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Dr. Ravi Nistala, MD

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Specializes in: Adult Nephrology

Grant Medical College

Professional interests include: chronic kidney disease (CKD), hypertension (high blood pressure), kidney problems, and more.

1125 Madison Street 2nd Floor
Jefferson City, MO

(573) 634-2620

Dr. Ravi Nistala, MD is a nephrologist in Columbia, MO specializing in adult nephrology. He graduated from Grant Medical College. Dr. Ravi Nistala, MD is affiliated with University of Missouri Health Care.

Office Locations

1101 Hospital Drive
Columbia, MO 65212

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University of Missouri Health Care

1125 Madison Street 2nd Floor
Jefferson City, MO

(573) 634-2620

(573) 634-2033

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Some issues Dr. Ravi Nistala, 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. Ravi Nistala, MD treated as a nephrologist in Columbia, MO during 2012 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

dialysis	126
doctor visit	61
hospital care	348
inpatient care	348

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

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

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

dialysis	164
doctor visit	68
hemofiltration	22
hospital care	451
inpatient care	451

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Ravi Nistala, MD.

**Gender**
Male	122
Female	107

**Ethnicity**
Non-Hispanic White	191
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	69
From 75 to 84	42
85 and over	13
Less than 65	105

Conditions of Medicare patients treated by Dr. Ravi Nistala, MD in 2013

Hypertension	75
High Cholesterol	64
Stroke	10
Ischemic Heart Disease	62
Depression	48
Chronic Kidney Disease	75
Asthma	18
Osteoperosis	6
Atrial Fibrilation	20
Heart Failure	65
Chronic Obstructive Pulmonary Disease	36
Diabetes	60
Dementia	14
Cancer	6

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

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

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

dialysis	136
doctor visit	91
hemofiltration	55
hospital care	408
inpatient care	408

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Ravi Nistala, MD.

**Gender**
Male	111
Female	106

**Ethnicity**
Non-Hispanic White	172
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	73
From 75 to 84	43
85 and over	11
Less than 65	90

Conditions of Medicare patients treated by Dr. Ravi Nistala, MD in 2014

Hypertension	75
High Cholesterol	69
Stroke	12
Ischemic Heart Disease	63
Depression	55
Chronic Kidney Disease	75
Asthma	17
Osteoperosis	6
Atrial Fibrilation	24
Heart Failure	60
Chronic Obstructive Pulmonary Disease	43
Diabetes	69
Dementia	17
Cancer	9

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

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

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

dialysis	105
doctor visit	121
hemofiltration	26
hospital care	576
inpatient care	576

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Ravi Nistala, MD.

**Gender**
Male	232
Female	220

**Ethnicity**
Non-Hispanic White	358
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	164
From 75 to 84	90
85 and over	22
Less than 65	176

Conditions of Medicare patients treated by Dr. Ravi Nistala, MD in 2015

Hypertension	75
High Cholesterol	73
Stroke	12
Ischemic Heart Disease	62
Depression	46
Chronic Kidney Disease	75
Asthma	25
Osteoperosis	7
Atrial Fibrilation	20
Heart Failure	58
Chronic Obstructive Pulmonary Disease	35
Diabetes	68
Dementia	15
Cancer	10

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Ravi Nistala, MD treated as a nephrologist in Columbia, MO during 2017 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

dialysis	319
doctor visit	13
hemofiltration	72
hospital care	1042
inpatient care	1042

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Ravi Nistala, MD.

**Gender**
Male	143
Female	114

**Ethnicity**
Non-Hispanic White	203
Black	41
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	76
From 75 to 84	49
85 and over	11
Less than 65	121

Conditions of Medicare patients treated by Dr. Ravi Nistala, MD in 2017

Hypertension	75
High Cholesterol	68
Stroke	10
Ischemic Heart Disease	68
Depression	45
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	4
Atrial Fibrilation	25
Heart Failure	68
Chronic Obstructive Pulmonary Disease	40
Diabetes	67
Dementia	24
Cancer	11

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

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

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

dialysis	268
doctor visit	18
hemofiltration	77
hospital care	580
inpatient care	580

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Ravi Nistala, MD.

**Gender**
Male	118
Female	103

**Ethnicity**
Non-Hispanic White	175
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	58
From 75 to 84	0
85 and over	0
Less than 65	120

Conditions of Medicare patients treated by Dr. Ravi Nistala, MD in 2018

Hypertension	75
High Cholesterol	74
Stroke	14
Ischemic Heart Disease	67
Depression	54
Chronic Kidney Disease	75
Asthma	10
Osteoperosis	9
Atrial Fibrilation	19
Heart Failure	67
Chronic Obstructive Pulmonary Disease	34
Diabetes	68
Dementia	19
Cancer	8

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

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

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

dialysis	268
hemofiltration	71
hospital care	577
inpatient care	577

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Ravi Nistala, MD.

