Thomas Hand, MD
Orthopedic Surgery · San Antonio
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 2
Offices
2 locations · University of Texas Health Science Center at San Antonio · Acute Care Surgery of South Dakota PC
Looking this up.
Hospitals listed: Methodist Hospital · Monument Health Rapid City Hospital · University Health System · Ut Health San Antonio Multispecialty & Research Ho. That is not proof they admit you there this week.
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Hand’s office to ask if they take your plan before you enroll.
State licence records
1 licence
- Texas S1117Physician License · since 2019 · expires 2027-05-31ActiveNo board action on this licenceCheck it with the state
We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.
Hospitals they work in
4 hospitals
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Methodist HospitalSan Antonio, TXAcute Care Hospital · Proprietary · Has an emergency department · Birthing-friendlyPart of HCA Healthcare, which runs 185 hospitals in 19 statesPatients rate it 3 of 5 · 67% would definitely recommend itOverall rating: 4 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.17 (1.02 to 1.32), Jul 2022 – Jun 2024Worse than the national rate — Postoperative respiratory failure rate: 20.61 (18.16 to 23.07) · 4,927 cases, Jul 2022 – Jun 2024Worse than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 1.4 (1.1 to 1.7) · 1,042 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 142.02 (116.04 to 168) · 561 cases, Jul 2022 – Jun 2024Better than the national rate — Pressure ulcer rate: 0.21 (0 to 0.5) · 27,865 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.404, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.41, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.217, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.389, Oct 2024 – Sep 2025
- Monument Health Rapid City HospitalRapid City, SDAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Monument Health, which runs 10 hospitals in 2 statesPatients rate it 3 of 5 · 66% would definitely recommend itOverall rating: 3 of 5 starsWorse than the national rate — Pressure ulcer rate: 1.19 (0.65 to 1.73) · 7,355 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.3, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.482, Oct 2024 – Sep 2025
- University Health SystemSan Antonio, TXAcute Care Hospital · Government - Hospital District or Authority · Has an emergency department · Birthing-friendlyPart of University Health SystemPatients rate it 4 of 5 · 78% would definitely recommend itOverall rating: 3 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.405, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.388, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.3, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.361, Oct 2024 – Sep 2025
- Ut Health San Antonio Multispecialty & Research HoSan Antonio, TXAcute Care Hospital · Government - State · No emergency departmentNo overall ratingNo measure marked better or worse than the national rate
See every measure and the patient survey for Methodist Hospital
Behind the star rating — Deaths: 3 better, 5 the same, 0 worse of 8 measures. Safety: 4 better, 3 the same, 1 worse of 8 measures. Readmissions: 0 better, 7 the same, 4 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.17 (1.02 to 1.32) | Worse | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 20.61 (18.16 to 23.07) · 4,927 cases | Worse | Jul 2022 – Jun 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.4 (1.1 to 1.7) · 1,042 cases | Worse | Jan 2024 – Dec 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 142.02 (116.04 to 168) · 561 cases | Better | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.21 (0 to 0.5) · 27,865 cases | Better | Jul 2022 – Jun 2024 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.404 | Better | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.41 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.217 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.389 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.67 (0.03 to 1.31) · 7,054 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 1.8 · 301 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 8.7 · 287 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 9.9 · 747 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 8.4 · 1,923 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 15.7 · 2,039 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 10.8 · 1,512 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.3 · 19,356 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.25 (0.13 to 0.38) · 33,573 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.22 (0.07 to 0.36) · 35,241 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.29 (2.05 to 4.53) · 8,295 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.34 (0.34 to 2.33) · 4,073 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 1.94 (1.05 to 2.83) · 8,069 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.5 (4.76 to 8.25) · 4,300 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.7 (0.51 to 2.9) · 2,071 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 3.6 · 595 cases | None | Apr 2023 – Mar 2025 |
| SSI - Abdominal HysterectomyInfections | 0.65 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.879 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.5 · 1,399 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 21.1 · 3,663 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 3.1 · 791 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 4.6 · 2,275 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 11.6 · 2,156 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 17.8 · 3,466 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5.2 (3.3 to 8.2) · 35 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 11.6 (7.9 to 16.7) · 35 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6.1 · 583 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 10.5 · 560 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.5 · 666 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 14.5 (11.1 to 19) · 494 cases | No different | Jan 2022 – Dec 2024 |
