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# San Antonio Fire and EMS Incidents by ZIP: West Side 78207 Leads the City
- URL: https://www.texascapitalreport.com/san-antonio-fire-and-ems-incidents-by-zip-west-side-78207-leads-the-city/
- Published: 2026-07-29T12:59:00.000Z
- Updated: 2026-07-31T19:29:10.000Z
- Author: Christopher Herring
- Tags: 78207, Teri Castillo, Councilwoman Castillo, San Antonio, SAFD, EMS Response, Josey Garcia

Texas Capital Report · Public Safety Intelligence

# One ZIP,  
41,825 Incidents

A National Data System analysis maps where San Antonio Fire and EMS demand is concentrated, identifies the councilmembers responsible for asking the next questions, and separates city duties from state-supported solutions.

By Christopher C. Herring · National Data System analysis · July 2026

**623,480**Distinct SAFD master incidents

**621,100**Incidents assigned to a consistent ZIP

**93**ZIP codes represented in the ranking

**6.73%**Share generated by 78207 alone

San Antonio’s emergency-response burden is not distributed evenly. Between January 1, 2024, and June 30, 2026, ZIP 78207 generated 41,825 distinct San Antonio Fire Department master incidents—nearly 18,700 more than the second-ranked ZIP and roughly 81 percent more volume. The 78207 territory falls under the leadership of Councilwoman Teri Castillo in City Council District 5.

The leading ZIP covers a broad section of the historic West Side, including neighborhood corridors associated with Prospect Hill, Avenida Guadalupe and communities immediately west of downtown. Its total represents 6.73 percent of all incidents that could be assigned to one consistent ZIP.

**78207 did not merely finish first. It separated from the field.** 

The gap between 78207 and No. 2 ZIP 78228 was 18,693 distinct incidents. No other ZIP in the top 30 reached 24,000.

The next tier crosses the city: 78228 on the near Northwest and West sides; 78223 in the Southeast; 78227 near Lackland and Valley Hi; 78229 in the Medical Center; and 78216 along the North Central and airport corridor. The ranking therefore does not point to one simple geographic story. It identifies several different kinds of emergency-demand centers: historic residential neighborhoods, medical and commercial corridors, dense inner-city districts, and fast-growing outer areas.

The 10 ZIPs with the most distinct incidents

Counts use one incident-level record per `master_incident_number`. The bar scale is indexed to 78207.

**78207**West Side

41,825

**78228**Near Northwest / West

23,132

**78223**Southeast Side

23,092

**78227**Far West / Southwest

21,783

**78229**Medical Center / Oak Hills

21,487

**78216**North Central

20,782

**78240**Northwest / Medical Center

20,752

**78201**Inner West / Northwest

19,878

**78218**Northeast Side

19,673

**78237**West Side

18,008

Emergency demand is concentrated

Cumulative share of all 621,100 ZIP-assigned distinct incidents.

**21.1%**Top 5 ZIPs

**37.1%**Top 10 ZIPs

**50.2%**Top 15 ZIPs

**79.8%**Top 30 ZIPs

## What the neighborhood pattern reveals

The top 15 ZIPs account for just over half of the city’s ZIP-assigned incident volume. That concentration creates a practical planning question: are staffing, station placement, specialized units, prevention programs and hospital coordination aligned with the places generating the greatest recurring demand?

78207

### Historic West Side pressure

Prospect Hill, Avenida Guadalupe and nearby West Side neighborhoods form the clearest high-volume cluster in the ranking.

78229

### Medical-system activity

The Medical Center and Oak Hills corridor ranks fifth. Raw volume alone cannot separate resident emergencies from hospital, workforce and institutional activity, but the location demands closer analysis.

78205

### Downtown intensity

Downtown ranks 17th with 14,127 incidents. Its residential population is only one part of the story; visitors, workers, events and public-space activity may also shape demand.

78223

### Southeast corridor

Highland Hills, Hot Wells, Pecan Valley and the Mission corridor place 78223 third citywide with 23,092 distinct incidents.

78227

### Lackland-area demand

Lackland Terrace, Valley Hi and Westwood Village help define the fourth-ranked ZIP, where 21,783 incidents were recorded.

