The average salary for a Paramedic in Miami is 55,437 $ per year on a 40-hour full-time equivalent, or 4,620 $ gross per month and 26.65 $ gross per hour. The reported full-time salary range is 33,200 $ to 95,000 $. The analysis is based on 30 salary reports from workers and employers in Miami. 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 |
|---|---|---|---|---|---|---|---|
| 01/08/2026 | Paramedic Supervisor | 44.0 h | 92,000 $ | 83,636 $ | 6,970 $ | 40.21 $ | I supervise multiple stations, handle hiring and disciplinary matters, and respond to major incidents. This supervisory role requires being on call and working extended shifts. |
| 12/20/2025 | Owner / Paramedic (Private EMS) | 40.0 h | 95,000 $ | 95,000 $ | 7,917 $ | 45.67 $ | I own a small private EMS/transport operation and also run shifts as a medic. My income includes owner draws and wages; running the business increases earnings but comes with variability. |
| 09/12/2025 | Senior Flight Paramedic | 40.0 h | 80,000 $ | 80,000 $ | 6,667 $ | 38.46 $ | As a senior flight paramedic I run high-acuity air transports and hold additional certifications. The role is demanding but compensates significantly more than ground medic positions. |
| 05/30/2025 | Municipal Paramedic | 40.0 h | 58,000 $ | 58,000 $ | 4,833 $ | 27.88 $ | I work full-time for the city EMS. Benefits are good and wages have improved in recent contracts; my pay reflects increases negotiated by the union. |
| 02/14/2025 | Lead Paramedic | 40.0 h | 64,000 $ | 64,000 $ | 5,333 $ | 30.77 $ | I lead a two-person crew on a busy urban beat. I've been promoted from field medic to lead and manage call triage on shifts. |
| 11/30/2024 | Lead Field Paramedic | 40.0 h | 70,500 $ | 70,500 $ | 5,875 $ | 33.89 $ | I act as the lead medic on a busy urban shift, coordinating patient care and assisting with scheduling. The lead role carries additional responsibility and pay. |
| 09/25/2024 | Contractor Paramedic | 30.0 h | 38,000 $ | 50,667 $ | 4,222 $ | 24.36 $ | I contract with a private transport company and take about 30 hours a week. Being self-employed gave me flexibility but expenses for certifications come out of pocket. |
| 06/03/2024 | Entry Paramedic (overseas recruit) | 36.0 h | 41,000 $ | 45,556 $ | 3,796 $ | 21.90 $ | I was hired with minimal US experience but have been working full-time 36-hour weeks at a community-focused agency. Pay has been increasing with tenure. |
| 01/11/2024 | Critical Care Paramedic | 40.0 h | 68,000 $ | 68,000 $ | 5,667 $ | 32.69 $ | I work full-time as a critical care paramedic on high-acuity interfacility transports. The specialty certification and training are compensated above standard field rates. |
| 11/09/2023 | Senior Paramedic | 40.0 h | 66,500 $ | 66,500 $ | 5,542 $ | 31.97 $ | I've been in the field over ten years and handle complex calls and mentoring junior staff. My salary reflects seniority and additional certifications I've earned. |
| 07/19/2023 | EMS Manager | 45.0 h | 85,000 $ | 75,556 $ | 6,296 $ | 36.32 $ | I manage operations for a regional EMS unit. My position is full-time with managerial responsibilities and frequent long days coordinating multiple crews. |
| 02/28/2023 | Paramedic (5 years experience) | 40.0 h | 52,000 $ | 52,000 $ | 4,333 $ | 25.00 $ | With five years in the field at a large municipal provider, I work full-time and handle high-acuity calls regularly. My experience moved me into the mid-pay bracket. |
| 10/01/2022 | Per Diem Paramedic | 20.0 h | 28,000 $ | 56,000 $ | 4,667 $ | 26.92 $ | I pick up per-diem shifts at multiple agencies, averaging about 20 hours a week. Hourly pay is better than entry-level, but it's not steady full-time income. |
| 07/15/2022 | Hospital-Based EMS Paramedic | 40.0 h | 55,000 $ | 55,000 $ | 4,583 $ | 26.44 $ | I work full-time for a hospital-based EMS unit handling 911 calls tied to the hospital. The setting offers steady hours and a predictable schedule. |
| 03/20/2022 | Supervising Paramedic | 44.0 h | 78,000 $ | 70,909 $ | 5,909 $ | 34.09 $ | I supervise a small team of field crews and handle scheduling and incident coordination. My role is managerial and I work extended hours regularly. |
