Why this was flagged
Medicare paid far more per patient than peers
In 2024 this provider was paid $32,688 per patient, against a typical $18,560 for the same kind of provider in NV. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source Medicare Hospice Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · c311f7
View the records behind this flag →
2 providers share this street address
This address is the registered location of 2 separate Medicare-enrolled providers. Legitimate causes exist (shared medical office buildings, management companies), but dense clustering of billing entities at one address is a known fraud pattern.
Source CMS Hospice Enrollments · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · cca83d
View the records behind this flag →
Owners and managing parties of record
GERMELYN D TORIO
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since Sep 10, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
GERMELYN D TORIO
CORPORATE OFFICER · I · 50% ownership · since Sep 10, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
GERMELYN D TORIO
CORPORATE DIRECTOR · I · 50% ownership · since Sep 10, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
GERMELYN D TORIO
W-2 MANAGING EMPLOYEE · I · 50% ownership · since Sep 10, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
RAYMOND A TORIO
5% OR GREATER DIRECT OWNERSHIP INTEREST · I · 50% ownership · since Sep 10, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
RAYMOND A TORIO
CORPORATE OFFICER · I · 50% ownership · since Sep 10, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
RAYMOND A TORIO
CORPORATE DIRECTOR · I · 50% ownership · since Sep 10, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
RAYMOND A TORIO
W-2 MANAGING EMPLOYEE · I · 50% ownership · since Sep 10, 2022
Source CMS Hospice All Owners · record as of 19 Oct 2026 · pulled 9 Nov 2026 · version 2026-11-09 · fc59f2
Source timeline
Corrections and disputes
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Source records
Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | SILVER STATE HOSPICE INC | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Trading name | ELITE HOSPICE | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| NPI | 1841815008 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Medicare certification number | 291583 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| CMS associate ID | 9133546997 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Provider type | PART A PROVIDER - HOSPICE | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Organisation type | CORPORATION | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Incorporation date | 2019-07-01 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State of incorporation | NV | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| Street address | 6325 HARRISON DR, STE 8 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| City | LAS VEGAS | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| State | NV | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
| ZIP | 89120-4402 | CMS Hospice Enrollments | Oct 19, 2026 | Nov 9, 2026 | 2026-11-09 · cca83d |
What changed
Public research history
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