78216

### North Central corridor

Shearer Hills, Ridgeview, North Star and the airport corridor combine residential, commercial and transportation activity in the sixth-ranked ZIP.

**These are raw incident totals, not population-adjusted rates.** A high-volume ZIP may be large, densely populated, commercially active, institution-heavy or visited by large numbers of nonresidents. The next analytical layer should compare incidents per 1,000 residents, daytime population, age structure, poverty, hospital locations, station coverage and land use before labeling any neighborhood unusually unsafe or underserved.

How the top 10 records were classified

The source field does not always resolve to exactly “Fire” or “EMS.” Gray represents records carrying another value or no usable classification. It should not be interpreted as activity outside SAFD.

FireEMSOther or unclassified 

78207

41,825

78228

23,132

78223

23,092

78227

21,783

78229

21,487

78216

20,782

78240

20,752

78201

19,878

78218

19,673

78237

18,008

ZIP 78207 is the only top-ranked area in which the explicit EMS count exceeds the explicit Fire count: 15,524 EMS incidents compared with 13,558 Fire incidents, with another 12,743 records in the other-or-unclassified category. Several other leading ZIPs have especially large unclassified shares, which means the classification dictionary needs to be audited before the citywide Fire-versus-EMS mix is treated as final.

## The complete top-30 neighborhood ranking

The table uses neighborhood shorthand to make ZIP-based findings more readable. ZIP boundaries can cross multiple communities, and a neighborhood can extend into more than one ZIP; the names below are contextual associations, not official boundary determinations.

