Procedure Volume Patient Data Patient Conditions Reviews General Payments Back to Top

Home > TX Providers > Wound Care Doctors

Dr. Gina Anne Gray, MD

(65 Ratings)

Specializes in: General Surgery and Wound Care

701 S. Zarzamora Street
San Antonio, TX 78207

(210) 358-7000

Dr. Gina Anne Gray, MD is a general surgeon in San Antonio, TX specializing in general surgery and wound care. Dr. Gina Anne Gray, MD is affiliated with University Health.

Office Locations

701 S. Zarzamora Street
San Antonio, TX 78207

(210) 358-7000

open_in_new

Noteworthy Medicare Patient Procedures Performed by Dr. Gina Anne Gray, MD in 2024

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

excision

excisional debridement

surgical debridement

In 2024, Dr. Gina Anne Gray, MD had a list price for excision, excisional debridement, and surgical debridement that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Texas. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

excision

surgical debridement

By Affordability:

debridement

In 2012, among providers in related specialties within Texas, Dr. Gina Anne Gray, MD performed more excision, and surgical debridement procedures for Medicare patients than 75% of them and she also had a list price for debridement (removal of unhealthy tissue) that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

doctor visit	11

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2013 were nursing home care, debridement (removal of unhealthy tissue), excision and minor procedures.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	374
excision	374
minor procedures	49
nursing home care	890

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	134
Female	250

**Ethnicity**
Non-Hispanic White	211
Black	0
Hispanic	139
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	70
From 75 to 84	114
85 and over	158
Less than 65	42

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2013

Hypertension	75
High Cholesterol	53
Stroke	21
Ischemic Heart Disease	53
Depression	56
Chronic Kidney Disease	60
Asthma	9
Osteoperosis	14
Atrial Fibrilation	21
Heart Failure	57
Chronic Obstructive Pulmonary Disease	29
Diabetes	62
Dementia	74
Cancer	9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2014 were nursing home care, debridement (removal of unhealthy tissue), excision and hyperbaric oxygen (HBO) therapy.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	784
doctor visit	239
excision	713
hyperbaric oxygen (HBO) therapy	135
minor procedures	37
nursing home care	949

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	205
Female	336

**Ethnicity**
Non-Hispanic White	364
Black	0
Hispanic	117
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	114
From 75 to 84	146
85 and over	198
Less than 65	83

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2014

Hypertension	75
High Cholesterol	57
Stroke	17
Ischemic Heart Disease	58
Depression	48
Chronic Kidney Disease	57
Asthma	9
Osteoperosis	15
Atrial Fibrilation	21
Heart Failure	53
Chronic Obstructive Pulmonary Disease	25
Diabetes	58
Dementia	59
Cancer	9

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2015 were hyperbaric oxygen (HBO) therapy, debridement (removal of unhealthy tissue), excision and minor procedures.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	651
doctor visit	1046
excision	610
hyperbaric oxygen (HBO) therapy	1027
minor procedures	68
vascular procedures	60

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	422
Female	412

**Ethnicity**
Non-Hispanic White	560
Black	0
Hispanic	206
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	246
From 75 to 84	260
85 and over	138
Less than 65	190

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2015

Hypertension	75
High Cholesterol	70
Stroke	10
Ischemic Heart Disease	60
Depression	37
Chronic Kidney Disease	59
Asthma	16
Osteoperosis	16
Atrial Fibrilation	19
Heart Failure	52
Chronic Obstructive Pulmonary Disease	25
Diabetes	66
Dementia	22
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2016 were debridement (removal of unhealthy tissue), excision and hyperbaric oxygen (HBO) therapy.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	341
doctor visit	567
excision	316
hyperbaric oxygen (HBO) therapy	73

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	111
Female	102

**Ethnicity**
Non-Hispanic White	116
Black	0
Hispanic	75
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	66
From 75 to 84	44
85 and over	30
Less than 65	73

