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Dr. Astier M. Alem, MD

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Specializes in: Adult Nephrology

Oregon Health & Science University School of Medicine (1992)

Professional interests include: chronic kidney disease (CKD), kidney failure, kidney stones

11911 Ne 132nd Street Suite 102
Kirkland, WA 98034

(425) 899-5111

Dr. Astier M. Alem, MD is a nephrologist in Kirkland, WA specializing in adult nephrology. She graduated from Oregon Health & Science University School of Medicine in 1992 and has 34 years of experience. Dr. Astier M. Alem, MD is affiliated with Providence and Evergreen Health.

Office Locations

Evergreen Health

11903 Ne 128th Street Suite B
Kirkland, WA 98034

(425) 899-5111

(425) 899-5114

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11911 Ne 132nd Street Suite 102
Kirkland, WA 98034

(425) 899-5111

(425) 899-5114

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13030 121st Way Northeast
Kirkland, WA 98034

(425) 899-5111

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Some issues Dr. Astier M. Alem, MD can help you with:

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

Noteworthy Medicare Patient Procedures Performed by Dr. Astier M. Alem, MD in 2024

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Affordability:

hospital care

inpatient care

inpatient hospital care

In 2012, Dr. Astier M. Alem, MD had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Washington. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2012 were hospital care, inpatient care, blood draw and lab tests.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

blood draw	229
dialysis	40
doctor visit	597
hospital care	432
inpatient care	432
lab tests	55

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2013 were hospital care, inpatient care, dialysis and lab tests.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

blood draw	20
dialysis	31
doctor visit	599
hospital care	269
inpatient care	269
lab tests	28

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	169
Female	207

**Ethnicity**
Non-Hispanic White	323
Black	0
Hispanic	0
Asian	33
Other	0
Native American	0

**Age**
From 65 to 74	115
From 75 to 84	132
85 and over	89
Less than 65	40

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2013

Hypertension	75
High Cholesterol	57
Stroke	8
Ischemic Heart Disease	53
Depression	24
Chronic Kidney Disease	75
Asthma	6
Osteoperosis	7
Atrial Fibrilation	22
Heart Failure	51
Chronic Obstructive Pulmonary Disease	14
Diabetes	48
Dementia	15
Cancer	13

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2014 were hospital care, inpatient care, dialysis and lab tests.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

dialysis	39
doctor visit	911
hospital care	140
inpatient care	140
lab tests	11

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	192
Female	249

**Ethnicity**
Non-Hispanic White	366
Black	11
Hispanic	0
Asian	37
Other	16
Native American	0

**Age**
From 65 to 74	137
From 75 to 84	161
85 and over	88
Less than 65	55

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2014

Hypertension	75
High Cholesterol	60
Stroke	7
Ischemic Heart Disease	50
Depression	25
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	7
Atrial Fibrilation	21
Heart Failure	43
Chronic Obstructive Pulmonary Disease	17
Diabetes	47
Dementia	14
Cancer	8

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2015 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

dialysis	32
doctor visit	856
hospital care	261
inpatient care	261

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	366
Female	434

**Ethnicity**
Non-Hispanic White	630
Black	32
Hispanic	0
Asian	90
Other	26
Native American	0

**Age**
From 65 to 74	256
From 75 to 84	298
85 and over	132
Less than 65	114

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2015

Hypertension	75
High Cholesterol	59
Stroke	7
Ischemic Heart Disease	51
Depression	27
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	9
Atrial Fibrilation	21
Heart Failure	44
Chronic Obstructive Pulmonary Disease	17
Diabetes	47
Dementia	14
Cancer	11

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2016 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

dialysis	62
doctor visit	728
hospital care	327
inpatient care	327

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	199
Female	204

**Ethnicity**
Non-Hispanic White	328
Black	0
Hispanic	0
Asian	41
Other	13
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	154
85 and over	53
Less than 65	69

