Pueblo West Gardens

Pueblo West Gardens was paid $6.84M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is T2031, Assisted living; waiver, per diem — 94% of everything it billed.

33Billing provider infoPUEBLO WEST GARDENS
PUEBLO WEST, CO 81007

33aNPI1477924249assigned 10/19/2015

33bProvider typeAssisted Living Facility

28Total paid$6.84M

24GClaims4,462

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in Colorado

Rank by total paid#10 of 120

Median peer was paid$719K

This provider vs. median9.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration94% of spending on code T2031 with only 2 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	459	$612K
2019	643	$1.02M
2020	572	$726K
2021	1,113	$818K
2022	709	$1.16M
2023	478	$1.18M
2024incomplete	488	$1.32M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T2031	Assisted living; waiver, per diem	94%	4,236	3,160	$6.44M
T2030	Assisted living, waiver; per month	5.8%	226	100	$400K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPRADO, KRISS (EXECUTIVE DIRECTOR)

Same official

Other billing entities under PRADO, KRISS

Full network →

Provider	Location	Paid
Oakshire Gardens	Pueblo, CO	$14.82M
North Pointe Gardens	Pueblo, CO	$7.36M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.