Kalafer, Michael

Kalafer, Michael was paid $165K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 86% of everything it billed.

33Billing provider infoKALAFER, MICHAEL
CORONADO, CA 92118

33aNPI1053645671assigned 09/29/2009

33bProvider typePulmonary Disease Physician

28Total paid$165K

24GClaims9,050

24DCodes billed3

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in California

Rank by total paid#66 of 225

Median peer was paid$53K

This provider vs. median3.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,541	$31K
2019	1,361	$28K
2020	1,062	$17K
2021	1,061	$17K
2022	1,086	$19K
2023	1,686	$30K
2024incomplete	1,253	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	86%	8,243	2,328	$141K
99309	Subsequent nursing facility care, per day, low to moderate complexity	14%	793	353	$23K
99306	Prolong nursin fac eval 15m	<1%	14	14	$530.91

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.