| 12/05/2021 | Flight Paramedic | 42.0 h | 72,000 $ | 68,571 $ | 5,714 $ | 32.97 $ | I work as a flight paramedic for a regional medevac service. The job requires extra certifications and irregular hours, which is reflected in higher pay. |
| 06/14/2021 | Paramedic - Private Ambulance | 40.0 h | 46,000 $ | 46,000 $ | 3,833 $ | 22.12 $ | I work full-time for a small private ambulance operator. The workload is heavy during tourist season but benefits are limited compared to larger agencies. |
| 03/03/2021 | Part-Time Paramedic | 20.0 h | 27,500 $ | 55,000 $ | 4,583 $ | 26.44 $ | I work part-time to accommodate family responsibilities and typically pick up two 10-hour shifts per week. The pay is enough for supplemental income. |
| 12/29/2020 | Community Paramedic | 40.0 h | 49,000 $ | 49,000 $ | 4,083 $ | 23.56 $ | I work in a community paramedicine program focusing on follow-ups and home visits. The role is full-time and emphasizes chronic care interventions rather than emergency transport. |
| 10/22/2020 | Field Training Officer | 40.0 h | 48,000 $ | 48,000 $ | 4,000 $ | 23.08 $ | I serve as an FTO for the agency and train new hires in the field. My schedule is full-time with occasional overtime when covering shifts. |
| 04/10/2020 | Mid-Level Paramedic | 40.0 h | 43,500 $ | 43,500 $ | 3,625 $ | 20.91 $ | I've been with a municipal EMS unit for three years. My responsibilities increased during the pandemic, and my pay reflected hazard assignments. |
| 12/17/2019 | Critical Care Paramedic (Part-Time) | 24.0 h | 34,000 $ | 56,667 $ | 4,722 $ | 27.24 $ | I work part-time as a critical care paramedic doing interfacility transfers. The specialty pay is higher per hour, but my total annual income is limited by part-time hours. |
| 09/30/2019 | Part-Time Paramedic | 24.0 h | 23,000 $ | 38,333 $ | 3,194 $ | 18.43 $ | I work part-time (about three 8-hour shifts a week) while attending school. Pay is lower than full-time but allows flexibility. |
| 06/05/2019 | Bilingual Paramedic | 40.0 h | 41,200 $ | 41,200 $ | 3,433 $ | 19.81 $ | Being bilingual helped with community outreach and patient care, and my employer gives a small premium for language skills. I work standard full-time shifts. |
| 11/27/2018 | Private Ambulance Paramedic | 38.0 h | 39,500 $ | 41,579 $ | 3,465 $ | 19.99 $ | I work for a small private ambulance operator covering events and transports. The schedule hovers around 38 hours and pay is slightly below municipal rates. |
| 05/17/2018 | Advanced EMT / Paramedic | 40.0 h | 38,000 $ | 38,000 $ | 3,167 $ | 18.27 $ | I transitioned from AEMT to paramedic and have been working full time for a midsize EMS provider. I handle ambulance calls and some interfacility transports. |
| 11/02/2017 | Paramedic | 40.0 h | 36,500 $ | 36,500 $ | 3,042 $ | 17.55 $ | I've been a full-time paramedic at a small private ambulance service for about two years. I work standard shifts and do not supervise others. |
| 03/16/2017 | Per Diem Paramedic | 16.0 h | 16,500 $ | 41,250 $ | 3,438 $ | 19.83 $ | I work evenings as a per-diem medic while studying. My hours average about 16 per week and income is supplemental rather than my primary salary. |
| 10/22/2016 | Part-Time Paramedic | 32.0 h | 28,000 $ | 35,000 $ | 2,917 $ | 16.83 $ | I work three 10- to 12-hour shifts per week as part-time staff. The arrangement is stable and fits around another part-time job I have. |
| 08/12/2016 | Entry-Level Paramedic | 40.0 h | 33,200 $ | 33,200 $ | 2,767 $ | 15.96 $ | I started as an entry-level paramedic straight out of training and have been working 12-hour rotations converted to a 40-hour workweek. This was my first job in Miami and I had minimal prior field experience. |
Paramedics in Miami, Florida work in one of the nation’s fastest-paced prehospital environments. The city anchors a large, diverse metropolitan area with year-round tourism, a major international airport, a busy cruise port, and dense urban neighborhoods. EMS in Miami-Dade County is primarily fire-based, and many frontline roles are firefighter–paramedic positions. At the same time, local hospitals and private ambulance providers rely on paramedics for emergency department support, interfacility transport, and special event coverage. The result is a steady, competitive market where experienced clinicians and new graduates can both find pathways to practice.
