What is Kelvin Higa's specialty?

Kelvin Higa (NPI 1356304224) is a Medicare-billing provider whose primary specialty is General Surgery in Fresno, CA.

Where does Kelvin Higa practice?

Kelvin Higa practices in Fresno, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1356304224.

How much does Medicare pay Kelvin Higa?

Kelvin Higa (NPI 1356304224) received approximately $92K in total Medicare Part B payments, serving 255 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1356304224

Kelvin HigaMD

General SurgeryFresno, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

295

Unique beneficiaries

—

Total services

355

Distinct HCPCS

Medicare payment

$55K

Peer benchmark

Total Medicare services vs. 1,763 General Surgery providers in CA — above median (cohort median 269).

PRESCRIBING · PART D · 2024

Total Rx claims

350

Beneficiaries

—

Total drug cost

$9K

Distinct drugs

Brand share

28.0%

Top prescribed drugs

Vancomycin Hcl77 claims

Ondansetron Hcl57 claims

0.9 % Sodium Chloride50 claims

Omeprazole39 claims

Prochlorperazine Maleate29 claims

QUALITY · MIPS · 2024

Final MIPS score

92.0

Quality

78.6

Cost

75.3

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.72%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

Total received

$63K

Payment records

By payment type

Consulting Fee$63K

Food and Beverage$105

Top paying entities

Consulting Fee$63K

Food and Beverage$105

REFERRAL NETWORK

Where Kelvin Higa's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 17 inbound referrers · 37 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	84	359
JACKSON, ALICE	67	179
SAINT AGNES MEDICAL CENTER	58	131
Hans-Joachim Hildebrandt Diagnostic Radiology · Fresno, CA	43	98
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	24	66
LEWIS, DONALD	23	70
William Carson Diagnostic Radiology · San Diego, CA	22	33
Keith Boone General Surgery · Fresno, CA	22	83
NPI 1003989229	19	24
Charles Sohn Cardiology · Fresno, CA	19	44
BARROWS, SUSAN	19	49
Gabriela Tarau Diagnostic Radiology · Glenwood Springs, CO	18	29

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
NPI 1699872978	201	838
Unilab Corporation Clinical Laboratory · West Hills, CA	74	297
SAINT AGNES MEDICAL CENTER	51	112
JACKSON, ALICE	46	87
Fresno Ca Endoscopy Asc, Lp Ambulatory Surgical Center · Fresno, CA	38	56
Kurt Hildebrandt Diagnostic Radiology · San Diego, CA	33	105
NPI 1003989229	33	52
Hans-Joachim Hildebrandt Diagnostic Radiology · Fresno, CA	32	81
Kevin Kodama Gastroenterology · Fresno, CA	31	118
HANFORD COMMUNITY HOSPITAL	28	83
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER	24	58
Kwph Enterprises Inc Ambulance Service Provider · Fresno, CA	23	54

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events