Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH POINTE GARDENS

NPI: 1336510114 · PUEBLO, CO 81008 · Assisted Living Facility · NPI assigned 10/19/2015

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.

$7.36M
Total Medicaid Paid
4,727
Total Claims
3,603
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRADO, KRISS (EXECUTIVE DIRECTOR)
NPI Enumeration Date10/19/2015

Related Entities

Other providers sharing the same authorized official: PRADO, KRISS

ProviderCityStateTotal Paid
OAKSHIRE GARDENS PUEBLO CO $14.82M
PUEBLO WEST GARDENS PUEBLO WEST CO $6.84M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 642 $880K
2019 590 $973K
2020 756 $975K
2021 1,128 $947K
2022 704 $1.16M
2023 438 $1.12M
2024 469 $1.31M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 4,727 3,603 $7.36M