U.S. EMS Billing Services Market Size to Surpass USD 11.25 BN by 2034
The U.S. EMS billing services market size was exhibited at USD 4.39 billion in 2024 and is projected to hit around USD 11.25 billion by 2034, growing at a CAGR of 9.86% during the forecast period 2025 to 2034.
| Report Coverage | Details |
| Market Size in 2025 | USD 4.83 Billion |
| Market Size by 2034 | USD 11.25 Billion |
| Growth Rate From 2025 to 2034 | CAGR of 9.86% |
| Base Year | 2024 |
| Forecast Period | 2025-2034 |
| Segments Covered | Component |
| Market Analysis (Terms Used) | Value (US$ Million/Billion) or (Volume/Units) |
| Key Companies Profiled | EMS Management & Consultants, Inc.; Cvikota EMS; Omni Medical Billing Service, Inc.; Quick Med Claims, LLC.; 911 Billing Services & Consultant, Inc.; Change Healthcare; PCC Ambulance Billing Service; EMS Billing Management, LLC; Pintler Billing Services; AIM EMS Software & Services |
The market is expected to witness growth during the forecast period, due to the cost-saving benefits of outsourcing billing operations. Emergency medical services (EMS) agencies are turning to specialized billing companies to focus on patient care and reduce overhead costs. Outsourcing allows agencies to utilize expert claims management and reimbursement knowledge, ensuring accurate processing.
The rising number of Emergency Department (ED) visits and the emergence of independent freestanding ED facilities are expected to drive the EMS billing services market in the U.S. According to the National Hospital Ambulatory Medical Care Survey 2024, there were 131.3 million ED visits in the U.S. Of these visits, 38.0 million were injury-related, indicating a substantial demand for emergency medical services.
Furthermore, technological advancements for improved billing services are expected to significantly impact the overall market over the forecast period. As billing procedures become increasingly complex, there is a growing demand for software solutions that can enhance the process and increase client revenue. Billing service providers are either developing their in-house software applications or purchasing them from technology firms to meet this demand.
One such technological advancement is the recent approval received by AIM EMS Software and Services in March 2023. This allows them to aid ambulance services operating in states where implementing NEMSIS v3.5 compliant software for patient care reporting is mandatory. By staying up to date with the latest regulations and standards, billing service providers can ensure smooth operations and compliance with industry requirements.
The COVID-19 pandemic has had a substantial impact on the market, especially on the utilization of emergency department (ED) services. As a result of the pandemic, there has been a significant decrease in ED visits, leading to a negative effect on market growth. According to data from the Centers for Disease Control and Prevention (CDC), the number of ED visits in the United States was estimated to be around 151 million in 2019. However, this figure experienced a decline of 13.2% in 2024.
Based on component, the U.S. EMS billing services market is segmented into outsourced and in-house. The outsourced segment held the majority of the market share of 57.0% in 2024. The segment is expected to witness the fastest growth rate during the forecast period. Increasing administrative costs are leading to high demand for outsourced EMS billing services.
In addition, growing demand for third-party billing services to enhance revenue, improve claim filing efficiency and minimize claim denial rates is anticipated to fuel market growth. The availability of certified medical coders and skilled billing staff helps avoid unnecessary delays, thus helping patients save costs and avail quality service.
The in-house segment is expected to witness growth during the forecast period as this component enables healthcare providers to control and oversee their financial operations. The growth of the in-house segment in the U.S. EMS billing services market is driven by the need for increased authority, effectiveness, and financial optimization in the healthcare industry.
