In 2024, Connecticut billed Medicare about 582 ambulance transports for every 1,000 fee-for-service beneficiaries — Wyoming, about 90
Connecticut billed Medicare about 582 ambulance transports per 1,000 fee-for-service beneficiaries — the highest of any state. Wyoming, about 90, the lowest. The national rate was about 344.
The spread runs about 6.4 times, top to bottom. West Virginia sits near 518 per 1,000 — about 1.5 times the national rate.
What sits behind the pattern is a separate question. The number of ambulance suppliers in a state, how often non-emergency transports are billed, population density, and local dispatch practice could all plausibly matter.
This figure measures the variation, not its cause. Transports book to the state where the service is billed, not where the patient lives, and a few large suppliers can lift one state's rate.
A volume record, not a verdict on need, quality, or appropriate care — a higher rate means more transports per patient, not better or worse care.
A count of Medicare fee-for-service ambulance transports — base-rate transport claims — per 1,000 fee-for-service beneficiaries, by state, 2024.
Not billed service lines, not a count of patients, not where patients live, and not all-payer.