| Rank | ZIP       | Neighborhood shorthand                                                                              | Distinct incidents | Fire   | EMS    | Other / unclassified | Citywide share |
| ---- | --------- | --------------------------------------------------------------------------------------------------- | ------------------ | ------ | ------ | -------------------- | -------------- |
| 1    | **78207** | West Side — Prospect Hill, Avenida Guadalupe and the near-downtown West Side                        | 41,825             | 13,558 | 15,524 | 12,743               | 6.73%          |
| 2    | **78228** | Near Northwest / West — Donaldson Terrace, Inspiration Hills and the Woodlawn–Jefferson edge        | 23,132             | 7,578  | 6,029  | 9,525                | 3.72%          |
| 3    | **78223** | Southeast Side — Highland Hills, Hot Wells, Pecan Valley and the Mission corridor                   | 23,092             | 8,606  | 5,628  | 8,858                | 3.72%          |
| 4    | **78227** | Far West / Southwest — Lackland Terrace, Valley Hi and Westwood Village                             | 21,783             | 7,403  | 5,312  | 9,068                | 3.51%          |
| 5    | **78229** | Medical Center / Oak Hills — University Hospital and the South Texas Medical Center corridor        | 21,487             | 7,442  | 5,560  | 8,485                | 3.46%          |
| 6    | **78216** | North Central — Shearer Hills, Ridgeview, North Star and the airport corridor                       | 20,782             | 9,206  | 3,694  | 7,882                | 3.35%          |
| 7    | **78240** | Northwest / Medical Center — Huebner, French Creek and the Leon Valley edge                         | 20,752             | 6,415  | 4,503  | 9,834                | 3.34%          |
| 8    | **78201** | Inner West / Northwest — Jefferson, Woodlawn Lake, Monticello Park and Los Angeles Heights          | 19,878             | 7,912  | 4,700  | 7,266                | 3.20%          |
| 9    | **78218** | Northeast Side — Wilshire, East Terrell Hills, Park Village and Camelot                             | 19,673             | 7,287  | 4,452  | 7,934                | 3.17%          |
| 10   | **78237** | West Side — Edgewood, Los Jardines and Westlawn                                                     | 18,008             | 5,976  | 5,230  | 6,802                | 2.90%          |
| 11   | **78212** | Midtown / North Central — Tobin Hill, Monte Vista, Beacon Hill and Olmos Park Terrace               | 17,588             | 7,322  | 4,340  | 5,926                | 2.83%          |
| 12   | **78251** | Far West Side — Heritage, Timber Ridge and the Westover Hills edge                                  | 16,810             | 6,220  | 3,015  | 7,575                | 2.71%          |
| 13   | **78210** | East / Southeast — Denver Heights, Highland Park, Riverside and the Lone Star edge                  | 16,288             | 5,783  | 4,420  | 6,085                | 2.62%          |
| 14   | **78221** | South Side — Harlandale, Kingsborough Ridge and the Southcross corridor                             | 15,532             | 5,432  | 4,143  | 5,957                | 2.50%          |
| 15   | **78230** | North Central / Northwest — Vance Jackson, Colonies North and the Shavano edge                      | 15,030             | 5,775  | 3,023  | 6,232                | 2.42%          |
| 16   | **78249** | Northwest Side — UTSA, University Park, Oxbow and the De Zavala corridor                            | 14,949             | 5,970  | 2,862  | 6,117                | 2.41%          |
| 17   | **78205** | Downtown — Alamo Plaza, the River Walk, Hemisfair and the central business district                 | 14,127             | 7,121  | 2,554  | 4,452                | 2.27%          |
| 18   | **78217** | Northeast Side — Northern Hills, Perrin Beitel and El Dorado                                        | 13,461             | 4,923  | 2,876  | 5,662                | 2.17%          |
| 19   | **78209** | Alamo Heights area — Terrell Hills, Oak Park–Northwood and surrounding near-northeast neighborhoods | 13,104             | 5,495  | 2,342  | 5,267                | 2.11%          |
| 20   | **78214** | South Side — Mission San José, Harlandale and Riverside South                                       | 12,871             | 4,590  | 3,492  | 4,789                | 2.07%          |
| 21   | **78220** | East Side — Wheatley Heights, Dellcrest and Eastwood Village                                        | 12,747             | 4,177  | 3,292  | 5,278                | 2.05%          |
| 22   | **78211** | Southwest Side — Quintana, South San Antonio and the Kelly area                                     | 12,635             | 4,198  | 3,535  | 4,902                | 2.03%          |
| 23   | **78258** | Far North — Stone Oak, Sonterra and the Rogers Ranch edge                                           | 11,943             | 4,052  | 1,836  | 6,055                | 1.92%          |
| 24   | **78238** | Northwest Side — Leon Valley, Thunderbird Hills and the Ingram corridor                             | 11,534             | 4,597  | 2,634  | 4,303                | 1.86%          |
| 25   | **78233** | Northeast Side — Woodstone, Valencia and the Live Oak edge                                          | 11,474             | 4,518  | 2,238  | 4,718                | 1.85%          |
| 26   | **78213** | North Central — Dellview, Castle Hills and Lockhill Estates                                         | 11,412             | 3,841  | 3,083  | 4,488                | 1.84%          |
| 27   | **78247** | Northeast Side — Thousand Oaks, Knollcreek and Eden                                                 | 11,351             | 4,073  | 1,968  | 5,310                | 1.83%          |
| 28   | **78245** | Far West Side — Meadow Village, Heritage, Big Country and newer western subdivisions                | 11,207             | 4,290  | 2,276  | 4,641                | 1.80%          |
| 29   | **78250** | Northwest Side — Northwest Crossing, Silver Creek and Great Northwest                               | 10,831             | 3,377  | 2,104  | 5,350                | 1.74%          |
| 30   | **78224** | South Side — Palo Alto, Gillette and South San Antonio                                              | 10,304             | 3,953  | 1,983  | 4,368                | 1.66%          |

## Who is accountable for the next step?

**Accountability is not the same as accusation.** 

A high incident count does not prove that a councilmember, fire station or emergency crew failed. It does create a public duty to measure response performance, explain resource allocation and show residents what will change when demand remains concentrated.

San Antonio operates through a council-manager form of government. Mayor Gina Ortiz Jones and the ten-member City Council set policy, approve the budget and can require public performance reporting. City management and SAFD remain responsible for daily operations, staffing, deployment and execution.

Citywide budget and policy 

### Mayor and full City Council

The full council owns the decisions that determine authorized staffing, station and apparatus investments, overtime resources, capital priorities and the level of public transparency required from SAFD.

Mayor Gina Ortiz Jones · Council Districts 1–10 

Direct Fire and EMS oversight 

### Public Safety Committee

The City formally assigns this committee oversight of fire protection, EMS and emergency preparedness. It is the most direct venue for demanding response-time percentiles, unit-availability measures and explanations for persistent ZIP-level demand.

