Medicare Enrolled
Dr. David Holck, M.D.
Ophthalmic Plastic and Reconstructive Surgery Physician · San Antonio, TX
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
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. Holck 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. Holck?
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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 of NPI registration. Based on federal Medicare data, Dr. Holck performed 17,312 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Holck received a total of $6,541 from 25 pharmaceutical and/or device companies across 161 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. 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. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years of NPI registration
▲ Top 5% volume in TX
$6,541 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗17,312
Medicare services
Top 5% in TX for ophthalmic plastic and reconstructive surgery physician
Not available
Unique patients (not deduplicated)
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
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 An injection of onabotulinumtoxinA, a medication used to temporarily relax muscles or reduce gland activity. The dose is measured in units, with this code representing a single unit administered. |
11,370 | $5 | $13 |
| Eye photography Photographic imaging of the interior structures of the eye. |
1,562 | $17 | $66 |
| Nasal tear duct probing A procedure to examine and clear the tear ducts in the nose. It helps restore normal drainage of tears from the eye. |
1,165 | $146 | $381 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
654 | $115 | $323 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
520 | $63 | $176 |
| Visual field test, intermediate A test that measures your side vision to check for blind spots or other vision changes. |
389 | $36 | $91 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
230 | $89 | $248 |
| Upper eyelid tendon repair Surgical repair of the tendon in the upper eyelid to restore its function and structure. |
173 | $618 | $1,643 |
| Eyelid growth removal A procedure to remove a growth from the eyelid. |
157 | $161 | $511 |
| Comprehensive eye exam, established patient A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider. |
125 | $86 | $245 |
| Eyelid margin removal and repair, over 1/4 Surgical removal of more than one-quarter of the eyelid margin followed by repair of the eyelid. |
107 | $469 | $1,343 |
| Chemical nerve block for facial paralysis Injection of a chemical agent to paralyze specific nerves or muscles on the side of the face. |
98 | $140 | $379 |
| Brow paralysis repair Surgical procedure to correct paralysis of the eyebrow muscles. This intervention aims to restore position and function to the affected area. |
84 | $292 | $1,435 |
| Temporary closure of eyelids by suture | 73 | $36 | $184 |
| Nasal tear duct probing with tube or stent insertion A procedure to open a blocked tear duct by probing the area and inserting a tube or stent to maintain drainage. |
69 | $93 | $464 |
| Plastic repair of tear duct A surgical procedure to repair a tear in the tear duct. This helps restore normal drainage of tears from the eye. |
58 | $348 | $1,267 |
| Extensive repair of turning-outward eyelid defect A surgical procedure to correct an eyelid that turns outward. The repair addresses defects in the eyelid structure to restore normal function and appearance. |
42 | $321 | $1,316 |
| Eyelid lining repair with graft from external eye This procedure repairs the inner lining of the eyelid using tissue grafted from another part of the eye. |
39 | $221 | $1,089 |
| Exploration of cavity behind eye A surgical procedure to examine the space located behind the eyeball. |
36 | $986 | $2,460 |
| Injection into skin growths, 1-7 A procedure involving the injection of medication into one to seven skin growths. |
32 | $26 | $111 |
| Incision and drainage of eyelid abscess A minor surgical procedure to cut open and drain an infected, pus-filled swelling on the eyelid. |
32 | $134 | $408 |
| Visual field test, extended A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam. |
31 | $49 | $121 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
31 | $1 | $6 |
| Comprehensive eye exam, new patient A comprehensive examination of the visual system performed for a new patient. |
28 | $103 | $291 |
| Suture repair of turning-inward eyelid defect A surgical procedure to correct an eyelid that turns inward. The condition is repaired using sutures to restore normal eyelid position. |
