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The NEMT Experts Podcast
Private Pay
Episode
113
Published
June 24, 2026
·
32 min 56 sec
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NEMT Reality Check: 2 Owners Expose the Truth About Starting NEMT

Can you build a real NEMT business on private pay instead of brokers? The Doctor Ride did it on two vans and public pricing.

In this episode

Mackenzie Andrews and Raymond Damitio
The Doctor Ride and The Doctor Ride
Charlotte, North Carolina
Hosted by
Nirav Chheda
CEO and co-founder of Bambi
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About this episode

Mackenzie Andrews and Raymond Damitio run The Doctor Ride, a private pay NEMT operation in Charlotte, North Carolina that has logged more than 300 rides in under a year and only recently moved up to two vehicles. They publish rates on their website and field two to five ride estimate requests a day, of which 95 percent arrive with real contact details and 15 to 20 percent turn into paid rides. Mileage went from $3.00 to $3.15 after local gas climbed $1.25, a new $100 monthly membership halves base rates, and their anchor account, a 650 resident senior living campus, came after 75 facility walk-ins.

Key takeaways

  • The website ride estimate form asks only for an email and pulls two to five requests a day. About 95 percent give real information and 15 to 20 percent convert to rides.
  • Posting prices publicly filters leads instead of losing them. Raymond Damitio says the people who say no are usually about $80 apart on price, not five or ten dollars.
  • A new $100 per month membership cuts base rates in half, aimed at riders like dialysis patients going three times a week. It launched two weeks before taping.
  • Mackenzie Andrews argues broker volume blocks private pay growth: high volume, low paying work leaves no time for the SEO, facility walk-ins and follow-up that generate inbound.
  • Their largest account, a 650 resident senior living campus with an attached skilled nursing facility, came from 75 facility walk-ins and a brochure left with a gate security guard.

Chapters

  • 0:00 The real math: bottom line vs. top line in NEMT
  • 1:12 Why The Doctor Ride went all-in on private pay
  • 3:45 NEMT isn't a commodity: the experience gap
  • 5:23 Google reviews as the private-pay inbound engine
  • 5:53 Coining "Wait & Return" (and the copycats)
  • 6:50 Naming the business for SEO + brand
  • 7:46 Where the name "Bambi" came from
  • 8:38 YouTube & content as a growth engine
  • 9:42 Launching a membership for frequent riders
  • 11:18 Putting pricing right on the website (live walkthrough)
  • 13:53 Lead quality: 95% real, ~15–20% convert to rides
  • 16:22 Premium pricing as a quality signal
  • 17:00 The traffic you can't convert, and operator networking
  • 20:33 Raising prices: gas, insurance & staying sustainable
  • 21:52 The NEMT churn cycle brokers prey on
  • 23:33 Keep pricing simple (the feature-bloat trap)
  • 26:41 The aging-boomer demand wave
  • 27:05 "How much does she weigh?": how NOT to run NEMT
  • 28:24 One-off gigs: oral surgery & a charter school
  • 30:03 Landing the premium senior-living contract
  • 32:24 Full circle

Fuel for Your Fleet (and Your Brain).

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