Chair Sukh Kaur · Jalen McKee-Rodriguez · Teri Castillo · Misty Spears · Marc Whyte 

State and federal coordination 

### Intergovernmental Relations Committee

This committee is positioned to translate city findings into a coordinated state request involving workforce grants, trauma-system investments, Medicaid ambulance policy and behavioral-health crisis capacity.

Chair Jalen McKee-Rodriguez · Edward Mungia · Marina Alderete Gavito · Ivalis Meza Gonzalez · Misty Spears 

Prevention and public health 

### Community Health leadership

Not every repeat emergency can be solved by adding an ambulance. Community paramedicine, prevention, behavioral-health diversion, aging services and high-utilizer interventions require a health-policy partner.

Community Health Chair Ric Galvan · district and city health partners 

### District leaders connected to the highest-demand ZIP areas

The table below identifies the councilmember who should be an immediate accountability contact for major portions of the listed ZIP areas. ZIP and council boundaries do not align perfectly, so the associations are not exclusive. A specific address may be represented by a neighboring district.

| District    | Councilmember          | Top-30 ZIP areas associated with the district footprint | Immediate accountability question                                                                                                      |
| ----------- | ---------------------- | ------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------- |
| District 1  | Sukh Kaur              | 78216, 78201, 78212, 78205 and 78213; portions of 78209 | As Public Safety chair, when will SAFD publish median and 90th-percentile response times by ZIP and council district?                  |
| District 2  | Jalen McKee-Rodriguez  | 78218 and 78220; portions of 78210                      | How will East and Northeast Side demand be reflected in deployment, prevention and behavioral-health alternatives?                     |
| District 3  | Phyllis Viagran        | 78223, 78221 and 78214; portions of 78210               | Does South and Southeast Side apparatus availability match the volume and type of incidents recorded?                                  |
| District 4  | Edward Mungia          | 78227, 78211 and 78224; portions of 78245               | What resources are assigned to the Lackland and Southwest corridors, and how are long-duration responses investigated?                 |
| District 5  | Teri Castillo          | 78207 and 78237; portions of 78228 and 78210            | What explains 78207’s exceptional workload, and what targeted West Side response and prevention plan will follow?                      |
| District 6  | Ric Galvan             | 78251 and 78250; portions of 78245 and 78238            | Can community-health and workforce policy reduce recurring calls while maintaining adequate Far West Side coverage?                    |
| District 7  | Marina Alderete Gavito | 78228 and 78238; portions of 78201 and 78229            | How should Northwest and Medical Center-adjacent demand shape city-state hospital and EMS coordination?                                |
| District 8  | Ivalis Meza Gonzalez   | 78229, 78240, 78230 and 78249                           | How much incident volume is associated with hospitals, institutions and daytime activity, and what is the effect on unit availability? |
| District 9  | Misty Spears           | 78258; portions of 78216 and 78213                      | Through Public Safety and Intergovernmental Relations, which state resources can strengthen EMS staffing and regional coordination?    |
| District 10 | Marc Whyte             | 78217, 78233 and 78247; portions of 78218 and 78209     | Are Northeast Side response times and apparatus coverage keeping pace with residential and commercial demand?                          |

**Boundary caution:** These ZIP references are accountability shorthand based on district footprints and the National Data System’s dominant ZIP-to-council methodology. They do not mean that an entire ZIP lies within one district. The SAFD source also contains a council-district field, which should be used for the next authoritative district-level report.

### What City Council can require without waiting for Austin

1

**Publish the workload** Monthly distinct incidents by ZIP, district, Fire/EMS class, hour and call type. 

2

**Publish the performance** Median and 90th-percentile response seconds, not averages alone. 

3

**Audit availability** Units in service, simultaneous demand, overtime, station coverage and hospital turnaround. 

4

**Target prevention** Community paramedicine, fall prevention, behavioral-health diversion and high-utilizer care plans. 

5

**Align the budget** Explain how staffing and capital priorities respond to persistent geographic demand. 

### Where a councilmember should bring in the State of Texas

Austin should not be used as an excuse for decisions the City controls. The state does not decide San Antonio’s daily unit deployment or where the City builds a fire station. State partnership becomes relevant where Texas controls funding streams, workforce programs, reimbursement rules and regional health systems.

