Active NPI 1710181532 Individual Practitioner Female Practitioner

Susan Ann Hollobaugh , PA

Physician Assistant • Mentor, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Susan Hollobaugh, PA is a certified Physician Assistant practicing in Mentor, OH. With approximately 29 years of clinical experience since completing medical education in 1997, Susan Hollobaugh delivers high-quality medical care to the local community at 9500 MENTOR AVE.

Susan Hollobaugh is affiliated with Lake Hospital System, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9500 Mentor Ave
Suite 100

Mentor, OH 440608713

Telephone 4403524880

Fax 4403523629

Associated Practice Facility / Clinic

🏢 Lake Orthopaedic Associates, Inc. Facility NPI 1780613851

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mentor, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +18.8 yrs vs City Avg

City Avg: 10.2 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

18 Specialists

Practicing in Mentor, OH (5376 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hollobaugh (29 Years) 29 Yrs

Mentor Specialty Average (10.2 Years) 10.2 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	240	126	$200.75	$71.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	94	94	$214.70	$81.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	37	$171.05	$52.57
81003 Automated urinalysis test	51	38	$16.53	$2.14
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	47	41	$50.00	$12.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	12	$77.87	$10.95
G0008 Administration of influenza virus vaccine	30	29	$65.80	$30.40
90662 Influenza vaccine split virus, preservative free	29	28	$136.00	$81.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$207.00	$101.66
83036 Hemoglobin A1C level	21	16	$15.33	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$46.11	$11.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	154	95	$259.87	$64.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	132	90	$244.27	$52.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$225.00	$36.12
81003 Automated urinalysis test	65	51	$21.00	$2.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	40	$312.59	$79.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	11	$81.21	$11.34
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$48.57	$11.68
G0008 Administration of influenza virus vaccine	16	16	$66.00	$29.36
90662 Influenza vaccine split virus, preservative free	14	14	$138.00	$71.93
83036 Hemoglobin A1C level	14	12	$18.00	$9.52
G0009 Administration of pneumococcal vaccine	11	11	$66.00	$29.36
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$599.00	$280.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	80	$273.00	$65.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	91	$252.00	$52.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	83	$309.98	$78.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	72	72	$224.98	$32.25
81003 Automated urinalysis test	66	50	$20.98	$2.19
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$48.00	$11.76
81001 Manual urinalysis test with examination using microscope, automated	17	15	$21.00	$3.13
G0008 Administration of influenza virus vaccine	16	16	$66.00	$27.95
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$42.00	$20.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	72	$260.00	$75.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	72	$295.00	$106.78
81003 Automated urinalysis test	75	60	$20.00	$2.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	55	$240.00	$46.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$214.00	$109.36
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$48.00	$12.19
G0008 Administration of influenza virus vaccine	21	21	$62.00	$16.19
90662 Influenza vaccine split virus, preservative free	21	21	$131.00	$62.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	116	70	$260.00	$61.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	40	$240.00	$37.28
81003 Automated urinalysis test	72	50	$20.00	$2.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	41	$295.00	$86.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$214.00	$95.02
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$48.00	$13.95
G0008 Administration of influenza virus vaccine	22	21	$62.00	$16.00
81001 Manual urinalysis test with examination using microscope, automated	17	14	$21.00	$3.15
G0009 Administration of pneumococcal vaccine	16	16	$62.00	$15.89
90662 Influenza vaccine split virus, preservative free	15	15	$115.00	$60.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	91	$190.93	$60.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	45	$149.74	$36.49
81003 Automated urinalysis test	110	73	$20.00	$2.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	60	$232.92	$86.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	45	45	$214.00	$94.30
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$48.00	$13.81
81001 Manual urinalysis test with examination using microscope, automated	23	19	$21.00	$3.45
G0008 Administration of influenza virus vaccine	16	16	$62.00	$15.75
G0009 Administration of pneumococcal vaccine	16	16	$62.00	$15.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$162.00	$111.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	97	$181.00	$59.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	56	$140.00	$35.67
81003 Automated urinalysis test	116	72	$16.07	$2.71
85610 Blood test, clotting time	107	14	$8.73	$4.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	52	$224.00	$88.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$214.00	$95.01
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$62.37	$13.80
81001 Manual urinalysis test with examination using microscope, automated	18	15	$21.00	$3.84
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	15	15	$101.00	$30.96
G0008 Administration of influenza virus vaccine	14	14	$57.43	$19.29
G0009 Administration of pneumococcal vaccine	14	14	$62.00	$19.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	183	112	$177.10	$59.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	35	$137.53	$35.24
85610 Blood test, clotting time	154	19	$8.00	$5.28
81003 Automated urinalysis test	114	68	$8.00	$3.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	49	$230.28	$87.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$213.89	$93.93
G0009 Administration of pneumococcal vaccine	21	20	$62.00	$23.76
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$87.00	$13.75
G0008 Administration of influenza virus vaccine	20	20	$30.00	$23.76
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	18	18	$40.00	$11.80
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	15	15	$101.00	$31.13
81001 Manual urinalysis test with examination using microscope, automated	14	12	$21.00	$4.26
90670 Pneumococcal vaccine for injection into muscle	11	11	$270.00	$186.73

Medical Specialties & State Licenses

CMS Verified: 2021-03-03

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 1142

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.

Hospital & Practice Group Affiliations

Lake Hospital System, Inc.

9500 Mentor Ave, Mentor, OH 440608714

Lake Hospital System, Inc.

36500 Euclid Ave, Willoughby, OH 440944455

Phone: 4405160530

Lake Hospital System, Inc.

11100 Euclid Ave, Cleveland, OH 441061716

Lake Hospital System, Inc.

11100 Euclid Ave, Cleveland, OH 441061716

Practice Associates & Co-Workers

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

20 Associated Practitioners

Sara Brown

Family Medicine

NPI 1003312760

Dr. Mark Komar , MD

Family Medicine

NPI 1003883711

Doctor of Medicine (M.D.)

Dr. Marc Mcnaughton , MD

Family Medicine

NPI 1114993029

Doctor of Medicine (M.D.)

Dr. Marren Weber , DO

Family Medicine

NPI 1184814790

Doctor of Osteopathic Medicine (D.O.)

Dr. Richard Kucera , MD

Family Medicine

NPI 1326015041

Doctor of Medicine (M.D.)

Dr. Richard Berry , MD

Family Medicine

NPI 1346636628

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 July 19, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 19, 2011

Registered at 9500 MENTOR AVE, SUITE 100, MENTOR, OH 440608713 (Tel: 4403524880)

📍

Updated Business Mailing Address July 19, 2011

Registered at 9500 MENTOR AVENUE, SUITE 100, MENTOR, OH 440608713 (Tel: 4403524880)

👤

Provider Name / Credentials Updated July 19, 2011

Recorded as SUSAN HOLLOBAUGH, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2011

Physician Assistant (License #1142 in OH)

🟢

Initial NPI Registration & Enumeration June 14, 2007

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: 1710181532

Entity Type:

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

Enumeration Date: June 14, 2007

Last Update: March 03, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9500 Mentor Avenue, Suite 100

Mentor, OH 440608713

Phone: 4403524880

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.