The 10 highest FY2025 SSVI scores in Puerto Rico, what they have in common, and how to keep your hospice off this list.
Status: proposed, not final. These scores come from the SSVI file CMS published with the FY2027 Hospice Wage Index proposed rule (CMS-1851-P, April 2026). CMS is explicit that the SSVI is not a finding of fraud, waste, or abuse — it flags claims patterns that may warrant additional oversight.
Puerto Rico has 41 Medicare hospices with a FY2025 SSVI score (of 42 in the CMS file). The state median is 4 of 16, and 0% of the state's scored hospices land in the national worst decile (SSVI 11+). Names below are masked — the CCN is shown, and any score can be verified in the free SSVI lookup tool.
| # | Hospice (masked) & CCN | SSVI | Spending | Utilization | FY2024 | Measures tripped |
|---|---|---|---|---|---|---|
| 1 |
H******* L* P** Inc CCN 401527 |
9 / 16 | 8 / 8 | 1 / 8 | 5 | No CHC or GIP days |
| 2 |
P******* d* S******** d* S**** e* e* H**** y H******* S** L**** Inc CCN 401530 |
8 / 16 | 7 / 8 | 1 / 8 | 8 | Weekend skilled visits |
| 3 |
H******* A*** Y T*********** INC CCN 401568 |
7 / 16 | 2 / 8 | 5 / 8 | 8 | No CHC or GIP days · Last 2 days skilled visits · Long length of stay · Live discharge rate · Weekend skilled visits |
| 4 |
W****** M****** H****** CCN 401561 |
7 / 16 | 3 / 8 | 4 / 8 | 6 | No CHC or GIP days · Long length of stay · Live discharge rate · Weekend skilled visits |
| 5 |
A***** H****** CCN 401571 |
7 / 16 | 4 / 8 | 3 / 8 | 6 | No CHC or GIP days · Last 2 days skilled visits · Weekend skilled visits |
| 6 |
S & R H****** CORP CCN 401559 |
6 / 16 | 3 / 8 | 3 / 8 | 8 | No CHC or GIP days · Long length of stay · Weekend skilled visits |
| 7 |
H******* D** O**** INC CCN 401520 |
6 / 16 | 3 / 8 | 3 / 8 | 7 | Last 2 days skilled visits · Long length of stay · Live discharge rate |
| 8 |
H******* S**** R*** Inc CCN 401554 |
6 / 16 | 3 / 8 | 3 / 8 | 5 | No CHC or GIP days · Long length of stay · Weekend skilled visits |
| 9 |
Q****** C*** H****** LLC CCN 401569 |
6 / 16 | 5 / 8 | 1 / 8 | 5 | No CHC or GIP days |
| 10 |
H******* S** F******** D* A*** INC CCN 401551 |
6 / 16 | 2 / 8 | 4 / 8 | 4 | No CHC or GIP days · Last 2 days skilled visits · Long length of stay · Weekend skilled visits |
The pattern is not random: 8 of the 10 tripped no chc or gip days; 7 of the 10 tripped weekend skilled visits; 6 of the 10 tripped long length of stay. Every measure page linked above explains the CMS threshold and the operational changes that move it.
Before your next referral conversation, board meeting, or MAC letter: look up your own FY2024 and FY2025 SSVI score — free, with the point-by-point breakdown of where every point came from.
Friday, July 17 · 40 minutes · Hosted by Miles Pickens, Hospice Engine
Bring your score. We’ll walk through what’s driving it — spending, utilization flags, percentile rank — and what to change first. Zoom link sent by email when you register. The first 3 seats each Friday are free.
The $400 SSVI Action Plan is a focused 1-hour session: we pull your scoring components, benchmark you against your state, and map the operational changes that move your score.