This report forecasts revenue growth at country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2021 to 2034. For this study, Nova one advisor, Inc. has segmented the U.S. EMS billing services market
By Component
Chapter 1. Methodology and Scope
1.1. Market Segmentation & Scope
1.1.1. Market Definitions
1.2. Estimates and Forecast Timeline
1.3. Research Methodology
1.4. Information Procurement
1.4.1. Purchased Database
1.4.2. Internal Database
1.4.3. Secondary Sources & Third-Party Perspectives
1.4.4. Primary Research
1.5. Information Analysis
1.5.1. Data Analysis Models
1.6. Market Formulation & Data Visualization
1.7. Model Details
1.7.1. Commodity Flow Analysis
1.8. List of Secondary Sources
Chapter 2. Executive Summary
2.1. Market Snapshot
2.2. Segment Snapshot
2.3. Competitive Landscape Snapshot
Chapter 3. Market Variables, Trends, & Scope
3.1. Market Lineage Outlook
3.1.1. Parent Market Outlook
3.1.2. Related/Ancillary Market Outlook
3.2. Market Trends and Outlook
3.3. Market Dynamics
3.3.1. Market Driver Analysis
3.3.1.1. Outsourcing as a cost-effective option
3.3.1.2. Technological advancements for improved billing service
3.3.1.3. Increasing number of ed visits and independent emergency department
3.3.2. Market Restraint Analysis
3.3.2.1. High cost associated with a standard rate of collection
3.3.2.2. Cybersecurity threat for EMS billing software
3.3.2.3. Biased outcomes from in-house billing
3.4. Business Environment Analysis
3.4.1. PESTLE Analysis
3.4.2. Porter’s Five Forces Analysis
3.5. Regulatory Framework
Chapter 4. Component Business Analysis
4.1. EMS Billing Services Market: Component Movement Analysis & Market Share, 2022 & 2030
4.2. Outsourced
4.2.1. U.S. Outsourced Market, 2018 - 2030 (USD Million)
4.3. In-house
4.3.1. U.S. In-house Market, 2018 - 2030 (USD Million)
Chapter 5. Competitive Landscape
5.1. Company Categorization
5.2. Strategy Mapping
5.2.1. Merger & Acquisitions
5.2.2. Collaborations & Partnerships
5.2.3. New Service Launches
5.2.4. Others
5.3. Company Profiles/Listing
5.3.1. EMS Management & Consultants, Inc.
5.3.1.1. Overview
5.3.1.2. Financial Performance
5.3.1.3. Service Benchmarking
5.3.1.4. Strategic Initiatives
5.3.2. Cvikota EMS
5.3.2.1. Overview
5.3.2.2. Financial Performance
5.3.2.3. Service Benchmarking
5.3.2.4. Strategic Initiatives
5.3.3. Omni Medical Billing Service, Inc.
5.3.3.1. Overview
5.3.3.2. Financial Performance
5.3.3.3. Service Benchmarking
5.3.3.4. Strategic Initiatives
5.3.4. Quick Med Claims, LLC.
5.3.4.1. Overview
5.3.4.2. Financial Performance
5.3.4.3. Service Benchmarking
5.3.4.4. Strategic Initiatives
5.3.5. 911 Billing Services & Consultant, Inc.
5.3.5.1. Overview
5.3.5.2. Service Benchmarking
5.3.5.3. Strategic Initiatives
5.3.6. Change Healthcare
5.3.6.1. Overview
5.3.6.2. Financial Performance
5.3.6.3. Service Benchmarking
5.3.6.4. Strategic Initiatives
5.3.7. PCC Ambulance Billing Service
5.3.7.1. Overview
5.3.7.2. Financial Performance
5.3.7.3. Service Benchmarking
5.3.7.4. Strategic Initiatives
5.3.8. EMS Billing Management, LLC
5.3.8.1. Overview
5.3.8.2. Service Benchmarking
5.3.8.3. Strategic Initiatives
5.3.9. Pintler Billing Services
5.3.9.1. Overview
5.3.9.2. Financial Performance
5.3.9.3. Service Benchmarking
5.3.9.4. Strategic Initiatives
5.3.10. AIM EMS Software & Services
5.3.10.1. Overview
5.3.10.2. Financial Performance
5.3.10.3. Service Benchmarking
5.3.10.4. Strategic Initiatives
Cross-segment Market Size and Analysis for Mentioned Segments
Additional Company Profiles
(Upto 5 With No Cost)
Additional Countries (Apart
From Mentioned Countries)
Country/Region-specific Report
Go To Market Strategy
Region Specific Market DynamicsRegion Level Market Share Import Export AnalysisProduction AnalysisOthers