Thomas Hirai, MD
Surgery · San Jose, CANPI 1134231384
Payments from drug & device makers
Across 107 payments — averaging $389.63 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Johnson & Johnson$18K
- Intuitive Surgical$16K
- Auris Health, Inc.$3K
- Davol Inc.$2K
- W. L. Gore & Associates, Inc.$851
- Merit Medical Systems Inc$727
- plus $1K from 9 others
What the payments were for
- Consulting fees$19,38446%
- Speaking & faculty fees$4,00010%
- Travel & lodging$5,85414%
- Food & beverage$4,20710%
- Education$8,04619%
- Gifts$1990%
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 |
|---|---|---|
| Johnson & Johnson(2 entities) | 20 | $17,776 |
| Intuitive Surgical | 44 | $15,861 |
| Auris Health, Inc. | 2 | $2,700 |
| Davol Inc. | 17 | $2,410 |
| W. L. Gore & Associates, Inc. | 6 | $851 |
| Merit Medical Systems Inc | 3 | $727 |
| Conmed Corporation | 5 | $482 |
| TELA Bio, Inc. | 3 | $393 |
| Applied Medical Resources Corporation | 1 | $151 |
| Vantive US Healthcare LLC | 1 | $143 |
| Baxter Healthcare | 1 | $120 |
| Amarin Pharma, Inc. | 1 | $20 |
| Stryker | 1 | $20 |
| Medtronic | 1 | $18 |
| Lilly USA, LLC | 1 | $18 |
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.
- Monarch Platform$12,492
- Da Vinci Surgical System$11,130
- MONARCH$7,673
- DAVINCI XI$4,000
- PHASIX$718
- Savi SCOUT$676
- GORE SEAMGUARD Bioabsorbable Staple Line Reinforce$662
- AIRSEAL$374
- Renal - PD$263
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex)$240
- OviTex 2S$153
- Phasix Mesh$112
- Echelon Powered Circular$112
- EVICEL Fibrin Sealant (Human)$112
How this compares
$41,690 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 61 | $147 |
Paid to pharmacies, not to this prescriber.
Other surgery in San Jose
- Daniel RiskinSan Jose$2.2M
- Timothy ChuterSan Francisco$8.9M
- Peter StockSan Francisco$6.5M
- Santiago HorganSan Diego$2.8M
- Kenneth DeckLaguna Hills$2.4M
- Michael DemeureNewport Beach$1.7M
- Rock LiuHayward$1.6M
- David LouriePasadena$1.4M
- Andrea PakulaThousand Oaks$1.4M
- Siew-Ming LeeFresno$1.3M
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.