27 | $129 | $643 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to the nose, ears, eyelids, or lips. The graft covers an area of 20 square centimeters or less. |
25 | $641 | $1,632 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
21 | $544 | $1,496 |
| Visual field test, limited A test that measures your side (peripheral) vision. This limited version assesses a restricted portion of your visual field. |
19 | $23 | $64 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
19 | $63 | $217 |
| Therapeutic fracture of nasal passages | 18 | $46 | $231 |
| Correction of widely-opened upper eyelid A surgical procedure to adjust the upper eyelid to correct a condition where it remains excessively open. |
16 | $234 | $1,072 |
| New patient eye exam, problem focused A focused examination of the visual system performed during a new patient visit. |
13 | $65 | $166 |
| Eye exam, established patient, focused A limited examination of the visual system for an existing patient. The provider focuses on a specific eye-related concern or symptom. |
13 | $65 | $174 |
| Skin graft repair of eyelid, nose, ear, or lip, 10.1-30 sq cm This procedure involves repairing a wound on the eyelid, nose, ear, or lip by transferring skin from another area. The graft size covered is between 10.1 and 30.0 square centimeters. |
12 | $424 | $1,585 |
| Partial removal of nasal sinus A surgical procedure to partially remove tissue from a nasal sinus. The specific sinus and extent of removal are not detailed in this description. |
12 | $246 | $1,224 |
| Creation of drainage tract from tear sac to nasal cavity A surgical procedure to create a new passage allowing tears to drain from the tear sac directly into the nasal cavity. |
12 | $524 | $1,569 |
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. These counts do not measure clinical quality or years of experience.
0.4% high complexity
66.0% medium
33.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$6,541
Total received (2018-2024)
Avg $934/year across 7 years
Top 7% in TX for ophthalmic plastic and reconstructive surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
161
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,179
2023
$962
2022
$2,472
2021
$577
2020
$244
2019
$245
2018
$862
Payments by company (2024)
Amgen Inc.
$650
BIOTISSUE HOLDINGS INC.
$184
Dompe US, Inc.
$122
RxSight Inc
$101
ABBVIE INC.
$81
Merz Pharmaceuticals, LLC
$41
Top 3 companies account for 81.0% of 2024 payments
All-time payments by company (2018-2024) ›
Horizon Therapeutics plc
$2,657
Amgen Inc.
$650
ABBVIE INC.
$648
TissueTech, Inc.
$321
Mallinckrodt LLC
$276
Bausch & Lomb, a division of Bausch Health US, LLC
$200
BIOTISSUE HOLDINGS INC.
$184
BIOTISSUE HOLDINGS, INC.
$176
Alcon Vision LLC
$150
Genentech USA, Inc.
$130
BioTissue Holdings, Inc.
$128
Allergan, Inc.
$126
Eyevance Pharmaceuticals LLC
$125
Dompe US, Inc.
$122
Ocular Therapeutix, Inc.
$107
RxSight Inc
$101
Alcon Laboratories Inc
$100
Aerie Pharmaceuticals, Inc.
$98
Merz Pharmaceuticals, LLC
$90
Merz North America, Inc.
$67
Boston Scientific Corporation
$31
TISSUETECH, INC.
$15
Galderma Laboratories, L.P.
$14
Allergan Inc.
$13
Kerecis Limited
$10
Top 3 companies account for 60.5% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ACTIVEFOCUS · BOTOX · Clareon · DEXTENZA · DURYSTA · Kerecis Omega3 SurgiClose · Lucentis · OXERVATE · PROKERA · PROLENSA · Prokera · RXSIGHT CONTACT LENS · TEPEZZA · Tobradex ST · VYZULTA · WaveWriter Alpha Prime 16 · XEOMIN · Xeomin · rocklatan
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Geographic Context
Ophthalmic plastic and reconstructive surgery physicians in nearby ZIP areas
7
County median income
$70,571
Nearest hospital to ZIP centroid (approximate)
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Holck is a mixed practice specialist, with above-average Medicare volume (top 5% in TX), with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Holck experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Holck performed 11,370 botox injection, per unit services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Holck receive payments from pharmaceutical companies?
Yes. Dr. Holck received a total of $6,541 from 25 companies across 161 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Holck's costs compare to other ophthalmic plastic and reconstructive surgery physicians in San Antonio?
Dr. Holck's average Medicare payment per service is $45. 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. Holck) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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. Data Coverage reflects 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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