Active NPI 1326272873 Individual Practitioner Male Practitioner

Dr. Rafael E Yanes , MD

Urology • Miami Beach, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Yanes, MD is a certified Urology practicing in Miami Beach, FL. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Yanes delivers high-quality medical care to the local community at 4302 ALTON RD STE 540.

Dr. Yanes is affiliated with Mount Sinai Medical Center Urology Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4302 Alton Rd Ste 540

Miami Beach, FL 331402842

Telephone 3056742499

Associated Practice Facility / Clinic

🏢 Mount Sinai Medical Center Urology, Llc Facility NPI 1871756064

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Miami Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +14.8 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

16 Specialists

Practicing in Miami Beach, FL (1082 Statewide)

Telehealth Adoption Rate

56.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Yanes (33 Years) 33 Yrs

Miami Beach Specialty Average (18.2 Years) 18.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	231	162	$228.00	$94.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	47	$337.00	$134.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$536.00	$178.10
36415 Insertion of needle into vein for collection of blood sample	25	20	$9.00	$8.65
52000 Diagnostic exam of bladder and urethra using an endoscope	24	20	$716.00	$239.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	22	$329.00	$124.12
52356 Crushing of stone of ureter with insertion of stent using an endoscope	24	22	$1417.00	$446.49
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	22	22	$852.00	$335.68
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$334.00	$89.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$449.00	$139.21
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	16	$520.00	$164.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	17	$228.00	$83.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	222	145	$228.00	$95.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$536.00	$175.71
99221 Initial hospital inpatient care per day, typically 30 minutes	53	50	$334.00	$92.81
36415 Insertion of needle into vein for collection of blood sample	50	35	$9.00	$8.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	26	$329.00	$128.69
74420 Imaging of urinary tract	31	21	$62.00	$25.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	24	$228.00	$85.63
99441 Telephone medical discussion with physician, 5-10 minutes	29	27	$150.00	$58.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$337.00	$134.02
52332 Insertion of stent in urinary duct (ureter) using an endoscope	25	21	$520.00	$172.63
52000 Diagnostic exam of bladder and urethra using an endoscope	25	25	$716.00	$252.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	291	168	$228.00	$97.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$536.00	$184.52
36415 Insertion of needle into vein for collection of blood sample	59	47	$9.00	$2.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	32	$228.00	$77.39
99221 Initial hospital inpatient care per day, typically 30 minutes	32	30	$334.00	$113.27
74420 Imaging of urinary tract	30	24	$62.00	$26.18
52000 Diagnostic exam of bladder and urethra using an endoscope	26	22	$716.00	$268.06
52356 Crushing of stone of ureter with insertion of stent using an endoscope	25	24	$1417.00	$482.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$337.00	$134.15
52332 Insertion of stent in urinary duct (ureter) using an endoscope	19	16	$594.58	$173.37
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	18	18	$852.00	$356.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	122	$228.00	$99.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$536.00	$185.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	32	$228.00	$78.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$337.00	$141.48
36415 Insertion of needle into vein for collection of blood sample	38	35	$9.00	$3.00
99221 Initial hospital inpatient care per day, typically 30 minutes	29	27	$334.00	$114.00
52000 Diagnostic exam of bladder and urethra using an endoscope	21	19	$716.00	$256.81
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	14	$520.00	$180.46
74420 Imaging of urinary tract	18	15	$62.00	$26.60
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	11	$852.00	$346.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$663.00	$245.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	102	$228.00	$82.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	28	$228.00	$80.03
99221 Initial hospital inpatient care per day, typically 30 minutes	49	42	$334.00	$116.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	37	$337.00	$118.76
36415 Insertion of needle into vein for collection of blood sample	41	32	$9.00	$2.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$536.00	$183.05
74420 Imaging of urinary tract	31	23	$62.00	$27.46
52000 Diagnostic exam of bladder and urethra using an endoscope	19	17	$716.00	$232.84
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	13	$520.00	$197.00
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$852.00	$323.55
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$1417.00	$466.11
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$663.00	$231.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	173	111	$228.00	$79.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	50	$337.00	$116.37
36415 Insertion of needle into vein for collection of blood sample	55	45	$9.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$536.00	$179.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	23	$228.00	$79.37
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$334.00	$113.48
74420 Imaging of urinary tract	25	24	$62.00	$27.37
52332 Insertion of stent in urinary duct (ureter) using an endoscope	21	16	$520.00	$166.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$663.00	$225.41
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	16	$1417.00	$483.13
52000 Diagnostic exam of bladder and urethra using an endoscope	18	15	$716.00	$205.74
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$852.00	$296.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	13	$128.00	$43.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	173	119	$228.00	$77.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$536.00	$179.32
36415 Insertion of needle into vein for collection of blood sample	52	42	$9.00	$2.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	28	$138.00	$46.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$348.00	$118.13
52000 Diagnostic exam of bladder and urethra using an endoscope	30	28	$716.00	$180.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$337.00	$112.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	18	$128.00	$42.99
99221 Initial hospital inpatient care per day, typically 30 minutes	18	15	$334.00	$112.98
52332 Insertion of stent in urinary duct (ureter) using an endoscope	17	15	$520.00	$175.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$663.00	$226.00
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	11	$852.00	$270.61
74420 Imaging of urinary tract	11	11	$62.00	$18.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	65	$228.00	$77.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$536.00	$177.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	37	$337.00	$114.01
99221 Initial hospital inpatient care per day, typically 30 minutes	37	35	$334.00	$112.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	24	$228.00	$77.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	25	$149.29	$42.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$348.00	$117.63
52000 Diagnostic exam of bladder and urethra using an endoscope	21	21	$716.00	$177.71
74420 Imaging of urinary tract	20	18	$78.54	$18.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	15	$520.00	$143.81
36415 Insertion of needle into vein for collection of blood sample	14	13	$9.00	$2.94
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$1543.08	$476.51

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME126647

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Mount Sinai Medical Center Urology Llc

4302 Alton Rd, Miami Beach, FL 331402842

Phone: 3056742499

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Heather Cazes

Nurse Practitioner - Primary Care

NPI 1003637364

Karla Pineda Gonzalez

Nurse Practitioner - Acute Care

NPI 1124717533

Dr. Leonardo Borregales , MD

Urology

NPI 1316391105

Doctor of Medicine (M.D.)

Dr. George Wayne , MD

Urology

NPI 1356791776

Doctor of Medicine (M.D.)

Yara Cabrera

Nurse Practitioner - Family

NPI 1487154316

Dr. Alan Polackwich , MD

Urology

NPI 1518128768

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2016

Registered at 4302 ALTON RD STE 540, MIAMI BEACH, FL 331402842 (Tel: 3056742499)

📍

Updated Business Mailing Address December 06, 2016

Registered at 4302 ALTON RD STE 540, MIAMI BEACH, FL 331402842 (Tel: 3056742499)

👤

Provider Name / Credentials Updated December 06, 2016

Recorded as RAFAEL YANES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2016

Urology (License #ME126647 in FL)

🟢

Initial NPI Registration & Enumeration May 13, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326272873

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 13, 2009

Last Update: December 06, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4302 Alton Rd Ste 540

Miami Beach, FL 331402842

Phone: 3056742499

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.