Physicians & Providers

Message from the President and Owner of MedCenter Rehab

First, thanks for visiting our website! We feel it is not only important to say, but also imperative to assure you, that our Physician and Provider relationships are important and crucial to us. We understand that our relationship with you is based solely upon the trust we are able to earn from you. As such, I personally guarantee that we will be mindful of this and will maintain our position of respect toward you and your staff, without exception. I am personally available to you directly at any time, for whatever reason. You can always reach me by cell phone, which we are happy to provide to you or to a member of your staff upon request.

Richard A. Evans
Richard (Ric) A. Evans, PT, DPT, OCS, CEAS
Doctor of Physical Therapy

REFER A PATIENT

MedCenter Rehab

MedCenter Rehab is comprised of two clinical facilities that are closely associated
companies. Both are located at 2040 Babcock Road in the South Texas Medical Center in
San Antonio. We have operated in the same location since being established in 1990.
Our Physical Therapy and Functional Testing services are provided through Medical Center
Physical Therapy, Inc. Our Behavioral Health and Multi-disciplinary Programs are provided
through MedCenter Work Recovery, LLC.

Our Central Purpose

The staff at both of our facilities is dedicated to our core foundation and mission of
delivering the highest quality of care to our patients via the best evidence-based
approaches in a compassionate and convenient way; while providing the highest quality
of services to our physicians in an expeditious and courteous manner. Please know that
we are here to assist you in any way we can. Our comprehensive treatment solutions and
unique multi-disciplinary approaches have been developed for the purpose of delivering the
best results to both patient and doctor.

What Physician Specialties do we Serve?

We see patients from a wide variety of medical specialties. We treat patients with acute or chronic conditions and with temporary or permanent problems. Our patients can be challenged with painful, limiting, debilitating, or degenerative conditions. Most patients will find these challenges difficult to manage and/or live with. We provide such patients with the means, knowledge, education, training, and wherewithal to address minimize, absolve, manage, or overcome all that can be addressed. It is what we do, and it is what we do very well. Historically we have evaluated patients from the vast majority of medical specialties that include:

  • Cardiology
  • Cardio-Thoracic Surgery
  • Chiropractic
  • Dental
  • Ear, Nose, and Throat
  • Family or General Practice
  • General Surgery
  • Hand Surgery
  • Internal Medicine
  • Maxillofacial Specialist
  • Musculoskeletal Specialist
  • Neurology
  • Neurosurgery
  • Occupational Medicine
  • Oncology
  • Orthopedics
  • Osteopathic
  • Oto-neurologist
  • Pain Management
  • Pediatrics
  • Physical Medicine and Rehab
  • Plastic Surgery
  • Podiatry
  • Pulmonology
  • Psychiatry
  • Rheumatology
  • Sports Medicine
  • Transplant Surgery

No matter what your specialty is, we are happy to evaluate and make recommendations for treatment. We want to help and appreciate you allowing us to be a part of any patient’s care, no matter how challenging!

How do we assist Physicians?

Patient Focus

We are in the business of helping people. A good rule we find helpful to
remember is “if the patient isn’t happy, ain’t nobody happy”, especially the
physician! Our best attempt to identify and prioritize the specific needs of
that patient is made with every referral we receive. These identified areas
are filtered through what the patient’s perspective and preferences are and
always under the backdrop of discussing what is in their best interest and
informed consent. This process also addresses your (the physician’s) directives,
preferences, and prescription. We will make every effort to incorporate all of
these preferences into the final Plan of Care (PoC), always subject to your approval.
The patient’s insurance coverage, preferences, availability, and financial wherewithal
are constantly considered in the final design. Once formulated, the PoC created
specifically for that is returned to you for review, input, and final approval.

Physician focus

There will be times when it may be preferred or appropriate to speak with our
staff regarding a patient referral and we encourage this in any case you feel it is
needed. We do not see this as a bother, but instead recognize its importance in the
quality of care the patient will receive, to which we are obligated. Furthermore,
there are patients who occasionally need more specialized approaches or specific care.
Perhaps there are medical or administrative challenges that need to be addressed along
with what the patient personally needs. There may be issues pertaining to insurance
benefits, coverage, approval, and/or guideline compliancy. These are all areas we want
to help you address and solve. Please never hesitate to call or request our assistance
with any type of challenge–clinically, administratively, or professionally; either on
your behalf or that of the patient’s.

