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NPI 1235498221 · Clarksdale, MS · Ambulance
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Pafford Emergency Medical Services, Inc is a ambulance provider located in Clarksdale, Mississippi. This profile covers 9 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Pafford Emergency Medical Services, Inc |
| Address | 2610 N State St |
| City | Clarksdale |
| State | MS |
| ZIP | 38614 |
| Taxonomy | Ambulance |
| NPI Enumerated | May 10, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $22.2M |
| Medicare | $8.6M |
PAFFORD EMERGENCY MEDICAL SERVICES, INC has been an NPI-enumerated ambulance provider since 2012-05-10, indicating roughly 14 years of active billing history which supports an established operational footprint in Clarksdale, MS. This tenure aligns with sustained revenue generation across both Medicare and Medicaid lines.
Medicaid is the larger payer by lifetime revenue for this provider: total Medicaid revenue is $22.2M versus total Medicare revenue of $8.6M, showing Medicaid accounts for the majority of billed dollars and suggesting the provider’s business is more heavily oriented toward Medicaid-covered transports or state-contracted services.
Revenue concentration is high on both payers: the top three Medicare codes account for 78.0% of Medicare revenue and the top three Medicaid codes account for 77.4% of Medicaid revenue. This indicates the organization relies heavily on a small set of ambulance services—primarily advanced life support, ground mileage, and BLS transports—for the bulk of its reimbursement.
The provider’s Medicare billing profile is dominated by A0427 (ALS 1 emergency) which generates $3.4M (39.2% of Medicare revenue) and A0425 (ground mileage) which generates $2.2M (25.0% of Medicare revenue); both codes are extreme national outliers in volume (A0427 ranks #46 of 6841, A0425 ranks #19 of 8934), indicating unusually high utilization of emergency ALS and mileage relative to national peers. Such concentrated, high-rank volumes suggest this entity operates a high-intensity emergency transport service on the Medicare side.
On the Medicaid side the business mix similarly concentrates on emergency transports: A0427 (ALS 1 emergency) and A0429 (BLS emergency) together account for $7.5M (33.8%) and $7.0M (31.4%) of Medicaid revenue respectively, and both rank near the top among in-state peers (A0427 #2 of 49, A0429 #3 of 39). Those high in-state ranks and the large absolute Medicaid revenue imply the provider is a major ambulance supplier in Mississippi for both ALS and BLS emergency transports.
Air transport services are a meaningful secondary revenue stream in Medicaid: A0431 (rotary wing) contributes $2.7M (12.2% of Medicaid revenue) and ranks #3 in-state, and A0436 (rotary wing mileage) contributes $1.1M (4.8%). On Medicare the corresponding air codes are present but smaller in share, indicating the provider likely operates or coordinates significant air transports that are more prominent in its Medicaid business than in Medicare.
Ground mileage appears as a major volume driver for both payers but with different per-claim economics: A0425 accounts for $2.2M (25.0%) of Medicare revenue with 272.4K claims at $8 avg paid/claim, and for Medicaid A0425 is $2.4M (10.7%) with 79K claims at $30 avg paid/claim. The combination of very high Medicare mileage claim counts (an extreme national outlier) and substantial Medicaid mileage revenue suggests operational models with extensive transport distances or frequent short-mileage billing patterns depending on payer.
Several codes are statistical outliers versus peers, reinforcing the provider’s prominent operational footprint: A0425 and A0427 are described as extreme outliers nationally for Medicare volume, and multiple Medicaid codes (A0427, A0429, A0425, A0428, A0431) are noted as notably above typical state volume. These rankings reflect a competitive posture where the provider is a dominant in-state ambulance service and a high-volume national outlier on specific Medicare codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 9,470 | $360 | $3.4M |
| A0425 | Ground mileage, per statute mile | 272,380 | $10 | $2.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7,150 | $170 | $1.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 2,490 | $300 | $750.8K |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 130 | $4,440 | $563.8K |
| A0436 | Rotary wing air mileage, per statute mile | 10,980 | $30 | $351.4K |
| A0434 | Specialty care transport (sct) | 250 | $620 | $154.5K |
| A0433 | Advanced life support, level 2 (als 2) | 160 | $520 | $81.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 60 | $230 | $14.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 45,780 | $160 | $7.5M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 34,350 | $200 | $7M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1,550 | $1,740 | $2.7M |
| A0425 | Ground mileage, per statute mile | 78,970 | $30 | $2.4M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 23,720 | $50 | $1.2M |
| A0436 | Rotary wing air mileage, per statute mile | 1,540 | $700 | $1.1M |
| A0434 | Specialty care transport (sct) | 990 | $210 | $208.5K |
| A0435 | Fixed wing air mileage, per statute mile | 70 | $1,510 | $104.4K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 50 | $1,040 | $56.2K |
| A0433 | Advanced life support, level 2 (als 2) | 170 | $160 | $27.5K |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Mississippi median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2 | 50 | 4,400 | $160 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 40 | 2,590 | $160 | $1.4M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 3 | 20 | 380 | $1,490 | $888.6K |
| A0425 | Ground mileage, per statute mile | 3 | 50 | 5,330 | $30 | $618.3K |
| A0436 | Rotary wing air mileage, per statute mile | 3 | 20 | 410 | $650 | $406.2K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 2 | 40 | 2,320 | $50 | $325.3K |
| A0435 | Fixed wing air mileage, per statute mile | 1 | 10 | 70 | $1,510 | $104.4K |
| A0434 | Specialty care transport (sct) | 1 | 10 | 190 | $190 | $63.9K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 1 | 10 | 50 | $1,040 | $56.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 18 | 20 | 180 | $70 | $38.6K |
Showing 1–10 of 15
Other providers in the same ZIP code as Pafford Emergency Medical Services, Inc, ranked by combined Medicare and Medicaid revenue.
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