What patients said (4,150 patients answered, 18% of those asked)
| Cleanliness | 3 |
| Nurse communication | 2 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 3 |
| Recommend hospital | 3 |
| Room was "always" clean | 72% |
| Nurses "always" communicated well | 75% |
| Doctors "always" communicated well | 74% |
| Staff "always" explained | 56% |
| Yes, staff "did" give patients this information | 83% |
| Yes, staff "did" give patients information about help after discharge | 81% |
| Doctors "always" explained things so they could understand | 70% |
| Doctors "always" listened carefully | 72% |
| Doctors "always" treated them with courtesy and respect | 81% |
| Patients who gave a rating of "9" or "10" (high) | 69% |
| Staff "always" explained new medications | 69% |
| Nurses "always" explained things so they could understand | 71% |
| Nurses "always" listened carefully | 71% |
| Nurses "always" treated them with courtesy and respect | 82% |
| "Always" quiet at night | 61% |
| "YES", patients would definitely recommend the hospital | 67% |
| Staff "always" explained possible side effects | 43% |
| Yes, staff "did" give patients information about possible symptoms | 86% |
See every measure and the patient survey for Monument Health Rapid City Hospital
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 1 better, 9 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Pressure ulcer rateComplications and deaths | 1.19 (0.65 to 1.73) · 7,355 cases | Worse | Jul 2022 – Jun 2024 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.3 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.482 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.44 (0.56 to 2.31) · 1,907 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 1.15 (0.89 to 1.41) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 182.8 (144.33 to 221.26) · 161 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.8 · 123 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 11.8 · 180 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 12.8 · 389 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 9.8 · 498 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 12.3 · 567 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 13.4 · 415 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.2 · 3,806 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.17 (0 to 0.35) · 8,658 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.23 (0.04 to 0.41) · 8,889 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.26 (1.53 to 4.98) · 2,725 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.04 (0 to 2.4) · 889 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.59 (1.3 to 3.88) · 2,533 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 9.2 (3.86 to 14.54) · 898 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 6.25 (3.14 to 9.36) · 880 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.51 (0.09 to 2.93) · 554 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4.5 · 38 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.606 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.714 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.568 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 13.4 · 461 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 19.2 · 584 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 11.5 · 419 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | -26.5 · 551 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 3.2 · 606 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.2 · 681 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5 (3.8 to 6.6) · 630 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 9.3 (7.4 to 11.6) · 630 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 6 · 43 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for CABGUnplanned return visits | 12.2 · 120 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.3 · 229 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 14.1 (10.8 to 18.5) · 607 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 0.9 (0.7 to 1.2) · 1,054 cases | No different | Jan 2024 – Dec 2024 |
What patients said (1,948 patients answered, 14% of those asked)
| Cleanliness | 4 |
| Nurse communication | 3 |
| Doctor communication | 2 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 3 |
| Quietness | 3 |
| Recommend hospital | 3 |
| Room was "always" clean | 72% |
| Nurses "always" communicated well | 71% |
| Doctors "always" communicated well | 74% |
| Staff "always" explained | 53% |
| Yes, staff "did" give patients this information | 86% |
| Yes, staff "did" give patients information about help after discharge | 84% |
| Doctors "always" explained things so they could understand | 70% |
| Doctors "always" listened carefully | 73% |
| Doctors "always" treated them with courtesy and respect | 80% |
| Patients who gave a rating of "9" or "10" (high) | 65% |
| Staff "always" explained new medications | 66% |
| Nurses "always" explained things so they could understand | 67% |
| Nurses "always" listened carefully | 67% |
| Nurses "always" treated them with courtesy and respect | 80% |
| "Always" quiet at night | 47% |
| "YES", patients would definitely recommend the hospital | 66% |
| Staff "always" explained possible side effects | 39% |
| Yes, staff "did" give patients information about possible symptoms | 88% |
See every measure and the patient survey for University Health System
