Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $2,375 | 25 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | $432.01 | 4 | $0 (2023) |
| Alphatec Spine, Inc | $407.87 | 2 | $0 (2019) |
| Ethicon US, LLC | $396.03 | 5 | $0 (2023) |
| Medtronic, Inc. | $261.49 | 3 | $0 (2023) |
| GT Medical Technologies, Inc | $174.04 | 2 | $0 (2022) |
| Acera Surgical, Inc. | $134.14 | 1 | $0 (2023) |
| Pacira Pharmaceuticals Incorporated | $111.50 | 1 | $0 (2021) |
| Medtronic USA, Inc. | $92.29 | 1 | $0 (2019) |
| Stryker Corporation | $88.78 | 1 | $0 (2021) |
| TELA Bio, Inc. | $87.77 | 1 | $0 (2022) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2023 | $780.09 | 7 | AstraZeneca Pharmaceuticals LP ($432.01) |
| 2022 | $347.35 | 5 | GT Medical Technologies, Inc ($174.04) |
| 2021 | $562.91 | 7 | Ethicon US, LLC ($253.07) |
| 2020 | $184.58 | 3 | KCI USA, Inc. ($78.15) |
| 2019 | $390.86 | 2 | Alphatec Spine, Inc ($298.57) |
| 2017 | $109.30 | 1 | Alphatec Spine, Inc ($109.30) |
All Payment Transactions
25 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 09/07/2023 | AstraZeneca Pharmaceuticals LP | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $122.15 | General |
| Category: Rare Disease | ||||||
| 09/06/2023 | Medtronic, Inc. | ACTIVA PC (Device) | Food and Beverage | In-kind items and services | $115.90 | General |
| Category: Deep Brain Neurostimulation | ||||||
| 04/20/2023 | Acera Surgical, Inc. | Restrata Wound Matrix (Device) | Food and Beverage | In-kind items and services | $134.14 | General |
| Category: Wound Care | ||||||
| 04/20/2023 | AstraZeneca Pharmaceuticals LP | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $100.00 | General |
| Category: Rare Disease | ||||||
| 04/18/2023 | AstraZeneca Pharmaceuticals LP | — | Food and Beverage | In-kind items and services | $84.86 | General |
| 02/21/2023 | Ethicon US, LLC | Echelon Flex (Device), ETHICON | Food and Beverage | In-kind items and services | $98.04 | General |
| Category: Endo-Mechanical | ||||||
| 01/19/2023 | AstraZeneca Pharmaceuticals LP | ANDEXXA (Biological) | Food and Beverage | In-kind items and services | $125.00 | General |
| Category: Rare Disease | ||||||
| 10/11/2022 | GT Medical Technologies, Inc | GammaTile (Device) | Food and Beverage | Cash or cash equivalent | $43.19 | General |
| Category: KXK | ||||||
| 06/04/2022 | Abbott Laboratories | PERCLOSE PROGLIDE (Device) | Food and Beverage | In-kind items and services | $23.52 | General |
| Category: Vascular | ||||||
| 05/24/2022 | GT Medical Technologies, Inc | GammaTile (Device) | Food and Beverage | Cash or cash equivalent | $130.85 | General |
| Category: KXK | ||||||
| 04/26/2022 | Medtronic, Inc. | CD HORIZON SPINAL SYSTEM (Device) | Food and Beverage | In-kind items and services | $62.02 | General |
| Category: TL | ||||||
| 03/23/2022 | TELA Bio, Inc. | OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) (Device) | Food and Beverage | In-kind items and services | $87.77 | General |
| Category: Surgical Mesh | ||||||
| 11/30/2021 | Ethicon US, LLC | Enseal (Device), VISTASEAL, ETHICON | Food and Beverage | In-kind items and services | $118.73 | General |
| Category: Energy | ||||||
| 09/28/2021 | Stryker Corporation | SPY-PHI SYSTEM (Device) | Food and Beverage | In-kind items and services | $88.78 | General |
| Category: ENDOSCOPY | ||||||
| 07/15/2021 | Integra LifeSciences Corporation | CODMAN CERTAS (Device), CUSA CLARITY, DURAGEN DURAL GRAFT MATRIX | Food and Beverage | In-kind items and services | $25.99 | General |
| Category: NEURO CRITICAL CARE | ||||||
| 06/14/2021 | Medtronic, Inc. | ACTIVA (Device) | Food and Beverage | In-kind items and services | $83.57 | General |
| Category: Deep Brain Neurostimulation | ||||||
| 05/12/2021 | Pacira Pharmaceuticals Incorporated | Exparel (Drug) | Food and Beverage | In-kind items and services | $111.50 | General |
| Category: Pain Management | ||||||
| 04/19/2021 | Ethicon US, LLC | STRATAFIX (Device), SURGIFLO Hemostatic Matrix | Food and Beverage | In-kind items and services | $43.85 | General |
| Category: Wound Closure | ||||||
| 02/08/2021 | Ethicon US, LLC | Neuwave (Device) | Food and Beverage | In-kind items and services | $90.49 | General |
| Category: Ablation System | ||||||
| 11/20/2020 | Intrinsic Therapeutics | Barricaid Annular Closure Device (Device) | Food and Beverage | In-kind items and services | $61.51 | General |
| Category: Orthopedic | ||||||
| 09/08/2020 | KCI USA, Inc. | ABTHERA (Device), VAC VERAFLO, PREVENA | Food and Beverage | In-kind items and services | $78.15 | General |
| Category: DEVICES | ||||||
| 08/03/2020 | Ethicon US, LLC | Surgicel Powder (Device), VISTASEAL | Food and Beverage | In-kind items and services | $44.92 | General |
| Category: Biosurgical | ||||||
| 06/14/2019 | Alphatec Spine, Inc | POROUS TI (Device) | Food and Beverage | In-kind items and services | $298.57 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
| 01/09/2019 | Medtronic USA, Inc. | O-ARM-Spine (Device) | Food and Beverage | In-kind items and services | $92.29 | General |
| Category: Enabling | ||||||
