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Dr. Thomas W. Grahm, MD

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Specializes in: Neurosurgery

University of Texas Medical Branch School of Medicine (1983)

Professional interests include: endoscopic carpal tunnel surgery, deep brain stimulation (DBS), aneurysm, and more.

700 Olympic Plaza Circle Suite 850
Tyler, TX 75701

(903) 595-2441

Dr. Thomas W. Grahm, MD is a neurosurgeon in Tyler, TX specializing in neurosurgery. He graduated from University of Texas Medical Branch School of Medicine in 1983 and has 43 years of experience. Dr. Thomas W. Grahm, MD is affiliated with CHRISTUS Trinity Mother Frances Health System, TYLER NEUROSURGICAL ASSOCIATES, P.A. and Texas Spine & Joint Hospital.

Office Locations

700 Olympic Plaza Circle Suite 850
Tyler, TX 75701

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Some issues Dr. Thomas W. Grahm, MD can help you with:

Deep Brain Stimulation (DBS)

Deep brain stimulation (DBS) is a procedure performed to help treat neurological conditions such as Parkinson's disease and epilepsy. Electrode leads are surgically implanted in the brain and connected to a device, called a neurostimulator (deep brain stimulator), that is placed underneath the skin (subcutaneously). The deep brain stimulator can send electrical signals through the electrodes to the brain to restore normal rhythms, or it can block electrical signals in specific areas of the brain to restore functioning. Although not a cure, DBS can treat symptoms of movement disorders such as pain and tremor when medication fails to work.

DBS surgery may be completed in one operating session, but it is more commonly performed in two parts. In the first stage of the procedure, the surgeon will map targets in the brain using CT or MRI imaging to determine where to place the electrodes. Then, by drilling holes into the skull, the surgeon will place the electrodes into specific areas in the brain. The holes will be closed, and patients will require 1-2 days to recover in the hospital. After about two weeks, patients will undergo another surgery to have the deep brain stimulator implanted. The stimulator is usually placed under the skin around the collarbone, chest, or abdomen, and it will be connected to the DBS electrodes through a subcutaneous wire. No component of the DBS system will be visible from outside. Following stimulator implantation, patients may need to recover in the hospital for 1-2 days.

Within 2-4 weeks of the operation, doctors will program the stimulator using a wireless device. Patients will work with their doctor to determine the most effective settings for the stimulator during follow-up visits. Patients will be given a handheld device so that they can turn the stimulator on or off and adjust its settings themselves. The stimulator may have a rechargeable battery, in which case patients will be given a charging unit. Stimulator batteries generally need to be replaced in 3-5 years.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2012 were hospital care, inpatient care, spinal procedures and nerve procedures.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

arthrodesis (bone fusion surgery)	23
cranial surgery	12
decompression surgery	47
doctor visit	277
hospital care	166
implant surgery	12
inpatient care	166
neck surgery	23
nerve procedures	47
neurostimulator lead placement	12
neurostimulator replacement	12
spinal procedures	69

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2013 were hospital care, inpatient care, spinal procedures and nerve procedures.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

arthrodesis (bone fusion surgery)	16
cranial surgery	12
decompression surgery	38
doctor visit	266
hospital care	117
implant surgery	22
inpatient care	117
neck surgery	16
nerve procedures	38
neurostimulator lead placement	12
neurostimulator replacement	22
spinal procedures	52

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	146
Female	162

**Ethnicity**
Non-Hispanic White	269
Black	25
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	135
From 75 to 84	100
85 and over	28
Less than 65	45

Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD in 2013

Hypertension	75
High Cholesterol	57
Stroke	15
Ischemic Heart Disease	46
Depression	41
Chronic Kidney Disease	18
Asthma	6
Osteoperosis	12
Atrial Fibrilation	11
Heart Failure	25
Chronic Obstructive Pulmonary Disease	31
Diabetes	40
Dementia	20
Cancer	15

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2014 were hospital care, inpatient care, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

arthrodesis (bone fusion surgery)	14
decompression surgery	34
doctor visit	233
hospital care	112
inpatient care	112
neck surgery	14
nerve procedures	34
spinal procedures	34

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	132
Female	146

**Ethnicity**
Non-Hispanic White	239
Black	22
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	124
From 75 to 84	89
85 and over	25
Less than 65	40

Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD in 2014

Hypertension	75
High Cholesterol	66
Stroke	16
Ischemic Heart Disease	44
Depression	36
Chronic Kidney Disease	20
Asthma	8
Osteoperosis	13
Atrial Fibrilation	10
Heart Failure	23
Chronic Obstructive Pulmonary Disease	25
Diabetes	36
Dementia	18
Cancer	12

