Medicare Enrolled
Dr. Douglas Holder, M.D.
Radiation Oncology · Paris, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
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. Holder 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 →
Are you Dr. Holder?
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What this data tells you about Dr. Holder
Dr. Douglas Holder is a radiation oncology specialist in Paris, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Holder performed 80,073 Medicare services across 4,046 unique beneficiaries.
Between the years covered by Open Payments, Dr. Holder received a total of $98 from 1 pharmaceutical and/or device company across 5 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. 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. Holder 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.
✓ 19 years in practice
▲ Top 1% volume in TX
$98 industry payments
Medicare Practice Summary
Medicare Utilization ↗80,073
Medicare services
Top 1% in TX for radiation oncology
4,046
Unique beneficiaries
$5
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~4,214 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.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| MRI contrast dye injection (gadoterate) Administration of gadoterate meglumine, a contrast agent, in a 0.1 ml dose. |
50,080 | $0 | $1 |
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
26,265 | $0 | $1 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
310 | $139 | $1,200 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
221 | $20 | $104 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
213 | $74 | $350 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in one arm or leg using compression and other maneuvers to assess blood flow and check for blockages. |
168 | $84 | $295 |
| MRI of brain with and without contrast An MRI scan of the brain using contrast dye both before and after administration to provide detailed images of brain structures. |
130 | $231 | $1,550 |
| MRI of leg joint, without contrast A magnetic resonance imaging scan of a joint in the leg performed without the use of contrast dye. |
129 | $146 | $1,050 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
125 | $124 | $1,000 |
| Abdominal X-ray, 1 view An X-ray image of the abdomen taken from a single angle to visualize internal structures. |
118 | $19 | $95 |
| MRI of arm joint, without contrast An MRI scan uses magnetic fields and radio waves to create detailed images of the arm joint. This specific procedure is performed without the use of a contrast dye. |
111 | $140 | $975 |
| MRI scan of brain, without contrast A magnetic resonance imaging test of the brain that does not use contrast dye. This procedure creates detailed images of the brain's structure using magnetic fields and radio waves. |
100 | $130 | $1,025 |
| Complete ultrasound of abdomen A diagnostic imaging test that uses sound waves to create detailed pictures of the organs and structures within the abdomen. |
94 | $82 | $350 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
93 | $25 | $90 |
| CT scan of chest, without contrast A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye. |
86 | $96 | $550 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
86 | $164 | $575 |
| Knee X-ray, 3 views An X-ray imaging test of the knee joint that captures three different angles to evaluate the bones and surrounding structures. |
77 | $24 | $123 |
| CT scan of abdomen and pelvis, without contrast A computed tomography scan that creates detailed images of the abdominal and pelvic organs. The procedure is performed without the use of intravenous contrast dye. |
71 | $130 | $950 |
| MRI of pelvis with and without contrast A magnetic resonance imaging scan of the pelvic area performed both before and after the administration of a contrast dye to enhance image detail. |
64 | $256 | $1,200 |
| X-ray of hand, minimum of 3 views An X-ray imaging test of the hand that captures at least three different angles to visualize the bones and joints. |
62 | $24 | $105 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
61 | $75 | $275 |
| CT scan of head/brain, without contrast A CT scan uses X-rays to create detailed images of the head or brain without the use of contrast dye. |
59 | $68 | $550 |
| CT scan of abdomen and pelvis with contrast A CT scan of the abdomen and pelvis using contrast dye before and after administration to visualize internal structures. |
59 | $255 | $1,675 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
58 | $130 | $445 |
| CT scan of head blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the head. |
53 | $192 | $1,050 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
53 | $132 | $475 |
| CT scan of neck blood vessels with contrast A computed tomography scan that uses dye to visualize the blood vessels in the neck. This imaging test helps examine the structure and flow within the neck's vascular system. |