| 05/09/2017 | Alphatec Spine, Inc | Other - Miscellaneous (Device) | Food and Beverage | In-kind items and services | $109.30 | General |
| Category: Orthopedics/Orthopedic Surgery | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 9 | 216 | 231 | $81,004 | $21,389 |
| 2022 | 12 | 252 | 281 | $245,160 | $53,214 |
| 2021 | 9 | 236 | 247 | $163,787 | $33,073 |
| 2020 | 13 | 309 | 338 | $277,361 | $59,621 |
All Medicare Procedures & Services
43 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 38 | 44 | $14,960 | $4,200 | 28.1% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 31 | 31 | $10,850 | $3,114 | 28.7% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 30 | 30 | $14,850 | $3,109 | 20.9% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 37 | 41 | $9,840 | $2,641 | 26.8% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2023 | 11 | 16 | $6,848 | $2,635 | 38.5% |
| 69990 | Use of operating microscope | Facility | 2023 | 16 | 16 | $10,640 | $2,472 | 23.2% |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Facility | 2023 | 24 | 24 | $6,240 | $1,535 | 24.6% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 13 | 13 | $4,472 | $1,120 | 25.0% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 16 | 16 | $2,304 | $564.59 | 24.5% |
| 61796 | Computer-assisted radiosurgery of simple growth of brain, first growth | Facility | 2022 | 14 | 19 | $59,850 | $14,259 | 23.8% |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Facility | 2022 | 16 | 16 | $71,318 | $8,320 | 11.7% |
| 61886 | Insertion of brain neurostimulator pulse device with connection to 2 or more electrode arrays | Facility | 2022 | 11 | 11 | $29,150 | $7,241 | 24.8% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2022 | 16 | 29 | $12,412 | $4,863 | 39.2% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 40 | 40 | $19,800 | $4,740 | 23.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 32 | 36 | $12,240 | $3,319 | 27.1% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 25 | 25 | $8,750 | $2,594 | 29.7% |
| 69990 | Use of operating microscope | Facility | 2022 | 17 | 17 | $10,780 | $2,447 | 22.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 31 | 37 | $8,880 | $2,182 | 24.6% |
| 99221 | Initial hospital inpatient care per day, typically 30 minutes | Facility | 2022 | 20 | 21 | $5,460 | $1,549 | 28.4% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 11 | 11 | $3,784 | $954.84 | 25.2% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 19 | 19 | $2,736 | $745.03 | 27.2% |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves, lower back (lumbar) area | Facility | 2021 | 12 | 14 | $76,804 | $10,752 | 14.0% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 37 | 37 | $18,315 | $4,706 | 25.7% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 54 | 59 | $14,160 | $3,888 | 27.5% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 36 | 39 | $13,260 | $3,534 | 26.6% |
About Dr. Thomas Grahm, MD
Dr. Thomas Grahm, MD is a Neurological Surgery healthcare provider based in Tyler, Texas. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 05/24/2005. The National Provider Identifier (NPI) number assigned to this provider is 1568465474.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Thomas Grahm, MD has received a total of $2,375 in payments from pharmaceutical and medical device companies, with $780.09 received in 2023. These payments were reported across 25 transactions from 14 companies. The most common payment nature is "Food and Beverage" ($2,375).
As a Medicare-enrolled provider, Grahm has provided services to 1,013 Medicare beneficiaries, totaling 1,097 services with total Medicare billing of $167,298. Data is available for 4 years (2020–2023), covering 43 distinct procedure/service records.
Practice Information
- Specialty Neurological Surgery
- Location Tyler, TX
- Active Since 05/24/2005
- Last Updated 07/08/2007
- Taxonomy Code 207T00000X
- Entity Type Individual
- NPI Number 1568465474
Products in Payments
- ANDEXXA (Biological) $347.15
- POROUS TI (Device) $298.57
- GammaTile (Device) $174.04
- Restrata Wound Matrix (Device) $134.14
- Enseal (Device) $118.73
- ACTIVA PC (Device) $115.90
- Exparel (Drug) $111.50
- Other - Miscellaneous (Device) $109.30
- Echelon Flex (Device) $98.04
- O-ARM-Spine (Device) $92.29
- Neuwave (Device) $90.49
- SPY-PHI SYSTEM (Device) $88.78
- OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) (Device) $87.77
- ACTIVA (Device) $83.57
- ABTHERA (Device) $78.15
- CD HORIZON SPINAL SYSTEM (Device) $62.02
- Barricaid Annular Closure Device (Device) $61.51
- Surgicel Powder (Device) $44.92
- STRATAFIX (Device) $43.85
- CODMAN CERTAS (Device) $25.99
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
Neurological Surgery Doctors in Tyler
Charles Gordon, M.d, M.D
Neurological Surgery — Payments: $598,917
Dr. Andy Redmond, M.d, M.D
Neurological Surgery — Payments: $9,220
Dr. Nicholas Andrade, M.d, M.D
Neurological Surgery — Payments: $8,998
John Crutchfield, M.d, M.D
Neurological Surgery — Payments: $2,277
Todd Patrick, Md Phd, MD PHD
Neurological Surgery — Payments: $1,997
Guy Danielson, M.d, M.D
Neurological Surgery — Payments: $1,343