COMMON PHYSICAL MEDICINE/P.T.
REFERRAL DIAGNOSES

Condition/Pathology ICD-9 Code
General Arthritis/Osteoarthrosis/DJD 715*
Contusions (Trunk / UE / LE) 922* / 923* / 924*
Fractures (once medically stable) 805* thru 829*(Must look up individually)
Gait Abnormality ; Difficulty Walking 781.2 ; 719.7
Headache: Tension; Cervicogenic 307.81 ; 784.0
Joint Pain / Pain in Joint 719.40
Muscle spasms 728.85
Tendonitis 726*
Neck Cervicalgia- Neck Pain 723.1
Cervical Sprain/Strain 847.0
Cervical HNP (Herniated Nucleus Pulposus) 722.0
Cervical DDD (Degenerative Disc Disease) 722.4
Cervical Radiculopathy 723.4
Shoulder Shoulder Pain 719.41
Shoulder-Arm Sprain/Strain 840*
Impingement / Rotator Cuff Syndrome 726.1
UE Elbow-Forearm Sprain/Strain 841*
Elbow Tendinitis / Lateral Epicondylitis 726.32
Wrist-Hand Sprain/Strain 842*
Carpal Tunnel Syndrome 354.0
Mid-Back T-Spine/Thoracic/Mid-Back Pain 724.1
T-Spine-Thoracic Sprain/Strain 847.1
Low-Back LBP / Lumbalgia / Lumbago 724.2
Lumbar Sprain/Strain 847.2
Lumbar/Thoracic DDD (Degenerative Disc Disease) 722.5
Lumbar HNP (Herniated Nucleus Pulposus) 722.1
Lumbar Radiculitis / Sciatica 724.4 / 724.3
Hip Hip Pain; Tendinitis &/or Trochanteric Bursitis 719.45; 726.5
Hip-Thigh Sprain/Strain 843*
Knee Knee-Leg Sprain/Strain 844*
Meniscal Tear of Knee 836.2
CMP: Chondromalasia Patella/Anterior Knee Pain 717.7
Ankle/Foot Ankle Sprain/Strain; Foot Sprain/Strain 845.00 / 845.10
Achilles Tendonitis/Tenosynovitis; Achilles Strain 726.71; 845.09
Plantarfasciitis (Plantar Foot/Arch Pain) 728.71
Other Myofascial Pain Syndrome (MFPS) 729.1
Malaise/Fatigue ; Generalized Muscle Weakness 780.79 / 728.87
Osteoporosis 733.00
Scoliosis 737.43
BPPV: Benign Paroxysmal Positional Vertigo 386.11

*Additional digits may be necessary for greater specificity of diagnosis for billing & payment purposes

~ Provided Courtesy of Medical Center Physical Therapy, Inc. ~

The referrals we typically receive are for patients who suffer from pain or a physical/functional deficit. We also receive referrals for patients who suffer from debilitating or degenerative conditions. The pain our patients experience results in a cycle of dysfunction. Due to these problems, patients are often limited in things they wish to do and are important in their life which causes them to experience challenges with maintaining their life-style. We welcome the opportunity to treat any patient who needs assistance dealing with these musculoskeletal and nerve mediated physical challenges. Our team offers the following services to assist these patients:

Evaluation We Can Provide

  • Musculoskeletal/Functional Evaluations
  • Sports Specific Evaluations
  • Isokinetic Testing – Lido Multi-Joint Analysis
  • Neurological and Manual Muscle Testing
  • FCE’s – Functional Capacity Evaluations for return to work status
  • PPE’s – Physical Performance Evaluation
  • FAA’s – Functional Activities Assessment
  • Pre-surgical Psychological Evaluation
  • Behavioral Evaluation & Testing
  • Psychological Evaluation
  • Behavioral Pain Evaluation
  • Multi-disciplinary evaluation

Specialized Rehabilitation Programs

  • Cardiac Rehabilitation – Phase III instruction and supervision
  • Comprehensive Musculoskeletal Evaluations
  • General Orthopedic – congenital, operative, traumatic, degenerative
  • Hand Therapy – Surgical, Carpal Tunnel Syndrome, DeQuervain’s, cumulative trauma disorders, ganglion cyst
  • Health Club Program – program development and instruction, supervised exercise on premises
  • Industrial Rehabilitation – work hardening, work conditioning, work simulation, Drug Screens, Pre/Post-employment physicals
  • Chronic Pain /Functional Restoration Programs
  • Job Site/Ergo Analysis – University Michigan/NIOSH and ergonomic evaluations
  • Joint Problems – arthritis, pre/post-operative conditions, dislocations, replacements, degenerative conditions, reconstructions
  • Manual Therapy – massage, muscle energy, mobilization, PNF techniques, myofascial
  • Neurologic – sciatica, radiculopathy, nerve injuries, nerve entrapment, Parkinson’s, post-op conditions, RSD/CRPS, TOS
  • Return to Sports
  • Soft Tissue Injuries – tendonitis, bursitis, sprains, strains, contusions, enthesopathies
  • Spinal Rehabilitation – neck, back, pre/post-operative, motor vehicle accidents, work injuries
  • Temporomandibular Joint (TMJ) disorders- both pre and post-operative management

Specialized Behavioral Services

  • Pre-surgical evaluation
  • Psycho-educational group counseling
  • Individual counseling
  • Family counseling
  • Behavioral Evaluation & Testing
  • Vocational Assessment and Counseling
  • Cognitive Behavioral Therapy
  • Psychological evaluation
  • Behavioral Pain Evaluation
  • Multi-disciplinary evaluation
  • Multi-disciplinary functional restoration program

Our policy is that our facilities offer services to a variety of patient classifications. We have seen patients from the following payors:

Worker Compensation
Medicare
Third Party Liability
Personal Injury
Private Insurance HMO/PPO’s