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Ambulance Billing Guide


New York State Ambulance Services in Rural Areas

NYS has unique requirements for the payment of paramedic intercept services when an ambulance company can provide only BLS services. Paramedic intercept services can be approved in counties and towns which are designated rural by the New York State Department of Health. Below is the NYS definition of a rural area and the current listing of rural counties and towns. 

NYS Department of Health Definitions of Rural Areas for Paramedic Intercept Services

The NYS definition of a rural area is defined in state Public Health Law and often referred to as “Eberts’ typology.” It identifies those counties and towns that may be considered rural according to population density.

Counties are rural if the county's total population is less than 200,000 or, in the case of a town, its population density is less than 200 persons per square mile, or, with the approval of the Commissioner of Health, a population density of between 200 and 250 persons per square mile.

NYS Counties with a Population Less than 200,000 Approved by NYS Department of Health Rural Definition for Paramedic Intercept Services

(All locations and ZIP Codes within the counties below will be approved for PI Services in NYS)

Please note: The 2020 Census may update these results. As information is obtained we will update the listing.

County County County
Allegany Hamilton Schoharie
Cattaraugus Herkimer Schuyler
Cayuga Jefferson Seneca
Chautauqua Lewis St. Lawrence
Chemung Livingston Steuben
Chenango Madison Sullivan
Clinton Montgomery Tioga
Columbia Ontario Tompkins
Cortland Orleans Ulster
Delaware Oswego Warren
Essex Otsego Washington
Franklin Putnam Wayne
Fulton Rensselaer Wyoming
Genesee Schenectady Yates
Greene

NYS Counties with Towns of Fewer than 200 Persons Per Square Mile Approved by NYS Department of Health Rural Definition for PI Services

(Only the towns within the below counties will be approved for PI Services in NYS)

lbany Broome Dutchess Erie
Berne Barker Amenia Brant
Coeymans Binghamton Town Clinton Boston
Knox Colesville Dover Cattaraugus
New Scotland Fenton Milan Reservation
Rensselaerville Kirkwood North East Colden
Westerlo Lisle Pawling Collins
  Maine Pine Plains Concord
  Nanticoke Rhinebeck Eden
  Sanford Stanford Holland
  Triangle Union Vale Marilla
  Windsor Washington Newstead
      North Collins
      Sardinia
      Tonawanda
      Reservation
      Wales


Monroe Niagra Oneida Onondaga
Clarkson Cambria Annsville Elbridge
Hamlin Hartland Augusta LaFayette
Mendon Newfane Ava Marcellus
Riga Pendleton Boonville Onondaga
Rush Porter Bridgewater Reservation
Wheatland Royalton Camden Otisco
  Somerset Deerfield Pompey
  Tuscarora Florence Skaneateles
  Reservation Floyd Spafford
  Wilson Forestport Tully
    Lee  
    Marshall  
    Paris  
    Remsen  
    Sangerfield  
    Steuben  
    Trenton  
    Vernon  
    Vienna  
    Western  
    Westmoreland  


Orange Saratoga Suffolk Westchester
Crawford Charlton Shelter Island North Salem
Deerpark Corinth   Pound Ridge
Greenville Day    
Hamptonburgh Edinburg    
Minisink Galway    
Tuxedo Greenfield    
Wawayanda Hadley    
  Northumberland    
  Providence    
  Saratoga Town    
  Stillwater    

New York State Ambulance Services in Rural Areas
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