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Dr. Madhukar Misra, MD

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Specializes in: Adult Nephrology

Professional interests include: hypertension (high blood pressure), kidney problems, dialysis

1020 Hitt Street
Columbia, MO 65212

(573) 882-8788

Dr. Madhukar Misra, MD is a nephrologist in Columbia, MO specializing in adult nephrology. Dr. Madhukar Misra, MD is affiliated with University of Missouri Health Care and THE CURATORS OF THE UNIVERSITY OF MISSOURI.

Office Locations

1 Hospital Drive
Columbia, MO

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1020 Hitt Street
Columbia, MO 65212

(573) 882-8788

(573) 882-3131

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Some issues Dr. Madhukar Misra, MD can help you with:

Dialysis

Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.

A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:

Type 1 and 2 Diabetes
Pyelonephritis, recurring kidney infection
Glomerulonephritis, inflammation of the kidney's filtering parts
Polycystic kidney disease
Interstitial nephritis, inflammation of the kidney's tubules
High blood pressure
Vesicoureteral reflux, improper bladder emptying

For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.

A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2012 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

dialysis	92
doctor visit	331
hospital care	188
inpatient care	188

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2013 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

dialysis	111
doctor visit	282
hemofiltration	23
hospital care	209
inpatient care	209

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	145
Female	157

**Ethnicity**
Non-Hispanic White	235
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	106
From 75 to 84	60
85 and over	24
Less than 65	112

Conditions of Medicare patients treated by Dr. Madhukar Misra, MD in 2013

Hypertension	75
High Cholesterol	63
Stroke	8
Ischemic Heart Disease	49
Depression	39
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	8
Atrial Fibrilation	16
Heart Failure	48
Chronic Obstructive Pulmonary Disease	26
Diabetes	53
Dementia	11
Cancer	10

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2014 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

dialysis	68
doctor visit	297
hospital care	169
inpatient care	169

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	134
Female	152

**Ethnicity**
Non-Hispanic White	228
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	98
From 75 to 84	59
85 and over	22
Less than 65	107

Conditions of Medicare patients treated by Dr. Madhukar Misra, MD in 2014

Hypertension	75
High Cholesterol	63
Stroke	6
Ischemic Heart Disease	54
Depression	41
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	9
Atrial Fibrilation	23
Heart Failure	44
Chronic Obstructive Pulmonary Disease	31
Diabetes	56
Dementia	10
Cancer	10

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2015 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

dialysis	63
doctor visit	258
hospital care	290
inpatient care	290

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	288
Female	292

**Ethnicity**
Non-Hispanic White	456
Black	102
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	228
From 75 to 84	0
85 and over	0
Less than 65	226

Conditions of Medicare patients treated by Dr. Madhukar Misra, MD in 2015

Hypertension	75
High Cholesterol	63
Stroke	9
Ischemic Heart Disease	47
Depression	37
Chronic Kidney Disease	75
Asthma	18
Osteoperosis	8
Atrial Fibrilation	17
Heart Failure	42
Chronic Obstructive Pulmonary Disease	23
Diabetes	59
Dementia	11
Cancer	8

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2016 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

dialysis	43
doctor visit	323
hospital care	370
inpatient care	370

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	196
Female	151

**Ethnicity**
Non-Hispanic White	272
Black	48
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	119
From 75 to 84	0
85 and over	0
Less than 65	129

Conditions of Medicare patients treated by Dr. Madhukar Misra, MD in 2016

Hypertension	75
High Cholesterol	65
Stroke	6
Ischemic Heart Disease	52
Depression	35
Chronic Kidney Disease	75
Asthma	33
Osteoperosis	6
Atrial Fibrilation	18
Heart Failure	48
Chronic Obstructive Pulmonary Disease	29
Diabetes	64
Dementia	15
Cancer	11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2017 were hospital care and inpatient care.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

doctor visit	214
hospital care	150
inpatient care	150

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	122
Female	106

**Ethnicity**
Non-Hispanic White	183
Black	34
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	78
From 75 to 84	56
85 and over	12
Less than 65	82

Conditions of Medicare patients treated by Dr. Madhukar Misra, MD in 2017

Hypertension	75
High Cholesterol	69
Stroke	7
Ischemic Heart Disease	54
Depression	36
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	7
Atrial Fibrilation	18
Heart Failure	50
Chronic Obstructive Pulmonary Disease	29
Diabetes	66
Dementia	16
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2018 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

dialysis	55
doctor visit	166
hospital care	185
inpatient care	185

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	121
Female	114

**Ethnicity**
Non-Hispanic White	186
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	76
From 75 to 84	0
85 and over	0
Less than 65	96

Conditions of Medicare patients treated by Dr. Madhukar Misra, MD in 2018

Hypertension	75
High Cholesterol	69
Stroke	11
Ischemic Heart Disease	56
Depression	41
Chronic Kidney Disease	75
Asthma	10
Osteoperosis	8
Atrial Fibrilation	22
Heart Failure	53
Chronic Obstructive Pulmonary Disease	31
Diabetes	60
Dementia	12
Cancer	13

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2019 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

dialysis	102
doctor visit	149
hemofiltration	26
hospital care	346
inpatient care	346

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	146
Female	128

**Ethnicity**
Non-Hispanic White	219
Black	39
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	104
From 75 to 84	50
85 and over	15
Less than 65	105

