The average salary for a Paramedic in Buffalo is 58,321 $ per year on a 40-hour full-time equivalent, or 4,860 $ gross per month and 28.04 $ gross per hour. The reported full-time salary range is 35,000 $ to 93,333 $. The analysis is based on 30 salary reports from workers and employers in Buffalo. Part-time salaries are proportionally converted to 40 weekly hours so the values are comparable.
| Date | Job title | Weekly hours | Reported gross/year | Normalized to 40h/year | Gross/month 40h | Gross/hour 40h | Note |
|---|---|---|---|---|---|---|---|
| 06/25/2026 | Paramedic (Mid-level) | 40.0 h | 64,000 $ | 64,000 $ | 5,333 $ | 30.77 $ | I work full time in a busy urban squad and have about seven years of experience; increased demand and overtime opportunities pushed my annual gross to this level. |
| 03/13/2026 | Lead Paramedic (Senior Management) | 42.0 h | 95,000 $ | 90,476 $ | 7,540 $ | 43.50 $ | I serve as a senior lead paramedic with significant managerial responsibility across several stations, working roughly 42 hours weekly and handling budgeting, personnel, and operational strategy. |
| 10/29/2025 | Per Diem Paramedic | 18.0 h | 25,000 $ | 55,556 $ | 4,630 $ | 26.71 $ | I work per diem for multiple agencies, averaging about 18 hours per week picking up extra shifts; the annual gross listed is what that schedule yields for me. |
| 05/22/2025 | Field Training Officer | 40.0 h | 68,000 $ | 68,000 $ | 5,667 $ | 32.69 $ | I work full time as a field training officer, 40 hours a week, responsible for training new paramedics and evaluating field competencies. I have eight years in EMS. |
| 11/07/2024 | Lead Paramedic (Program Lead) | 42.0 h | 78,000 $ | 74,286 $ | 6,190 $ | 35.71 $ | I lead a small regional response team and work about 42 hours per week; I handle scheduling, quality assurance, and some administrative tasks in addition to field shifts. |
| 08/03/2024 | Paramedic (Entry hire, 2024) | 40.0 h | 43,000 $ | 43,000 $ | 3,583 $ | 20.67 $ | I was hired as an entry-level paramedic in 2024 at a municipal provider and work full time; pay is higher than a few years ago but I'm still in a learner/competent role. |
| 02/26/2024 | Paramedic (Private contractor, part-time) | 30.0 h | 46,000 $ | 61,333 $ | 5,111 $ | 29.49 $ | I'm self-employed doing contract paramedic work for private events and interfacility transports about 30 hours a week; my annual gross for those hours is this amount after consistent contract work. |
| 11/15/2023 | Critical Care Flight Paramedic | 42.0 h | 98,000 $ | 93,333 $ | 7,778 $ | 44.87 $ | I'm a critical care flight paramedic working full-time with irregular flight hours but generally scheduled 42-hour weeks; I have advanced certifications and ten-plus years of experience. |
| 07/09/2023 | EMS Supervisor (Management) | 44.0 h | 88,000 $ | 80,000 $ | 6,667 $ | 38.46 $ | I'm an EMS supervisor managing multiple ambulance districts and administrative tasks; I work about 44 hours per week and oversee staffing, budgets, and operations. |
| 12/01/2022 | Senior Paramedic | 40.0 h | 62,000 $ | 62,000 $ | 5,167 $ | 29.81 $ | I am a senior field paramedic at a large provider, working steady 40-hour weeks on 911 shifts and mentoring new hires. I've been in the role six years. |
| 09/29/2022 | Community Paramedic (Full-time) | 40.0 h | 59,000 $ | 59,000 $ | 4,917 $ | 28.37 $ | I work full time in a community paramedicine program run by a health agency, about 40 hours a week doing home visits and chronic care follow-up; I have specialized training and four years in the role. |
| 04/18/2022 | Paramedic (Hospital-based) | 40.0 h | 54,000 $ | 54,000 $ | 4,500 $ | 25.96 $ | I work full time on a hospital ambulance crew handling 911 and transfers; I'm mid-level with five years' experience and have steady full-time hours and benefits. |
| 10/05/2021 | EMS Training Officer | 40.0 h | 64,000 $ | 64,000 $ | 5,333 $ | 30.77 $ | I serve as an EMS training officer for a mid-sized ambulance company, working 40 hours per week developing curriculum and running in-service training in addition to occasional field shifts. |
| 06/30/2021 | Community Paramedic (Part-time) | 20.0 h | 28,000 $ | 56,000 $ | 4,667 $ | 26.92 $ | I work part-time as a community paramedic with a local public health initiative, roughly 20 hours per week providing follow-up visits and non-emergent care; this is my annual gross pay. |
| 03/17/2021 | Night Shift Paramedic | 40.0 h | 56,000 $ | 56,000 $ | 4,667 $ | 26.92 $ | I work permanent nights at a hospital-based ambulance service, 40 hours per week; the night differential and overtime opportunities bumped my gross pay. I have seven years' experience. |
