What the December EMS Financial Index reveals about reimbursement and revenue performance.

The December 2025 EMS Financial Index, paired with the NAAC CEU-certified on-demand webinar, gives EMS leaders an in-depth look at what the data really means. Building on insights from earlier in 2025, the December Index provides an expanded, data-driven perspective on financial trends shaping ambulance services nationwide.

Developed by PWW|AG EMS & Mobile Healthcare Consultant Matt Zavadsky and EMS|MC Chief Client Advocacy Officer Kim Stanley, the Index draws on data from over 1,500 EMS agencies—public and private, large and small, rural and urban.

Inside the December 2025 Index:

• National averages for ambulance patient charges and revenue
• Average Medicaid Supplemental Payments (GEMT)
• Service-level, payer mix, and inter-hospital transfer revenue trends
• Comparative payments from Medicare, Medicare Advantage, and patients

Want to dive deeper? The report’s co-authors, Matt Zavadsky and Kim Stanley, highlight key findings in the on-demand webinar, A Deeper Dive into December’s EMS Financial Index. Discover the trends shaping reimbursement and revenue cycle performance—and learn how to pressure-test your systems ahead of 2026.

Gain practical guidance on audit-risk billing patterns, hospital-to-hospital transport thresholds, and how payer mix and interfacility trends can inform your financial strategy.