Google Ads for NEMT, run by people who know NEMT
When a family nearby searches "wheelchair transportation near me," Duet's ads put your business at the top of the results — and the call comes to you. We build the campaign, manage it, and show you exactly what you spent and what came in. Providers have made as high as $4 back per $1 spent, with booking inquiries from as little as $6.90 each.
Your highest-margin trips start with a search
Google Ads works for NEMT because the demand is real and urgent: somebody's mother needs a ride to dialysis on Thursday, and the family is searching for it right now. Show up at that moment and you win a private-pay trip — often a recurring one — without cold calls, brokers, or discounting.
Most providers never show up. Many don't have a website; plenty more have one that Google can't find. So the same two or three competitors in your area quietly collect the searches everyone else is invisible for.
The catch: medical-transport clicks are expensive, and a do-it-yourself campaign burns budget on the wrong keywords fast. Ads are the sharpest tool in NEMT marketing and the easiest one to cut yourself with. That's the part you're handing to us.
$4 : $1
returns as high as $4 back per $1 spent
$6.90
booking inquiries from as little as $6.90 each
4x
return on one provider's campaign (case below)
How Duet's ads management works
Duet builds and runs the whole campaign for you: keyword and location targeting, ad copy, budget management, and monthly reporting. You approve the direction, take the calls, and see the numbers. Here's the loop:
We build the campaign
Keywords, ad copy, targeting radius, and negative keywords — set up around your service area, your vehicle types, and the trips you actually want.
Your ads show up at the moment of need
When someone nearby searches for wheelchair transportation, medical rides, or a way to get mom to dialysis, your business is at the top of the page.
They call or book — you take the trip
Clicks land on your website or booking line. You (or Duet's voice AI) answer, quote, and book the ride.
We tune it and show you the numbers
We watch what each inquiry costs, cut what wastes money, and show you what you spent and what came in.
$276 in. $1,285 back.
A private-pay provider in San Diego wanted more trip requests but had no time to run marketing. Duet's team built and managed a Google Ads campaign aimed at people searching for medical transportation in their area.
The result: $276 in ad spend turned into $1,285 in booked revenue — about $4 back for every $1 in, from riders who were already searching and just needed to find them. No brokers involved, no rate negotiations. Full-fare private-pay trips.
Every market is different, and we won't pretend yours will match San Diego's numbers. What stays the same is the mechanism: your future riders are searching today, and the ads decide whether they find you or a competitor.
~4x
return on ad spend — $4 for every $1 spent (Private-pay provider · San Diego)
You'll always know what your money did
The most common story we hear from providers isn't "ads don't work." It's "somebody ran my ads for three months and I never saw a single number." That's not marketing, that's a subscription to hope.
With Duet, the deal is simple: you always see what was spent and what inquiries came in. If a keyword wastes money, we cut it. If the market can't support a profitable campaign, we say so instead of letting the meter run. Month-to-month pricing keeps that honest — the only way we keep your business is for the ads to keep earning it.
Want the background on why search wins private-pay work? Read 98% of private-pay customers Google you before they call and how to triple private-pay trips with a killer digital presence.
Google Ads questions, answered
How much does Google Ads management for NEMT cost?
Duet's management fee starts at $200 a month, plus your ad budget, which goes straight to Google. There's a $400 one-time setup fee, and it's waived for Duet software customers. Month-to-month, no long-term contract.
What results have NEMT providers gotten from Google Ads?
Providers running ads with Duet have made as high as $4 back for every $1 spent, with booking inquiries costing as little as $6.90 each. One private-pay provider in San Diego turned $276 of ad spend into $1,285 in booked revenue — about a 4x return. Results vary by market, which is why we show you your real numbers instead of promising someone else's.
How is this different from hiring a general marketing agency?
We only advertise NEMT businesses. We know what a wheelchair trip is worth, which searches mean "ready to book" versus "just researching," and what a family types when they need a ride to dialysis. A generalist agency learns all of that on your budget — and NEMT clicks are too expensive for practice.
How will I know the ads are working?
You'll see it in two places: your phone ringing with new riders, and reporting that shows what you spent and what inquiries it produced. If the numbers don't make sense for your market, we'll tell you that too — month-to-month pricing means the ads have to keep earning your business.
What kind of trips do search ads bring in?
Mostly private-pay demand: families and riders searching for wheelchair transportation, ambulatory rides to appointments, hospital discharges, and recurring trips like dialysis. These are the highest-margin trips in NEMT, and the caller usually needs a ride soon.
Do I need a website first?
It helps a lot — ads perform best when the click lands somewhere that looks professional and makes booking obvious. If you don't have a site, or yours works against you, Duet builds and refreshes NEMT websites starting at $450 one-time, and the two services are built to work together.
Do I have to use Duet software to get the ads service?
No. Ads management is available on its own. Software customers get the $400 setup fee waived, and the trips the ads generate land on a dispatch board with an AI agent that answers calls you miss — but neither is required.
How much ad budget do I need?
It depends on your market and how many trips you want to add — a competitive metro costs more per click than a smaller town. We'll size a starting budget with you honestly, and you can raise or lower it any time. Your budget goes to Google; our fee stays flat.
More ways Duet grows your business
Facility outreach
We cold-call facilities and book you meetings with decision-makers.
Learn moreWebsites
A site built new or refreshed for SEO, AI search, and bookings.
Learn moreRemote dispatching
A trained Duet dispatcher runs your board: trips, drivers, phones.
Learn moreOr see all growth services side by side.
Find out what your market is searching for
Book a free Growth Audit — we'll look at your web presence and your service area, talk through what campaigns cost there, and tell you honestly whether ads are the right first move.
Prefer to talk? Call (650) 780-3465 and you'll get a founder, not a phone tree.