The Hand and Upper Extremity Center of San Antonio

What The Hand and Upper Extremity Center of San Antonio does

The Hand and Upper Extremity Center of San Antonio is a private, physician-owned medical practice specializing in the diagnosis, surgical treatment, and rehabilitation of hand, wrist, elbow, and shoulder conditions. The practice is staffed by five fellowship-trained surgeons — David P. Green, M.D., Mark Bagg, M.D., David W. Person, M.D., F.A.C.S., Ramesh C. Srinivasan, M.D., F.A.C.S., and Kunj Desai, M.D. — collectively representing more than 100 years of surgical experience and drawing on backgrounds in both orthopedic and plastic surgery. Two in-house Certified Hand Therapists (CHTs) deliver post-operative and rehabilitative care, and the practice operates a hand surgery fellowship program. The center serves individual patients, workers' compensation cases with guaranteed 24-hour appointment availability, and referring physicians, operating from a single location at 21 Spurs Lane, Suite 248 within The Texas Center for Athletes in San Antonio, Texas.

The practice's clinical capabilities span advanced procedures including microvascular surgery, endoscopic carpal tunnel release, peripheral nerve grafting and transfers, LRTI/CMC arthroplasty, shoulder replacement (total, reverse, partial), rotator cuff repair, fracture fixation, skin grafting, and burn reconstruction. Non-surgical services include bracing, injections, and conservative management for arthritis, tendonitis, carpal tunnel syndrome, and related conditions. Patients access care through a dedicated physician referral line, fax referrals, an online contact form, direct phone scheduling, walk-in urgent visits, and telemedicine consultations. Marketing is conducted via a content blog, email newsletter, physician speaking engagements at UT Health San Antonio Grand Rounds, and patient education content.

Revenue is generated entirely through professional services across four streams: clinical consultations, surgical procedures, hand therapy, and workers' compensation cases. Pricing is not publicly disclosed; the practice accepts insurance and offers CareCredit patient financing. The go-to-market motion is sales-led, anchored by a regional physician referral network with a dedicated referral phone and fax line, complemented by direct-to-patient scheduling and telemedicine. Geographic scope is single-site, regional within Texas, with no disclosed multi-site expansion or external investment.

Name

The Hand and Upper Extremity Center of San Antonio

Legal name

The Hand and Upper Extremity Center of San Antonio

Website

https://handcentersa.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

The Hand and Upper Extremity Center of San Antonio is a private, physician-owned medical practice in San Antonio, Texas, providing specialized surgical and rehabilitative care for hand, wrist, elbow, and shoulder conditions to individual patients, workers' compensation cases, and referring physicians across the region.

Ownership category

akta.pro rank

Product category

Hand and Upper Extremity Surgical Care

NAICS

Offices of Physicians (except Mental Health Specialists) (621111), Offices of Physical, Occupational and Speech Therapists, and Audiologists (621340)

SIC

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

akta.pro primary industry

Hand & Upper Extremity (HLAKALAF)

akta.pro secondary industries

Orthopedic & Spine Surgery Centers (HLAFAIAG), Hand & Upper Extremity Therapy (OT/CHT) (HSADAIAH)

Keywords

• Hand surgery
• Upper extremity care
• Orthopedic surgery
• Hand therapy
• Microvascular surgery

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Clinical Consultations and Office Visits: Revenue from patient consultations, evaluations, and follow-up appointments for hand, wrist, elbow, and shoulder conditions.
2. Surgical Procedures: Revenue from surgical interventions including carpal tunnel release, rotator cuff repair, shoulder replacement, CMC arthroplasty, nerve repair, tendon repair, fracture fixation, and microvascular surgery.
3. Hand Therapy Services: Revenue from in-house certified hand therapy provided by CHTs for rehabilitation services.
4. Workers' Compensation Services: Specialized services for workers' compensation cases with guaranteed 24-hour appointment availability for work injuries.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

The Hand and Upper Extremity Center of San Antonio is a specialized medical practice providing surgical and non-surgical treatment for hand, wrist, elbow, and shoulder conditions, including fracture care, carpal tunnel release, CMC arthroplasty, rotator cuff repair, nerve repair, microvascular surgery, and burn reconstruction. The practice complements surgical care with in-house certified hand therapy (CHT), telemedicine visits, workers' compensation services with 24-hour appointment availability, and a hand surgery fellowship training program for orthopedic and plastic surgeons.

Product overview

The Hand and Upper Extremity Center of San Antonio is a specialized medical practice providing comprehensive care for hand, wrist, elbow, and shoulder conditions. The practice offers a unified suite of services centered on surgical procedures (including carpal tunnel release, CMC arthroplasty, rotator cuff repair, nerve injury treatment, skin graft surgery, and microvascular surgery) alongside non-surgical treatments and certified hand therapy. The center also operates a hand surgery fellowship program and provides telemedicine consultations. With over 100 years of collective physician experience, the practice combines expertise in orthopedic and plastic surgery backgrounds to address conditions ranging from trauma and fractures to arthritis, burns, and congenital deformities.

