Kelvin Higa, MD
Surgery · Fresno, CANPI 1356304224
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $383,653 of the $468,755 with a category attached, or 81.8%. Medical Device Business Services, Inc. accounts for 72.7% of it on its own, with 7 other manufacturers making up the rest. Among surgery clinicians in CA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 272 payments — averaging $1723.37 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$341K
- Covidien LP$63K
- Johnson & Johnson$38K
- Medtronic$10K
- Johnson & Johnson Medical Devices & Diagnostics Group - Latin America, L.L.C.$9K
- Ethicon Endo-surgery Inc.$6K
- plus $1K from 2 others
What the payments were for
- Consulting fees$383,65382%
- Speaking & faculty fees$61,51513%
- Travel & lodging$16,5404%
- Food & beverage$7,0482%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Medical Device Business Services, Inc. | 129 | $340,756 |
| Covidien LP | 40 | $63,022 |
| Johnson & Johnson(2 entities) | 62 | $38,478 |
| Medtronic | 12 | $10,053 |
| Johnson & Johnson Medical Devices & Diagnostics Group - Latin America, L.L.C. | 3 | $8,902 |
| Ethicon Endo-surgery Inc. | 3 | $6,397 |
| KARL Storz Endoscopy-america | 16 | $840 |
| Stryker | 7 | $309 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Echelon Flex$236,616
- HARMONIC Product Family$87,030
- ENSEAL Product Family$83,157
- ECHELON ENDOPATH$50,785
- Sonicision$34,799
- Harmonic$22,646
- Echelon Circular$18,900
- Enseal$17,246
- ECHELON FLEX Stapler$14,892
- Endopath Xcel$12,400
- ECHELON ENDOPATH Stapler$4,483
- Signia$3,410
- STRATAFIX$3,159
- LigaSure$2,561
- EVICEL Fibrin Sealant (Human)$1,901
- ENDOPATH XCEL Trocar Portfolio$1,860
- SurgiSleeve$428
- Endo GIA$162
- GASTROSCOPE 9.7/2.8/1100 NTSC$150
- LINX Reflux Management System$145
How this compares
$468,755 in reported general payments places this provider in the 95th percentile of 2,363 surgery providers in California.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Clinimix EAmino Ac 8 %/D14w/Electrolytes | 12 | $4,703 |
| Lactated RingersRinger's Solution,lactated | 25 | $1,930 |
| Sodium Chloride0.9 % Sodium Chloride | 50 | $839 |
| Omeprazole | 39 | $421 |
| Ondansetron Hcl | 57 | $354 |
| Celecoxib | 27 | $351 |
| Prochlorperazine Maleate | 29 | $313 |
| Vancomycin Hcl | 77 | $311 |
| Insulin SyringeSyringe And Needle,insulin,1ml | 11 | $100 |
| Gabapentin | 23 | $22 |
Paid to pharmacies, not to this prescriber.
Other surgery in Fresno
- Siew-Ming LeeFresno$1.3M
- Russell MartinFresno$156K
- Timothy ChuterSan Francisco$8.8M
- Santiago HorganSan Diego$2.8M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Beemen KhalilPalo Alto$1.1M
- John LiphamLos Angeles$942K
- Alexander NedopilLodi$682K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.