Behind the star rating — Deaths: 0 better, 8 the same, 0 worse of 8 measures. Safety: 5 better, 2 the same, 0 worse of 7 measures. Readmissions: 1 better, 9 the same, 0 worse of 10 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 0.405 | Better | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.388 | Better | Oct 2024 – Sep 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.3 | Better | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.361 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 0.75 (0 to 1.67) · 1,792 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.97 (0.7 to 1.25) | No different | Jul 2022 – Jun 2024 |
| Death rate among surgical inpatients with serious treatable complicationsComplications and deaths | 150.43 (105.5 to 195.36) · 136 cases | No different | Jul 2022 – Jun 2024 |
| Death rate for CABG surgery patientsComplications and deaths | 2.9 · 40 cases | None | Jul 2022 – Jun 2025 |
| Death rate for COPD patientsComplications and deaths | 7.7 · 29 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart attack patientsComplications and deaths | 11.6 · 85 cases | None | Jul 2022 – Jun 2025 |
| Death rate for heart failure patientsComplications and deaths | 10.6 · 162 cases | None | Jul 2022 – Jun 2025 |
| Death rate for pneumonia patientsComplications and deaths | 13.3 · 185 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 12.3 · 254 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.6 · 3,580 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.15 (0 to 0.36) · 6,576 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.21 (0.02 to 0.4) · 6,682 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 2.61 (0.71 to 4.51) · 2,071 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 2.22 (0.76 to 3.69) · 678 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 1.78 (0.51 to 3.05) · 2,029 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 6.56 (0.92 to 12.2) · 778 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 5.58 (2.42 to 8.75) · 759 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 2.12 (0.7 to 3.55) · 509 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.93 (0.36 to 1.5) · 6,250 cases | No different | Jul 2022 – Jun 2024 |
| SSI - Abdominal HysterectomyInfections | 0 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.547 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15.2 · 181 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.6 · 405 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for heart attack patientsUnplanned return visits | 8.8 · 88 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for heart failure patientsUnplanned return visits | 20.2 · 189 cases | None | Jul 2022 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | -16 · 197 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 16.5 · 395 cases | None | Jul 2023 – Jun 2025 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits | 5 (3.3 to 7.6) · 73 cases | No different | Jan 2024 – Dec 2024 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits | 10.8 (7.9 to 14.9) · 73 cases | No different | Jan 2024 – Dec 2024 |
| Rate of readmission for CABGUnplanned return visits | 9.5 · 80 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 18.6 · 92 cases | None | Jul 2023 – Jun 2025 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits | 13.2 (9.8 to 17.7) · 492 cases | No different | Jan 2022 – Dec 2024 |
| Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits | 1.1 (0.8 to 1.5) · 362 cases | No different | Jan 2024 – Dec 2024 |
What patients said (2,347 patients answered, 22% of those asked)
| Cleanliness | 4 |
| Nurse communication | 4 |
| Doctor communication | 3 |
| Communication about medicines | 3 |
| Discharge information | 3 |
| Overall hospital rating | 4 |
| Quietness | 4 |
| Recommend hospital | 5 |
| Room was "always" clean | 76% |
| Nurses "always" communicated well | 78% |
| Doctors "always" communicated well | 79% |
| Staff "always" explained | 60% |
| Yes, staff "did" give patients this information | 85% |
| Yes, staff "did" give patients information about help after discharge | 85% |
| Doctors "always" explained things so they could understand | 73% |
| Doctors "always" listened carefully | 78% |
| Doctors "always" treated them with courtesy and respect | 85% |
| Patients who gave a rating of "9" or "10" (high) | 77% |
| Staff "always" explained new medications | 73% |
| Nurses "always" explained things so they could understand | 75% |
| Nurses "always" listened carefully | 74% |
| Nurses "always" treated them with courtesy and respect | 85% |
| "Always" quiet at night | 59% |
| "YES", patients would definitely recommend the hospital | 78% |
| Staff "always" explained possible side effects | 48% |
| Yes, staff "did" give patients information about possible symptoms | 85% |
See every measure and the patient survey for Ut Health San Antonio Multispecialty & Research Ho
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 4 · 27 cases | None | Jul 2024 – Jun 2025 |
| Clostridium Difficile (C.Diff)Infections | 0.505 | No different | Oct 2024 – Sep 2025 |
Original Medicare doctor bills
$107,984
Medicare paid this office $107,984 for 130 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Treatment of broken neck of thigh bone with bone implant | 36 | $35,924 | $998 |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 16 | $14,919 | $932 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 37 | $3,726 | $101 |
| Short return visit (20+ min) | 31 | $2,637 | $66 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 15 | $2,037 | $136 |
Procedures Medicare counted
| Hip replacement | 1-10 | None |
| Removal of tissue | 1-10 | None |
Who their Medicare patients are
130 Original Medicare patients in 2024. Average age 81 · 85 and older 39% · Women 74% · Also on Medicaid 22% · Health risk score 1.89. Sicker patients than 9 in 10 peers; the typical orthopedic surgery clinician is at 1.13.
