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Dr. Bruce R. Leforce, MD

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Specializes in: Neurology (Brain & Spinal Cord Disease) and Neurophysiology

University of Louisville School of Medicine

Professional interests include: memory disorders, stroke, movement disorders, and more.

4502 Medical Drive
San Antonio, TX 78229

(210) 358-4000

Dr. Bruce R. Leforce, MD is a neurologist in Boerne, TX specializing in neurology (brain & spinal cord disease) and neurophysiology. He graduated from University of Louisville School of Medicine. Dr. Bruce R. Leforce, MD is affiliated with UT Health San Antonio and University Health.

Office Locations

UT Health San Antonio

25723 Old Fredericksburg Road
Boerne, TX 78015

(210) 450-9700

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University Health

4502 Medical Drive
San Antonio, TX 78229

(210) 358-4000

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220 Fort Sanders West Boulevard Suite 300
Knoxville, TN 37922

(865) 693-3499

(865) 693-5938

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Some issues Dr. Bruce R. Leforce, MD can help you with:

Headache

Headaches are dull or sharp pains that occur in regions of the head and face. Headaches occur in many different forms and vary in location, severity, and duration. They are not necessarily a sign of an underlying illness and often resolve on their own. However, headaches can present significant day-to-day discomfort. The most common forms of headaches include:

Migraines: one of the most prevalent types of headache, migraines typically last from two hours to three days, causing a throbbing pain on one side of the head. Nausea, sensitivity to bright lights, fatigue, and blurred vision all may accompany migraines. While migraines have no known cure, medications and lifestyle modifications may ease symptoms. Avoiding behaviors that may trigger migraines such as lack of sleep or loud, repetitive noises can improve headaches.
Tension headaches: also known as stress headaches, these headaches are characterized by pain in the upper top part of the head and behind the eyes. Tension headaches are common and have no exact cause; however, certain practices may increase the likelihood of developing them. For example, wearing one's hair up in a tight hairstyle or wearing a restrictive hat can put pressure on the scalp, leading to a tension headache. Other causes of tension headaches may include alcohol or nicotine use, caffeine, teeth grinding, stress, overexertion, and eye strain. Some people find posture improvement, alternating sleeping positions, and neck exercise can alleviate tension headaches. Over-the-counter pain relievers such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve) may also reduce tension-headache pain.
Sinus headaches: this type of headache causes pain in the sinuses, but may progress to pain and pressure in the eyes, forehead, and cheeks. These headaches are often accompanied by nasal congestion, fatigue, and ache in the upper teeth and may or may not be caused by sinus infections or sinusitis (sinus inflammation). Some sinus headaches are allergic headaches, which arise from allergic triggers such as seasonal allergies (pollen allergies) or hay fever, causing sinus pressure and facial pain. Other symptoms of allergic headaches include nasal congestion, irritated or watery eyes, runny nose, and sneezing. Allergic headaches may be treated with antihistamine medications such as cetirizine (Zyrtec). Allergic headaches are common during pollen season, which is usually around springtime.
Cluster headaches: these headaches occur suddenly and cause stabbing, sharp pain from one eye down to the one side of the neck. They are often referred to as the most aggravating and painful type of headaches. Other symptoms of cluster headaches include nasal congestion, droopy eyelid, and enlarged pupil on one side of the face. In the past, it was widely believed that cluster headaches were caused by a bevy or "cluster" of multiple types of headaches, such as a combination of an allergic headache and a tension headache. Medical experts now recognize that cluster headaches are a separate and unique form of headache. Cluster headaches last for around twenty minutes to two hours. They may recur throughout the period of a day or several weeks, but usually dissipate within a month. Treatment for cluster headaches includes over-the-counter pain medications such as ibuprofen (Advil, Motren) and naproxen sodium (Aleve). Prescription Prednisone can help with swelling and Verapamil may reduce pain by relaxing the blood vessels.

Living with headaches is challenging; headaches can prevent people from fully enjoying life. Medical treatment and care in avoiding certain triggers can help those with headaches begin to feel normal once again.

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Bruce R. Leforce, MD treated as a neurologist in Boerne, TX during 2012 were diagnostic procedures and electroencephalography (EEG).

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

diagnostic procedures	627
doctor visit	359
electroencephalography (EEG)	13

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Bruce R. Leforce, MD treated as a neurologist in Boerne, TX during 2013 were diagnostic procedures.

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

diagnostic procedures	54
doctor visit	405

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	180
Female	196

**Age**
From 65 to 74	155
From 75 to 84	110
85 and over	37
Less than 65	74

Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD in 2013

Hypertension	61
High Cholesterol	56
Stroke	10
Ischemic Heart Disease	32
Depression	26
Chronic Kidney Disease	19
Asthma	8
Osteoperosis	10
Atrial Fibrilation	8
Heart Failure	13
Chronic Obstructive Pulmonary Disease	14
Diabetes	28
Dementia	19
Cancer	9

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Bruce R. Leforce, MD treated as a neurologist in Boerne, TX during 2014 were diagnostic procedures and electroencephalography (EEG).

