average of centers in the state. 'CMS:' notes show CMS's own verdict after accounting for statistical uncertainty.
What patients say (ICH-CAHPS survey)
In-center hemodialysis patient survey (0–100 scores): better than the national average on 6 of 6 reported measures, worse on 0.
| Measure | This center | State | National | vs. national |
|---|---|---|---|---|
| Kidney doctors' communication and caring | 87 | 89 | 81 | Better |
| Quality of dialysis center care and operations | 89 | 87 | 81 | Better |
| Providing information to patients | 91 | 87 | 80 | Better |
| Rating of the kidney doctor | 93 | 92 | 84 | Better |
| Rating of the dialysis center staff | 95 | 93 | 87 | Better |
| Rating of the dialysis center | 97 | 94 | 88 | Better |
Based on 40 completed interviews (20% response rate). CMS publishes survey results only for centers with at least 30 completed interviews.
Location
Other dialysis centers in Billings
Frequently asked questions
Is DCI Big Sky Medicare-certified?
Yes. DCI Big Sky (CMS Certification Number 272502) has been Medicare-certified since 1995-11-29, which means it meets federal ESRD Conditions for Coverage and Medicare pays for covered dialysis there.
What dialysis options does DCI Big Sky offer?
DCI Big Sky reports offering in-center hemodialysis, peritoneal dialysis (pd), home hemodialysis training with 40 dialysis stations. It does not report a shift starting after 5 pm.
How does DCI Big Sky compare to other dialysis centers?
DCI Big Sky scores 87/100 on Dialysis Scorecard (excellent), better than 87% of US dialysis centers, and ranks #2 of 17 scored centers in Montana. CMS gives it 3 out of 5 stars.
Who owns DCI Big Sky?
DCI Big Sky is operated by Dialysis Clinic, Inc. and is a non-profit facility.
Source: CMS Provider Data Catalog, Dialysis Facility Compare and ICH-CAHPS (2026-09-29). Dialysis Scorecard is not affiliated with DCI Big Sky or Dialysis Clinic, Inc.. Data may lag real-world changes; verify with the center. Is this your center? Report a correction.