Active NPI 1215321880 Individual Practitioner Female Practitioner

Susan Bolotin

Physician Assistant • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Susan Bolotin is a registered healthcare professional specializing in Physician Assistant in Mesa, AZ. Practice services are available at 1810 S POWER RD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19), established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1810 S Power Rd

Mesa, AZ 852064303

Telephone 4802140045

Fax 4809245844

Associated Practice Facility / Clinic

🏢 Tri-City Express Care Pllc Facility NPI 1962786269

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.6 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

474 Specialists

Practicing in Mesa, AZ (3711 Statewide)

Telehealth Adoption Rate

8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$328.00	$92.87
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	13	13	$324.00	$40.55
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$229.00	$74.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$327.53	$94.04
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	67	67	$208.16	$40.98
99213 Established patient office or other outpatient visit, typically 15 minutes	58	53	$230.22	$76.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$497.19	$140.66
81003 Automated urinalysis test	40	40	$9.00	$2.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$329.60	$107.91
87804 Detection test by immunoassay with direct visual observation for influenza virus	37	22	$50.00	$16.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$329.00	$95.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	53	$132.00	$68.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$207.00	$99.12
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$162.00	$70.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	256	244	$132.00	$66.43
81003 Automated urinalysis test	49	49	$25.00	$2.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$207.00	$95.32
85610 Blood test, clotting time	14	11	$37.00	$4.28
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$50.00	$16.20
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$80.00	$15.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	92	$132.00	$64.92
81003 Automated urinalysis test	18	16	$25.00	$2.71

Medical Specialties & State Licenses

CMS Verified: 2022-11-25

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 8261

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IL 085-005334

Practice Associates & Co-Workers

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

1 Associated Practitioners

Tori Shaw , FNP

Nurse Practitioner

NPI 1144042342

Family Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 25, 2022

Registered at 1810 S POWER RD, MESA, AZ 852064303 (Tel: 4802140045)

📍

Updated Business Mailing Address November 25, 2022

Registered at 1810 S POWER RD, MESA, AZ 852064303

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2022

Physician Assistant (License #8261 in AZ)

✅

NPI Profile Active July 14, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2016

Registered at 720 FLORSHEIM DR, LIBERTYVILLE, IL 600483757 (Tel: 8472474000)

📍

Updated Business Mailing Address July 14, 2016

Registered at 900 RAND RD, SUITE 300, DES PLAINES, IL 600162359 (Tel: 8473243976)

👤

Provider Name / Credentials Updated July 14, 2016

Recorded as SUSAN BOLOTIN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2016

Physician Assistant (License #085-005334 in IL)

🟢

Initial NPI Registration & Enumeration March 23, 2015

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: 1215321880

Entity Type:

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

Enumeration Date: March 23, 2015

Last Update: November 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1810 S Power Rd

Mesa, AZ 852064303

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.