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

diagnostic procedures	88
doctor visit	425
electroencephalography (EEG)	13

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	189
Female	225

**Age**
From 65 to 74	167
From 75 to 84	118
85 and over	49
Less than 65	80

Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD in 2014

Hypertension	62
High Cholesterol	53
Stroke	10
Ischemic Heart Disease	29
Depression	28
Chronic Kidney Disease	21
Asthma	7
Osteoperosis	9
Atrial Fibrilation	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	14
Diabetes	28
Dementia	17
Cancer	9

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Bruce R. Leforce, MD treated as a neurologist in Boerne, TX during 2015 were diagnostic procedures and electroencephalography (EEG).

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

diagnostic procedures	74
doctor visit	402
electroencephalography (EEG)	19

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	416
Female	434

**Ethnicity**
Non-Hispanic White	806
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	336
From 75 to 84	258
85 and over	82
Less than 65	174

Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD in 2015

Hypertension	66
High Cholesterol	56
Stroke	12
Ischemic Heart Disease	31
Depression	30
Chronic Kidney Disease	19
Asthma	12
Osteoperosis	7
Atrial Fibrilation	12
Heart Failure	13
Chronic Obstructive Pulmonary Disease	14
Diabetes	28
Dementia	17
Cancer	11

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Bruce R. Leforce, MD treated as a neurologist in Boerne, TX during 2016 were diagnostic procedures, minimally invasive procedures, injections and electroencephalography (EEG).

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

diagnostic procedures	97
doctor visit	414
electroencephalography (EEG)	11
injections	27
minimally invasive procedures	54

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	222
Female	221

**Ethnicity**
Non-Hispanic White	418
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	209
From 75 to 84	120
85 and over	36
Less than 65	78

Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD in 2016

Hypertension	67
High Cholesterol	58
Stroke	9
Ischemic Heart Disease	31
Depression	28
Chronic Kidney Disease	26
Asthma	20
Osteoperosis	7
Atrial Fibrilation	12
Heart Failure	14
Chronic Obstructive Pulmonary Disease	18
Diabetes	30
Dementia	12
Cancer	8

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Bruce R. Leforce, MD treated as a neurologist in Boerne, TX during 2017 were minimally invasive procedures, injections and diagnostic procedures.

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

diagnostic procedures	20
doctor visit	488
injections	37
minimally invasive procedures	74

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	204
Female	244

**Ethnicity**
Non-Hispanic White	430
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	182
From 75 to 84	151
85 and over	50
Less than 65	65

Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD in 2017

Hypertension	63
High Cholesterol	52
Stroke	10
Ischemic Heart Disease	32
Depression	35
Chronic Kidney Disease	29
Asthma	8
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	16
Chronic Obstructive Pulmonary Disease	16
Diabetes	26
Dementia	32
Cancer	13

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

doctor visit	608

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	189
Female	261

**Ethnicity**
Non-Hispanic White	428
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	161
From 75 to 84	198
85 and over	75
Less than 65	16

Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD in 2018

Hypertension	71
High Cholesterol	61
Stroke	7
Ischemic Heart Disease	34
Depression	39
Chronic Kidney Disease	34
Asthma	7
Osteoperosis	7
Atrial Fibrilation	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	12
Diabetes	30
Dementia	75
Cancer	9

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

doctor visit	609

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	220
Female	264

**Ethnicity**
Non-Hispanic White	459
Black	11
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	171
From 75 to 84	230
85 and over	70
Less than 65	13

Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD in 2019

Hypertension	68
High Cholesterol	61
Stroke	5
Ischemic Heart Disease	29
Depression	35
Chronic Kidney Disease	35
Asthma	6
Osteoperosis	9
Atrial Fibrilation	11
Heart Failure	14
Chronic Obstructive Pulmonary Disease	13
Diabetes	30
Dementia	75
Cancer	11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

doctor visit	472

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	185
Female	219

**Ethnicity**
Non-Hispanic White	384
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	132
From 75 to 84	208
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD in 2020

Hypertension	67
High Cholesterol	60
Stroke	6
Ischemic Heart Disease	33
Depression	41
Chronic Kidney Disease	37
Asthma	6
Osteoperosis	9
Atrial Fibrilation	11
Heart Failure	16
Chronic Obstructive Pulmonary Disease	11
Diabetes	31
Dementia	75
Cancer	8

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

doctor visit	406

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	152
Female	188

**Ethnicity**
Non-Hispanic White	322
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	106
From 75 to 84	169
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD in 2021