**EMS workforce and training** Texas Workforce Commission grants can support EMT Basic, Advanced EMT and paramedic training through eligible EMS providers and DSHS-approved programs. 

**Trauma and regional EMS systems** DSHS funds EMS agencies, hospitals and Regional Advisory Councils to improve regional trauma and emergency-care systems. 

**Medicaid ambulance reimbursement** Texas HHSC sets Medicaid ambulance payment policy and administers supplemental-payment structures affecting governmental ambulance providers. 

**Behavioral-health crisis capacity** HHSC funds crisis services and community mental-health programs that can provide alternatives to repeated emergency transport when clinically appropriate. 

**Who should be invited:** San Antonio-area Senators Roland Gutierrez, Judith Zaffirini, Donna Campbell and José Menéndez, together with the overlapping Bexar County House member identified for each affected address. The delegation includes Representatives Trey Martinez Fischer, Philip Cortez, John Lujan III, Liz Campos, Barbara Gervin-Hawkins, Marc LaHood, Mark Dorazio, Diego Bernal, Josey Garcia and Ray Lopez. Rep. Liz Campos serves as vice chair of House Public Health, while Rep. Trey Martinez Fischer serves as vice chair of House Ways & Means—two committee positions relevant to health policy and state revenue decisions. 

The most useful meeting would not be a ceremonial roundtable. The Public Safety Committee and Intergovernmental Relations Committee should bring a written SAFD data package, identify the affected state districts through address-level or weighted overlays, and present a short list of funding, reimbursement and workforce requests with measurable outcomes.

## A 90-day public accountability agenda

The ranking is a demand map, not a performance verdict. It tells leaders where SAFD master incidents accumulate, but the City must add response time, availability, staffing and outcomes before residents can judge whether resources are proportionate.

30 days

**Fix the classification and data dictionary** 

Explain every value in the Fire-or-EMS field, resolve the large other/unclassified category and publish the meaning of the response-seconds measure.

60 days

**Present response performance** 

Report median and 90th-percentile response time, unit availability and simultaneous-demand pressure by ZIP and council district for complete 2024 and 2025.

90 days

**Adopt a city-state action plan** 

Identify city budget actions and a separate state request for EMS workforce, trauma coordination, reimbursement and behavioral-health capacity.

The next National Data System publication should calculate population-adjusted rates and compare incidents with station locations, daytime activity, age, disability, poverty, housing age and hospital access. That moves the discussion from “where are the most calls?” to “where is emergency demand greatest relative to people, place and available response capacity?”

## How this analysis was built

The National Data System converted San Antonio Fire Department calls-for-service records into a governed DuckDB backbone. The source contained 1,068,091 operational rows but only 623,480 distinct `master_incident_number` values. To avoid overstating emergencies, this ranking uses the incident-level view, not the raw row count.

Of the 623,480 distinct master incidents, 621,100 had one consistent incident ZIP and were included in the ranking. Another 2,380 incidents had no usable ZIP or conflicting ZIP values across their underlying source rows. The ranking covers 93 ZIP values. Calendar year 2026 is partial through June 30.

Arson case records are maintained separately and are not included in this Fire-and-EMS calls-for-service ranking.

**Source:** San Antonio Fire Department calls-for-service data; National Data System, `San_Antonio_Fire_Department_Response_Backbone_TX.duckdb`; incident-level view `publication.v_fire_cfs_incident_index`; ZIP ranking JSON SHA256 `25D7FEF67EEE2F35DEE80D5C0B5C50367CB4D03C7FE4B02065BF813D32A3019A`. Current officeholders and committee assignments were checked against the [City of San Antonio council directory](https://www.sa.gov/Directory/Departments/Mayor-Council/City-Council?ref=texascapitalreport.com), the [City Council committee directory](https://www.sa.gov/Directory/Departments/Mayor-Council/Committees?ref=texascapitalreport.com), the [Texas House member directory](https://house.texas.gov/members?ref=texascapitalreport.com) and the [Texas Senate member directory](https://senate.texas.gov/members.php?ref=texascapitalreport.com). State-program descriptions were checked against official DSHS, TWC and HHSC program pages. 

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