Dermatology · Syracuse, NY
NPI
1770578601
Since 2005
Specialty
Dermatology
Code 207N00000X
Group practices
1
Medicare group memberships
Hospitals
1
Hospital affiliations
2949 Erie Boulevard East
Syracuse, NY, 13224
Phone (315) 579-9037
Groups this clinician bills Medicare through
Medicare paid, 2024
$138K
2,798 services
Medicare patients, 2024
639
Average age 76
Drug cost, 2024
$543K
2,202 prescriptions
Company payments, 2023
$14
From 1 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Ibrahim A Tangoren was code 17003 (destruction skin lesion), 952 times for 188 patients. In total Ibrahim A Tangoren billed 2,798 services in 60 codes, and Medicare paid $138K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2016-10-25.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 17003 Destruction Skin Lesion | Office | 952 | 188 | $4.74 | $4,514 |
| 99213 Office E&M - Established | Office | 482 | 370 | $59.53 | $29K |
| 99214 Office E&M - Established | Office | 403 | 294 | $83.33 | $34K |
| 17000 Destruction Skin Lesion | Office | 342 | 275 | $39.29 | $13K |
| 11102 Skin Biopsy | Office | 119 | 107 | $60.98 | $7,256 |
| 17110 Destruction Skin Lesion | Office | 112 | 105 | $71.06 | $7,958 |
| 11103 Skin Biopsy | Office | 51 | 30 | $36.15 | $1,844 |
| 99212 Office E&M - Established | Office | 47 | 42 | $39.87 | $1,874 |
| 11642 Skin Lesion Excision | Office | 32 | 31 | $103.73 | $3,320 |
| 17004 Destruction Skin Lesion | Office | 25 | 22 | $116.82 | $2,920 |
| 11104 Skin Biopsy | Office | 22 | 20 | $84.62 | $1,862 |
| 17262 Destruction Skin Lesion | Office | 21 | 20 | $114.18 | $2,398 |
| 12032 Wound Repair - All Levels | Office | 15 | 15 | $215.04 | $3,226 |
| 12052 Wound Repair - All Levels | Office | 15 | 14 | $215.91 | $3,239 |
| 13132 Wound Repair - All Levels | Office | 13 | 13 | $352.95 | $4,588 |
By year: 2022 $156K for 3,141 services; 2023 $176K for 3,549 services; 2024 $138K for 2,798 services.
Medicare prescription drug claims, 2024
In 2024, the drug Ibrahim A Tangoren prescribed most often to Medicare patients was Ketoconazole, with 175 prescriptions and refills. In total Ibrahim A Tangoren wrote 2,202 Medicare prescriptions that cost $543K.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Ketoconazole Generic | 175 | 197 | 110 | $3,164 |
| Mupirocin Generic | 166 | 168 | 146 | $935 |
| Mometasone Furoate Generic | 149 | 160 | 110 | $2,452 |
| Metronidazole Generic | 133 | 170 | 71 | $7,031 |
| Triamcinolone Acetonide Generic | 100 | 134 | 76 | $1,704 |
| Nystatin Generic | 96 | 105 | 56 | $1,138 |
| Cefdinir Generic | 96 | 96 | 96 | $861 |
| Valacyclovir Valacyclovir Hcl | 88 | 144 | 35 | $2,503 |
| Fluorouracil Generic | 84 | 87 | 78 | $5,112 |
| Doxycycline Hyclate Generic | 80 | 89 | 28 | $1,128 |
| Econazole Nitrate Generic | 77 | 101 | 49 | $3,364 |
| Ammonium Lactate Generic | 74 | 83 | 54 | $1,392 |
| Hydroxychloroquine Sulfate Generic | 58 | 85 | 11 | $1,164 |
| Dupixent Pen Dupilumab | 39 | 47 | Under 11 | $168K |
| Spironolactone Generic | 39 | 67 | Under 11 | $208 |
Brand drugs: 168 claims; generic drugs: 2,034 claims.
Money and other things of value reported by the companies
In 2023, drug and medical device companies paid Ibrahim A Tangoren $14 ($14 in general payments such as food, travel and fees) from 1 company. The largest payer was Dermavant Sciences, Inc. with $14.
| Company | Payments | Amount |
|---|---|---|
| Dermavant Sciences, Inc. | 1 | $14 |
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.