Hypertension	68
High Cholesterol	62
Stroke	5
Ischemic Heart Disease	30
Depression	40
Chronic Kidney Disease	36
Asthma	5
Osteoperosis	10
Atrial Fibrilation	11
Heart Failure	14
Chronic Obstructive Pulmonary Disease	11
Diabetes	29
Dementia	73
Cancer	10

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

doctor visit	399

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	150
Female	172

**Ethnicity**
Non-Hispanic White	304
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	98
From 75 to 84	165
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	25
Depression	41
Chronic Kidney Disease	27
Asthma	9
Osteoperosis	14
Atrial Fibrilation	16
Heart Failure	11
Chronic Obstructive Pulmonary Disease	14
Diabetes	27
Dementia	62
Cancer	14

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Bruce R. Leforce, MD for Medicare patients.

The highest averages for the top procedures that Dr. Bruce R. Leforce, MD treated as a neurologist in Boerne, TX were diagnostic procedures, minimally invasive procedures, injections and electroencephalography (EEG).

diagnostic procedures	160
doctor visit	453
electroencephalography (EEG)	14
injections	32
minimally invasive procedures	64

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Bruce R. Leforce, MD.

**Gender**
Male	191
Female	220

**Ethnicity**
Black / African American	1
Asian / Pacific Islander	0
Non-Hispanic White	322
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	157
85 and over	36
Less than 65	45
65 to 74	156

Average of Total of Conditions of Medicare patients treated by Dr. Bruce R. Leforce, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Bruce R. Leforce, MD treated were hypertension, high cholesterol, dementia and depression.

Hypertension	60
High Cholesterol	54
Stroke	7
Ischemic Heart Disease	27
Depression	31
Chronic Kidney Disease	25
Asthma	8
Osteoporosis	8
Heart Failure	12
Chronic Obstructive Pulmonary Disease	12
Diabetes	26
Atrial Fibrillation	10
Dementia	41
Cancer	9

Education & Training

Dr. Bruce R. Leforce, MD graduated from University of Louisville School of Medicine. He completed residency at Wilford Hall Medical Center. He has a state license in Texas.

Medical School: University of Louisville School of Medicine

Residency: Wilford Hall Medical Center (1989)

Licensed In: Texas

Affiliations & Hospitals

Dr. Bruce R. Leforce, MD is associated with these hospitals and organizations:

UT Health San Antonio

University Health

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Bruce R. Leforce, MD appears to accept the following insurance providers: MultiPlan, Prime Health, United Healthcare HMO, United Healthcare EPO, Blue Choice, Galaxy Health Network, Coventry, Blue California, Trustmark , BlueCross BlueShield of Texas, AARP, Medicare Advantage, TriWest, HealthSpring, United Healthcare, Three Rivers, Medicaid, Humana, Cigna, Molina Healthcare, First Health, WellPoint, Employers Health Network, HealthSmart, Superior Health Plan, Independent Medical Systems - Commercial (PPO), Administrative Concepts - Third Party Administrator, Kempton Group Administrators - Third Party Administrator, CHAMPVA - Governmental, Zelis - Third Party Administrator, Century Healthcare - Third Party Administrator, El Paso Health - CHIP, Key Benefits Administrators - Third Party Administrator, OptumHealth - Transplant Network, 6 Degrees - Transplant, Oscar - Commercial Exchange, Imperial Health - Commercial (Exchange), Provider Network of America - Commercial (All Products), Entrust - Third Party Administrator, SANA Benefits - Commercial (All Products), HMA LLC - Third Party Administrator, Aetna Health - Commercial (HMO, Managed Choice POS, Meritain, Open Choice PPO), Allied Benefit Systems - Third Party Administrator, Velocity National Provider Network - Commercial (Multiple Payers), Universal Benefits Consortium (Allegiance) - Direct Contract with TPA/Broker for select ISDs, Private Healthcare Systems - Commercial (All Products), Aetna Health - Commercial (QPOS, SAISD, Select), Injury Management Organization - Workers Compensation, Benefit Administrative Systems - Third Party Administrator, Tokio Marine - Transplant Network, Group and Pension Administrators - Third Party Administrator, EBSO Benefits - Third Party Administrator, Aetna Health - Commercial (Choice POS II, Elect Choice EPO, Exchange (Silver/Gold HMO)), Allegiance - Universal Benefits Consortium, Interlink - Transplant Network, Independent Medical Systems - Workers Compensation, Lucent Health - Third Party Administrator, Imagine 360 - Third Party Administrator, Curative - Commercial (All Products), Aetna Health - Transplant ONLY, Insurance Accepted, Veterans Administration - Governmental, Velocity National Provider Network - Commercial (PPO), Ancira Enterprises - Direct Employer, WebTPA - Third Party Administrator, International Benefits Administrators - Third Party Administrator, Gilsbar - Third Party Administrator, University of Incarnate Word - Direct Contact with Employer, Scott & White Health Plan - Commercial (Exchange, HMO, PPO), LifeTrac - Transplant Network, 90 Degree Benefits - Third Party Administrator, Point Comfort Underwriters - Refugee Medical Assistance (Adults, Children) and Aetna Better Health - CHIP/CHIP Perinate Newborn.

