⚠️

Risk scores are statistical indicators based on prescribing patterns compared to specialty peers. They are NOT allegations of fraud, misconduct, or improper care. Many legitimate medical reasons can explain outlier prescribing.

Read our methodology →

Elena GurovaM.D.

Internal Medicine · Cleburne, TX 76033

NPI: 1023002144

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13

🟢 Low

Risk Flags

Opioid + benzodiazepine co-prescriberHigh fills per patient

Risk indicators are statistical patterns, not allegations. Learn more

12,767

Total Claims

$1.3M

Drug Cost

622

Beneficiaries

$2,028

Cost/Patient

Risk Score Breakdown 13/100

Low (0)Moderate (15)Elevated (30)High (50+)
Opioid + benzodiazepine combo+8
High fills per patient+3

Score components are additive. Read full methodology

Peer Comparison vs. 110,156 Internal Medicine providers

+39%

Opioid rate vs peers

3.1% vs 2.2% avg

+44%

Cost per patient vs peers

$2,028 vs $1,411 avg

+4%

Brand preference vs peers

11.1% vs 10.6% avg

⚠️ Opioid + Benzodiazepine Co-Prescriber

This provider prescribes both opioids and benzodiazepines. The FDA has issued a Black Box Warning about the life-threatening risks of concurrent use.

🔎 Data Overview

⚠️

This provider co-prescribes opioids and benzodiazepines — a combination carrying an FDA Black Box Warning due to increased risk of respiratory depression and death. While sometimes clinically necessary, this combination requires careful justification.

Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.

Opioid Prescribing

3.1%

Opioid Rate

398

Opioid Claims

$4,528

Opioid Cost

Long-Acting Rate

Brand vs Generic

89% generic

Brand: 1,402 claims · $958K

Generic: 11,256 claims · $285K

Top Prescribed Drugs

Drug (Generic)ClaimsCost
Semaglutide86$103K
Empagliflozin81$99K
Fluticasone/Umeclidin/Vilanter75$61K
Insulin Glargine,hum.Rec.Anlog54$52K
Apixaban59$50K
Mirabegron53$47K
Tiotropium Bromide57$40K
Insulin Detemir30$36K
Insulin Degludec23$35K
Insulin Lispro Protamin/Lispro19$30K
Sitagliptin Phosphate17$28K
Dapagliflozin Propanediol20$22K
Linagliptin12$20K
Budesonide/Formoterol Fumarate45$19K
Insulin Lispro12$17K

Prescribing Profile

170

Unique Drugs

$216K

IRA Negotiated Drugs

$103K

GLP-1 Drugs

13.0

Anomaly Score

Patient Profile

72

Avg Age

65%

Female

1.77

Avg Risk Score

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Data from CMS Medicare Part D Prescriber Public Use File, 2023. Risk scores are statistical indicators, not allegations of wrongdoing.Methodology · About · Dispute this data