Medicare Enrolled

Dr. Thomas Hirai, MD

Surgery · San Jose, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
200 JOSE FIGUERES AVE, San Jose, CA 95116
6692848181
In practice since 2006 (19 years)
NPI: 1134231384 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Hirai from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Hirai

Dr. Thomas Hirai is a surgery specialist in San Jose, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Hirai performed 160 Medicare services across 138 unique beneficiaries.

Between the years covered by Open Payments, Dr. Hirai received a total of $46,127 from 20 pharmaceutical and/or device companies across 122 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Hirai is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 160 Medicare services $46,127 industry payments

Medicare Practice Summary

Medicare Utilization ↗
160
Medicare services
Bottom 39% in CA for surgery
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
138
Unique beneficiaries
$115
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~8 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
66 $138 $463
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
65 $111 $364
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
29 $70 $220
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$46,127
Total received (2018-2024)
Avg $6,590/year across 7 years
Top 5% in CA for surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
20
Companies
122
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$23,069 (50.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$14,880 (32.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$8,177 (17.7%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$4,377
2023
$184
2022
$6,103
2021
$1,267
2020
$14,635
2019
$12,531
2018
$7,030

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
INTUITIVE SURGICAL, INC.
$4,135
TELA Bio, Inc.
$153
Merit Medical Systems Inc
$50
Ethicon US, LLC
$38
Top 3 companies account for 99.1% of 2024 payments
All-time payments by company (2018-2024) ›
Ethicon Inc.
$17,538
Intuitive Surgical, Inc.
$14,042
Auris Health, Inc.
$5,568
INTUITIVE SURGICAL, INC.
$4,135
DAVOL INC.
$1,350
W. L. Gore & Associates, Inc.
$851
Davol Inc.
$669
CONMED Corporation
$482
Medical Device Business Services, Inc.
$420
Ethicon US, LLC
$364
TELA Bio, Inc.
$268
Applied Medical Resources Corporation
$151
BAXTER HEALTHCARE
$120
Merit Medical Systems Inc
$50
Maquet Cardiovascular U.S. Sales, L.L.C.
$29
Amarin Pharma Inc.
$20
Stryker Corporation
$20
Merck Sharp & Dohme Corporation
$18
Lilly USA, LLC
$18
Mallinckrodt LLC
$14
Top 3 companies account for 80.5% of all-time payments
Associated products mentioned in payments ›
AIRSEAL · BASAGLAR · DAVINCI XI · Da Vinci Surgical System · ECHELON ENDOPATH · ECHELON ENDOPATH Stapler · ECHELON FLEX Stapler · ENSEAL Product Family · Echelon Endopath Staple Line Reinforcement · Echelon Flex · Echelon Powered Circular · GORE SEAMGUARD Bioabsorbable Staple Line Reinforce · HARMONIC Product Family · INFRAVISION IMAGING SYSTEM · JANUVIA · MONARCH · Monarch · Monarch Platform · OFIRMEV · OviTex 2S · OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) · PHASIX · Phasix · Renal - PD · SEAMGUARD Staple Line Reinforcement · Savi SCOUT · VISTASEAL · Vascepa · Vitamesh
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (50%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 5% for surgery in CA.

Looking for a surgery specialist in San Jose?
Compare surgerists in the San Jose area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerists within 10 mi
310
Per 100K population
16.3
County median income
$159,674
Nearest hospital
REGIONAL MEDICAL CENTER OF SAN JOSE
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Hirai is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 5% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Hirai experienced with new patient office visit (45-59 min)?
Based on Medicare claims data, Dr. Hirai performed 66 new patient office visit (45-59 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Hirai receive payments from pharmaceutical companies?
Yes. Dr. Hirai received a total of $46,127 from 20 companies across 122 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Hirai's costs compare to other surgerists in San Jose?
Dr. Hirai's average Medicare payment per service is $115. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Hirai) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →