Specialized Surgeons, INC.

Specialized Surgeons, INC. was paid $2K by Medicaid between Nov 2018 and Oct 2024, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 94% of everything it billed.

33Billing provider infoSPECIALIZED SURGEONS, INC.
LOS GATOS, CA 95032

33aNPI1093163388assigned 05/27/2016

33bProvider typeSurgery Physician

28Total paid$2K

24GClaims413

24DCodes billed3

24AFirst – last monthNov 2018 – Oct 2024

Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#353 of 437

Median peer was paid$23K

This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	13	$0.00
2020	25	$0.00
2021	79	$80.04
2022	116	$558.03
2023	102	$590.52
2024incomplete	78	$821.05

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	94%	335	335	$2K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	5.3%	51	51	$109.39
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.0%	27	27	$21.13

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHIRAI, THOMAS (PRESIDENT)