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NPI 1316047392 · Cleveland, MS · Land Ambulance
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Pafford Medical Services Of Mississippi, Inc is a land ambulance provider located in Cleveland, Mississippi. This profile covers 7 Medicare and 10 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 Medical Services Of Mississippi, Inc |
| Address | 901 E Sunflower Rd |
| City | Cleveland |
| State | MS |
| ZIP | 38732 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | September 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $12.3M |
| Medicare | $2.5M |
PAFFORD MEDICAL SERVICES OF MISSISSIPPI, INC operates as a land ambulance provider based on its dominant CPT/HCPCS mix of advanced life support (A0427), basic life support emergency (A0429), basic life support non‑emergency (A0428) and ground mileage (A0425). The presence of specialty care transport (A0434) and ALS disposables in the Medicaid file further indicates capability to provide both emergency ALS/BLS transports and some higher-acuity interfacility or specialized transports, reflecting a mixed emergency and non‑emergency transport operation rather than a single narrow service line.
Medicare revenue is concentrated in a very small set of services: total Medicare revenue is $2.5M and the precomputed top 3 Medicare codes by revenue account for 89.9% of this provider's total Medicare revenue. The three Medicare drivers shown are A0427 ($1.1M, 44.7%), A0425 ($808.7K, 32.8%), and A0429 ($304.6K, 12.4%), indicating that ALS emergency transports and mileage capture the bulk of Medicare billing.
Medicaid revenue is substantially larger than Medicare for this provider: total Medicaid revenue is $12.3M and the precomputed top 3 Medicaid codes by revenue account for 96.0% of this provider's total Medicaid revenue. The Medicaid top codes mirror Medicare with A0427 ($5.6M, 45.6%), A0429 ($3.9M, 31.7%), and A0425 ($2.3M, 18.7%) together driving nearly all reported Medicaid revenue, which signals a Medicaid‑dominated payer mix for transport services.
Nationally for Medicare, the provider shows high volume on mileage: A0425 ranks #149 of 8934 providers nationally (98th percentile) and is labeled notably above typical national volume, making this provider an above‑typical national participant for ground mileage reimbursement. A0427 ranks #231 of 6841 (97th percentile) and A0429 ranks #551 of 7808 (93th percentile) but are characterized in the source as typical, unremarkable volumes, so the provider is high‑volume on mileage at a national scale while its ALS/BLS emergency counts are strong but not uniquely dominant.
In the state Medicaid market PAFFORD is among the higher‑volume ambulance providers for emergency transports and mileage: A0427 ranks #6 of 49 in‑state (90th percentile), A0429 ranks #5 of 39 (89th percentile), and A0425 ranks #7 of 54 (89th percentile). Those in‑state placements indicate the provider is a major regional participant for emergency ALS/BLS transports and mileage-based billing, while more specialized codes like A0434 (rank #6 of 7, 17th percentile) show limited in‑state volume for SCT.
Claims reporting includes several codes in the Medicaid dataset that show $0 average paid per claim, including A0888, A0422 and A0398, and a very low average paid for A0394 ($2 avg paid/claim, $416 revenue). These entries indicate the provider records non‑reimbursed or noncovered line items alongside reimbursed transports in Medicaid claims, which is operationally relevant for understanding gross claim activity versus net payable revenue.
The provider’s Medicare top‑3 concentration (89.9%) and Medicaid top‑3 concentration (96.0%) both indicate very high revenue concentration in a small set of transport codes. Such concentration suggests limited service diversification in payer billings — most revenue is generated by emergency ALS/BLS transports and mileage — which makes changes in utilization, reimbursement rules, or competitive pressure on those few codes a material risk to revenue.
PAFFORD’s NPI was enumerated on 2006-09-22 (~20 years ago), indicating long tenure in the CMS enrollment file. This extended presence supports interpretation of the observed high‑volume billing patterns as established operational behavior rather than a short‑term spike.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,890 | $380 | $1.1M |
| A0425 | Ground mileage, per statute mile | 101,080 | $10 | $808.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 950 | $320 | $304.6K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 900 | $190 | $171.4K |
| A0434 | Specialty care transport (sct) | 80 | $630 | $49.1K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $550 | $18.1K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $250 | $11.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 32,420 | $170 | $5.6M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 19,010 | $210 | $3.9M |
| A0425 | Ground mileage, per statute mile | 48,030 | $50 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 7,410 | $60 | $466.8K |
| A0434 | Specialty care transport (sct) | 50 | $260 | $13.6K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 50 | $130 | $6.7K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 210 | $1 | $420 |
| A0398 | Als routine disposable supplies | 370 | $0 | $0 |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 50 | $0 | $0 |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 9,680 | $0 | $0 |
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
10 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) | 6 | 50 | 4,400 | $160 | $1.9M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 40 | 2,590 | $160 | $1.4M |
| A0425 | Ground mileage, per statute mile | 7 | 50 | 5,330 | $30 | $618.3K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 10 | 40 | 2,320 | $50 | $325.3K |
| A0434 | Specialty care transport (sct) | 6 | 10 | 190 | $190 | $63.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 19 | 20 | 180 | $70 | $38.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 4 | 10 | 210 | $20 | $32.8K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5 | 10 | 790 | $20 | $24.9K |
| A0398 | Als routine disposable supplies | 6 | 10 | 1,260 | $1 | $18K |
| A0888 | Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) | 4 | 30 | 1,360 | $1 | $250 |
Other providers in the same ZIP code as Pafford Medical Services Of Mississippi, Inc, ranked by combined Medicare and Medicaid revenue.
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