Miami’s setting also shapes day-to-day work. Call volumes are driven by mass gatherings, international travel, high roadway traffic, boating activity, and seasonal storms. Paramedics here typically need to be comfortable operating in heat and humidity, navigating multilingual communities, and coordinating care across hospital networks that include major trauma and specialty centers.
Hiring demand for paramedics in Miami is generally consistent throughout the year, with periodic peaks tied to academy classes and municipal budget cycles. Fire-rescue agencies in Miami-Dade County frequently seek cross-trained firefighter–paramedics, so candidates often need a Florida Paramedic license along with Florida Firefighter II certification, CPAT or equivalent, EVOC, and current ACLS/PALS. Bilingual skills in Spanish or Haitian Creole are commonly preferred due to the metro’s demographics.
Private ambulance services and hospital-based transport teams also recruit paramedics for 911 support, interfacility and critical care transports, and standby assignments at venues and conventions. The region’s high volume of visitors moving through Miami International Airport and PortMiami, combined with an aging resident population, sustains ongoing demand for both emergency and non-emergency transport. Employers typically favor graduates from established regional programs such as Miami Dade College’s EMS education pathways, and many will consider National Registry credentials along with Florida licensure.
Industry training expectations are robust. Paramedics in Miami often maintain certifications such as PHTLS or ITLS, PEPP or PALS, and may pursue advanced credentials like CCP-C or FP-C for critical care or flight roles. Because South Florida faces hurricanes and flooding risks, agencies emphasize disaster preparedness, incident command familiarity, and multi-agency coordination.
Paramedic hiring in the City of Miami and the broader county typically centers on these organizations:
Paramedics in Miami can pursue several tracks. The most visible pathway is firefighter–paramedic with a municipal or county fire-rescue department, which often provides broad exposure to high-acuity calls, technical rescues, and disaster response. Private ambulance roles can be a strong entry point for new paramedics, building clinical hours and familiarity with local hospitals while opening doors to critical care transport teams. Hospitals across the city also hire paramedics for emergency department roles, rapid response support, cardiac cath lab assistance, and patient transport coordination.
Specialization opportunities are growing. Clinicians with advanced training may transition into critical care ground transport or compete for flight positions when available. Community paramedicine and mobile integrated healthcare initiatives appear periodically in South Florida, offering chances to work on readmission reduction, behavioral health, and preventive care outreach. Experienced paramedics can move into field training officer, preceptor, or educator roles, and some advance to lieutenant or captain tracks within fire-rescue organizations.
Candidates planning a move to Miami should be prepared for a thorough onboarding process: state licensure verification through the Florida Department of Health, physical ability assessments, background checks, drug screening, and immunization review are common. Keeping core certifications current, gaining local ride-time when possible, and demonstrating strong communication skills with diverse patient populations can significantly improve hiring prospects in Miami’s competitive but active EMS market.
The average salary for a Paramedic in Miami is 55,437 $ per year on a 40-hour basis, or 4,620 $ 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 Miami. They show reported cities or jobs with their difference from the average.
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