Conditions of Medicare patients treated by Dr. Madhukar Misra, MD in 2019

Hypertension	75
High Cholesterol	68
Stroke	11
Ischemic Heart Disease	56
Depression	41
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	11
Atrial Fibrilation	17
Heart Failure	61
Chronic Obstructive Pulmonary Disease	31
Diabetes	58
Dementia	18
Cancer	12

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2020 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

dialysis	76
doctor visit	72
hospital care	102
inpatient care	102

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	89
Female	79

**Ethnicity**
Non-Hispanic White	138
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	60
From 75 to 84	0
85 and over	0
Less than 65	65

Conditions of Medicare patients treated by Dr. Madhukar Misra, MD in 2020

Hypertension	75
High Cholesterol	65
Stroke	10
Ischemic Heart Disease	57
Depression	37
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	10
Atrial Fibrilation	18
Heart Failure	58
Chronic Obstructive Pulmonary Disease	27
Diabetes	61
Dementia	15
Cancer	13

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2021 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

dialysis	71
doctor visit	84
hemofiltration	16
hospital care	133
inpatient care	133

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	103
Female	85

**Ethnicity**
Non-Hispanic White	152
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	66
From 75 to 84	0
85 and over	0
Less than 65	67

Conditions of Medicare patients treated by Dr. Madhukar Misra, MD in 2021

Hypertension	75
High Cholesterol	66
Stroke	10
Ischemic Heart Disease	51
Depression	46
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	8
Atrial Fibrilation	18
Heart Failure	53
Chronic Obstructive Pulmonary Disease	28
Diabetes	66
Dementia	20
Cancer	12

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO during 2022 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

dialysis	55
doctor visit	75
hospital care	146
inpatient care	146

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	87
Female	83

**Ethnicity**
Non-Hispanic White	140
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	62
From 75 to 84	0
85 and over	0
Less than 65	67

Conditions of Medicare patients treated by Dr. Madhukar Misra, MD in 2022

Hypertension	75
High Cholesterol	69
Stroke	15
Ischemic Heart Disease	49
Depression	38
Chronic Kidney Disease	75
Asthma	15
Osteoperosis	11
Atrial Fibrilation	35
Heart Failure	49
Chronic Obstructive Pulmonary Disease	31
Diabetes	55
Dementia	15
Cancer	15

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Madhukar Misra, MD for Medicare patients.

The highest averages for the top procedures that Dr. Madhukar Misra, MD treated as a nephrologist in Columbia, MO were hospital care, inpatient care, dialysis and hemofiltration.

dialysis	73
doctor visit	204
hemofiltration	21
hospital care	208
inpatient care	208

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Madhukar Misra, MD.

**Gender**
Male	130
Female	122

**Ethnicity**
Black / African American	20
Asian / Pacific Islander	0
Non-Hispanic White	200
Native American / Alaskan Native	0
Hispanic	0
Other	1

**Age**
75 to 84	20
85 and over	6
Less than 65	96
65 to 74	90

Average of Total of Conditions of Medicare patients treated by Dr. Madhukar Misra, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Madhukar Misra, MD treated were chronic kidney disease, hypertension, high cholesterol and diabetes.

Hypertension	68
High Cholesterol	60
Stroke	8
Ischemic Heart Disease	47
Depression	35
Chronic Kidney Disease	68
Asthma	12
Osteoporosis	7
Heart Failure	46
Chronic Obstructive Pulmonary Disease	26
Diabetes	54
Atrial Fibrillation	18
Dementia	13
Cancer	10

Education & Training

He completed residency at University of Missouri Health System. He is certified by the American Board of Internal Medicine/Nephrology and has a state license in Missouri.

Residency: University of Missouri Health System

Board Certification: American Board of Internal Medicine/Nephrology

Licensed In: Missouri

Affiliations & Hospitals

Dr. Madhukar Misra, MD is associated with these hospitals and organizations:

University of Missouri Health Care

THE CURATORS OF THE UNIVERSITY OF MISSOURI

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General Payments

These charts describe general payments received by Dr. Madhukar Misra, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Fresenius USA Marketing, Inc.	$3,818 Velphoro $2,308	$1,511
Baxter Healthcare	$1,628 Baxter $1,613	Renal - Amia $15
Relypsa, Inc.	$103 VELTASSA $103
Genentech USA, Inc.	$101 Rituxan $101
Otsuka America Pharmaceutical, Inc.	$82 JYNARQUE $69	SAMSCA $13
Other	$754 ACTHAR $119	Auryxia $78	(815) Thiola $60	System One $53	KRYSTEXXA $35	Other $409

**Types of Payments**
Consulting Fee	$2,000
Honoraria	$1,525
Compensation for serving as faculty or as a speaker for a medical education program	$1,350
Food and Beverage	$1,336
Travel and Lodging	$275

Biography

Dr. Madhukar Misra sees patients in Columbia, MO. His medical specialty is adult nephrology. Dr. Misra has a special interest in hypertension (high blood pressure), kidney problems, and dialysis. He is affiliated with the University of Missouri Health Care. For his residency, Dr. Misra trained at the University of Missouri Health System. He has received distinctions including Outstanding Teaching Fellow in Nephrology, University of Missouri; Honors in Ophthalmology; and Honors in OB & GYN.