How we built a six-figure NEMT fleet on private-pay — with zero broker dependency.
This is not a client we marketed for. It is the fleet we co-founded, scaled, and still consult today. Every play we sell, we ran on our own vehicles first.
Vehicles scaled
Monthly revenue
Private-pay & facility
Broker dependency
A new fleet in a broker-dominated market.
Like most NEMT startups, the default path was broker contracts: low reimbursement, high dead mileage, no control over volume, and zero brand of our own. To build a real, durable business we had to do the opposite of what most fleets do — go after private-pay riders and direct facility relationships, and build the digital presence to win them.
The exact system we now build for client fleets.
Owned the local map
Built and optimized the Google Business Profile and local SEO so the fleet showed up first for the searches that matter — not buried under brokers and directories.
Built a website that books
A fast, trust-building, conversion-focused site that turns a click or a referral into a booked ride — with the phone and request flow front and center.
Engineered trust
Systematically earned reviews and built the reputation signals that make families and case managers choose you over the unknown van down the street.
Won the facilities
Direct outreach to discharge planners, dialysis centers, and assisted-living facilities — the recurring, high-value relationships that fill a schedule with private-pay and facility-direct trips.
Married online and offline
Vehicle branding, local presence, and offline touchpoints all pointed back to the same trackable digital funnel, so every dollar compounded.
— Founder, NEMT Marketing · co-founder & consultant to the fleet above
We already walked the path you are on.
You do not need an agency that theorizes about NEMT. You need one that has built it. Claim your exclusive territory and we will build your private-pay engine. One fleet per market.
Results describe a fleet co-founded and operated by NEMT Marketing’s founder. They illustrate our approach and are not a guarantee of specific outcomes for any client.