Conditions among them: High blood pressure 75% · Depression 43% · Diabetes 42% · Chronic kidney disease 42% · Dementia 38% · Heart failure 35% · Coronary heart disease 34% · Atrial fibrillation 32% · COPD 23% · Cancer 17% · Stroke 11%.
The office billed $431,381, Medicare allowed $135,331 and paid $107,984; for 270 services of 65 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 130 | 270 | 81 | 1.89 | $431,381 | $107,984 |
| 2023 | 134 | 259 | 77 | 2.33 | $401,272 | $98,847 |
| 2022 | 126 | 219 | 77 | 2.02 | $340,515 | $82,300 |
| 2021 | 116 | 223 | 76 | 2.56 | $383,841 | $93,637 |
| 2020 | 39 | 57 | 74 | 1.52 | $142,849 | $36,013 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 5 services
| Treatment of broken neck of thigh bone with bone implant | 21 | $19,879 | $947 |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 19 | $17,631 | $928 |
| Short return visit (20+ min) | 33 | $2,748 | $61 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 16 | $2,175 | $136 |
| Initial hospital care with straightforward or low-level medical decision making at least 55 minutes | 23 | $2,042 | $89 |
2022: 4 services
| Treatment of broken neck of thigh bone with bone implant | 27 | $25,282 | $936 |
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 11 | $9,918 | $902 |
| Short return visit (20+ min) | 31 | $2,901 | $66 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 20 | $1,539 | $77 |
2021: 4 services
| Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 29 | $25,704 | $886 |
| Treatment of broken neck of thigh bone with bone implant | 24 | $22,598 | $942 |
| Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes | 31 | $2,174 | $70 |
| Short return visit (20+ min) | 12 | $1,924 | $71 |
2020: 1 service
| Treatment of broken neck of thigh bone with bone implant | 16 | $15,534 | $971 |
Money from drug and device companies
$9,899 in 2025
| 2025 | 9 | 46 | $4,000 | $9,899 |
| 2024 | 9 | 41 | None | $10,876 |
| 2023 | 12 | 40 | $32,548 | $36,163 |
| 2022 | 10 | 34 | $3,188 | $6,798 |
| 2021 | 9 | 43 | None | $3,002 |
| 2020 | 9 | 35 | None | $2,224 |
| 2019 | 10 | 43 | None | $9,207 |
Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.
A payment is not proof that care is biased.
| Sanara MedTech | Celleraterx | $4,514 | 4 payments
|
| Smith+Nephew | Evos | $3,606 | 27 payments
|
| Musculoskeletal Transplant Foundation | None | $937 | 6 payments
|
| Stryker | Allofiber | $243 | 3 payments
|
| DePuy Synthes Sales | VA-Lcp | $208 | 2 payments
|
| Si-Bone | None | $160 | 1 payment
|
See all 46 published payments
| Musculoskeletal Transplant Foundation | Meals · 2025-12-17 | None | $164 |
| Musculoskeletal Transplant Foundation | Meals · 2025-11-25 | None | $184 |
| Musculoskeletal Transplant Foundation | Travel · 2025-11-19 | None | $493 |
| Smith+Nephew | Meals · 2025-11-04 | Maverick | $49 |
| Sanara MedTech | Consulting · 2025-10-31 | Celleraterx | $4,000 |
| Musculoskeletal Transplant Foundation | Meals · 2025-10-29 | None | $20 |
| Musculoskeletal Transplant Foundation | Meals · 2025-10-29 | None | $66 |
| Sanara MedTech | Meals · 2025-10-17 | Biasurge | $76 |