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2016

Hypertension	75
High Cholesterol	72
Stroke	8
Ischemic Heart Disease	59
Depression	35
Chronic Kidney Disease	71
Asthma	25
Osteoperosis	10
Atrial Fibrilation	16
Heart Failure	45
Chronic Obstructive Pulmonary Disease	22
Diabetes	69
Dementia	24
Cancer	9

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2017 were debridement (removal of unhealthy tissue), excision, reconstructive surgery and plastic surgery procedures.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	479
doctor visit	507
excision	479
plastic surgery procedures	17
reconstructive surgery	17
tissue transfer	17
wound repair (e.g. stitches)	17

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	81
Female	62

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	95
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	32
From 75 to 84	0
85 and over	0
Less than 65	82

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2017

Hypertension	75
High Cholesterol	74
Stroke	8
Ischemic Heart Disease	53
Depression	34
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	43
Chronic Obstructive Pulmonary Disease	15
Diabetes	75
Dementia	17
Cancer	0

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2018 were debridement (removal of unhealthy tissue) and excision.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	240
doctor visit	193
excision	240

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	57
Female	40

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	57
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	34
From 75 to 84	0
85 and over	0
Less than 65	47

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2018

Hypertension	75
High Cholesterol	64
Stroke	0
Ischemic Heart Disease	44
Depression	38
Chronic Kidney Disease	75
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	37
Chronic Obstructive Pulmonary Disease	19
Diabetes	74
Dementia	20
Cancer	0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2019 were debridement (removal of unhealthy tissue), excision and hyperbaric oxygen (HBO) therapy.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	338
doctor visit	255
excision	319
hyperbaric oxygen (HBO) therapy	200

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	71
Female	46

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	64
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	41
From 75 to 84	13
85 and over	11
Less than 65	52

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2019

Hypertension	75
High Cholesterol	70
Stroke	0
Ischemic Heart Disease	54
Depression	34
Chronic Kidney Disease	74
Asthma	0
Osteoperosis	0
Atrial Fibrilation	12
Heart Failure	42
Chronic Obstructive Pulmonary Disease	16
Diabetes	75
Dementia	16
Cancer	0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2020 were debridement (removal of unhealthy tissue) and excision.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	248
doctor visit	154
excision	248

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	54
Female	30

**Ethnicity**
Non-Hispanic White	22
Black	0
Hispanic	47
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	25
From 75 to 84	0
85 and over	0
Less than 65	46

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2020

Hypertension	75
High Cholesterol	63
Stroke	0
Ischemic Heart Disease	57
Depression	43
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	43
Chronic Obstructive Pulmonary Disease	14
Diabetes	75
Dementia	15
Cancer	0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2021 were debridement (removal of unhealthy tissue) and excision.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	119
doctor visit	175
excision	119

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	45
Female	28

**Ethnicity**
Non-Hispanic White	17
Black	0
Hispanic	45
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	30
From 75 to 84	0
85 and over	0
Less than 65	27

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2021

Hypertension	75
High Cholesterol	67
Stroke	0
Ischemic Heart Disease	51
Depression	38
Chronic Kidney Disease	73
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	37
Chronic Obstructive Pulmonary Disease	18
Diabetes	71
Dementia	21
Cancer	0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2022 were debridement (removal of unhealthy tissue), excision, hospital care and inpatient care.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	62
doctor visit	92
excision	62
hospital care	17
inpatient care	17

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	35
Female	32

**Ethnicity**
Non-Hispanic White	24
Black	0
Hispanic	32
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	25
From 75 to 84	0
85 and over	0
Less than 65	25

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	18
Ischemic Heart Disease	48
Depression	39
Chronic Kidney Disease	51
Asthma	0
Osteoperosis	0
Atrial Fibrilation	22
Heart Failure	39
Chronic Obstructive Pulmonary Disease	21
Diabetes	70
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2023 were debridement (removal of unhealthy tissue) and excision.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	71
doctor visit	180
excision	71

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	44
Female	26

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	40
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	25
From 75 to 84	0
85 and over	0
Less than 65	26

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2023

Hypertension	75
High Cholesterol	73
Stroke	0
Ischemic Heart Disease	49
Depression	26
Chronic Kidney Disease	49
Asthma	19
Osteoperosis	0
Atrial Fibrilation	24
Heart Failure	41
Chronic Obstructive Pulmonary Disease	0
Diabetes	73
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX during 2024 were debridement (removal of unhealthy tissue) and excision.