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2016

Hypertension	75
High Cholesterol	55
Stroke	11
Ischemic Heart Disease	52
Depression	26
Chronic Kidney Disease	75
Asthma	20
Osteoperosis	6
Atrial Fibrilation	22
Heart Failure	44
Chronic Obstructive Pulmonary Disease	16
Diabetes	50
Dementia	16
Cancer	11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2017 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

dialysis	26
doctor visit	659
hospital care	154
inpatient care	154

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	188
Female	188

**Ethnicity**
Non-Hispanic White	302
Black	13
Hispanic	0
Asian	41
Other	0
Native American	0

**Age**
From 65 to 74	123
From 75 to 84	144
85 and over	53
Less than 65	56

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2017

Hypertension	75
High Cholesterol	52
Stroke	9
Ischemic Heart Disease	49
Depression	28
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	9
Atrial Fibrilation	20
Heart Failure	42
Chronic Obstructive Pulmonary Disease	13
Diabetes	51
Dementia	15
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2018 were hospital care, inpatient care, blood draw and dialysis.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

blood draw	87
dialysis	31
doctor visit	631
hospital care	190
inpatient care	190

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	168
Female	157

**Ethnicity**
Non-Hispanic White	257
Black	0
Hispanic	15
Asian	31
Other	0
Native American	0

**Age**
From 65 to 74	98
From 75 to 84	129
85 and over	51
Less than 65	47

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2018

Hypertension	75
High Cholesterol	61
Stroke	8
Ischemic Heart Disease	52
Depression	27
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	11
Atrial Fibrilation	22
Heart Failure	45
Chronic Obstructive Pulmonary Disease	14
Diabetes	52
Dementia	16
Cancer	14

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2019 were blood draw, hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

blood draw	141
dialysis	17
doctor visit	558
hospital care	130
inpatient care	130

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	160
Female	152

**Ethnicity**
Non-Hispanic White	235
Black	13
Hispanic	15
Asian	36
Other	0
Native American	0

**Age**
From 65 to 74	95
From 75 to 84	120
85 and over	54
Less than 65	43

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2019

Hypertension	75
High Cholesterol	66
Stroke	11
Ischemic Heart Disease	53
Depression	31
Chronic Kidney Disease	75
Asthma	7
Osteoperosis	9
Atrial Fibrilation	22
Heart Failure	44
Chronic Obstructive Pulmonary Disease	15
Diabetes	54
Dementia	18
Cancer	13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2020 were hospital care, inpatient care, dialysis and blood draw.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

blood draw	31
dialysis	46
doctor visit	606
hospital care	120
inpatient care	120

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	147
Female	136

**Ethnicity**
Non-Hispanic White	218
Black	0
Hispanic	11
Asian	34
Other	0
Native American	0

**Age**
From 65 to 74	101
From 75 to 84	96
85 and over	44
Less than 65	42

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2020

Hypertension	75
High Cholesterol	63
Stroke	6
Ischemic Heart Disease	46
Depression	26
Chronic Kidney Disease	75
Asthma	6
Osteoperosis	10
Atrial Fibrilation	20
Heart Failure	35
Chronic Obstructive Pulmonary Disease	11
Diabetes	51
Dementia	11
Cancer	10

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2021 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

dialysis	19
doctor visit	631
hospital care	123
inpatient care	123

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	137
Female	132

**Ethnicity**
Non-Hispanic White	216
Black	0
Hispanic	0
Asian	24
Other	11
Native American	0

**Age**
From 65 to 74	94
From 75 to 84	103
85 and over	38
Less than 65	34

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2021

Hypertension	75
High Cholesterol	64
Stroke	6
Ischemic Heart Disease	48
Depression	32
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	10
Atrial Fibrilation	22
Heart Failure	40
Chronic Obstructive Pulmonary Disease	13
Diabetes	53
Dementia	13
Cancer	10

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2022 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

dialysis	18
doctor visit	702
hospital care	168
inpatient care	168

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	146
Female	135

**Ethnicity**
Non-Hispanic White	221
Black	0
Hispanic	0
Asian	26
Other	15
Native American	0

**Age**
From 65 to 74	91
From 75 to 84	116
85 and over	35
Less than 65	39

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	41
Depression	27
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	17
Atrial Fibrilation	35
Heart Failure	44
Chronic Obstructive Pulmonary Disease	15
Diabetes	51
Dementia	11
Cancer	15

