Dr. Rafael Cartaya , MD
General Practice • Miami, FL
Professional Overview & Biography Verified Profile Summary
Dr. Rafael Cartaya, MD is a certified General Practice practicing in Miami, FL. With approximately 31 years of clinical experience since completing medical education in 1995, Dr. Cartaya delivers high-quality medical care to the local community at 8260 W FLAGLER ST STE 2I.
Dr. Cartaya maintains professional affiliations with Nova Hospitalist Group Llc, Nova Medical Services Llc and accepts Medicare assignment.
Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
8260 W Flagler St Ste 2i
Miami, FL 331442069
Medicare Profile & Education
Other
1995
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Miami, FL
Practicing in Miami, FL (2490 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
|
2,691 | 385 | $178.94 | $77.47 |
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
1,579 | 337 | $219.31 | $111.54 |
|
99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
|
749 | 254 | $220.09 | $111.13 |
|
99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
|
576 | 255 | $191.98 | $77.63 |
|
99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
|
101 | 84 | $265.48 | $138.47 |
|
99306
Initial nursing facility visit, typically 45 minutes per day
|
93 | 90 | $349.14 | $188.92 |
|
99497
Advance care planning, first 30 minutes
|
92 | 91 | $154.13 | $78.28 |
|
99316
Nursing facility discharge management, more than 30 minutes
|
52 | 50 | $266.92 | $136.41 |
|
99316
Nursing facility discharge management, more than 30 minutes
|
26 | 26 | $266.27 | $136.07 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
26 | 24 | $366.15 | $213.04 |
|
99306
Initial nursing facility visit, typically 45 minutes per day
|
25 | 23 | $356.40 | $188.71 |
|
99497
Advance care planning, first 30 minutes
|
25 | 25 | $155.40 | $85.77 |
|
99305
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes
|
19 | 18 | $264.05 | $138.63 |
|
99315
Nursing facility discharge day management, 30 minutes or less
|
17 | 17 | $172.29 | $84.97 |
|
99491
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month
|
15 | 15 | $170.00 | $87.27 |
|
G0506
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
|
13 | 13 | $128.00 | $64.03 |
|
99315
Nursing facility discharge day management, 30 minutes or less
|
13 | 13 | $168.69 | $84.29 |
|
G0180
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
|
11 | 11 | $133.36 | $55.63 |
Medical Specialties & State Licenses
CMS Verified: 2022-06-20NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Hospital & Practice Group Affiliations
Nova Medical Services Llc
8260 W Flager St, Miami, FL 331442069
Phone: 7867159183
Nova Hospitalist Group Llc
8260 W Flager St, Miami, FL 331442069
Phone: 8663471821
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 8260 W FLAGLER ST STE 2I, MIAMI, FL 331442069 (Tel: 7867159183)
Registered at 8260 W FLAGLER ST STE 2I, MIAMI, FL 331442069 (Tel: 7867159183)
NPI status registered as active in NPPES database
Registered at 222 W 42ND ST, HIALEAH, FL 330123913 (Tel: 7863513500)
Registered at 222 W 42ND ST, HIALEAH, FL 330123913 (Tel: 7863513500)
Recorded as RAFAEL CARTAYA, MD
General Practice (License #022581 in PR)
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
Mailing Address
8260 W Flagler St Ste 2i
Miami, FL 331442069
Phone: 7867159183
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