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
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. 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 →
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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 17,276 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.
✓ 19 years in practice
▲ Top 5% volume in TX
$6,541 industry payments
Medicare Practice Summary
Medicare Utilization ↗17,276
Medicare services
Top 5% in TX for ophthalmic plastic and reconstructive surgery physician
5,018
Unique beneficiaries
$45
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~909 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 |
|---|---|---|---|
| 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. |
135 | $176 | $545 |
| 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 |
| 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 |
| Incision and drainage of eyelid abscess A minor surgical procedure to cut open and drain an infected, pus-filled swelling on the eyelid. |
18 | $203 | $552 |
| 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. A higher procedure volume generally indicates more experience with that procedure.
0.4% high complexity
66.2% medium
33.4% 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
25
Companies
161
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
$4,710 (72.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1,830 (28.0%)
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)
Consulting
Speaking
Meals & Travel
Research
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 total 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? 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 (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.
Equivalent to $38 per 100 Medicare services performed
Geographic Context
Ophthalmic plastic and reconstructive surgery physicians within 10 mi
7
Per 100K population
0.3
County median income
$70,571
Nearest hospital
SOUTH TEXAS SPINE AND SURGICAL HOSPITAL
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. Holck is a mixed practice specialist, with above-average Medicare volume (top 5% in TX), with low-engagement industry engagement in the top 7% of TX peers, 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. Holck experienced with botox injection, per unit?
Based on Medicare claims data, Dr. Holck performed 11,370 botox injection, per unit 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. Holck receive payments from pharmaceutical companies?
Yes. Dr. Holck received a total of $6,541 from 25 companies across 161 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. 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 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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