The San Antonio Orthopaedic Group (TSAOG)

What The San Antonio Orthopaedic Group (TSAOG) does

The San Antonio Orthopaedic Group (TSAOG) is a physician-owned, LLP-structured orthopedic medical practice operating as the largest such group in San Antonio, Texas, with 50+ physicians and 251–500 total employees across eight clinic locations in San Antonio, Schertz, and New Braunfels. Founded around 2001, the practice delivers comprehensive musculoskeletal care spanning joint replacement (hip, knee, shoulder, ankle), sports medicine, spine and back surgery, hand and upper extremity, shoulder and elbow, foot and ankle, pain management, podiatry, and chiropractic care. It supports the clinical workflow with in-house ACR-accredited MRI/CT imaging, physical and hand therapy across seven sites, ambulatory surgery centers, an urgent orthopedic injury clinic, and the OrthoConnect telemedicine platform, plus a HURT! mobile app partnership for 24/7 acute-injury triage. Differentiated clinical technology includes Mako Robotic-Arm Assisted knee replacement and computer-assisted surgical navigation for implant placement precision.

TSAOG operates a fee-for-service professional services revenue model. Insured patient visits (with multi-year in-network status across Blue Cross Blue Shield Texas and other major carriers) drive the bulk of revenue, supplemented by self-pay patients. The practice publishes full pricing transparency, with procedures ranging from $125–$150 joint injections to $25,039 total hip replacement and $17,862 partial knee replacement, and office visits priced at $100–$250. Go-to-market combines direct patient scheduling via phone, athenahealth patient portal, Radix Health online booking, and OrthoConnect telemedicine with community-led outreach through school partnerships (e.g., Long Creek High School), local sports team affiliations, and event sponsorships such as the Cystic Fibrosis Foundation Tower Climb. Operationally, TSAOG has deployed Voice AI in its contact center, reducing average call handling time from 7 minutes to 3.5 minutes and automating 75% of cancellation requests without staff intervention while growing self-scheduled appointments 20% year-over-year.

The company has no disclosed external institutional investors, funding rounds, or parent entity, consistent with physician-partner ownership. Recent strategic moves include the May 2026 multi-year BCBS Texas agreement, 2025 addition of five specialists in pain management, podiatry, and sports medicine, and 2025 partnerships with HURT! and Long Creek High School. It also earned the 2026 HCCT Innovation Award for its AI-enabled contact center and had a physician named 2024 President of the Texas Orthopaedic Association.

Name

The San Antonio Orthopaedic Group (TSAOG)

Legal name

The San Antonio Orthopaedic Group, LLP

Website

https://tsaog.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

251–500 employees

Short description

The San Antonio Orthopaedic Group (TSAOG) is a physician-owned orthopedic practice and the largest in San Antonio, with 50+ physicians across 8 locations delivering joint replacement, sports medicine, spine, hand, foot/ankle, pain management, and imaging services to South Texas patients.

Ownership category

akta.pro rank

Product category

Orthopedic Healthcare Services

NAICS

Offices of Physical, Occupational and Speech Therapists, and Audiologists (62134), Offices of Podiatrists (621391), Offices of Chiropractors (62131), Diagnostic Imaging Centers (621512)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

General Orthopedics (HLAKALAA)

akta.pro secondary industries

Shoulder & Elbow (HLAKALAI), Foot & Ankle (HLAKALAG), Pain Management (Spine & Musculoskeletal) (HLAKALAM), Pain Management & Interventional Procedure Centers (HLAFAIAH), Hand & Upper Extremity Therapy (OT/CHT) (HSADAIAH), Pain Management Chiropractic (Neck/Back/Sciatica) (HSADALAI)

Keywords

• Orthopedic medical services
• Sports medicine care
• Joint replacement surgery
• Physical therapy services
• Spine and back care

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Patient Care Services: Fee-for-service healthcare delivery through office visits, diagnostic imaging, physical therapy, and surgical procedures. Revenue generated from insured patient visits (with major insurance carriers including Blue Cross Blue Shield Texas) and self-pay patients.
2. Surgical Procedures: One-time surgical procedures including joint replacements, arthroscopic surgeries, and spine procedures. Pricing transparency available with self-pay packages ranging from $250 (initial evaluation) to $25,039 (total hip replacement).

Pricing tiers

Go-to-market motion2 records

Distribution channels6 records

Marketing channels5 records

Core offering

TSAOG is a multi-specialty orthopedic medical practice providing comprehensive musculoskeletal care across the full continuum from diagnosis to surgical treatment and rehabilitation. The practice operates eight clinic locations in the San Antonio metropolitan area staffed by 50+ fellowship-trained physicians across specialties including joint replacement, sports medicine, spine, hand and upper extremity, shoulder and elbow, foot and ankle, pain management, podiatry, and chiropractic care, supported by in-house ACR-accredited MRI/CT imaging, physical therapy, ambulatory surgery centers, telemedicine (OrthoConnect), and urgent orthopedic injury care.