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2015 were hospital care, inpatient care, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

arthrodesis (bone fusion surgery)	22
cranial surgery	11
decompression surgery	44
doctor visit	236
hospital care	150
implant surgery	21
inpatient care	150
neck surgery	22
nerve procedures	44
neurostimulator lead placement	11
neurostimulator replacement	21
spinal procedures	44

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	330
Female	308

**Ethnicity**
Non-Hispanic White	582
Black	30
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	298
From 75 to 84	184
85 and over	56
Less than 65	100

Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD in 2015

Hypertension	75
High Cholesterol	61
Stroke	24
Ischemic Heart Disease	41
Depression	40
Chronic Kidney Disease	24
Asthma	17
Osteoperosis	11
Atrial Fibrilation	11
Heart Failure	24
Chronic Obstructive Pulmonary Disease	25
Diabetes	33
Dementia	18
Cancer	15

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2016 were hospital care, inpatient care, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

arthrodesis (bone fusion surgery)	15
decompression surgery	46
doctor visit	233
hospital care	162
implant surgery	14
inpatient care	162
neck surgery	15
nerve procedures	46
neurostimulator replacement	14
spinal procedures	46

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	153
Female	154

**Ethnicity**
Non-Hispanic White	272
Black	23
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	113
From 75 to 84	113
85 and over	36
Less than 65	45

Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD in 2016

Hypertension	75
High Cholesterol	65
Stroke	22
Ischemic Heart Disease	47
Depression	40
Chronic Kidney Disease	38
Asthma	29
Osteoperosis	11
Atrial Fibrilation	19
Heart Failure	28
Chronic Obstructive Pulmonary Disease	27
Diabetes	36
Dementia	27
Cancer	17

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2017 were hospital care, inpatient care, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

arthrodesis (bone fusion surgery)	22
decompression surgery	52
doctor visit	224
hospital care	176
implant surgery	11
inpatient care	176
neck surgery	22
nerve procedures	52
neurostimulator replacement	11
spinal procedures	52

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	139
Female	171

**Ethnicity**
Non-Hispanic White	273
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	143
From 75 to 84	88
85 and over	41
Less than 65	38

Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD in 2017

Hypertension	75
High Cholesterol	61
Stroke	21
Ischemic Heart Disease	47
Depression	41
Chronic Kidney Disease	32
Asthma	7
Osteoperosis	10
Atrial Fibrilation	16
Heart Failure	26
Chronic Obstructive Pulmonary Disease	27
Diabetes	31
Dementia	24
Cancer	16

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2018 were hospital care, inpatient care, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

arthrodesis (bone fusion surgery)	21
decompression surgery	50
doctor visit	217
hospital care	103
implant surgery	20
inpatient care	103
neck surgery	21
nerve procedures	50
neurostimulator replacement	20
spinal procedures	50

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	139
Female	146

**Ethnicity**
Non-Hispanic White	236
Black	28
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	124
From 75 to 84	86
85 and over	27
Less than 65	48

Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD in 2018

Hypertension	75
High Cholesterol	65
Stroke	15
Ischemic Heart Disease	37
Depression	37
Chronic Kidney Disease	31
Asthma	9
Osteoperosis	11
Atrial Fibrilation	14
Heart Failure	18
Chronic Obstructive Pulmonary Disease	24
Diabetes	34
Dementia	27
Cancer	14

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2019 were hospital care, inpatient care, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

arthrodesis (bone fusion surgery)	16
decompression surgery	34
doctor visit	208
hospital care	107
implant surgery	11
inpatient care	107
neck surgery	16
nerve procedures	34
neurostimulator replacement	11
spinal procedures	34

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	107
Female	136

**Ethnicity**
Non-Hispanic White	204
Black	24
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	106
From 75 to 84	64
85 and over	27
Less than 65	46

Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD in 2019

Hypertension	75
High Cholesterol	67
Stroke	20
Ischemic Heart Disease	40
Depression	41
Chronic Kidney Disease	39
Asthma	8
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	27
Chronic Obstructive Pulmonary Disease	26
Diabetes	36
Dementia	22
Cancer	17

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2020 were hospital care, inpatient care, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

arthrodesis (bone fusion surgery)	15
decompression surgery	28
doctor visit	182
hospital care	80
implant surgery	15
inpatient care	80
neck surgery	15
nerve procedures	28
neurostimulator replacement	15
spinal procedures	28

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	112
Female	115

**Ethnicity**
Non-Hispanic White	196
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	108
From 75 to 84	62
85 and over	20
Less than 65	37

Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD in 2020

Hypertension	75
High Cholesterol	68
Stroke	16
Ischemic Heart Disease	41
Depression	46
Chronic Kidney Disease	44
Asthma	9
Osteoperosis	9
Atrial Fibrilation	11
Heart Failure	24
Chronic Obstructive Pulmonary Disease	22
Diabetes	40
Dementia	23
Cancer	17

