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EMS Financial Index for December 2025 examines agency revenue stability, payer shifts and ambulance charges

The quarterly index from PWW|AG and EMS|MC highlights interfacility revenue trends, Medicare reimbursement and other data from 1,500 EMS agencies

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MECHANICSBURG, Pa. — PWW Advisory Group has released its new EMS Financial Index, the third and final index of the year and the only tool of its kind in the industry.

The new index expands on findings published earlier this year, offering updated comparisons and benchmarks aimed at helping EMS agencies assess their financial performance.

The analysis was developed by Matt Zavadsky of PWW|AG and Kim Stanley of EMS|MC, drawing on their backgrounds in reimbursement, finance and system design. Using data from more than 1,500 EMS agencies — public and private, large and small, rural and urban — the index offers key insights into supplemental payments, payer trends and revenue stability.

In the index are detailed analyses of core metrics that shape EMS financial stability nationwide, including:

  • Average ambulance charges and revenue for public agencies
  • Average Medicaid supplemental (GEMT) payments in participating states
  • Service-level patterns, payer mix and revenue trends for interfacility transfers
  • Comparative reimbursement from Medicare, Medicare Advantage and patient payments

Download the December guide here.

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Bill Carey is the associate editor for FireRescue1.com and EMS1.com. A former Maryland volunteer firefighter, sergeant, and lieutenant, Bill has written for several fire service publications and platforms. His work on firefighter behavioral health garnered a 2014 Neal Award nomination. His ongoing research and writings about line-of-duty death data is frequently cited in articles, presentations, and trainings. Have a news tip? He can be reached at news@lexipol.com.