| Sanara MedTech | Meals · 2025-10-16 | Celleraterx | $215 |
| Smith+Nephew | Meals · 2025-09-25 | Tsf | $52 |
| Stryker | Meals · 2025-09-16 | T2 Alpha | $37 |
| Smith+Nephew | Meals · 2025-08-29 | Evos | $41 |
| Smith+Nephew | Meals · 2025-08-29 | Evos | $26 |
| Smith+Nephew | Travel · 2025-08-28 | Evos | $156 |
| Smith+Nephew | Travel · 2025-08-28 | Evos | $20 |
| Smith+Nephew | Travel · 2025-08-28 | Evos | $375 |
| Smith+Nephew | Meals · 2025-08-27 | Trigen Intertan | $110 |
| Smith+Nephew | Travel · 2025-08-27 | Trigen | $308 |
| Sanara MedTech | Meals · 2025-08-21 | Celleraterx | $223 |
| Smith+Nephew | Meals · 2025-08-20 | Trigen | $117 |
| DePuy Synthes Sales | Meals · 2025-07-23 | VA-Lcp | $133 |
| DePuy Synthes Sales | Meals · 2025-07-18 | Na | $75 |
| Smith+Nephew | Meals · 2025-07-16 | Trigen | $32 |
| Smith+Nephew | Meals · 2025-07-01 | Evos | $64 |
| Musculoskeletal Transplant Foundation | Meals · 2025-06-25 | None | $10 |
| Bausch & Lomb Americas | Meals · 2025-06-18 | Miebo | $106 |
| Stryker | Meals · 2025-04-16 | Allopure | $83 |
| Smith+Nephew | Meals · 2025-04-16 | Collagenase Santyl | $13 |
| Smith+Nephew | Meals · 2025-04-08 | Evos | $46 |
| Smith+Nephew | Meals · 2025-04-06 | Evos | $55 |
| Smith+Nephew | Meals · 2025-04-05 | Evos | $47 |
| Smith+Nephew | Travel · 2025-04-05 | Evos | $118 |
| Smith+Nephew | Meals · 2025-04-05 | Evos | $77 |
| Smith+Nephew | Meals · 2025-04-05 | Evos | $47 |
| Smith+Nephew | Meals · 2025-04-04 | Evos | $117 |
| Smith+Nephew | Meals · 2025-04-04 | Evos | $94 |
| Smith+Nephew | Meals · 2025-04-03 | Maverick | $147 |
| Smith+Nephew | Travel · 2025-04-03 | Evos | $449 |
| Smith+Nephew | Travel · 2025-04-03 | Evos | $122 |
| Smith+Nephew | Travel · 2025-04-03 | Evos | $800 |
| Smith+Nephew | Travel · 2025-04-03 | Evos | $9 |
| Smith+Nephew | Meals · 2025-04-03 | Evos | $115 |
| Stryker | Meals · 2025-03-25 | Allofiber | $123 |
| Mission Medical Distribution | Meals · 2025-01-28 | None | $23 |
| Bioventus | Meals · 2025-01-15 | Exogen Ultrasound Bone Healing System | $102 |
| Si-Bone | Meals · 2025-01-08 | None | $160 |
See earlier years (2024, 2023, 2022, 2021, 2020, 2019)
2024: $10,876
| Bonebridge | None | $7,787 | 1 payment
|
| Stryker | Augment Injectable | $1,471 | 7 payments
|
| Smith+Nephew | Evos | $404 | 12 payments
|
| Sanara MedTech | Biasurge | $350 | 6 payments
|
| DePuy Synthes Sales | Na | $265 | 3 payments
|
| Bioventus | Exogen Ultrasound Bone Healing System | $221 | 6 payments
|
| Musculoskeletal Transplant Foundation | None | $157 | 1 payment
|
| Si-Bone | None | $143 | 1 payment
|
| OsteoCentric Technologies | Osteocentric 4.0 X 130mm Locking Bone Screw Fastener St | $78 | 1 payment
|
2023: $36,163
| New Standard Device LLC dba Metalogix | None | $32,548 | 1 payment
|
| Stryker | T2 Alpha | $1,467 | 12 payments
|
| Zimmer Biomet Holdings | Avenir | $637 | 7 payments
|
| Smith+Nephew | Evos | $428 | 4 payments
|
| Integra LifeSciences | Integra | $350 | 2 payments
|
| DePuy Synthes Sales | Tfn-Advance | $141 | 2 payments
|
| Kerecis | Kerecis Omega3 Surgiclose | $126 | 1 payment
|
| Musculoskeletal Transplant Foundation | None | $126 | 1 payment
|
