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Dr. Thomas Hild Graham, MD

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Specializes in: Neurology (Brain & Spinal Cord Disease), Electrodiagnostic Medicine and Neurophysiology

Penn State College of Medicine (1978)

Professional interests include: stroke, multiple sclerosis (MS), dementia, and more.

11 Industrial Boulevard Paoli Pointe Building, Suite 204
Paoli, PA 19301

Dr. Thomas Hild Graham, MD is a neurologist in Paoli, PA specializing in neurology (brain & spinal cord disease), electrodiagnostic medicine and neurophysiology. He graduated from Penn State College of Medicine in 1978 and has 48 years of experience. Dr. Thomas Hild Graham, MD is affiliated with Main Line Health and GREAT VALLEY NEUROLOGICAL ASSOCIATES LLC.

Office Locations

11 Industrial Boulevard Paoli Pointe Building, Suite 204
Paoli, PA 19301

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Some issues Dr. Thomas Hild Graham, MD can help you with:

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Noteworthy Medicare Patient Procedures Performed by Dr. Thomas Hild Graham, MD in 2023

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

Top 5%

By Volume:

carotid duplex ultrasound

electroencephalography

vascular procedures

vascular ultrasound

In 2023, Dr. Thomas Hild Graham, MD performed more carotid duplex ultrasound, electroencephalography (EEG), vascular procedures, and vascular ultrasound procedures for Medicare patients than 95% of providers in related specialties within Pennsylvania.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2012 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

diagnostic procedures	94
doctor visit	514
electroencephalography (EEG)	95
hospital care	508
inpatient care	508
ultrasound (sonogram)	146
vascular procedures	146

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2013 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

diagnostic procedures	12
doctor visit	504
electroencephalography (EEG)	113
hospital care	388
injections	25
inpatient care	388
minimally invasive procedures	25
ultrasound (sonogram)	202
vascular procedures	202

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	367
Female	462

**Ethnicity**
Non-Hispanic White	770
Black	34
Hispanic	0
Asian	0
Other	12
Native American	0

**Age**
From 65 to 74	254
From 75 to 84	277
85 and over	197
Less than 65	101

Conditions of Medicare patients treated by Dr. Thomas Hild Graham, MD in 2013

Hypertension	72
High Cholesterol	66
Stroke	32
Ischemic Heart Disease	40
Depression	34
Chronic Kidney Disease	25
Asthma	7
Osteoperosis	11
Atrial Fibrilation	22
Heart Failure	21
Chronic Obstructive Pulmonary Disease	13
Diabetes	28
Dementia	32
Cancer	15

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2014 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

doctor visit	494
electroencephalography (EEG)	105
hospital care	439
inpatient care	439
ultrasound (sonogram)	167
vascular procedures	167

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	352
Female	458

**Ethnicity**
Non-Hispanic White	759
Black	25
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	262
From 75 to 84	276
85 and over	181
Less than 65	91

Conditions of Medicare patients treated by Dr. Thomas Hild Graham, MD in 2014

Hypertension	75
High Cholesterol	69
Stroke	33
Ischemic Heart Disease	43
Depression	39
Chronic Kidney Disease	30
Asthma	8
Osteoperosis	10
Atrial Fibrilation	22
Heart Failure	23
Chronic Obstructive Pulmonary Disease	15
Diabetes	30
Dementia	33
Cancer	15

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2015 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

diagnostic procedures	13
doctor visit	560
electroencephalography (EEG)	114
hospital care	371
inpatient care	371
ultrasound (sonogram)	178
vascular procedures	178

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	728
Female	874

**Ethnicity**
Non-Hispanic White	1502
Black	38
Hispanic	0
Asian	0
Other	34
Native American	0

**Age**
From 65 to 74	576
From 75 to 84	564
85 and over	326
Less than 65	136

Conditions of Medicare patients treated by Dr. Thomas Hild Graham, MD in 2015

Hypertension	75
High Cholesterol	68
Stroke	35
Ischemic Heart Disease	45
Depression	38
Chronic Kidney Disease	29
Asthma	10
Osteoperosis	12
Atrial Fibrilation	22
Heart Failure	22
Chronic Obstructive Pulmonary Disease	15
Diabetes	28
Dementia	32
Cancer	15

