Most NEMT companies rely heavily on Medicaid and broker-assigned trips for their revenue. While this provides a steady base, it also creates vulnerability — reimbursement rates are fixed, broker requirements are demanding, and contract loss can be devastating. Diversifying into private pay patient services is one of the smartest strategic moves an NEMT provider can make.
Higher Margins
Private pay trips typically yield 40-60% higher margins than Medicaid reimbursements
Faster Payment
Collect at time of service — no 30-60 day broker payment cycles
Less Paperwork
No broker authorizations, claim submissions, or denial management required
Market Growth
Aging population drives 15% annual growth in private-pay NEMT demand
The Private Pay Opportunity
Private pay NEMT services — trips paid directly by patients, families, or healthcare facilities rather than through Medicaid — offer higher per-trip revenue, fewer administrative requirements, faster payment, and greater pricing flexibility. The market for private pay medical transportation is growing as the population ages and more patients require regular medical appointments.
How SS Support Network Helps
SS Support Network helps NEMT companies build private pay revenue through professional inbound call handling that converts inquiry calls into booked trips, outbound marketing campaigns to healthcare facilities, hospitals, and assisted living communities, dedicated scheduling and dispatch for private pay trips, billing and payment processing, and customer service that builds patient loyalty and generates referrals.
Revenue Impact
NEMT companies that develop private pay services alongside their Medicaid business typically see 20-35% higher overall revenue per vehicle, with significantly improved profit margins on private pay trips.
Building Your Private Pay Program
Start by identifying the healthcare facilities, senior living communities, rehabilitation centers, and dialysis centers in your service area. Develop relationships with discharge planners and social workers. Offer competitive rates with professional service quality. Use your call center partner to handle scheduling and customer communication.
Adding private pay services to our Medicaid-focused NEMT company increased total revenue by 28% in the first year with almost zero additional overhead.
Conclusion
Private pay services represent the highest-margin opportunity in NEMT. With the right operational support, any NEMT company can build a profitable private pay program alongside their existing Medicaid operations.
Premium Pricing
Set your own rates without broker constraints
Fast Payment
Collect at time of service or within 48 hours
Direct Relationships
Build loyalty with recurring patients
Market Growing
Aging population driving increasing demand
Need Help With Your NEMT Operations?
SS Support Network provides 24/7 dispatch, billing, credentialing, and call center services for NEMT and healthcare companies.
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