Product overview

TSAOG Orthopaedics & Spine operates as a comprehensive orthopedic care practice offering a unified portfolio of services across multiple specialties. The core offerings include joint replacement (hip, knee, shoulder, ankle) with advanced robotic-assisted technology (Mako), sports medicine, spine/back and neck surgery, hand and upper extremity, shoulder and elbow, foot and ankle, pain management, podiatry, and chiropractic care. Supporting services include physical therapy, hand therapy, ACR-accredited imaging centers (MRI/CT), ambulatory surgery centers, telemedicine (OrthoConnect), and urgent injury care. Advanced treatment offerings include hyaluronic acid injections, BMAC, PRP (Arthrex/Emcyte systems), Lipogems therapy, computer-assisted surgical navigation, and the Regeneten bioinductive implant. The practice serves patients across 8 locations in the San Antonio area.

Differentiator

Problem solved

Functional benefit

Products and services

• Joint Replacement Services Surgical joint replacement for hip, knee, shoulder, and ankle joints for patients with degenerative joint disease or advanced arthritis.
• Mako Robotic-Arm Assisted Knee Replacement Robotic-arm assisted knee replacement surgery that uses 3D planning and robotic precision for implant placement, intended to improve surgical accuracy and outcomes for patients with knee arthritis or damage.
• Sports Medicine Diagnosis, treatment, and rehabilitation of sports-related musculoskeletal injuries for youth, collegiate, professional, and recreational athletes, delivered by fellowship-trained sports medicine physicians.
• Orthopaedic Back and Neck Surgery Surgical treatment for spine and neck conditions including minimally invasive techniques, microscopic tubular resection, robot-assisted spinal fusion, and deformity correction for patients with herniated discs, spinal stenosis, or chronic back pain.
• Hand and Upper Extremity Care Specialized diagnosis and treatment of hand, wrist, elbow, and shoulder conditions focused on restoring function for patients with trauma, repetitive strain, or degenerative conditions.
• Complex Shoulder and Elbow Care Fellowship-trained specialist care for complex shoulder and elbow conditions requiring advanced surgical or non-surgical treatment.
• Foot and Ankle Center Comprehensive surgical and non-surgical treatment of foot and ankle conditions for patients with injuries, deformities, or chronic conditions.
• Primary Pain Management Pain management services for extremities, chronic pain, back pain, and post-surgical pain using injections, nerve blocks, and non-opioid treatments.
• Podiatry Diagnosis, treatment, and prevention of foot conditions including ingrown nails, infections, and structural deformities.
• Chiropractic Care Non-surgical spine and back treatment using spinal manipulation and the Cox Technique for patients with musculoskeletal back and neck pain.
• Physical Therapy Musculoskeletal evaluations, therapeutic exercises, manual therapy, and rehabilitation services provided across seven locations for post-surgical recovery and orthopedic conditions.
• Hand Therapy Specialized hand and wrist therapy including evaluations, custom home programs, therapeutic exercises, and neuromuscular rehabilitation, available by referral.
• Imaging Centers ACR-accredited MRI and CT scan facilities providing non-invasive diagnostic imaging at the Ridgewood and Quarry Area locations.
• Ambulatory Surgery Centers Outpatient surgical facilities for orthopedic procedures, providing same-day surgical care for TSAOG patients.
• OrthoConnect Telemedicine Virtual orthopedic consultations and follow-up appointments delivered through a telemedicine platform for remote patient assessment and continuity of care.
• Urgent Injury Ortho Clinic Same-day orthopedic urgent care for sprains, minor fractures, joint pain, and sports-related injuries as an alternative to emergency room visits.
• WorkSmart Industrial Rehabilitation Center Industrial rehabilitation services for employees with work-related musculoskeletal injuries, including return-to-work programs and work conditioning.
• Bone Health Services Bone density and skeletal health assessment and treatment services for patients at risk of or affected by osteoporosis and fragility fractures.
• Bone Marrow Aspirate Concentrate (BMAC) Injections Stem cell-rich bone marrow injections that promote healing in joints and soft tissues, available as a standalone procedure or add-on to other orthopedic surgeries.
• Platelet-Rich Plasma (PRP) Injections PRP therapy using a patient's own platelets to promote tissue healing in joints and tendons, offered via Arthrex, Emcyte, and SI Joint systems.
• Lipogems Fat Cell Therapy Adipose tissue therapy using the patient's own fat cells to support joint repair and healing.
• Computer-Assisted Surgical Navigation Add-on surgical GPS-like technology providing real-time imaging during procedures for enhanced precision in implant placement.
• Regeneten Bioinductive Implant Bioinductive patch placed on torn rotator cuff tendons during surgery to encourage new tissue growth.
• Arthroscopic Surgery Minimally invasive joint surgery for the ankle, elbow, hip, knee, shoulder, and wrist.
• Hyaluronic Acid (Rooster Comb) Injections Viscosupplementation injections of hyaluronic acid used to restore joint lubrication and reduce knee arthritis pain, typically administered across 3-5 weekly injections.