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2016 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

diagnostic procedures	11
doctor visit	714
electroencephalography (EEG)	95
hospital care	382
inpatient care	382
ultrasound (sonogram)	179
vascular procedures	179

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	362
Female	494

**Ethnicity**
Non-Hispanic White	798
Black	27
Hispanic	0
Asian	0
Other	17
Native American	0

**Age**
From 65 to 74	297
From 75 to 84	324
85 and over	140
Less than 65	95

Conditions of Medicare patients treated by Dr. Thomas Hild Graham, MD in 2016

Hypertension	73
High Cholesterol	69
Stroke	29
Ischemic Heart Disease	43
Depression	34
Chronic Kidney Disease	31
Asthma	15
Osteoperosis	11
Atrial Fibrilation	19
Heart Failure	19
Chronic Obstructive Pulmonary Disease	13
Diabetes	28
Dementia	41
Cancer	14

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2017 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

doctor visit	521
electroencephalography (EEG)	83
hospital care	465
inpatient care	465
ultrasound (sonogram)	158
vascular procedures	158

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	348
Female	440

**Ethnicity**
Non-Hispanic White	741
Black	19
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	269
From 75 to 84	267
85 and over	175
Less than 65	77

Conditions of Medicare patients treated by Dr. Thomas Hild Graham, MD in 2017

Hypertension	72
High Cholesterol	61
Stroke	30
Ischemic Heart Disease	45
Depression	44
Chronic Kidney Disease	36
Asthma	8
Osteoperosis	14
Atrial Fibrilation	22
Heart Failure	26
Chronic Obstructive Pulmonary Disease	13
Diabetes	29
Dementia	44
Cancer	15

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2018 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

doctor visit	570
electroencephalography (EEG)	90
hospital care	440
injections	31
inpatient care	440
minimally invasive procedures	31
ultrasound (sonogram)	138
vascular procedures	138

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	340
Female	445

**Ethnicity**
Non-Hispanic White	730
Black	26
Hispanic	0
Asian	0
Other	16
Native American	0

**Age**
From 65 to 74	257
From 75 to 84	289
85 and over	156
Less than 65	83

Conditions of Medicare patients treated by Dr. Thomas Hild Graham, MD in 2018

Hypertension	74
High Cholesterol	71
Stroke	32
Ischemic Heart Disease	43
Depression	42
Chronic Kidney Disease	34
Asthma	7
Osteoperosis	15
Atrial Fibrilation	21
Heart Failure	22
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Dementia	41
Cancer	13

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2019 were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

doctor visit	455
electroencephalography (EEG)	112
hospital care	348
injections	36
inpatient care	348
minimally invasive procedures	36
ultrasound (sonogram)	185
vascular procedures	185

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	322
Female	424

**Ethnicity**
Non-Hispanic White	696
Black	23
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	286
From 75 to 84	255
85 and over	128
Less than 65	77

Conditions of Medicare patients treated by Dr. Thomas Hild Graham, MD in 2019

Hypertension	74
High Cholesterol	73
Stroke	33
Ischemic Heart Disease	43
Depression	44
Chronic Kidney Disease	35
Asthma	8
Osteoperosis	16
Atrial Fibrilation	20
Heart Failure	21
Chronic Obstructive Pulmonary Disease	15
Diabetes	25
Dementia	38
Cancer	14

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2020 were ultrasound (sonogram), vascular procedures, electroencephalography (EEG) and hospital care.

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

doctor visit	185
electroencephalography (EEG)	64
hospital care	62
inpatient care	62
ultrasound (sonogram)	97
vascular procedures	97

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	185
Female	221

**Ethnicity**
Non-Hispanic White	385
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	167
From 75 to 84	139
85 and over	66
Less than 65	34

Conditions of Medicare patients treated by Dr. Thomas Hild Graham, MD in 2020

Hypertension	75
High Cholesterol	74
Stroke	28
Ischemic Heart Disease	47
Depression	40
Chronic Kidney Disease	39
Asthma	8
Osteoperosis	13
Atrial Fibrilation	19
Heart Failure	21
Chronic Obstructive Pulmonary Disease	12
Diabetes	31
Dementia	31
Cancer	14

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2021 were ultrasound (sonogram), vascular procedures, electroencephalography (EEG) and hospital care.

