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NPI 1366541310 · Ruston, LA · Ambulance
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Pafford Emergency Medical Services, Inc. is a ambulance provider located in Ruston, Louisiana. This profile covers 9 Medicare and 13 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 | 1300 Commerce St |
| City | Ruston |
| State | LA |
| ZIP | 71270 |
| Taxonomy | Ambulance |
| NPI Enumerated | September 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $23.2M |
| Medicare | $4.6M |
PAFFORD EMERGENCY MEDICAL SERVICES presents as a full-service ambulance operator with heavy utilization of advanced life support and high-mileage ground transport. Its Medicare top revenue codes are A0427 (ALS 1 emergency), A0425 (ground mileage), and A0428 (BLS non-emergency), and its Medicaid top revenue codes are A0425, A0427, and A0429 (BLS emergency), indicating a mixed portfolio of emergency ALS, routine BLS, and substantial mileage-based transport services including air transport items reported elsewhere on the profile.
Revenue concentration is high in both payers: the top three Medicare codes account for 74.5% of Medicare revenue and the top three Medicaid codes account for 72.6% of Medicaid revenue. On Medicare those top contributors are A0427 ($1.4M, 31.7%), A0425 ($1.2M, 27.4%), and A0428 ($699.4K, 15.5%); on Medicaid the top contributors are A0425 ($7.7M, 33.3%), A0427 ($6.3M, 27.0%), and A0429 ($2.9M, 12.3%), showing that a small set of transport codes drives most billed dollars for each payer.
Payer mix is Medicaid‑heavy: reported lifetime Medicaid revenue is $23.2M versus Medicare revenue of $4.6M, so Medicaid dominates the provider’s historical billing footprint. This scale gap suggests operational focus or contracting that results in much larger revenue flows from Medicaid-covered transports compared with Medicare.
Nationally, PAFFORD is an outlier on several Medicare measures: A0425 ground mileage ranks #65 of 8934 providers nationally (99th percentile; extreme outlier) and A0427 ALS 1 emergency ranks #195 of 6841 (97th percentile; notably above typical national volume). These standings indicate the provider operates at a much higher-than-typical national volume for mileage and ALS emergency services, consistent with a high-utilization ambulance fleet.
Within Louisiana Medicaid peers the provider shows a strong competitive position for both ground and air services. A0425 ground mileage ranks #5 of 59 in-state (93th percentile) and high-cost air transport codes A0431 and A0436 each rank #2 of 10 in-state (89th percentile), implying the vendor is among the leading in-state suppliers for both long-distance ground mileage and rotary-wing transports.
Air transport and specialty services form a meaningful secondary revenue stream: Medicare includes A0431 (rotary wing) with $406.7K (9.0%) and A0436 (rotary wing mileage) with $261.8K (5.8%), while Medicaid reports A0431 at $2.5M (10.7%) and A0436 at $1.5M (6.5%). These figures, combined with the state-level ranks for A0431/A0436, point to significant capability and utilization in air medical transport beyond routine ground ambulance work.
Operational mix appears to balance emergency ALS activity with high-volume mileage billing and some non-emergency BLS transports: notable Medicare volumes include 3.5K A0427 claims and 154.8K A0425 claims, while Medicaid shows 33.5K A0427 claims, 89K A0425 claims, and 18.5K A0429 claims. The presence of both emergency ALS codes and large mileage counts suggests a coverage area or service model that produces long-distance or frequent transports.
The provider is long‑tenured in the Medicare/Medicaid ecosystem, with its NPI enumerated 2006-09-22 (~20 years ago), supporting observed high cumulative revenues ($4.6M Medicare, $23.2M Medicaid) and sustained positioning in national and in-state rankings. Tenure combined with concentrated revenue drivers and outlier volumes recommends closer monitoring of contract terms, capacity, and payer relationships when evaluating competitive or network decisions.
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) | 3,480 | $410 | $1.4M |
| A0425 | Ground mileage, per statute mile | 154,810 | $10 | $1.2M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,610 | $190 | $699.4K |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 90 | $4,520 | $406.7K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,040 | $340 | $351.5K |
| A0436 | Rotary wing air mileage, per statute mile | 8,450 | $30 | $261.8K |
| A0434 | Specialty care transport (sct) | 150 | $670 | $101.3K |
| A0433 | Advanced life support, level 2 (als 2) | 30 | $600 | $19.8K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 40 | $240 | $10.7K |
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.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0425 | Ground mileage, per statute mile | 88,950 | $90 | $7.7M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 33,490 | $190 | $6.3M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 18,450 | $160 | $2.9M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 1,050 | $2,360 | $2.5M |
| A0436 | Rotary wing air mileage, per statute mile | 1,080 | $1,410 | $1.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 35,830 | $40 | $1.5M |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 7,340 | $40 | $279K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 11,170 | $20 | $268.1K |
| A0398 | Als routine disposable supplies | 12,980 | $10 | $181.8K |
| A0434 | Specialty care transport (sct) | 340 | $220 | $72.9K |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
13 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) | 8 | 50 | 3,110 | $250 | $5.8M |
| A0431 | Ambulance service, conventional air services, transport, one way (rotary wing) | 2 | 10 | 260 | $2,020 | $4.3M |
| A0425 | Ground mileage, per statute mile | 5 | 60 | 5,300 | $60 | $2.9M |
| A0436 | Rotary wing air mileage, per statute mile | 2 | 10 | 250 | $1,100 | $2.3M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 4 | 30 | 5,040 | $70 | $2.1M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7 | 40 | 2,720 | $140 | $1.8M |
| A0434 | Specialty care transport (sct) | 3 | 10 | 280 | $220 | $998K |
| A0398 | Als routine disposable supplies | 9 | 20 | 5,100 | $20 | $547.2K |
| A0433 | Advanced life support, level 2 (als 2) | 6 | 10 | 1,040 | $260 | $540.6K |
| A0394 | Als specialized service disposable supplies; iv drug therapy | 4 | 20 | 2,690 | $30 | $507.3K |
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Other providers in the same ZIP code as Pafford Emergency Medical Services, Inc., ranked by combined Medicare and Medicaid revenue.
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