Quantifiable outcome

• Voice AI manages 75% of cancellation requests without staff intervention
• +4 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature4 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Long Creek High SchoolcoreStrategic or Co-development Partner · 1 January 2025TSAOG became the primary medical provider for Long Creek High School student-athletes, ensuring access to high-quality orthopedic and sports medicine care for the school's athletic program.
• HURT!coreStrategic or Co-development Partner · 1 January 2025Partnership with HURT! medical app to provide 24/7 access to orthopedic specialists. Connects acutely injured orthopedic patients with specialized care through mobile technology.
• Alamo City All-StarsminorStrategic or Co-development PartnerTSAOG began partnership with Alamo City All-Stars, a local sports organization.
• Blue Cross Blue Shield TexascoreChannel Partner/ Reseller/ DistributorMulti-year agreement ensuring TSAOG providers remain in-network for Blue Cross Blue Shield Texas patients, maintaining access to orthopedic care for insured patients.
• Cystic Fibrosis FoundationminorGTM or Marketing PartnerTSAOG sponsored the 39th Annual CF Tower Climb and Run hosted by the Cystic Fibrosis Foundation, supporting research and awareness.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• The CORE Institute: Specialty orthopedic and neurology practice headquartered in Arizona with multiple locations, ASCs, and research programs — comparable as a multi-subspecialty musculoskeletal group with advanced technology adoption similar to TSAOG.
• OrthoCarolina: Large physician-owned multi-specialty orthopedic group practice based in Charlotte, NC with multiple locations, on-site imaging, surgery centers, and physical therapy — directly comparable to TSAOG in scale, subspecialty breadth, and vertically integrated MSK care model.
• Twin Cities Orthopedics: Large physician-owned orthopedic group in Minneapolis-St. Paul with 100+ providers, multiple clinic and surgery center locations, and physical therapy — comparable in scale, integrated care model, and regional market leadership to TSAOG.
• Resurgens Orthopaedics: One of the largest orthopedic practices in the U.S., based in Atlanta, GA with 100+ physicians across multiple subspecialties, imaging, and surgery centers — directly comparable to TSAOG as a large private orthopedic group practice.
• Rothman Orthopaedic Institute: Major multi-specialty orthopedic group headquartered in Philadelphia serving the Mid-Atlantic with 50+ physicians across multiple subspecialties, ambulatory surgery centers, and physical therapy — comparable in physician count and integrated service model to TSAOG.
• OrthoVirginia: Large multi-specialty orthopedic group practice in Virginia with 100+ physicians, multiple locations, on-site imaging, and physical therapy services — directly comparable to TSAOG in scale, subspecialty coverage, and integrated delivery model.
• Midwest Orthopaedics at Rush: Specialty orthopedic group affiliated with Rush University in Chicago with 50+ fellowship-trained orthopedic surgeons across multiple subspecialties — comparable to TSAOG in physician depth, subspecialty breadth, and advanced surgical technology adoption.

Broad incumbents

• Houston Methodist Orthopedics & Sports Medicine: Hospital-employed orthopedic specialty program within the Houston Methodist system in Texas — comparable as a large Texas-based orthopedic care provider with multiple subspecialties, though employed within a broader health system rather than an independent group.
• Hospital for Special Surgery (HSS): National specialty hospital focused exclusively on orthopedics and rheumatology with much larger scale, academic affiliation, and brand power than TSAOG — relevant as a benchmark for the broader specialty orthopedic delivery model TSAOG operates within.

Regional players

• Texas Bone & Joint: Multi-location orthopedic group practice based in the Dallas-Fort Worth area offering similar subspecialty orthopedic services including joint replacement, sports medicine, and spine — comparable as a large Texas orthopedic group but operating in a different metro than TSAOG.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/thesaorthogroup
• YouTubeyoutube.com/channel/UCm7klUzZg7wISIiHKQ9_HBQ
• Facebookfacebook.com/thesanantonioorthopaedicgroup
• LinkedInlinkedin.com/company/tsaogorthopaedics
• Instagraminstagram.com/tsaog_ortho/?hl=en

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about The San Antonio Orthopaedic Group (TSAOG)