Medical Transport (NEMT)
Non-emergency medical transport moves people who cannot drive themselves to dialysis, treatment, and appointments. The trips are not street hails; they come from brokers, Medicaid managed-care plans, and facilities on contract. You are not buying a storefront; you are building a fleet, a credentialed operation, and a book of recurring trip contracts.
Read the launch plan: every step from deciding to opening, free →The Snapshot
Is this worth your attention?
Estimated Typical bands for this kind of business, estimated from adjacent public data where no direct benchmark exists; treat them as rough. Estimates, not forecasts; a specific business varies with its location, lease, equipment and owner. Last reviewed 2026-10-27. smbnest is a self-assessment tool, not individualized advice.
A fit if you…
- Can win and hold broker, Medicaid, and facility contracts
- Want recurring revenue from standing-order routes
- Will run tight dispatch, routing, and on-time performance
- Can manage credentialing, vehicle standards, and compliance
- Can carry billing float while brokers and plans pay out
Probably not if you…
- Expect to pick up street hails or walk-in fares
- Dislike paperwork, credentialing, and broker billing
- Can not carry payroll while claims sit unpaid
- Expect high margins without dispatch discipline
Step Inside the Layout
A live look at one tool inside
This is the actual 3D floor from the full model. Drag to explore it. Inside, you configure the space yourself and watch the economics move with every choice.
Sources and method8 public sources, with the year and a link where the source gives one. The benchmark bands on this page are estimated from adjacent data and labeled as estimates.
Sources & Method
Figures are estimated from the public sources below and from adjacent data; the bands are labeled as estimates
How these numbers were built: driver pay comes from the U.S. Bureau of Labor Statistics (OEWS for SOC 53-3053, Shuttle Drivers and Chauffeurs, in ground passenger transportation); the owner cash flow band brackets small NEMT fleets’ net margins after owner pay (RouteGenie) and the owner earnings of passenger transportation businesses sold on BizBuySell; insurance, fuel, credentialing times, and van prices come from NEMT operator and software vendor guides (RouteGenie, NEMT Platform); establishment counts come from the U.S. Census Bureau (County Business Patterns and SUSB for NAICS 485991, Special Needs Transportation); vehicle and operating standards reference NEMTAC; financing terms come from the SBA; and firm-survival context comes from the Census Bureau’s Business Dynamics Statistics. The opening kit prices five converted wheelchair vans item by item. Every source below links to the underlying material so you can check any figure yourself. These are starting assumptions; the moment you enter a real operation’s revenue, van count, contract mix, and labor costs, your numbers should replace ours. Figures are current as of 2025-2026 and refreshed as the sources update.
Driver pay follows BLS wage data for drivers in ground passenger transportation. The owner cash flow band is an SDE band for a staffed fleet: it sits between small NEMT fleets’ net margins after owner pay (RouteGenie) and the owner earnings of passenger transportation businesses sold on BizBuySell, which include many owner-driven operations. Fuel and insurance bands follow NEMT operator and vendor guides. No audited NEMT industry P&L is published, so confidence is estimated.
This is just the surface
The full model is the complete, interactive deep-dive, and every business here is built to the same standard: a live economics simulator you tune to your own numbers, an interactive 3D walkthrough, a location scorecard, an owner-fit assessment, a buy-versus-build comparison, and the full breakdown of how it makes money and what quietly kills margin.
then $29 a month
Time to choose and start, then month to month.
$99 today for your first 3 months, then $29 a month until you cancel.
about $17 a month
The best price: a year to decide, open and run it.
$199 today, then $199 each year until you cancel.
Renews until you cancel. Cancel any time from your account; you keep access to the end of the period you paid for, and your saved plans stay in your account. What membership opens
smbnest is a self-assessment tool. It does not give individualized financial, investment, legal or tax advice. Figures are estimates and benchmarks, not forecasts. Speak with a qualified financial adviser and a licensed attorney before you start, buy, finance or sign anything.