A single well-managed NEMT vehicle in the Southeast can gross $50,000–$135,000 annually, depending on state, trip type mix, and daily utilization. Wheelchair-accessible vehicles earn more per trip ($35–$75) than ambulatory vehicles ($18–$45). Dialysis run contracts — three trips per week per patient — provide the most predictable recurring revenue regardless of vehicle type. Florida and Georgia tend to have the highest per-vehicle revenue potential due to large Medicaid populations and higher reimbursement rates.
See detailed revenue projections by state: Florida | Georgia | Alabama.