| Acera Surgical | Restrata Wound Matrix | $125 | 1 payment
|
| Sanara MedTech | Celleraterx | $113 | 3 payments
|
| OsteoCentric Technologies | Osteocentric 4.0 X 130mm Locking Bone Screw Fastener St | $83 | 2 payments
|
| Medinc of Texas | None | $20 | 1 payment
|
2022: $6,798
| Kci USA | Bair Hugger | $3,188 | 1 payment
|
| Stryker | Pro | $1,905 | 14 payments
|
| Sanara MedTech | Celleraterx | $383 | 5 payments
|
| DePuy Synthes Sales | VA-Lcp | $264 | 2 payments
|
| OsteoCentric Technologies | Osteocentric 4.0 X 130mm Locking Bone Screw Fastener St | $251 | 2 payments
|
| Smith+Nephew | Evos | $235 | 4 payments
|
| Zimmer Biomet Holdings | Mymobility Platform | $225 | 2 payments
|
| Medline Industries Lp | Medline Industries, Inc. | $157 | 1 payment
|
| Bone Support | Ceramentbone Void Filler | $144 | 1 payment
|
| Medinc of Texas | None | $47 | 2 payments
|
2021: $3,002
| Smith+Nephew | Evos | $1,124 | 14 payments
|
| Sanara MedTech | Celleraterx | $481 | 7 payments
|
| Stryker | Prime Series | $418 | 10 payments
|
| DePuy Synthes Sales | Na | $310 | 3 payments
|
| Bioventus | Exogen Ultrasound Bone Healing System | $216 | 5 payments
|
| Ethicon US | Ethicon | $127 | 1 payment
|
| Medtronic | Aquamantys | $127 | 1 payment
|
| Si-Bone | Ifuse Implant | $121 | 1 payment
|
| OsteoCentric Technologies | Unifi Technology | $79 | 1 payment
|
2020: $2,224
| Stryker | Ex-Fix | $685 | 16 payments
|
| Smith+Nephew | Trigen Intertan | $355 | 4 payments
|
| OsteoCentric Technologies | Unifi Technology | $318 | 4 payments
|
| DePuy Synthes Sales | Ex Nails | $311 | 3 payments
|
| Bone Support | Ceramentbone Void Filler | $144 | 1 payment
|
| Si-Bone | Ifuse Implant | $141 | 4 payments
|
| Integra LifeSciences | Bilayer Wound Matrix (Bwm) | $132 | 1 payment
|
| Djo | Cmf Ol1000 | $113 | 1 payment
|
| Bioventus | Exogen | $25 | 1 payment
|
2019: $9,207
| Arthrex | None | $5,000 | 1 payment
|
| Stryker | None | $2,029 | 19 payments
|
| Acumed | Acu-Loc Wrist Plating System | $987 | 6 payments
|
| Globus Medical | Proximal Femoral Nail | $273 | 2 payments
|
| Acell | None | $226 | 2 payments
|
| DePuy Synthes Sales | Bme Nitinol Continuous Compression Implants | $212 | 3 payments
|
| Medela | None | $154 | 5 payments
|
| Bioventus | Exogen | $117 | 3 payments
|
| Axogen | Axoguard Nerve Connector | $106 | 1 payment
|
| Skeletal Dynamics | Geminus | $104 | 1 payment
|
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 90.4 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1831517572
- Licence
- TX S1117Texas S1117: Active
- Trained
- University of Texas Medical School at San Antonio, 2014
- Group
- University of Texas Health Science Center at San Antonio · Acute Care Surgery of South Dakota PC
- Gender
- Male
More record details
- Sole proprietor
- No
- Medicaid ID
- TX 399626601
- Taxonomy
- Federal specialty code 207XX0801X (207XX0801X); Orthopedic surgery (207X00000X)
- Mailing address
- 4502 Medical Dr, San Antonio, TX, 78229
- NPI first listed
- 2014-03-31
- NPI last updated
- 2025-12-18
- NPI record certified
- 2025-12-18
This is when the NPI record was last certified, not a medical board exam.