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

electroencephalography (EEG)	43
hospital care	36
inpatient care	36
ultrasound (sonogram)	98
vascular procedures	98

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	97
Female	109

**Ethnicity**
Non-Hispanic White	191
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	87
From 75 to 84	77
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Thomas Hild Graham, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	42
Ischemic Heart Disease	54
Depression	42
Chronic Kidney Disease	44
Asthma	9
Osteoperosis	17
Atrial Fibrilation	21
Heart Failure	25
Chronic Obstructive Pulmonary Disease	16
Diabetes	29
Dementia	28
Cancer	14

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA during 2022 were ultrasound (sonogram), vascular procedures and electroencephalography (EEG).

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

electroencephalography (EEG)	21
ultrasound (sonogram)	74
vascular procedures	74

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	52
Female	53

**Ethnicity**
Non-Hispanic White	89
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	41
From 75 to 84	47
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Thomas Hild Graham, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	46
Ischemic Heart Disease	54
Depression	27
Chronic Kidney Disease	30
Asthma	0
Osteoperosis	28
Atrial Fibrilation	26
Heart Failure	16
Chronic Obstructive Pulmonary Disease	18
Diabetes	27
Dementia	12
Cancer	12

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Thomas Hild Graham, MD for Medicare patients.

The highest averages for the top procedures that Dr. Thomas Hild Graham, MD treated as a neurologist in Paoli, PA were hospital care, inpatient care, ultrasound (sonogram) and vascular procedures.

diagnostic procedures	32
doctor visit	501
electroencephalography (EEG)	85
hospital care	343
injections	30
inpatient care	343
minimally invasive procedures	30
ultrasound (sonogram)	147
vascular procedures	147

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Thomas Hild Graham, MD.

**Gender**
Male	286
Female	361

**Ethnicity**
Black / African American	17
Asian / Pacific Islander	0
Non-Hispanic White	605
Native American / Alaskan Native	0
Hispanic	0
Other	8

**Age**
75 to 84	228
85 and over	124
Less than 65	63
65 to 74	226

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

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

Hypertension	67
High Cholesterol	63
Stroke	30
Ischemic Heart Disease	41
Depression	34
Chronic Kidney Disease	30
Asthma	7
Osteoporosis	13
Heart Failure	19
Chronic Obstructive Pulmonary Disease	12
Diabetes	25
Atrial Fibrillation	19
Dementia	30
Cancer	12

Education & Training

Dr. Thomas Hild Graham, MD graduated from Penn State College of Medicine in 1978. He completed residency at Hospital of the University of Pennsylvania. He has a state license in Pennsylvania.

Medical School: Penn State College of Medicine (1978)

Residency: Hospital of the University of Pennsylvania (1982)

Licensed In: Pennsylvania

Affiliations & Hospitals

Dr. Thomas Hild Graham, MD is associated with these hospitals and organizations:

Main Line Health

GREAT VALLEY NEUROLOGICAL ASSOCIATES LLC

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General Payments

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

**Payments by Company**
GENZYME CORPORATION	$828 AUBAGIO $453	LEMTRADA $351	POMPE - DISEASE $23
Teva Pharmaceuticals USA, Inc.	$566 COPAXONE $350	AZILECT $94	AJOVY $62	Zecuity $34	AMRIX $13	Other $13
UCB, Inc.	$483 Vimpat $210	Briviact $148	Neupro $126
Novartis Pharmaceuticals Corporation	$409 Gilenya $282	MAYZENT $43	Aimovig $43	AFINITOR $17	$24
Supernus Pharmaceuticals, Inc.	$404 TROKENDI XR $357	OXTELLAR XR $47
Other	$4,319 Rebif $322	Betaseron $300	ZEPOSIA $242	APTIOM $242	NUPLAZID $187	Other $3,025

**Types of Payments**
Food and Beverage	$6,788
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$144
Education	$42
Gift	$35

Biography

Dr. Thomas Graham specializes in neurophysiology, electrodiagnostic medicine, and neurology (brain & spinal cord disease). Clinical interests for Dr. Graham include migraine, multiple sclerosis (MS), and parkinson's disease. Dr. Graham is affiliated with Main Line Health. He is a graduate of Penn State College of Medicine and a graduate of Hospital of the University of Pennsylvania's residency program.