Medicaid Provider Spending

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

PUEBLO WEST GARDENS

NPI: 1477924249 · PUEBLO WEST, CO 81007 · Assisted Living Facility · NPI assigned 10/19/2015

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

94% of spending on code T2031 with only 2 total codes billed. Highly concentrated billing profile.

$6.84M
Total Medicaid Paid
4,462
Total Claims
3,260
Beneficiaries
2
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
NORTH POINTE GARDENS PUEBLO CO $7.36M

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 4,236 3,160 $6.44M
T2030 Assisted living, waiver; per month 226 100 $400K