| National Provider Identifier [NPI]: | 1649238155 | 
| Last Name Of The Provider | ZURMEHLY | 
| First Name Of The Provider | KEITH | 
| Middle Initial Of The Provider | M | 
| Credentials Of The Provider | PA | 
| Gender Of The Provider | M | 
| Entity Type Of The Provider | I | 
| Street Address 1 Of The Provider | 222 PIEDMONT AVE | 
| Street Address 2 Of The Provider | SUITE 2200 | 
| City Of The Provider | CINCINNATI | 
| Zip Code Of The Provider | 452194231 | 
| State Code Of The Provider | OH | 
| Country Code Of The Provider | US | 
| Provider Type Of The Provider | Physician Assistant | 
| Medicare Participation Indicator | Y | 
| Number Of HCPCS | 18 | 
| Number Of Services | 81 | 
| Number Of Medicare Beneficiaries | 60 | 
| Total Submitted Charge Amount | 76667 | 
| Total Medicare Allowed Amount | 6031.73 | 
| Total Medicare Payment Amount | 4729.02 | 
| Total Medicare Standardized Payment Amount | 4965.84 | 
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 | 
| Number Of Drug Services | 0 | 
| Number Of Medicare Beneficiaries With Drug Services | 0 | 
| Total Drug Submitted ChargeAmount | 0 | 
| Total Drug Medicare AllowedAmount | 0 | 
| Total Drug Medicare PaymentAmount | 0 | 
| Total Drug Medicare Standardized Payment Amount | 0 | 
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 18 | 
| Number Of Medical Services | 81 | 
| Number Of Medicare Beneficiaries With Medical Services | 60 | 
| Total Medical Submitted Charge Amount | 76667 | 
| Total Medical Medicare Allowed Amount | 6031.73 | 
| Total Medical Medicare Payment Amount | 4729.02 | 
| Total Medical Medicare Standardized Payment Amount | 4965.84 | 
| Average Age Of Beneficiaries | 65 | 
| Number Of Beneficiaries Age Less65 | 28 | 
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | 16 | 
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 40 | 
| Number Of Male Beneficiaries | 20 | 
| Number Of Non Hispanic White Beneficiaries | 30 | 
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 31 | 
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 29 | 
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | |
| Percent Of With Cancer | 18 | 
| Percent Of With Heart Failure | |
| Percent Of With Chronic Kidney Disease | 27 | 
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | 35 | 
| Percent Of With Diabetes | 32 | 
| Percent Of With Hyperlipidemia | 57 | 
| Percent Of With Hypertension | 73 | 
| Percent Of With Ischemic Heart Disease | 27 | 
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 | 
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.2421 |