Is PAFFORD EMERGENCY MEDICAL SERVICES, INC. flagged for Medicaid fraud?

PAFFORD EMERGENCY MEDICAL SERVICES, INC. (NPI: 1366541310) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does PAFFORD EMERGENCY MEDICAL SERVICES, INC. bill Medicaid?

PAFFORD EMERGENCY MEDICAL SERVICES, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Ambulance provider. Located in RUSTON, LA.

What is NPI 1366541310?

NPI 1366541310 is the National Provider Identifier for PAFFORD EMERGENCY MEDICAL SERVICES, INC.. They are a Ambulance provider based in RUSTON, LA. This NPI is registered with the CMS NPI Registry.

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PAFFORD EMERGENCY MEDICAL SERVICES, INC.

Ambulance·RUSTON, LA·NPI: 1366541310Share

Compared to Ambulance Peers

Total spending distribution among 12 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.2M is at the 25th percentile among 12 Ambulance providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$23.2M

$23,238,645

Total Claims

211K

Beneficiaries

123K

1.7 claims/patient

Avg Cost/Claim

$110

Monthly Spending Trend

Yearly Spending

2018

$2.2M

+4%

2019

$2.3M

+2%

2020

$2.3M

+32%

2021

$3.1M

+1%

2022

$3.1M

+73%

2023

$5.4M

-10%

2024

$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (A0425 (Ground mileage, per statute mile)) accounts for 33% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

A0425Ground mileage, per statute mileSee all providers →

$7.8M

89K claims

$87.27

$23.36

3.7×

Top 25%

A0425Top 25%

Ground mileage, per statute mile

$7.8M

89K claims · 33.4%

Your Cost: $87.27/claim|Median: $23.36

3.7× median

A0427Ambulance, ALS emergency transport Level 1See all providers →

$6.3M

33K claims

$187.05

$164.22

1.1×

Normal range

A0427Normal range

Ambulance, ALS emergency transport Level 1

$6.3M

33K claims · 27.0%

Your Cost: $187.05/claim|Median: $164.22

1.1× median

A0429Ambulance, BLS emergency transportSee all providers →

$2.9M

18K claims

$155.39

$138.19

1.1×

Normal range

A0429Normal range

Ambulance, BLS emergency transport

$2.9M

18K claims · 12.3%

Your Cost: $155.39/claim|Median: $138.19

1.1× median

A0431Ambulance service, conventional air, transport, one waySee all providers →

$2.5M

1,054 claims

$2,359.50

$1,650.68

1.4×

Top 25%

A0431Top 25%

Ambulance service, conventional air, transport, one way

$2.5M

1,054 claims · 10.7%

Your Cost: $2,359.50/claim|Median: $1,650.68

1.4× median

A0436ALS mileage, per mile, level 2See all providers →

$1.5M

1,075 claims

$1,406.64

$705.08

2.0×

Top 25%

A0436Top 25%

ALS mileage, per mile, level 2

$1.5M

1,075 claims · 6.5%

Your Cost: $1,406.64/claim|Median: $705.08

2.0× median

A0428Ambulance service, BLS, non-emergency transportSee all providers →

$1.5M

36K claims

$41.66

$58.05

0.7×

Normal range

A0428Normal range

Ambulance service, BLS, non-emergency transport

$1.5M

36K claims · 6.4%

Your Cost: $41.66/claim|Median: $58.05

0.7× median

A0422 See all providers →

$282K

7,342 claims

$38.38

$9.63

4.0×

Top 5%

A0422Top 5%

$282K

7,342 claims · 1.2%

Your Cost: $38.38/claim|Median: $9.63

4.0× median

A0394 See all providers →

$271K

11K claims

$24.23

$18.67

1.3×

Normal range

A0394Normal range

$271K

11K claims · 1.2%

Your Cost: $24.23/claim|Median: $18.67

1.3× median

A0398 See all providers →

$186K

13K claims

$14.31

$13.41

1.1×

Normal range

A0398Normal range

$186K

13K claims · 0.8%

Your Cost: $14.31/claim|Median: $13.41

1.1× median

A0434Ambulance, specialty care transportSee all providers →

$73K

336 claims

$216.55

$252.36

0.9×

Normal range

A0434Normal range

Ambulance, specialty care transport

$73K

336 claims · 0.3%

Your Cost: $216.55/claim|Median: $252.36

0.9× median

A0433 See all providers →

$34K

182 claims

$189.20

$207.46

0.9×

Normal range

A0433Normal range

$34K

182 claims · 0.1%

Your Cost: $189.20/claim|Median: $207.46

0.9× median

A0426Ambulance service, ALS, non-emergency transport, level 1See all providers →

$8K

138 claims

$57.01

$104.69

0.5×

Normal range

A0426Normal range

Ambulance service, ALS, non-emergency transport, level 1

$8K

138 claims · 0.0%

Your Cost: $57.01/claim|Median: $104.69

0.5× median

93041 See all providers →

73 claims

$0.00

$4.36

—

Normal range

93041Normal range

73 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.36

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