| 11/20/2020 | Flight Paramedic | 40.0 h | 82,000 $ | 82,000 $ | 6,833 $ | 39.42 $ | I'm a flight paramedic with a regional air service; I work full time around 40 scheduled hours but am on call several days a month. I have specialized training and seven years of experience. |
| 07/19/2020 | Senior Paramedic (Private) | 40.0 h | 60,000 $ | 60,000 $ | 5,000 $ | 28.85 $ | I'm a senior paramedic at a private contractor, working full time with frequent high-acuity calls; I have ten years' experience and occasional supervisory duties without formal manager title. |
| 03/02/2020 | Paramedic (COVID-era hire) | 36.0 h | 47,000 $ | 52,222 $ | 4,352 $ | 25.11 $ | I was hired during the COVID period at a medium-sized provider and typically work 36 hours a week; hazard pay and overtime early on affected earnings, and I'm now mid-level. |
| 09/14/2019 | Lead Paramedic | 44.0 h | 72,000 $ | 65,455 $ | 5,455 $ | 31.47 $ | I'm a lead paramedic supervising an urban district; I work about 44 hours per week, handle scheduling and operational decisions, and have eight years in EMS. |
| 06/02/2019 | Paramedic | 36.0 h | 46,000 $ | 51,111 $ | 4,259 $ | 24.57 $ | I work 36 hours a week for a suburban ambulance squad, doing 911 response and community outreach. I'm mid-level with four years' experience. |
| 01/11/2019 | Private Ambulance Senior Paramedic | 40.0 h | 58,000 $ | 58,000 $ | 4,833 $ | 27.88 $ | I work full time at a private ambulance contractor; I've been here five years as a senior medic handling both 911 responses and scheduled transports. |
| 12/30/2018 | Senior Paramedic | 42.0 h | 64,000 $ | 60,952 $ | 5,079 $ | 29.30 $ | I am a senior paramedic and field lead at a large private ambulance company; I work about 42 hours per week and take the lead on complex calls and mentor younger paramedics. |
| 07/30/2018 | Paramedic (Small non-profit) | 38.0 h | 43,000 $ | 45,263 $ | 3,772 $ | 21.76 $ | I work for a small non-profit ambulance service full time, around 38 hours a week, mainly patient transports and aid station coverage; I've been with them four years and do not supervise staff. |
| 07/10/2018 | Paramedic (Small ambulance provider) | 40.0 h | 43,000 $ | 43,000 $ | 3,583 $ | 20.67 $ | I work full time for a small ambulance company covering both 911 and scheduled runs; I've been here three years and do not have supervisory responsibilities. |
| 05/21/2018 | Critical Care Paramedic | 40.0 h | 58,000 $ | 58,000 $ | 4,833 $ | 27.88 $ | I'm a critical care paramedic based out of a hospital-run transport unit; I work 40 hours per week and handle higher-acuity interfacility transfers. I have six years of experience. |
| 11/03/2017 | Paramedic | 38.0 h | 40,500 $ | 42,632 $ | 3,553 $ | 20.50 $ | I'm a mid-level paramedic at a medium-sized ambulance provider; I've been here three years and typically work 38 hours per week responding to 911 calls and filling in training duties occasionally. |
| 09/28/2017 | Paramedic (Rural district) | 40.0 h | 40,000 $ | 40,000 $ | 3,333 $ | 19.23 $ | I work full time in a rural ambulance district, about 40 hours a week; call volume is lower but I cover a broad scope and have been here two years. |
| 07/20/2017 | Paramedic (Municipal) | 40.0 h | 39,000 $ | 39,000 $ | 3,250 $ | 18.75 $ | I work full time for a municipal EMS unit; I was hired as a new paramedic and have two years of experience handling emergency 911 responses. I don't have management duties. |
| 12/09/2016 | Paramedic (Part-time nights) | 24.0 h | 21,000 $ | 35,000 $ | 2,917 $ | 16.83 $ | I work part-time night shifts with a small non-profit provider, roughly 24 hours per week, mostly transports and standby events; I've been here two years and this is my actual gross annual pay. |
| 08/14/2016 | Paramedic (Entry-level) | 40.0 h | 36,000 $ | 36,000 $ | 3,000 $ | 17.31 $ | I'm an entry-level paramedic at a small private ambulance service; I've been here about nine months working full time and handle basic life support calls and transports. I don't supervise anyone. |
Buffalo and the broader Niagara region support a busy, complex emergency medical services environment where paramedics are integral to 911 response, interfacility transport, and specialized critical care transfers. The metro’s mix of dense urban neighborhoods, industrial corridors, suburban communities, and nearby rural towns creates a wide range of call types. Seasonal lake-effect snow, major sporting events, cross-border traffic, and an aging population all contribute to steady EMS activity. Hospitals in Buffalo function as regional referral centers, which often means advanced prehospital care is needed to stabilize patients before definitive treatment.