51 | $142 | $1,050 |
| Wrist X-ray, minimum 3 views An imaging test using X-rays to capture at least three different angles of the wrist bones and joints. |
50 | $28 | $105 |
| MRI of middle spinal canal, without contrast This procedure uses magnetic resonance imaging to create detailed pictures of the middle section of the spinal canal. It is performed without the use of contrast dye. |
47 | $110 | $1,200 |
| Foot X-ray, 3+ views An X-ray imaging test of the foot that captures at least three different views to evaluate the bones and joints. |
47 | $23 | $105 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
45 | $29 | $105 |
| CT scan of lower spine, without contrast A computed tomography scan that creates detailed images of the lower spine using X-rays without the use of contrast dye. |
44 | $89 | $550 |
| MRI of abdomen with and without contrast An MRI scan of the abdomen using contrast dye before and after administration to create detailed images of internal structures. |
37 | $246 | $1,250 |
| CT scan of face, without contrast A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye. |
36 | $89 | $550 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
36 | $21 | $105 |
| CT scan of abdomen and pelvis with contrast A CT scan that uses dye to create detailed images of the abdomen and pelvis. This imaging test helps doctors examine internal organs and structures in these areas. |
32 | $230 | $1,350 |
| MRI of lower spine with and without contrast An MRI scan of the lower spinal canal performed both before and after the administration of contrast dye to enhance image detail. |
30 | $229 | $2,175 |
| Ultrasound of arm and leg arteries This procedure uses sound waves to create images of the blood vessels in the arms and legs. It allows healthcare providers to examine the structure and blood flow within these arteries. |
30 | $47 | $270 |
| Low dose CT scan of chest for lung cancer screening A specialized CT scan of the chest using a lower radiation dose to screen for lung cancer. |
29 | $131 | $350 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
28 | $36 | $115 |
| CT scan of leg, without contrast A computed tomography scan of the leg performed without the use of contrast dye. This imaging test uses X-rays to create detailed cross-sectional images of the leg's internal structures. |
27 | $94 | $500 |
| CT scan of pelvis, without contrast A CT scan that uses X-rays to create detailed images of the pelvic area without the use of contrast dye. |
26 | $87 | $550 |
| Ultrasound of scrotum An imaging test that uses sound waves to create pictures of the scrotum and its contents. It helps evaluate the testicles and surrounding structures. |
26 | $62 | $275 |
| MRI of leg, without contrast A magnetic resonance imaging scan of the leg performed without the use of contrast dye to visualize internal structures. |
25 | $172 | $1,150 |
| X-ray of middle spine, 3 views An X-ray imaging test that captures three different views of the middle section of the spine to evaluate its structure. |
24 | $26 | $110 |
| Chest X-ray, 3 views An imaging test that uses a small amount of radiation to produce pictures of the chest from three different angles. |
23 | $22 | $110 |
| CT scan of chest with contrast A computed tomography scan of the chest using a contrast dye to enhance the visibility of internal structures. |
23 | $105 | $675 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
22 | $31 | $105 |
| X-ray of upper spine, 6 or more views An X-ray imaging test of the upper spine using six or more separate views to capture detailed images of the bones and structures in that area. |
22 | $47 | $135 |
| Limited abdominal ultrasound A focused ultrasound examination of the abdomen to evaluate specific organs or areas. This procedure uses sound waves to create images of internal structures. |
22 | $54 | $295 |
| MRI of pelvis, without contrast A magnetic resonance imaging scan of the pelvic area performed without the use of contrast dye. |
21 | $163 | $1,000 |
| MRI of head blood vessels without contrast An MRI scan that creates detailed images of the blood vessels in the head without using contrast dye. |
20 | $151 | $925 |
| Pelvis X-ray, minimum 3 views An X-ray imaging test of the pelvic area that captures at least three different views to evaluate the bones and joints. |
20 | $30 | $105 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels. |
20 | $29 | $225 |
| Ultrasound of leg arteries or grafts An ultrasound exam that uses sound waves to create images of the arteries in one leg or any grafts present in that leg. |
20 | $88 | $400 |
| Abdominal X-ray, 2 views An X-ray imaging test of the abdomen using two different angles to visualize internal structures. |
17 | $25 | $105 |
| MRI of upper spine with and without contrast An MRI scan of the upper spinal canal performed both before and after the administration of contrast dye to enhance image detail. |
