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PROVIDER PROFILE · NPI 1356304224

Kelvin HigaMD

General SurgeryFresno, CAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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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
PhysicianPatientsVisits
Unilab Corporation
Clinical Laboratory · West Hills, CA
84359
JACKSON, ALICE67179
SAINT AGNES MEDICAL CENTER58131
Hans-Joachim Hildebrandt
Diagnostic Radiology · Fresno, CA
4398
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER2466
LEWIS, DONALD2370
William Carson
Diagnostic Radiology · San Diego, CA
2233
Keith Boone
General Surgery · Fresno, CA
2283
NPI 10039892291924
Charles Sohn
Cardiology · Fresno, CA
1944
BARROWS, SUSAN1949
Gabriela Tarau
Diagnostic Radiology · Glenwood Springs, CO
1829
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
NPI 1699872978201838
Unilab Corporation
Clinical Laboratory · West Hills, CA
74297
SAINT AGNES MEDICAL CENTER51112
JACKSON, ALICE4687
Fresno Ca Endoscopy Asc, Lp
Ambulatory Surgical Center · Fresno, CA
3856
Kurt Hildebrandt
Diagnostic Radiology · San Diego, CA
33105
NPI 10039892293352
Hans-Joachim Hildebrandt
Diagnostic Radiology · Fresno, CA
3281
Kevin Kodama
Gastroenterology · Fresno, CA
31118
HANFORD COMMUNITY HOSPITAL2883
FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER2458
Kwph Enterprises Inc
Ambulance Service Provider · Fresno, CA
2354
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.
PRESCRIBING · PART D · 2024
Total Rx claims
350
Beneficiaries
—
Total drug cost
$9K
Distinct drugs
10
Brand share
28.0%
Top prescribed drugs
Vancomycin Hcl77 claims
Ondansetron Hcl57 claims
0.9 % Sodium Chloride50 claims
Omeprazole39 claims
Prochlorperazine Maleate29 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
295
Unique beneficiaries
—
Total services
355
Distinct HCPCS
7
Medicare payment
$55K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,763 General Surgery providers in CA — above median (cohort median 269).
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 · 2024
Total received
$41K
Payment records
31
By payment type
Consulting Fee$38K
Food and Beverage$2K
Travel and Lodging$1K