Dr. Astier Alem, MD
11911 Ne 132nd St Ste 102, Kirkland, WA 98034 • +1-506-555-5399
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Kirkland Percentiles
NPI #1801849948 • CBSA Regional • Nephrology
CMS Medicare Part B utilization records credit Dr. Astier Alem (MD, NPI 1801849948) at 11911 Ne 132nd St Ste 102 in Kirkland with 708 annual clinical services (194 beneficiaries), corresponding to a -0.48σ regional deviation and top-decile high-throughput specialist (99th percentile in Kirkland) with sub-specialty concentration in 11 Active CMS HCPCS Codes.
Dr. Alem's longitudinal care intensity (3.6 billed units per patient across 194 individuals) centers on 99214 (340 annual units) and 90960 ($600–$822 cash range).
Uninsured and high-deductible cash patients visiting Dr. Astier Alem in Kirkland (98034) face an estimated $222.00 initial evaluation fee at 11911 Ne 132nd St Ste 102 (in-person clinic visits only; 9-minute average reception wait; bedside manner 4.86/5 from 15 verified reports).
Patients evaluating Dr. Astier Alem in ZIP 98034 note 31 years of post-doctoral tenure (null, 1995) alongside 3.6 annual CMS procedures per patient.
Top 10% Nephrology volume leader in Kirkland, WA
708 annual services across 194 beneficiaries
Standard deviations from WA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 340 | 99th | $300 – $411 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 156 | 99.5th | $600 – $822 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 127 | 99.5th | $437 – $599 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 85 | 97th | $412 – $565 |
Are you Dr. Astier Alem? Embed your Official DotMD Verification Badge (0-JS SVG)
Paste this lightweight SVG snippet onto your clinic bio page in Kirkland, WA:
<a href="https://dotmd.com/doctors/astier-alem-md-kirkland-wa-1801849948" title="Dr. Astier Alem, MD - Verified CMS Utilization on DotMD"><img src="https://dotmd.com/badges/npi/1801849948.svg" alt="Dr. Astier Alem Nephrology Badge" width="280" height="72" /></a>
Dr. Astier Alem, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Alem National Provider Identifier | NPI #1801849948 (MD) | CMS NPPES Registry (98034) |
| Dr. Alem Kirkland CMS Volume Rank | 99.00th Pct (708 CMS svcs; Z -0.483σ) | CMS Medicare Part B (WA Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Kirkland, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 9 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
Ask our AI Specialists anything about Dr. Astier Alem
Dr. Alem Waiting-Room Q&A & Patient Experience Logs
Anonymous patient-submitted wait times, cash visit fees, and bedside manner discussions in Kirkland, WA.
Share your self-pay visit cost and lobby wait time—no account, email, or IP stored.
Filter Dr. Astier Alem community threads and patient logs by age, biological sex, dosage, and treatment duration.