| National Provider Identifier [NPI]: | 1295745149 |
| Last Name Of The Provider | URTHALER |
| First Name Of The Provider | FERDINAND |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 619 19TH STREET SOUTH |
| Street Address 2 Of The Provider | |
| City Of The Provider | BIRMINGHAM |
| Zip Code Of The Provider | 35233 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 17 |
| Number Of Services | 7954 |
| Number Of Medicare Beneficiaries | 5075 |
| Total Submitted Charge Amount | 437474 |
| Total Medicare Allowed Amount | 100519.22 |
| Total Medicare Payment Amount | 71097.17 |
| Total Medicare Standardized Payment Amount | 77890.86 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 217 |
| Number Of Medicare Beneficiaries With Drug Services | 54 |
| Total Drug Submitted ChargeAmount | 27002 |
| Total Drug Medicare AllowedAmount | 11478.02 |
| Total Drug Medicare PaymentAmount | 8231.6 |
| Total Drug Medicare Standardized Payment Amount | 8231.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 15 |
| Number Of Medical Services | 7737 |
| Number Of Medicare Beneficiaries With Medical Services | 5075 |
| Total Medical Submitted Charge Amount | 410472 |
| Total Medical Medicare Allowed Amount | 89041.2 |
| Total Medical Medicare Payment Amount | 62865.57 |
| Total Medical Medicare Standardized Payment Amount | 69659.26 |
| Average Age Of Beneficiaries | 69 |
| Number Of Beneficiaries Age Less65 | 1289 |
| Number Of Beneficiaries Age 65 to 74 | 2132 |
| Number Of Beneficiaries Age 75 to 84 | 1308 |
| Number Of Beneficiaries Age Greater 84 | 346 |
| Number Of Female Beneficiaries | 2459 |
| Number Of Male Beneficiaries | 2616 |
| Number Of Non Hispanic White Beneficiaries | 3914 |
| Number Of Black or African American Beneficiaries | 1039 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 41 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 54 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4138 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 937 |
| Percent Of With Atrial Fibrillation | 26 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.8317 |