Dr. David Holck, M.D.
What this data tells you about Dr. Holck
Dr. David Holck is an ophthalmic plastic and reconstructive surgery physician in San Antonio, TX, with 19 years in practice. Based on federal Medicare data, Dr. Holck performed 17,276 Medicare services across 5,018 unique beneficiaries.
Between the years covered by Open Payments, Dr. Holck received a total of $6,541 from 25 pharmaceutical and/or device companies across 161 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmic plastic and reconstructive surgery physician. 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. Holck 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.
Medicare Practice Summary
Medicare Utilization ↗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 |
|---|---|---|---|
| Botox injection, per unit | 11,370 | $5 | $13 |
| Photography of content of eyes | 1,562 | $17 | $66 |
| Probing of nasal tear duct | 1,165 | $146 | $381 |
| New patient office visit (45-59 min) | 654 | $115 | $323 |
| Office visit, established patient (20-29 min) | 520 | $63 | $176 |
| Exam of visual field with intermediate testing | 389 | $36 | $91 |
| Office visit, established patient (30-39 min) | 230 | $89 | $248 |
| Repair of tendon of upper eyelid | 173 | $618 | $1,643 |
| Removal of growth of eyelid | 135 | $176 | $545 |
| Comprehensive eye exam, established patient | 125 | $86 | $245 |
| Removal of over 1/4 of eyelid margin and repair of eyelid | 107 | $469 | $1,343 |
| Injection of chemical for paralysis of nerve muscles on side of face | 98 | $140 | $379 |
| Repair of brow paralysis | 84 | $292 | $1,435 |
| Temporary closure of eyelids by suture | 73 | $36 | $184 |
| Probing of nasal tear duct with insertion of tube or stent | 69 | $93 | $464 |
| Plastic repair of tear duct | 58 | $348 | $1,267 |
| Extensive repair of turning-outward eyelid defect | 42 | $321 | $1,316 |
| Repair of eyelid lining with graft from external eye | 39 | $221 | $1,089 |
| Exploration of cavity behind eye | 36 | $986 | $2,460 |
| Injection into skin growth, 1-7 growths | 32 | $26 | $111 |
| Visual field test, extended | 31 | $49 | $121 |
| Steroid injection (triamcinolone) | 31 | $1 | $6 |
| Comprehensive eye exam, new patient | 28 | $103 | $291 |
| Suture repair of turning-inward eyelid defect | 27 | $129 | $643 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less | 25 | $641 | $1,632 |
| Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less | 21 | $544 | $1,496 |
| Exam of visual field with limited testing | 19 | $23 | $64 |
| New patient office visit (30-44 min) | 19 | $63 | $217 |
| Therapeutic fracture of nasal passages | 18 | $46 | $231 |
| Incision and drainage of abscess of eyelid | 18 | $203 | $552 |
| Correction of widely-opened upper eyelid | 16 | $234 | $1,072 |
| New patient problem focused exam of visual system | 13 | $65 | $166 |
| Eye exam, established patient, focused | 13 | $65 | $174 |
| Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm | 12 | $424 | $1,585 |
| Partial removal of nasal sinus | 12 | $246 | $1,224 |
| Creation of drainage tract from tear sac to nasal cavity | 12 | $524 | $1,569 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (72%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for ophthalmic plastic and reconstructive surgery physician in TX.
Geographic Context
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. Holck is a mixed practice specialist, with above-average Medicare volume (top 5% in TX), and high industry engagement (low-engagement, top 7%), with 19 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
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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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