16 | $231 | $1,750 |
| X-ray of both hips, 3-4 views An X-ray imaging test that captures 3 to 4 views of both hip joints to visualize the bones and surrounding structures. |
16 | $41 | $115 |
| Ankle X-ray, minimum 3 views An X-ray imaging test of the ankle that captures at least three different angles to evaluate the bones and joints. |
16 | $26 | $105 |
| Transvaginal pelvic ultrasound An ultrasound exam using a probe inserted into the vagina to image the uterus, ovaries, fallopian tubes, cervix, and surrounding pelvic structures. |
16 | $70 | $285 |
| Complete pelvic ultrasound An imaging test using sound waves to create pictures of the organs and structures within the pelvis. |
16 | $65 | $350 |
| CT scan of upper spine, without contrast A CT scan uses X-rays to create detailed images of the upper spine. This procedure is performed without the use of contrast dye. |
14 | $86 | $550 |
| MRI of spinal canal with and without contrast A magnetic resonance imaging scan of the central spinal canal performed both before and after the administration of contrast dye to enhance image detail. |
13 | $249 | $1,750 |
| CT scan of arm, without contrast A CT scan of the arm that uses X-rays to create detailed images of the arm's internal structures without the use of contrast dye. |
13 | $107 | $525 |
| CT scan of abdomen without contrast A computed tomography scan that creates detailed images of the abdominal organs and structures. This procedure is performed without the use of intravenous contrast dye. |
13 | $91 | $525 |
| CT scan of abdomen with and without contrast A CT scan of the abdomen performed both before and after the administration of contrast dye to provide detailed images of internal structures. |
13 | $167 | $750 |
| Limited ultrasound of pelvis A focused ultrasound exam of the pelvic area to evaluate specific structures. This procedure provides images of the pelvis to assist in medical assessment. |
13 | $28 | $175 |
| MRI of neck blood vessels without contrast This procedure uses magnetic resonance imaging to create detailed pictures of the blood vessels in the neck without the use of contrast dye. |
12 | $170 | $750 |
| Radiologist review of CT-guided needle placement A radiologist reviews the CT imaging used to guide the placement of a needle. |
12 | $101 | $875 |
| Contrast injection for shoulder joint imaging A contrast dye is injected into the shoulder joint to enhance imaging studies. This helps visualize the joint structures more clearly during the procedure. |
11 | $115 | $700 |
| CT scan of chest with and without contrast A computed tomography scan of the chest performed using both intravenous contrast dye and without it to provide detailed images of internal structures. |
11 | $110 | $800 |
| CT scan of chest blood vessels with contrast A CT scan that uses contrast dye to create detailed images of the blood vessels in the chest. |
11 | $177 | $1,050 |
| Pelvis X-ray, 1-2 views An X-ray imaging test of the pelvic area using one to two different angles to visualize the bones and joints. |
11 | $19 | $95 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$98
Total received (2024-2024)
Bottom 33% in TX for radiation oncology
1
Company
5
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
$98 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$98
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Abbott Laboratories
$98
Top 3 companies account for 100.0% of total payments
Associated products mentioned in payments ›
PROCLAIM
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 $0 per 100 Medicare services performed
Geographic Context
Radiation oncologists within 10 mi
12
Per 100K population
23.8
County median income
$61,122
Nearest hospital
PARIS REGIONAL MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/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. Holder is a mixed practice specialist, with above-average Medicare volume (top 1% in TX), with low-engagement industry engagement, with 19 years of NPI registration.
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. Holder experienced with mri contrast dye injection (gadoterate)?
Based on Medicare claims data, Dr. Holder performed 50,080 mri contrast dye injection (gadoterate) 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. Holder receive payments from pharmaceutical companies?
Yes. Dr. Holder received a total of $98 from 1 company across 5 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. Holder's costs compare to other radiation oncologists in Paris?
Dr. Holder's average Medicare payment per service is $5. 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. Holder) 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 →
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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.
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