Differentiator

Problem solved

Functional benefit

Products and services

• Hand & Wrist Surgery Surgical and non-surgical treatment for hand and wrist conditions including carpal tunnel syndrome, tendonitis, fractures, arthritis, and nerve injuries, delivered by fellowship-trained hand surgeons for adult and pediatric patients.
• Shoulder Surgery & Replacement Shoulder replacement surgery (total, reverse, partial), rotator cuff repair, and treatment for shoulder injuries, arthritis, and instability.
• Elbow Treatment Treatment for elbow conditions including tendonitis, fractures, and other elbow injuries, delivered by fellowship-trained surgeons.
• Hand Therapy Rehabilitation services provided by Certified Hand Therapists (CHTs) for post-surgical recovery and injury rehabilitation, offered in-house alongside the practice's surgical care.
• Reconstruction & Trauma Care Surgical reconstruction for complex upper extremity injuries, soft tissue coverage, and burn reconstruction, including management of severe trauma cases.
• Hand Burn Treatment Specialized care for hand burns including acute treatment and reconstructive procedures.
• Carpal Tunnel Release Surgical procedure to treat carpal tunnel syndrome by releasing pressure on the median nerve, including minimally invasive endoscopic carpal tunnel release.
• CMC Arthroplasty Carpometacarpal arthroplasty procedure for thumb basal joint arthritis, using ligament reconstruction and tendon interposition (LRTI) and suspensionplasty techniques.
• Rotator Cuff Repair Surgical repair of torn rotator cuff tendons using arthroscopic and open techniques.
• Nerve Injury Treatment Comprehensive nerve injury care including nerve repair, reconstruction, peripheral nerve grafting, and nerve transfers to restore movement and sensation.
• Skin Graft Surgery Skin grafting procedures for hand reconstruction following trauma, burns, and chronic wounds.
• Wrist Tendonitis Treatment Treatment for wrist tendonitis, including conservative management and surgical intervention when needed.
• Thumb Arthritis Treatment Treatment for thumb basal joint arthritis including bracing, injections, and CMC arthroplasty surgery.
• Shoulder Fracture Treatment Treatment for clavicle, scapula, and proximal humerus fractures, including surgical and non-surgical approaches.
• Humerus Fracture Treatment Treatment for proximal, midshaft, and distal humerus fractures.
• Elbow Fracture Treatment Treatment for elbow fractures involving the humerus, radius, and ulna.
• Microvascular Surgery Advanced microvascular surgical techniques for hand reconstruction and nerve repair, including finger reattachment and blood vessel repair.
• Telemedicine Services Remote healthcare consultations for patients who cannot visit the clinic in person.
• Hand Surgery Fellowship Program Fellowship training program for orthopedic and plastic surgeons in hand and microvascular surgery, including clinical rotations, didactics, and mentored surgical experience.
• Workers' Compensation Services Specialized care pathway for workers' compensation cases, with expedited 24-hour appointment scheduling for work injuries and fractures and dedicated workers' comp claim processing support.

Quantifiable outcome

• 24-hour appointment availability for workers' comp injuries and fractures

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• UT Health San AntoniocoreStrategic or Co-development Partner · 11 November 2024Collaborative relationship with UT Health San Antonio School of Medicine. Dr. Kunj Desai spoke at Grand Rounds on Targeted Muscle Reinnervation and Regenerative Peripheral Nerve Interface. Dr. David Green spoke on Small Joint Injuries of the Hand. The practice is committed to fostering collaborative relationships with leading medical institutions and advancing orthopedic education.

Scale indicators3 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• The Indiana Hand to Shoulder Center: A specialized hand-to-shoulder surgical practice in Indianapolis with a similar model: fellowship-trained surgeons, in-house hand therapy, and a long-standing regional reputation. Comparable in scope, surgeon depth, and academic affiliations.
• Hand Surgery Associates (various locations): Multi-physician hand and upper extremity specialty practices with in-house hand therapy and a similar physician-owned private practice model, though spread across multiple geographies.
• The Curtis National Hand Center (MedStar Union Memorial): One of the largest dedicated hand and upper extremity centers in the U.S., with a fellowship program and integrated therapy services—directly comparable in clinical focus, scope, and academic mission.

Broad incumbents

• Resurgens Orthopaedics: Large multi-site orthopedic group in the Southeast U.S. with hand and upper extremity subspecialists—comparable in physician-owned private practice structure but much broader orthopedic scope.
• Methodist Healthcare Orthopedics (San Antonio): Hospital-system-affiliated orthopedic service line in San Antonio that competes for hand/upper extremity cases and may capture referrals through integrated network relationships.

Regional players

• Fondren Orthopedic Group: Houston-area multi-specialty orthopedic group with hand/upper extremity subspecialists, competing for referral-driven upper extremity surgical cases across Texas.
• Texas Orthopedics: Large multi-specialty orthopedic group based in Austin/San Antonio region offering hand and upper extremity services as part of broader orthopedics—competes for overlapping patient populations in Central Texas.
• Carrell Clinic Dallas: Established Dallas-based orthopedic specialty group with upper extremity surgeons, comparable in regional Texas footprint and physician-owned private practice model.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/HandCenterSA
• LinkedInlinkedin.com/company/david-green-md---the-hand-center-of-san-antonio

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 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 Hand and Upper Extremity Center of San Antonio