**Gender**
Male	128
Female	110

**Ethnicity**
Non-Hispanic White	200
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	77
From 75 to 84	0
85 and over	0
Less than 65	117

Conditions of Medicare patients treated by Dr. Ravi Nistala, MD in 2019

Hypertension	75
High Cholesterol	71
Stroke	12
Ischemic Heart Disease	64
Depression	49
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	7
Atrial Fibrilation	29
Heart Failure	71
Chronic Obstructive Pulmonary Disease	35
Diabetes	61
Dementia	20
Cancer	9

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

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

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

dialysis	105
hemofiltration	21
hospital care	215
inpatient care	215

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Ravi Nistala, MD.

**Gender**
Male	71
Female	47

**Ethnicity**
Non-Hispanic White	95
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	32
From 75 to 84	0
85 and over	0
Less than 65	64

Conditions of Medicare patients treated by Dr. Ravi Nistala, MD in 2020

Hypertension	75
High Cholesterol	69
Stroke	14
Ischemic Heart Disease	70
Depression	56
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	0
Atrial Fibrilation	28
Heart Failure	69
Chronic Obstructive Pulmonary Disease	38
Diabetes	63
Dementia	27
Cancer	9

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

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

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

dialysis	45
hospital care	157
inpatient care	157

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Ravi Nistala, MD.

**Gender**
Male	46
Female	44

**Ethnicity**
Non-Hispanic White	69
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	31
From 75 to 84	0
85 and over	0
Less than 65	39

Conditions of Medicare patients treated by Dr. Ravi Nistala, MD in 2021

Hypertension	75
High Cholesterol	68
Stroke	13
Ischemic Heart Disease	62
Depression	51
Chronic Kidney Disease	75
Asthma	0
Osteoperosis	0
Atrial Fibrilation	24
Heart Failure	71
Chronic Obstructive Pulmonary Disease	40
Diabetes	69
Dementia	26
Cancer	0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

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

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

dialysis	66
hemofiltration	25
hospital care	175
inpatient care	175

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Ravi Nistala, MD.

**Gender**
Male	60
Female	40

**Ethnicity**
Non-Hispanic White	81
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	30
From 75 to 84	0
85 and over	0
Less than 65	43

Conditions of Medicare patients treated by Dr. Ravi Nistala, MD in 2022

Hypertension	75
High Cholesterol	66
Stroke	13
Ischemic Heart Disease	50
Depression	42
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	15
Atrial Fibrilation	45
Heart Failure	68
Chronic Obstructive Pulmonary Disease	34
Diabetes	58
Dementia	17
Cancer	12

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Ravi Nistala, MD for Medicare patients.

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

dialysis	160
doctor visit	62
hemofiltration	46
hospital care	452
inpatient care	452

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Ravi Nistala, MD.

**Gender**
Male	103
Female	89

**Ethnicity**
Black / African American	4
Asian / Pacific Islander	0
Non-Hispanic White	154
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	22
85 and over	5
Less than 65	87
65 to 74	61

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

The highest averages of the most common conditions of Medicare patients that Dr. Ravi Nistala, MD treated were chronic kidney disease, hypertension, high cholesterol and heart failure.

Hypertension	67
High Cholesterol	62
Stroke	11
Ischemic Heart Disease	56
Depression	44
Chronic Kidney Disease	67
Asthma	11
Osteoporosis	5
Heart Failure	59
Chronic Obstructive Pulmonary Disease	33
Diabetes	58
Atrial Fibrillation	23
Dementia	17
Cancer	7

Education & Training

Dr. Ravi Nistala, MD graduated from Grant Medical College. 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.

Medical School: Grant Medical College

Residency: University of Missouri Health System

Board Certification: American Board of Internal Medicine/Nephrology

Licensed In: Missouri

Affiliations & Hospitals

Dr. Ravi Nistala, MD is associated with these hospitals and organizations:

University of Missouri Health Care

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General Payments

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

**Payments by Company**
Questcor Pharmaceuticals	$65 ACTHAR $65
Alexion Pharmaceuticals, Inc.	$61 SOLIRIS $61
Keryx Biopharmaceuticals, Inc.	$45 Auryxia $45
Genentech USA, Inc.	$39 Rituxan $39
Amgen Inc.	$36 Sensipar $36
Other	$117 PNEUMOVAX 23 $23	VELTASSA $23	Renal - Amia $15	$56

**Types of Payments**
Food and Beverage	$362

Biography

Dr. Ravi Nistala is a specialist in adult nephrology in Columbia, MO and Jefferson City, MO. Dr. Nistala's areas of expertise include acute kidney injury (AKI), hypertension (high blood pressure), and chronic kidney disease (CKD). He studied medicine at Grant Medical College. His training includes a residency program at the University of Missouri Health System. He is professionally affiliated with the University of Missouri Health Care.