Doctor profile · Federal record
Dr. Kelvin Higa, MD
Surgery Physician (CMS: General Surgery) · Gastroenterology Physician · Fresno, CA
- NPI 1356304224
- Accepts Medicare
- MIPS 80.2 / 100 · 2023
- 43 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
205 E River Park Cir, Suite 460
Fresno, CA 937201571
(559) 261-4500
fax (559) 261-4501 - Mailing address
-
Po Box 28947
Fresno, CA 937298947
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- June 25, 2014
- Year of graduation
- 1983 — 43 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- California #G53771
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356304224. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
526
Distinct HCPCS
9
Medicare allowed
$95,405
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 215 | 161 | $109 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 92 | 79 | $75 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 78 | 73 | $44 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 72 | 72 | $139 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $98 | |
43281 |
Repair of hernia of muscle at esophagus and stomach using an endoscope | 15 | 15 | $1,452 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 13 | 13 | $161 | |
43775 |
Partial removal of stomach for weight loss using an endoscope | 12 | 12 | $1,082 | |
43659 |
Other procedure on stomach using an endoscope | 11 | 11 | $1,170 |
In context: peer comparison
Among 13 peers in Fresno Surgery Physician, average services per provider: 54. This provider delivers 9.7× the peer median.Open Payments
Industry payments received
All-time total
$40,703
Transactions
31
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medical Device Business Services, INC. | 19 | $39,943.27 | |
| Ethicon US, LLC | 10 | $662.63 | |
| Ethicon Endo-Surgery INC. | 2 | $96.70 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
432
Patients
144
Total drug cost
$15,855
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Vancomycin Hcl | Generic | 94 | 0 | $475 |
| Omeprazole | Generic | 60 | 30 | $916 |
| Ondansetron Hcl | Generic | 54 | 0 | $1,059 |
| Sodium Chloride (0.9 % Sodium Chloride) | Brand | 45 | 0 | $1,065 |
| Celecoxib | Generic | 42 | 40 | $438 |
| Prochlorperazine Maleate | Generic | 42 | 42 | $450 |
| Gabapentin | Generic | 32 | 32 | $28 |
| Lactated Ringers (Ringer's Solution,Lactated) | Brand | 24 | 0 | $3,373 |
| Clinimix (Amino Acid 8 % in D14w) | Brand | 14 | 0 | $6,038 |
| Insulin Syringe (Syringe and Needle,Insulin,1Ml) | Brand | 13 | 0 | $119 |
Frequently asked questions
What is Dr. Kelvin Higa's medical specialty?
Dr. Kelvin Higa practices Surgery Physician in Fresno, CA.
Where does Dr. Kelvin Higa practice?
Dr. Kelvin Higa practices at 205 E River Park Cir, Fresno, CA 937201571. Office phone: 5592614500.
What is Dr. Kelvin Higa's NPI?
Dr. Kelvin Higa's National Provider Identifier (NPI) is 1356304224, issued by NPPES.
Does Dr. Kelvin Higa accept Medicare assignment?
Yes. Dr. Kelvin Higa accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelvin Higa commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.