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The NEMT Experts Podcast
Starting an NEMT Business
Episode
61
Published
March 26, 2025
·
16 min 18 sec
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Starting a Successful NEMT Business from Scratch to 10 Vehicles

How do you go from 15 rides a day to 60? NorCal Transit's Jesse Shanker dropped manual dispatch and let his health plan watch his capacity.

In this episode

Jesse Shanker
NorCal Transit
Northern California
Hosted by
Nirav Chheda
CEO and co-founder of Bambi
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About this episode

Jesse Shanker, owner of NorCal Transit in Northern California, went from moving 10 to 15 members a day to 50 to 60 across three years in business. The jump followed his move off manual dispatch, where he was hand-fitting a 10 a.m. request between an 8 a.m. pickup and an 11 a.m. discharge, onto software integrated with Partnership, the regional health plan that now sends most of his volume. Because Partnership sees each trip as he assigns a driver, it keeps raising his allocation, and he has grown from five vehicles toward a target of 10.

Key takeaways

  • Daily volume moved from 10 to 15 members to roughly 50 to 60 after Shanker left manual scheduling for Bambi, adding drivers and vehicles as the trip counts climbed.
  • Partnership, the Northern California health plan that referred him to Bambi, is his single biggest source of work and dwarfs the facility and hospital business he started with.
  • The plan's integration shows Shanker's driver assignments in real time, so when it can see him clearing 50 trips a day it raises what it sends him.
  • He chose his service lines by local demand rather than by rate, found wheelchair work was the heaviest need in his area, then bought equipment to match.
  • On an early gurney trip the cot would not unlatch and he held a patient's full weight for about 20 minutes, having learned ramps and equipment from YouTube.

Chapters

  • 0:00 Introduction
  • 0:29 How and why Jesse started a NEMT business
  • 3:52 Scaling with insurance clients
  • 5:27 Identifying NEMT demands
  • 6:35 Growing with Bambi
  • 12:37 Numbers and future goals
  • 13:41 Interesting NEMT stories
  • 14:53 Lessons for budding NEMT entrepreneurs
  • 16:04 RUN BAMBI RUN!!

Fuel for Your Fleet (and Your Brain).

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Ready to Run with Bambi?

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