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

debridement (removal of unhealthy tissue)	109
doctor visit	158
excision	109

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	34
Female	24

**Ethnicity**
Non-Hispanic White	0
Black	0
Hispanic	43
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	22
From 75 to 84	0
85 and over	0
Less than 65	22

Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD in 2024

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	40
Depression	29
Chronic Kidney Disease	66
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	47
Chronic Obstructive Pulmonary Disease	19
Diabetes	75
Dementia	0
Cancer	21

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Gina Anne Gray, MD for Medicare patients.

The highest averages for the top procedures that Dr. Gina Anne Gray, MD treated as a general surgeon in San Antonio, TX were nursing home care, debridement (removal of unhealthy tissue), excision and vascular procedures.

debridement (removal of unhealthy tissue)	318
doctor visit	298
excision	305
hospital care	17
inpatient care	17
minor procedures	51
nursing home care	919
plastic surgery procedures	17
reconstructive surgery	17
tissue transfer	17
vascular procedures	60
wound repair (e.g. stitches)	17

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Gina Anne Gray, MD.

**Gender**
Male	99
Female	106

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	101
Hispanic	73
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	44
85 and over	41
Less than 65	55
65 to 74	56

Average of Total of Conditions of Medicare patients treated by Dr. Gina Anne Gray, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Gina Anne Gray, MD treated were hypertension, diabetes, high cholesterol and chronic kidney disease.

Hypertension	69
High Cholesterol	62
Stroke	6
Ischemic Heart Disease	48
Depression	35
Chronic Kidney Disease	60
Asthma	7
Osteoporosis	5
Heart Failure	41
Chronic Obstructive Pulmonary Disease	17
Diabetes	64
Atrial Fibrillation	11
Cancer	4
Dementia	20

Education & Training

She completed residency at Tulane University Affiliated Hospitals. She is certified by the Board Affiliation/Certification: American Board of Surgery and has a state license in Texas.

Residency: Tulane University Affiliated Hospitals (1988)

Board Certification: Board Affiliation/Certification: American Board of Surgery

Licensed In: Texas

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Gina Anne Gray, MD appears to accept the following insurance providers: Blue Cross and Blue Shield of Texas, Superior Health Plan, WellCare Medicare Advantage, WellCare, Medicare Advantage, TriWest, AARP, MultiPlan, United Healthcare HMO, United Healthcare EPO, Blue Choice, United Healthcare, Medicaid, Humana, Cigna, Molina Healthcare, Blue Cross/Blue Shield, HealthSmart, Employers Health Network, First Health, Trustmark , WellPoint, Velocity National Provider Network - Commercial (Multiple Payers), Veterans Administration - Governmental, Curative - Commercial (All Products), Aetna Health - Transplant ONLY, EBSO Benefits - Third Party Administrator, Allegiance - Universal Benefits Consortium, Point Comfort Underwriters - Refugee Medical Assistance (Adults, Children), CHAMPVA - Governmental, Aetna Health - Commercial (HMO, Managed Choice POS, Meritain, Open Choice PPO), Aetna Health - Commercial (QPOS, SAISD, Select), 90 Degree Benefits - Third Party Administrator, Entrust - Third Party Administrator, Private Healthcare Systems - Commercial (All Products), Carelink Program, Imagine 360 - Third Party Administrator, University of Incarnate Word - Direct Contact with Employer, Aetna Better Health - CHIP/CHIP Perinate Newborn, 6 Degrees - Transplant, Independent Medical Systems - Workers Compensation, LifeTrac - Transplant Network, Ancira Enterprises - Direct Employer, Independent Medical Systems - Commercial (PPO), Interlink - Transplant Network, Gilsbar - Third Party Administrator, Universal Benefits Consortium (Allegiance) - Direct Contract with TPA/Broker for select ISDs, Benefit Administrative Systems - Third Party Administrator, Velocity National Provider Network - Commercial (PPO), OptumHealth - Transplant Network, Tokio Marine - Transplant Network, El Paso Health - CHIP, Imperial Health - Commercial (Exchange) and Aetna Health - Commercial (Choice POS II, Elect Choice EPO, Exchange (Silver/Gold HMO)).

