Medicare Enrolled

Dr. Alfred Roschmann, MD

Emergency Medicine · Kerrville, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
218 QUINLAN ST # 372, Kerrville, TX 78028
7752418553
In practice since 2005 (20 years)
NPI: 1689664989 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Roschmann from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Roschmann

Dr. Alfred Roschmann is an emergency medicine in Kerrville, TX, with 20 years in practice. Based on federal Medicare data, Dr. Roschmann performed 2,925 Medicare services across 2,806 unique beneficiaries.

Between the years covered by Open Payments, Dr. Roschmann received a total of $553 from 7 pharmaceutical and/or device companies across 17 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in emergency medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Roschmann is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice▲ Top 1% volume in TX$ $553 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,925
Medicare services
Top 1% in TX for emergency medicine
2,806
Unique beneficiaries
$38
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~146 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Chest X-ray, 1 view378$7$48
CT scan of abdomen and pelvis with contrast190$70$474
CT scan of head/brain, without contrast143$33$213
3D screening mammography (tomosynthesis)126$54$211
Screening mammography126$132$523
Bone density scan (DEXA)101$11$60
Ct scan of chest with contrast97$44$343
CT scan of chest, without contrast87$41$318
Ct scan of blood vessels of chest with contrast77$69$524
Knee X-ray, 3 views69$6$48
Chest X-ray, 2 views61$8$59
Ultrasound study of one arm or leg veins with compression and maneuvers56$18$146
Ct scan of abdomen and pelvis without contrast54$63$475
Shoulder X-ray, 2+ views50$7$49
X-ray of knee, 1-2 views50$6$43
Ct scan of upper spine without contrast49$39$281
X-ray of hand, minimum of 3 views49$6$45
X-ray of abdomen, 1 view48$7$47
Hip X-ray, 2-3 views47$8$56
Ct scan of blood vessels of head with contrast45$73$451
Ct scan of blood vessels of neck with contrast45$69$485
Ct scan of lower spine without contrast44$40$250
Foot X-ray, 3+ views44$7$50
Complete ultrasound scan behind abdominal cavity40$29$211
Low dose ct scan of chest for lung cancer screening38$53$312
Limited ultrasound scan of abdomen37$24$166
Ct scan of blood vessels of abdomen and pelvis with contrast30$86$622
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes29$10$151
Ultrasound of one leg arteries or artery grafts26$17$158
X-ray of lower and sacral spine, 2-3 views25$9$63
X-ray of lower and sacral spine, minimum of 4 views25$11$99
Ultrasound scan of head and neck soft tissue25$20$154
Mri scan of brain without contrast24$61$423
X-ray of wrist, minimum of 3 views24$6$47
Ultrasound of both sides of head and neck blood flow24$37$281
Ultrasound study of arm or leg veins with compression and maneuvers24$28$226
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)23$39$211
Mri scan of lower spinal canal without contrast21$69$637
Ct scan of abdomen and pelvis before and after contrast21$74$443
Fluoroscopic guidance for needle placement21$24$173
Mri scan of upper spinal canal without contrast20$58$401
X-ray of pelvis, 1-2 views20$7$52
X-ray of ankle, minimum of 3 views20$6$44
Ultrasonic guidance for blood vessel access19$11$74
Replacement of kidney drainage tube using imaging guidance with review by radiologist18$85$2,003
Complete ultrasound scan of abdomen18$33$228
Ct scan of face without contrast17$30$213
X-ray of knee, 4 or more views17$9$59
Ct scan of abdominal aorta and both leg arteries with contrast17$94$770
X-ray of lower leg, 2 views16$5$48
X-ray of thigh bone, minimum 2 views15$8$59
Insertion of tunneled central venous tube for infusion (5 years or older)14$197$2,734
X-ray of middle spine, 3 views14$9$62
Single contrast x-ray of esophagus14$22$210
Review by radiologist of ct guidance for needle placement14$57$380
Diagnostic mammography of both breasts14$124$649
Ultrasound study of arm and leg arteries14$9$82
Joint injection, major joint13$41$293
X-ray of upper spine, 2-3 views13$8$58
X-ray lower and sacral spine, minimum of 6 views13$12$102
X-ray of upper arm, minimum of 2 views13$7$49
Limited ultrasound scan of 1 breast13$72$362
Fluoroscopic guidance for insertion or removal of central vein access device13$14$123
Diagnostic mammography of 1 breast13$79$486
Ultrasound of abdomen and pelvis artery and vein blood flow13$29$205
Mri scan of brain before and after contrast12$92$732
Ct scan of pelvis without contrast12$45$207
Ultrasound of leg arteries or artery grafts12$111$650
X-ray of elbow, minimum of 3 views11$8$47
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
1.1% high complexity
46.4% medium
52.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$553
Total received (2018-2024)
Avg $92/year across 6 years
Top 17% in TX for emergency medicine
7
Companies
17
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$553 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$210
2023
$87
2022
$90
2021
$25
2019
$30
2018
$112

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Inari Medical, Inc.
$224
Terumo Medical Corporation
$107
Cook Medical LLC
$83
Shockwave Medical, Inc
$57
Merge Healthcare Incorporated
$30
Medtronic USA, Inc.
$28
Medtronic, Inc.
$25
Top 3 companies account for 74.8% of total payments
Associated products mentioned in payments ›
AZUR CX DETACHABLE · COOK MEDICAL ZILVER PTX · CT THROMBECTOMY SYSTEM KIT · FLOWTRIEVER CATHETER · GLIDESHEATH SLENDER · HawkOne · Intact · Patient Synopsis · S · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $19 per 100 Medicare services performed
Looking for a emergency medicine in Kerrville?
Compare emergency medicines in the Kerrville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Emergency Medicines within 10 mi
10
Per 100K population
18.8
County median income
$67,927
Nearest hospital
PETERSON REGIONAL MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Roschmann is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), and high industry engagement (low-engagement, top 17%), with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Roschmann experienced with chest x-ray, 1 view?
Based on Medicare claims data, Dr. Roschmann performed 378 chest x-ray, 1 view services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Roschmann receive payments from pharmaceutical companies?
Yes. Dr. Roschmann received a total of $553 from 7 companies across 17 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Roschmann's costs compare to other emergency medicines in Kerrville?
Dr. Roschmann's average Medicare payment per service is $38. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Roschmann) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →