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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Pafford Medical Services, Inc
⚕️
Organization

Pafford Medical Services, Inc

NPI: 1477652501
Hope, AR
10 years of data
Ambulance Service Provider
$44.6M
Total Payments
81
Beneficiaries
2.4M
Services
4.03x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$44.6M
Specialty median$479.2K
Rank #137 of 218 in specialty

📋 Key Findings

1Billed $44.6M over 10 years
24.03x markup ratio (above median)
3Risk score: 67 — flagged for review
499th percentile in Ambulance Service Provider by payments
5Payments surged 53% in 2022
67 procedures with >3x markup

⚠️ Flagged for Review

Risk Score: 67
  • 60x specialty median spending
  • Markup 5.9x (specialty median: 2.6x)
  • 61x specialty median beneficiaries
  • 96x specialty median services
View Deep Dives →Report Fraud →

Statistical flag only — not an accusation of fraud

🔎 Data Analysis

This provider's $44.6M in total Medicare payments ranks in the 99th percentile of Ambulance Service Provider providers nationally.

Medicare payments to this provider grew 241% from 2014 to 2023.

This provider has been statistically flagged with a risk score of 67/100. Statistical flags are not accusations of fraud.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 53% in 2022

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$45.36$17.592.58x$27.77$2.4M136.7K7
2015$58.40$17.753.29x$40.65$2.7M149.4K7
2016$65.83$18.153.63x$47.68$2.9M161.3K9
2017$62.12$16.493.77x$45.63$3.3M198.7K8
2018$53.89$15.813.41x$38.08$3.9M247.7K8
2019$66.58$16.234.10x$50.35$4.2M258.9K9
2020$75.66$16.954.46x$58.71$4.1M243.1K9
2021$79.86$17.554.55x$62.31$5.1M290.8K8
2022$92.74$21.764.26x$70.98$7.8M357.8K8
2023$108.44$24.494.43x$83.95$8.2M335.1K8

Top Procedures (9)

A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)⚠ 4.0x markup
$19.0M
54.6K services$348.77/svc3.99x markup
A0425Ground mileage, per statute mile
$15.4M
2.2M services$7.05/svc2.93x markup
A0428Ambulance service, basic life support, non-emergency transport, (bls)⚠ 5.7x markup
$3.2M
18.4K services$171.73/svc5.69x markup
A0429Ambulance service, basic life support, emergency transport (bls-emergency)⚠ 4.5x markup
$2.2M
7.7K services$281.05/svc4.55x markup
A0430Ambulance service, conventional air services, transport, one way (fixed wing)⚠ 4.9x markup
$1.4M
507 services$2.8K/svc4.86x markup
A0434Specialty care transport (sct)
$1.2M
2.1K services$573.40/svc2.96x markup
A0435Fixed wing air mileage, per statute mile⚠ 16.2x markup
$922.1K
109.9K services$8.39/svc16.22x markup
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)⚠ 4.9x markup
$688.2K
3.3K services$205.68/svc4.89x markup
A0433Advanced life support, level 2 (als 2)⚠ 3.1x markup
$594.7K
1.2K services$507.87/svc3.15x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)54.6K$19.0M$348.773.99x
A0425Ground mileage, per statute mile2.2M$15.4M$7.052.93x
A0428Ambulance service, basic life support, non-emergency transport, (bls)18.4K$3.2M$171.735.69x
A0429Ambulance service, basic life support, emergency transport (bls-emergency)7.7K$2.2M$281.054.55x
A0430Ambulance service, conventional air services, transport, one way (fixed wing)507$1.4M$2.8K4.86x
A0434Specialty care transport (sct)2.1K$1.2M$573.402.96x
A0435Fixed wing air mileage, per statute mile109.9K$922.1K$8.3916.22x
A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)3.3K$688.2K$205.684.89x
A0433Advanced life support, level 2 (als 2)1.2K$594.7K$507.873.15x

Markup Analysis

Charge-to-Payment Ratio

4.03x

This provider submits charges 4.03 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.03x means for every $100 Medicare pays, this provider initially charges $403. This is higher than the national average.

Location

Hope, AR

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Ambulance Service Provider providers in AR for peer comparison.

Pafford Medical Services, Inc (you)
$44.6M
Little Rock Ambulance Authority
$78.0M
Survival Flight Inc.
$58.3M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Little Rock Ambulance AuthorityLittle Rock, AR$78.0M✓ Clear
Survival Flight Inc.Batesville, AR$58.3M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

Believe this data is inaccurate? Dispute this data