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Start a NEMT Business from Scratch | Podcast E61
March 26, 2025

Start a NEMT Business from Scratch | Podcast E61

Bambi CEO Nirav Chheda talks with Jesse Shanker, Owner of NorCal Transit in--you guessed it--Northern California! They discuss how Jesse started his NEMT business and has grown it successfully over the past 3 years.

Starting a Successful NEMT Business from Scratch to 10 Vehicles | NEMT Experts Podcast Episode 61

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Starting a Successful NEMT Business from Scratch to 10 Vehicles | NEMT Experts Podcast Episode 61



Bambi CEO Nirav Chheda talks with Jesse Shanker, Owner of NorCal Transit in--you guessed it--Northern California! They discuss how Jesse started his NEMT business and has grown it successfully over the past 3 years.

See the full interview on YouTube. 

Please don't forget to subscribe and like NEMT Experts Podcast on YouTube.

Also, available to watch on Spotify


And listen (audio only) on your other favorite podcast platforms Apple and Pandora.Key Takeaways:

  1. Significant Growth: In three years, Jesse's business expanded from managing 10-15 patients daily to 50-60, representing a 5x increase. This growth occurred through partnerships with insurance companies and efficient scheduling with Bambi software.

  2. Initial Entry into NEMT: Jesse's journey started by observing a transportation company serving a care home. Already experienced in transportation, he quickly saw the demand for NEMT services and began working directly with care homes before branching out.

  3. Transition to Full-Time: Initially a part-time venture, Jesse committed full-time when he realized the market demand through outreach to care homes, hospitals, and doctor offices.

  4. Partnering with Insurance Companies: By researching and reaching out directly to insurance companies, Jesse secured contracts that increased his business volume significantly.

  5. Shift to Automation: Transitioning from manual dispatching to using Bambi software allowed for optimized scheduling, increasing the volume of patients served.

  6. Scalability and Future Goals: Jesse's goal is to become the largest NEMT provider in his area, continually scaling as demand grows.

Top Quotes:

  • On Growth:
    "I went from anywhere doing maybe 10 to 15 patients, members a day, to now I'm doing about 50 to 60." — Jesse Shanker

  • On Discovering the Industry:
    "I was at a care home, and I spotted a company that was giving, you know, an elderly lady a ride, and it kind of piqued my interest." — Jesse Shanker

  • On Transitioning to Full-Time:
    "When I started to reach out to care homes and hospitals and, you know, doctors' offices, and then I started to see how high the demand was for this, and that's when I went full-time." — Jesse Shanker

  • On Partnering with Insurance Companies:
    "Now the insurance companies are calling me rather than, you know, the care homes and all the individual businesses." — Jesse Shanker

  • On the Benefits of Automation:
    "I started to see my volume increase because I can, you know, take in more patients. So it actually helped out a lot." — Jesse Shanker

On Overcoming Challenges:
"The most difficult part was first finding out if I needed, you know, if I was going to do more Gurney work or ambulatory or wheelchair." — Jesse Shanker

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