Healthcare is a cornerstone of Buffalo’s economy, anchored by systems such as Kaleida Health, Catholic Health, and Erie County Medical Center (ECMC). The presence of a Level I adult trauma center at ECMC and a leading pediatric facility at Oishei Children’s Hospital typically sustains demand for paramedics skilled in cardiac, stroke, trauma, pediatric, and medical emergency care. Ongoing public health priorities—such as opioid overdose response, chronic disease management, and behavioral health crises—also keep paramedic services active throughout the city and suburbs.
The local labor market for paramedics in Buffalo is generally favorable. EMS agencies tend to recruit year-round to staff 24/7 operations, maintain response times, and cover normal turnover. Employers commonly look for New York State Department of Health paramedic certification and current credentials such as ACLS and PALS; many also prefer ITLS or PHTLS and prior high-volume 911 experience. Because Buffalo is a regional medical hub, interfacility and critical care transports are frequent, and agencies value clinicians comfortable with ventilator management, cardiac monitoring, and complex medication administration.
Western New York’s EMS system operates under region-specific protocols and medical oversight, and paramedics typically work closely with hospital-based physician groups and EMS coordinators for quality improvement. Local training pipelines, including programs at SUNY Erie (Erie Community College) and Niagara County Community College, help supply new entrants, while continuing education is widely available through the Erie County Division of EMS and hospital partners. The combination of a strong hospital network, challenging weather, and varied call profiles can make Buffalo a solid place for paramedics to build experience across medical, trauma, and specialty populations.
Paramedics in the Buffalo area can find roles across 911 response, transport, hospital-based teams, and air medical services. Notable employers include:
In addition, special events at Highmark Stadium in Orchard Park and KeyBank Center in downtown Buffalo frequently require standby EMS coverage, which can provide supplemental or part-time opportunities for experienced paramedics.
Buffalo offers a range of career paths for paramedics. Many clinicians begin in 911 operations or interfacility transport and then pursue advanced roles as field training officers, supervisors, or critical care/flight paramedics. Hospitals in the region often value paramedic experience for emergency department technician positions, transfer center roles, and quality improvement or EMS liaison work. Community paramedicine and mobile integrated healthcare initiatives have emerged in parts of New York, and Western New York agencies may participate in or pilot these models as local healthcare partners expand out-of-hospital services.
For paramedics seeking diverse clinical experience, Buffalo’s mix of major hospitals, active 911 systems, and demanding seasonal conditions can be an advantage. Employers generally look for strong patient assessment, teamwork with fire and law enforcement partners, and the ability to operate safely in challenging weather. With steady hiring by private, municipal, and hospital-based teams, the outlook for paramedic roles in Buffalo is typically positive.
The average salary for a Paramedic in Buffalo is 58,321 $ per year on a 40-hour basis, or 4,860 $ gross per month.
Part-time and full-time reports are normalized to a 40-hour workweek so salary reports can be compared fairly.
You can find more comparisons on the profession overview for Paramedic and the city overview for Buffalo. They show reported cities or jobs with their difference from the average.
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