DEAN M KELAITA M D MEDICAL
NPI: 1548930803
· SAN ANDREAS, CA 95249
· Internal Medicine Physician
· NPI assigned 09/17/2021
$843.72
Total Medicaid Paid
Provider Details
| Authorized Official | KELAITA, DEAN (CEO) |
| NPI Enumeration Date | 09/17/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
34 |
$239.25 |
| 2024 |
29 |
$604.47 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99308 |
Subsequent nursing facility care, per day, straightforward |
17 |
16 |
$445.50 |
| 99497 |
|
17 |
16 |
$199.25 |
| 99491 |
Ccm add 20min |
12 |
12 |
$158.97 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17 |
16 |
$40.00 |