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2021 were hospital care, inpatient care, nerve procedures and decompression surgery.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

decompression surgery	14
doctor visit	157
hospital care	49
inpatient care	49
nerve procedures	14
spinal procedures	14

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	86
Female	115

**Ethnicity**
Non-Hispanic White	182
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	102
From 75 to 84	53
85 and over	30
Less than 65	16

Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD in 2021

Hypertension	75
High Cholesterol	70
Stroke	16
Ischemic Heart Disease	40
Depression	37
Chronic Kidney Disease	34
Asthma	6
Osteoperosis	12
Atrial Fibrilation	14
Heart Failure	26
Chronic Obstructive Pulmonary Disease	15
Diabetes	38
Dementia	25
Cancer	19

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX during 2022 were hospital care, inpatient care, radiation therapy and image guided procedures.

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

decompression surgery	16
doctor visit	143
hospital care	46
image guided procedures	19
implant surgery	11
inpatient care	46
nerve procedures	16
neurostimulator replacement	11
radiation therapy	19
spinal procedures	16

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	89
Female	99

**Ethnicity**
Non-Hispanic White	177
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	84
From 75 to 84	65
85 and over	24
Less than 65	15

Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	34
Ischemic Heart Disease	38
Depression	35
Chronic Kidney Disease	23
Asthma	13
Osteoperosis	11
Atrial Fibrilation	23
Heart Failure	17
Chronic Obstructive Pulmonary Disease	28
Diabetes	36
Dementia	19
Cancer	22

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Thomas W. Grahm, MD for Medicare patients.

The highest averages for the top procedures that Dr. Thomas W. Grahm, MD treated as a neurosurgeon in Tyler, TX were inpatient care, hospital care, spinal procedures and nerve procedures.

arthrodesis (bone fusion surgery)	18
cranial surgery	11
decompression surgery	36
doctor visit	216
hospital care	115
image guided procedures	19
implant surgery	15
inpatient care	115
neck surgery	18
nerve procedures	36
neurostimulator lead placement	11
neurostimulator replacement	15
radiation therapy	19
spinal procedures	39

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Thomas W. Grahm, MD.

**Gender**
Male	130
Female	141

**Ethnicity**
Black / African American	13
Asian / Pacific Islander	0
Non-Hispanic White	239
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	82
85 and over	28
Less than 65	39
65 to 74	121

Average of Total of Conditions of Medicare patients treated by Dr. Thomas W. Grahm, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Thomas W. Grahm, MD treated were hypertension, high cholesterol, ischemic heart disease and depression.

Hypertension	68
High Cholesterol	59
Stroke	18
Ischemic Heart Disease	38
Depression	35
Chronic Kidney Disease	27
Asthma	10
Osteoporosis	9
Heart Failure	21
Chronic Obstructive Pulmonary Disease	22
Diabetes	32
Atrial Fibrillation	12
Dementia	20
Cancer	14

Education & Training

Dr. Thomas W. Grahm, MD graduated from University of Texas Medical Branch School of Medicine in 1983. He has a state license in Texas.

Medical School: University of Texas Medical Branch School of Medicine (1983)

Licensed In: Texas

Affiliations & Hospitals

Dr. Thomas W. Grahm, MD is associated with these hospitals and organizations:

CHRISTUS Trinity Mother Frances Health System

TYLER NEUROSURGICAL ASSOCIATES, P.A.

Texas Spine & Joint Hospital

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General Payments

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

**Payments by Company**
Nevro Corp	$742 Senza Spinal Cord Stimulation System $742
AstraZeneca Pharmaceuticals LP	$432 ANDEXXA $347	$85
Ethicon US, LLC	$396 ETHICON $217	Neuwave $90	VISTASEAL $45	SURGIFLO Hemostatic Matrix $44
Alphatec Spine, Inc	$299 POROUS TI $299
Medtronic USA, Inc.	$286 AQUAMANTYS $120	O-ARM-Spine $92	Spinal Cord Neurostimulation - Neuro $74
Other	$1,470 Spine $220	GammaTile $174	Restrata Wound Matrix $134	Advanced Energy Hemostatic Device $129	ACTIVA PC $116	Other $696

**Types of Payments**
Food and Beverage	$3,046
Travel and Lodging	$558
Education	$21

Biography

Dr. Thomas Grahm's medical specialty is neurosurgery. These areas are among his clinical interests: parkinson's disease, cervical laminectomy, and arteriovenous malformation (AVM). He is affiliated with CHRISTUS Trinity Mother Frances Health System. Dr. Grahm is a graduate of the University of Texas Medical Branch School of Medicine.