By James O’Donnell, Cofounder & COO at Duet
May 14, 2026
When I run that search, here's what I find. A surprising number of NEMT services don't have a website at all. Not a bad one. None! Some have operated for months, others for years.
Many also don't have a Google Business Profile, so when a family searches "wheelchair transportation near me," they don't show up in the map pack. They're invisible.
The ones who do have a website often have one working against them.
On a typical NEMT homepage:
- The phone number is two clicks deep.
- The service area is a mystery. You'll land on a site with no idea whether they operate in California, Texas, or New York.
- The hero image is the same stock photo of a wheelchair and van every other operator's using.
- The operator hasn't decided which Google searches they want to win, so Google doesn't rank them for any.
- The Google Business Profile, if one exists, has three reviews from 2022 and an unanswered 1-star at the top.
If you run on broker contracts, none of this matters. Brokers call you.
Private pay is different.
The daughter booking a ride for her dad after hip surgery has never heard of NEMT and doesn't know what questions to ask. Your website isn't introducing your company to her, it's introducing the entire category. Every confusing thing on the page is a reason to bounce.
I've watched hundreds of operators run private-pay campaigns. The ones who scale aren't the biggest fleets. They're the ones whose digital presence does the convincing for them.
I've seen one good website and a modest ads budget grow an operator from one van to five in a year. I've also seen fleets of ten with almost no private-pay revenue because nobody can find them online.
Here's what actually helps.
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The homepage answers three questions in the first scroll: who, what, where.
Phone number in the header, big font. Service area in plain text, with towns and neighborhoods named. A "Book a Ride" button and a phone number. Some customers only call, some only click. Photos of your actual vans with your logo, not stock images.
If a prospect's doing Sherlock Holmes work to find your phone number, you've already lost them.
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Build a separate landing page for every service you want to win on Google.
Dialysis transport, wheelchair transport, post-discharge, and bariatric are all different searches. One homepage chasing all four competes with itself and loses every time.
The operators I've seen scale fastest have five to ten service-specific pages.
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Your Google Business Profile is doing more work than your website.
It's the first thing most searchers see: the map pack, the star rating, the "Call" button, the hours. Asking for a review after every good ride is the highest-leverage marketing habit you can build. Free, and it compounds.
Respond to every review, especially the bad ones. An unanswered 1-star is louder than the 1-star itself, and every prospect reading it assumes the worst.
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Start Google Ads before you feel "ready".
Google searchers are warm. They need a ride today. Totally different customer than the cold facility intro you've been chasing.
$300 to $500 a month is enough to start. Most operators I've seen begin there and scale to $1,000 or $1,500 as ROI proves out. A 2x to 2.5x return is realistic. The math compounds: a single recurring dialysis patient books roughly 150 rides a year.
The mistake isn't spending too much. It's spending nothing while you wait six months for SEO to kick in.
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Make trust the core of your service.
Private-pay customers are about to put their parent in your vehicle. They're screening for trust before price.
Real photos. Real testimonials with real names. Reviews on the page. A short "about us" video, 15 to 30 seconds, the kind a daughter wants to see before booking her mom a ride. An FAQ that handles the awkward questions: Can the driver help my mom out of bed? What if there are stairs? Can the family split the payment?
You're already delivering a high-trust service. Most NEMT websites just don't look like it.
Most operators assume a real website's a $4,000 to $10,000 line item. It isn't anymore. A clean, conversion-ready site can be built for well under $1,000 today. A Google Business Profile is free. A starter ads budget pays back in 60 to 90 days. At roughly $30,000 a year in trips per recurring dialysis patient, the site pays for itself the first month you land one.
Your competitors aren't beating you on service. They're beating you on findability.
It's fixable from a laptop.
I’m always happy to review website for providers. Just book a meeting with me!