Medicare Enrolled

Dr. Michael Rensch, M.D.

Gastroenterology · Kerrville, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
420 WATER ST, Kerrville, TX 78028
8304960111
In practice since 2005 (20 years)
NPI: 1366446023 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. Rensch 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. Rensch

Dr. Michael Rensch is a gastroenterology in Kerrville, TX, with 20 years in practice. Based on federal Medicare data, Dr. Rensch performed 6,860 Medicare services across 4,399 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rensch received a total of $281 from 10 pharmaceutical and/or device companies across 14 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in gastroenterology. 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. Rensch 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$ $281 industry payments

Medicare Practice Summary

Medicare Utilization ↗
6,860
Medicare services
Top 1% in TX for gastroenterology
4,399
Unique beneficiaries
$59
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~343 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
Tissue pathology examination, moderate complexity1,724$27$97
Hospital follow-up visit, moderate complexity1,147$62$220
Special stained specimen slides to examine tissue including interpretation and report594$9$31
Upper GI endoscopy with biopsy525$49$750
Removal of polyps or growths of large bowel using an endoscope with mechanical snare517$196$1,350
Colonoscopy with biopsy470$27$1,025
Tissue staining for diagnosis, initial445$27$91
Initial hospital admission, moderate complexity407$101$270
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm146$66$780
Office visit, established patient (30-39 min)128$84$275
Hospital follow-up visit, low complexity126$39$140
Tissue staining for diagnosis, additional104$22$73
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope88$146$950
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare77$102$850
Control of bleeding of upper large bowel using a flexible endoscope38$192$1,300
Diagnostic exam of large bowel using a flexible endoscope36$121$925
Office visit, established patient (20-29 min)34$62$187
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes34$65$205
New patient office visit (45-59 min)29$113$350
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope28$190$1,695
Injection beneath lining of large bowel using a flexible endoscope27$13$995
Diagnostic exam of lower portion of large bowel using a flexible endoscope21$25$375
Insertion of stomach tube using a flexible endoscope19$138$1,185
Insertion of stent into pancreatic or bile duct using a flexible endoscope18$340$1,795
Tying of dilated veins of stomach and/or esophagus using a flexible endoscope17$179$1,000
Incision of pancreatic outlet using a flexible endoscope17$27$1,450
Special stained specimen slides to identify organisms including interpretation and report16$21$174
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope15$80$650
Destruction of polyp or growth of large bowel using a flexible endoscope13$220$1,250
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.
0.3% high complexity
14.9% medium
84.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$281
Total received (2018-2024)
Avg $56/year across 5 years
Bottom 14% in TX for gastroenterology
10
Companies
14
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
$281 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$21
2023
$33
2022
$38
2019
$49
2018
$140

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Intercept Pharmaceuticals, Inc.
$65
Shionogi Inc
$39
Abbott Laboratories
$33
Olympus America Inc.
$32
Apollo Endosurgery US Inc
$30
Gilead Sciences, Inc.
$25
Pacira Pharmaceuticals Incorporated
$19
ConvaTec Inc.
$13
CONMED Corporation
$13
QOL Medical, LLC
$11
Top 3 companies account for 48.8% of total payments
Associated products mentioned in payments ›
AQUACEL AG+ EXTRA · CONMED DILATION · Exparel · HANAROSTENT Esophagus TTS(CCC) · Mulpleta · OCALIVA · Olympus Hemostasis Devices · Orbera · Sucraid · Unify Assura CRT Defibrillator
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 $4 per 100 Medicare services performed
Looking for a gastroenterology in Kerrville?
Compare gastroenterologys in the Kerrville area by procedure volume, costs, and industry payment transparency.
Browse gastroenterologys nearby

Geographic Context

Gastroenterologys within 10 mi
6
Per 100K population
11.3
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. Rensch is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), and low-engagement industry engagement, 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. Rensch experienced with tissue pathology examination, moderate complexity?
Based on Medicare claims data, Dr. Rensch performed 1,724 tissue pathology examination, moderate complexity 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. Rensch receive payments from pharmaceutical companies?
Yes. Dr. Rensch received a total of $281 from 10 companies across 14 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. Rensch's costs compare to other gastroenterologys in Kerrville?
Dr. Rensch's average Medicare payment per service is $59. 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. Rensch) 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 →