621910/Ambulance Services
US businesses, employees and payroll, 2017 to 2023
180K
employees, 2023
180K
employees, 2023
In 2023, 5,556 US Ambulance Services business locations employed 179,939 people and paid $9.3 billion in annual payroll, $51,734 per employee on average. Employment was up 0.8% from 2022. California had the most employees.
Updated Oct 9, 2026 · data year 2023
Business locations
5,556
-1.6% vs 2022
Employees
179,939
+0.8% vs 2022
Annual payroll
$9.3B
+7.2% vs 2022
Average pay
$51,734
+6.4% vs 2022
Over the years
United States, 2017 to 2023
Employees
Paid employees in mid-March
Business locations
Places with paid employees
By state
Employees of Ambulance Services in each state, 2023
Employees by state
States with the most employees
Employees and the share of all the state's jobs
| State | Business locations | Employees | Average pay | Share of state jobs |
|---|---|---|---|---|
| California | 414 | 26,055 | $57,860 | 0.16% |
| Texas | 611 | 13,701 | $56,427 | 0.11% |
| New York | 357 | 13,354 | $43,148 | 0.15% |
| Pennsylvania | 469 | 12,729 | $42,228 | 0.22% |
| Illinois | 196 | 8,299 | $52,375 | 0.15% |
| Massachusetts | 138 | 6,988 | $47,894 | 0.20% |
| Georgia | 176 | 6,371 | $47,136 | 0.14% |
| Florida | 175 | 5,849 | $48,729 | 0.06% |
| Louisiana | 67 | 5,387 | $62,723 | 0.32% |
| Arizona | 158 | 5,320 | $62,931 | 0.18% |
| Michigan | 129 | 5,311 | $52,164 | 0.13% |
| Ohio | 170 | 4,519 | $45,244 | 0.09% |
| New Jersey | 162 | 4,322 | $43,671 | 0.11% |
| Alabama | 88 | 3,667 | $47,568 | 0.20% |
| Minnesota | 84 | 3,325 | $49,572 | 0.12% |
The 15 states with the most employees. Download the CSV for all 51.
Top metro areas
Metro and micro areas with the most Ambulance Services employees, 2023
Metro areas with the most employees
| Metro area | Locations | Employees | Average pay |
|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 214 | 9,003 | $44,520 |
| Los Angeles-Long Beach-Anaheim, CA | 80 | 6,935 | $47,538 |
| Chicago-Naperville-Elgin, IL-IN | 64 | 5,328 | $49,537 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 129 | 4,459 | $45,225 |
| Lafayette, LA | 6 | 4,110* | $58,969 |
| Boston-Cambridge-Newton, MA-NH | 79 | 3,942 | $49,478 |
| San Francisco-Oakland-Fremont, CA | 35 | 3,596 | $60,227 |
| Riverside-San Bernardino-Ontario, CA | 51 | 3,526 | $51,815 |
| Atlanta-Sandy Springs-Roswell, GA | 92 | 3,470 | $44,660 |
| Dallas-Fort Worth-Arlington, TX | 82 | 2,903* | $71,169 |
| Phoenix-Mesa-Chandler, AZ | 62 | 2,871 | $58,519 |
| San Diego-Chula Vista-Carlsbad, CA | 44 | 2,748* | $60,558 |
| Houston-Pasadena-The Woodlands, TX | 157 | 2,740 | $51,748 |
| Pittsburgh, PA | 85 | 2,636 | $44,931 |
| Detroit-Warren-Dearborn, MI | 23 | 2,221 | $52,502 |
Business size
US Ambulance Services business locations by number of employees, 2023
Locations by size
| Employees | Locations | Share |
|---|---|---|
| Under 5 | 1,184 | 21.3% |
| 5 to 9 | 935 | 16.8% |
| 10 to 19 | 1,517 | 27.3% |
| 20 to 49 | 1,147 | 20.6% |
| 50 to 99 | 423 | 7.6% |
| 100 to 249 | 261 | 4.7% |
| 250 to 499 | 64 | 1.2% |
| 500 to 999 | 21 | 0.4% |
| 1,000 or more | 4 | 0.1% |
Related industries
The industries this code belongs to
Part of Health Care and Social Assistance 62Ambulatory Health Care Services 621Other Ambulatory Health Care Services 6219Ambulance Services 62191
Questions and answers
How many people work in Ambulance Services in the US?
179,939 people worked at 5,556 US Ambulance Services business locations in 2023, up 0.8% from 2022. That is 0.13% of all US private-sector employees.
What is the average pay in Ambulance Services?
$51,734 a year per employee in 2023, from $9.3 billion in annual payroll (up 6.4% from 2022). The average across all US industries was $68,342.
Which state has the most Ambulance Services jobs?
California had the most, with 26,055 employees in 2023, followed by Texas (13,701) and New York (13,354).
Which metro areas have the most Ambulance Services jobs?
New York-Newark-Jersey City, NY-NJ (9,003), Los Angeles-Long Beach-Anaheim, CA (6,935), Chicago-Naperville-Elgin, IL-IN (5,328) had the most Ambulance Services employees in 2023.
Are most Ambulance Services businesses small?
65.4% of the 5,556 Ambulance Services business locations had fewer than 20 employees in 2023, and 25 had 500 or more.
Official US government statistics, published once a year. Business locations are places with paid employees; employees are counted in mid-March; payroll covers the whole year. Covers most private employers, not the self-employed, most government workers or farm workers on farms. * Less accurate: changed by 5% or more to protect privacy. Changes from the year before are shown only when both years use the same edition of the industry codes.