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2023 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

dialysis	26
doctor visit	613
hospital care	210
inpatient care	210

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	136
Female	109

**Ethnicity**
Non-Hispanic White	191
Black	0
Hispanic	0
Asian	23
Other	16
Native American	0

**Age**
From 65 to 74	88
From 75 to 84	87
85 and over	40
Less than 65	30

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2023

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	47
Depression	27
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	15
Atrial Fibrilation	31
Heart Failure	41
Chronic Obstructive Pulmonary Disease	16
Diabetes	56
Dementia	11
Cancer	16

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA during 2024 were hospital care and inpatient care.

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

doctor visit	466
hospital care	86
inpatient care	86

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Male	106
Female	88

**Ethnicity**
Non-Hispanic White	152
Black	0
Hispanic	0
Asian	19
Other	11
Native American	0

**Age**
From 65 to 74	63
From 75 to 84	84
85 and over	32
Less than 65	15

Conditions of Medicare patients treated by Dr. Astier M. Alem, MD in 2024

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	45
Depression	25
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	14
Atrial Fibrilation	31
Heart Failure	37
Chronic Obstructive Pulmonary Disease	15
Diabetes	45
Dementia	11
Cancer	17

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Astier M. Alem, MD for Medicare patients.

The highest averages for the top procedures that Dr. Astier M. Alem, MD treated as a nephrologist in Kirkland, WA were hospital care, inpatient care, blood draw and dialysis.

blood draw	101
dialysis	32
doctor visit	658
hospital care	200
inpatient care	200
lab tests	31

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Astier M. Alem, MD.

**Gender**
Female	168
Male	162

**Ethnicity**
Black / African American	5
Asian / Pacific Islander	33
Non-Hispanic White	264
Hispanic	3
Native American / Alaskan Native	0
Other	8

**Age**
85 and over	54
75 to 84	124
Less than 65	44
65 to 74	106

Average of Total of Conditions of Medicare patients treated by Dr. Astier M. Alem, MD From 2012 - 2024

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

Hypertension	69
High Cholesterol	58
Stroke	7
Ischemic Heart Disease	45
Depression	25
Chronic Kidney Disease	69
Asthma	9
Osteoporosis	9
Heart Failure	39
Chronic Obstructive Pulmonary Disease	13
Diabetes	46
Atrial Fibrillation	22
Dementia	12
Cancer	11

Education & Training

Dr. Astier M. Alem, MD graduated from Oregon Health & Science University School of Medicine in 1992. She completed residency at Yale University Affiliated Hospitals. She is certified by the Board Certified in Nephrology and has a state license in Washington.

Medical School: Oregon Health & Science University School of Medicine (1992)

Residency: Yale University Affiliated Hospitals

Board Certification: Board Certified in Nephrology

Licensed In: Washington

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General Payments

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

**Payments by Company**
AstraZeneca Pharmaceuticals LP	$406 LOKELMA $181	FARXIGA $125	BRILINTA $100
Novartis Pharmaceuticals Corporation	$202 Fabhalta $42	$160
Amgen Inc.	$138 Tavneos $126	KRYSTEXXA $12
Otsuka America Pharmaceutical, Inc.	$130 JYNARQUE $130
Genentech USA, Inc.	$120 $120
Other	$769 SOLIRIS $104	JESDUVROQ $101	ACTHAR $99	VELTASSA $97	System One $74	Other $294

**Types of Payments**
Food and Beverage	$1,556
Education	$209

Biography

Dr. Astier Alem is an adult nephrology specialist. These areas are among her clinical interests: kidney stones, chronic kidney disease (CKD), and kidney failure. Her hospital/clinic affiliations include Swedish Edmonds Campus, Providence, and Evergreen Health. Dr. Alem attended Oregon Health & Science University School of Medicine and then went on to complete her residency at a hospital affiliated with Yale University. She has received the following distinction: Seattle Magazine "Top Docs". Providence reports that Dr. Alem is accepting new patients at her office in Kirkland, WA.