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NPI 1477652501 · Hope, AR · Land Ambulance
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Pafford Medical Services, Inc is a land ambulance provider located in Hope, Arkansas. This profile covers 9 Medicare and 11 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, Inc |
| Address | 508 E 3rd St |
| City | Hope |
| State | AR |
| ZIP | 71801 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | September 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $24.2M |
| Medicare | $8.2M |
PAFFORD MEDICAL SERVICES, INC reports $8.2M in total Medicare revenue and $24.2M in total Medicaid revenue, indicating a Medicaid-dominant payer mix where Medicaid receipts are substantially larger than Medicare. The presence of both payers shows dual participation, but scale is weighted toward Medicaid operations.
Revenue is highly concentrated in a small set of transport codes: the top three Medicare codes account for 86.3% of Medicare revenue, and the top three Medicaid codes account for 88.7% of Medicaid revenue. In both payers those top-three contributors are led by A0427 and A0425 with A0428 also in the top three, signaling dependence on a narrow set of service lines.
The code mix (A0427, A0425, A0428) identifies this entity primarily as an ambulance/transport operator with heavy advanced life support (ALS) emergency activity and extensive billed ground mileage. A0427 is listed for ALS emergency transport and A0425 captures ground mileage, while A0428 shows a material share of BLS non-emergency transports, together implying a service model built around emergency ALS responses plus routine/long-distance ground transfers.
Nationally on Medicare PAFFORD is an outlier for key revenue drivers: A0427 ranks #29 of 6841 providers and A0425 ranks #14 of 8934 providers (both described as 100th percentile, extreme outlier). That national positioning — plus an A0433 rank of #33 of 1632 (98th percentile, extreme outlier) — indicates unusually high Medicare volume for ALS and mileage relative to peers and suggests market-leading activity on those lines at the national level.
In-state (Medicaid) competitive standing is also concentrated and elevated: A0427 ranks #2 of 80 providers in-state (99th percentile, extreme outlier) and A0425 ranks #3 of 87 (98th percentile, extreme outlier), with A0428 ranking #3 of 50 (96th percentile, notably above typical). These ranks indicate PAFFORD is one of the largest Medicaid ambulance/mileage billers in Arkansas and a major in-state provider for both emergency ALS and mileage-reimbursed transports.
Specialty and air transport codes are present but small relative contributors to total revenue, suggesting the operation’s core economics are ground-based. For Medicare, A0434 yields $234.8K (2.8%) and A0430 yields $151.1K (1.8%); for Medicaid, A0435 yields $61.5K (0.3%) and A0430 yields $42.9K (0.2%). Air and specialty care transports exist but do not drive the business the way ALS emergency and ground mileage do.
Multiple codes are explicitly labeled as statistical extremes or notably above typical volumes, which reinforces that this provider’s profile is atypically heavy on a few high-revenue ambulance services. Descriptors in the data include "extreme outlier" for A0427 and A0425 (both payers) and "notably above typical" for several Medicaid codes, highlighting that PAFFORD’s activity for those codes is far above standard peer volumes rather than being a marginal difference.
PAFFORD’s NPI was enumerated on 2006-09-22 (~20 years ago), indicating long tenure in the market; combined with the high-volume ranks and concentrated revenue mix, this suggests an established ambulance operator with entrenched referral or service routes that generate sustained Medicare and Medicaid billing on a few dominant transport codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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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) | 10,690 | $380 | $4.1M |
| A0425 | Ground mileage, per statute mile | 306,660 | $10 | $2.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3,090 | $190 | $600.2K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,430 | $310 | $443.1K |
| A0434 | Specialty care transport (sct) | 370 | $630 | $234.8K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 50 | $3,150 | $151.1K |
| A0433 | Advanced life support, level 2 (als 2) | 230 | $560 | $126.5K |
| A0435 | Fixed wing air mileage, per statute mile | 12,250 | $10 | $110.2K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 300 | $240 | $71.9K |
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 52,930 | $180 | $9.7M |
| A0425 | Ground mileage, per statute mile | 83,850 | $110 | $9.5M |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 19,510 | $110 | $2.2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 10,920 | $160 | $1.7M |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 2,230 | $190 | $422.9K |
| A0398 | Als routine disposable supplies | 24,120 | $10 | $289.4K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 5,940 | $20 | $124.8K |
| A0435 | Fixed wing air mileage, per statute mile | 30 | $2,050 | $61.5K |
| A0434 | Specialty care transport (sct) | 250 | $210 | $51.3K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 30 | $1,590 | $42.9K |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
11 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 | 80 | 2,420 | $150 | $948.2K |
| A0425 | Ground mileage, per statute mile | 3 | 90 | 3,650 | $70 | $764.6K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 5 | 60 | 1,460 | $130 | $465.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 50 | 1,260 | $80 | $333.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 11 | 40 | 620 | $150 | $182.9K |
| A0435 | Fixed wing air mileage, per statute mile | 3 | 10 | 100 | $580 | $139.4K |
| A0434 | Specialty care transport (sct) | 2 | 10 | 980 | $70 | $72.6K |
| A0430 | Ambulance service, conventional air services, transport, one way (fixed wing) | 2 | 10 | 50 | $1,180 | $54.2K |
| A0398 | Als routine disposable supplies | 2 | 30 | 1,500 | $10 | $39.7K |
| A0422 | Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation | 2 | 20 | 700 | $10 | $21K |
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Other providers in the same ZIP code as Pafford Medical Services, Inc, ranked by combined Medicare and Medicaid revenue.
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