Hiroyasu Kikawa, MD
Family Practice · Fremont
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 3
Offices
3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Kikawa’s office to ask if they take your plan before you enroll.
California Medical Board record
Licence A159661 · Current
Licensed to practise in California · since 2018 · expires 2028-11-30 · American University of the Caribbean School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$15,749
Medicare paid this office $15,749 for 57 people. Most of that is long return visits and Botox.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Long return visit (40+ min) | 24 | $5,632 | $166 |
| Return visit (30+ min) | 24 | $2,538 | $94 |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 24 | $429 | $13 |
Who their Medicare patients are
57 Original Medicare patients in 2024. Average age 73 · Women 46% · Health risk score 1.13. At or below the middle of the specialty; the typical family practice clinician is at 1.13.
Conditions among them: High blood pressure 61% · Diabetes 35% · Coronary heart disease 26% · Chronic kidney disease 19%.
The office billed $45,350, Medicare allowed $20,294 and paid $15,749; for 162 services of 24 kinds; $2,806 of it was for drugs given in the office and $12,943 for care.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 57 | 162 | 73 | 1.13 | $45,350 | $15,749 |
| 2023 | 16 | 33 | 74 | 1.14 | $9,262 | $3,337 |
| 2020 | 89 | 173 | 73 | 1.12 | $41,415 | $15,939 |
| 2019 | 13 | 18 | 76 | 0.82 | $4,478 | $1,615 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2020: 6 services
| Return visit (30+ min) | 45 | $6,030 | $106 |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 | $1,532 | $139 |
| New patient visit (30+ min) | 16 | $1,371 | $86 |
| Short return visit (20+ min) | 16 | $1,156 | $64 |
| Influenza vaccine split virus, preservative free | 11 | $657 | $60 |
| Administration of influenza virus vaccine | 11 | $229 | $21 |
Drugs they prescribed that Part D paid
$12,644
Pharmacies billed $12,644 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 7% of their Part D prescriptions (15 of 216) in 2024. A higher opioid share than 9 in 10 peers; the typical family practice clinician is at 2%.
197 generic and fewer than 11 brand-name prescriptions · $12,644 in drug cost.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Atorvastatin | 28 | $450 | $16 |
| Lisinopril | 14 | $45 | $3 |
Year by year
| 2024 | 216 | 47 | 7% (15) | None | $12,644 |
| 2023 | 18 | None | 0% (0) | None | $4,473 |
| 2021 | 321 | 48 | 0% (0) | 5% | $9,778 |
| 2020 | 267 | 58 | None | None | $8,173 |
| 2019 | 20 | None | None | 0% | $437 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2021: 11 drugs
| Atorvastatin | 24 | $495 | $21 |
| Lisinopril | 24 | $285 | $12 |
| Levothyroxine | 11 | $244 | $22 |
| Famotidine | 14 | $225 | $16 |
| Gabapentin | 18 | $183 | $10 |
| Simvastatin | 25 | $165 | $7 |
| Amlodipine Besylate | 17 | $153 | $9 |
| Losartan | 13 | $91 | $7 |
| Tamsulosin | 14 | $83 | $6 |
| Carvedilol | 11 | $66 | $6 |
| Finasteride | 13 | $44 | $3 |
2020: 6 drugs
| Atorvastatin | 22 | $479 | $22 |
| Lisinopril | 17 | $184 | $11 |
| Amlodipine Besylate | 18 | $175 | $10 |
| Losartan | 11 | $131 | $12 |
| Simvastatin | 18 | $128 | $7 |
| Omeprazole | 11 | $78 | $7 |
Money from drug and device companies
$17 in 2025
| 2025 | 1 | 1 | None | $17 |
| 2019 | 2 | 2 | None | $213 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Exact Sciences | Cologuard Collection Kit | $17 | 1 payment
|
See the published payment
| Exact Sciences | Meals · 2025-03-18 | Cologuard Collection Kit | $17 |
See earlier years (2019)
2019: $213
| Biogen | Spinraza | $125 | 1 payment
|
| Grifols USA | Hyperrab Sd | $88 | 1 payment
|
Professional record
- NPI
- 1316301989
- Licence
- CA A159661California A159661: Current · expires 2028-11-30
- Video visits
- Lists video visits
- Gender
- Male
More record details
- Sole proprietor
- No
- Taxonomy
- Family medicine (207Q00000X)
- Mailing address
- 325 Distel Cir, Los Altos, CA, 94022
- NPI first listed
- 2016-04-11
- NPI last updated
- 2023-07-11
- NPI record certified
- 2023-07-11
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 701 E El Camino Real, Mountain View, CA, 94040