Insurance Accepted by Provider includes:

According to our sources, Dr. Gina Anne Gray, MD accepts the following insurance providers:

Blue Cross and Blue Shield of Texas

Superior Health Plan

WellCare Medicare Advantage

WellCare

Medicare Advantage

TriWest

AARP

MultiPlan

United Healthcare HMO

United Healthcare EPO

Blue Choice

United Healthcare

Medicaid

Humana

Cigna

Molina Healthcare

Blue Cross/Blue Shield

HealthSmart

Employers Health Network

First Health

Trustmark

WellPoint

Velocity National Provider Network - Commercial (Multiple Payers)

Veterans Administration - Governmental

Curative - Commercial (All Products)

Aetna Health - Transplant ONLY

EBSO Benefits - Third Party Administrator

Allegiance - Universal Benefits Consortium

Point Comfort Underwriters - Refugee Medical Assistance (Adults, Children)

CHAMPVA - Governmental

Aetna Health - Commercial (HMO, Managed Choice POS, Meritain, Open Choice PPO)

Aetna Health - Commercial (QPOS, SAISD, Select)

90 Degree Benefits - Third Party Administrator

Entrust - Third Party Administrator

Private Healthcare Systems - Commercial (All Products)

Carelink Program

Imagine 360 - Third Party Administrator

University of Incarnate Word - Direct Contact with Employer

Aetna Better Health - CHIP/CHIP Perinate Newborn

6 Degrees - Transplant

Independent Medical Systems - Workers Compensation

LifeTrac - Transplant Network

Ancira Enterprises - Direct Employer

Independent Medical Systems - Commercial (PPO)

Interlink - Transplant Network

Gilsbar - Third Party Administrator

Universal Benefits Consortium (Allegiance) - Direct Contract with TPA/Broker for select ISDs

Benefit Administrative Systems - Third Party Administrator

Velocity National Provider Network - Commercial (PPO)

OptumHealth - Transplant Network

Tokio Marine - Transplant Network

El Paso Health - CHIP

Imperial Health - Commercial (Exchange)

Aetna Health - Commercial (Choice POS II, Elect Choice EPO, Exchange (Silver/Gold HMO))

Ratings & Reviews

Dr. Gina Anne Gray, MD has an exceptional overall rating with an average of 4.64 out of 5 stars based on 65 ratings. We collect ratings and reviews of Dr. Gina Anne Gray, MD from all over the web to help you find the right in San Antonio, TX.

4.64

Overall Rating

(65 Ratings)

Leave a Review

General Payments

These charts describe general payments received by Dr. Gina Anne Gray, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
KCI USA, Inc	$761 CELLUTOME $650	SNaP $111
Smith & Nephew, Inc.	$269 Regranex $217	Santyl $28	Negative Pressure Wound Therapy $12	Pico $12
Organogenesis Inc.	$237 PuraPly $211	$26
ShockWave Medical, Inc	$157 SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER $157
Kerecis Limited	$157 Kerecis Omega3 Marigen $64	Kerecis Omega3 SurgiClose $53	Kerecis SurgiClose $40
Other	$458 endoform $118	BYDUREON $82	MEDLINE INDUSTRIES, INC. $51	COLLAGENASE SANTYL $37	ZETUVIT PLUS 10X10 P10 $30	Other $140

**Types of Payments**
Food and Beverage	$1,390
Consulting Fee	$650

Biography

Dr. Gina Gray specializes in general surgery and wound care. Dr. Gray (or staff) speaks the following languages: Spanish and French. Dr. Gray is professionally affiliated with the University Health. For her residency, Dr. Gray trained at a hospital affiliated with Tulane University. Dr. Gray's average rating from her patients is 4.5 stars (out of 5). She is in-network for Medicaid and Medicare insurance.