Insurance Accepted by Provider includes:

According to our sources, Dr. Bruce R. Leforce, MD accepts the following insurance providers:

MultiPlan

Prime Health

United Healthcare HMO

United Healthcare EPO

Blue Choice

Galaxy Health Network

Coventry

Blue California

Trustmark

BlueCross BlueShield of Texas

AARP

Medicare Advantage

TriWest

HealthSpring

United Healthcare

Three Rivers

Medicaid

Humana

Cigna

Molina Healthcare

First Health

WellPoint

Employers Health Network

HealthSmart

Superior Health Plan

Independent Medical Systems - Commercial (PPO)

Administrative Concepts - Third Party Administrator

Kempton Group Administrators - Third Party Administrator

CHAMPVA - Governmental

Zelis - Third Party Administrator

Century Healthcare - Third Party Administrator

El Paso Health - CHIP

Key Benefits Administrators - Third Party Administrator

OptumHealth - Transplant Network

6 Degrees - Transplant

Oscar - Commercial Exchange

Imperial Health - Commercial (Exchange)

Provider Network of America - Commercial (All Products)

Entrust - Third Party Administrator

SANA Benefits - Commercial (All Products)

HMA LLC - Third Party Administrator

Aetna Health - Commercial (HMO, Managed Choice POS, Meritain, Open Choice PPO)

Allied Benefit Systems - Third Party Administrator

Velocity National Provider Network - Commercial (Multiple Payers)

Universal Benefits Consortium (Allegiance) - Direct Contract with TPA/Broker for select ISDs

Private Healthcare Systems - Commercial (All Products)

Aetna Health - Commercial (QPOS, SAISD, Select)

Injury Management Organization - Workers Compensation

Benefit Administrative Systems - Third Party Administrator

Tokio Marine - Transplant Network

Group and Pension Administrators - Third Party Administrator

EBSO Benefits - Third Party Administrator

Aetna Health - Commercial (Choice POS II, Elect Choice EPO, Exchange (Silver/Gold HMO))

Allegiance - Universal Benefits Consortium

Interlink - Transplant Network

Independent Medical Systems - Workers Compensation

Lucent Health - Third Party Administrator

Imagine 360 - Third Party Administrator

Curative - Commercial (All Products)

Aetna Health - Transplant ONLY

Insurance Accepted

Veterans Administration - Governmental

Velocity National Provider Network - Commercial (PPO)

Ancira Enterprises - Direct Employer

WebTPA - Third Party Administrator

International Benefits Administrators - Third Party Administrator

Gilsbar - Third Party Administrator

University of Incarnate Word - Direct Contact with Employer

Scott & White Health Plan - Commercial (Exchange, HMO, PPO)

LifeTrac - Transplant Network

90 Degree Benefits - Third Party Administrator

Point Comfort Underwriters - Refugee Medical Assistance (Adults, Children)

Aetna Better Health - CHIP/CHIP Perinate Newborn

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General Payments

These charts describe general payments received by Dr. Bruce R. Leforce, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Novartis Pharmaceuticals Corporation	$2,245 Gilenya $1,668	ARZERRA $459	$118
Teva Pharmaceuticals USA, Inc.	$899 COPAXONE $232	AZILECT $144	Unclassified $111	Zecuity $76	$335
Medtronic USA, Inc.	$529 Deep Brain Neurostimulation $492	ACTIVA $37
GENZYME CORPORATION	$380 AUBAGIO $184	LEMTRADA $179	MS DISEASE STATE $17
Amgen Inc.	$283 Aimovig $167	$116
Other	$1,538 Vimpat $194	BOTOX $176	Leqembi $122	TROKENDI XR $109	PLEGRIDY $97	Other $840

**Types of Payments**
Food and Beverage	$4,718
Travel and Lodging	$687
Education	$359
Gift	$111

Biography

Dr. Bruce Leforce is a neurophysiology and neurology (brain & spinal cord disease) specialist. His areas of expertise include seizure disorders, tremors, and migraine. Dr. Leforce's hospital/clinic affiliations include UT Health San Antonio and the University Health. His education and training includes medical school at the University of Louisville School of Medicine and residency at Wilford Hall Medical Center. Dr. Leforce usually is in-network for Trustmark, Blue California, and Coventry, as well as other insurance carriers. His practice in Boerne, TX is open to new patients as reported by UT Health San Antonio.