How can I start my own portamedic or paramedical exam company?

By | 2022-02-11T16:38:16-05:00 November 30th, 2010|36 Comments


Dear Donna,

I am a health educator who has an RN, an MS and a PhD. I would like to cross over somewhat to do insurance physicals. More specifically, I want to open an agency that employs RNs as independent contractors to service the insurance companies by doing the home physicals and drawing the necessary labs.

Would you have any idea as to how I should get started?


Dear Donna replies:

Dear June,

There are franchise opportunities for portamedic or paramedical exam companies — those that provide medical exams to insurance companies. You might consider that. If you do an Internet search for “portamedic exam franchise” and “paramedical exam franchise,” you’ll come up with several company names, such as APPS and ExamOne. This likely would be the easiest way to get your business up and running, and it’s a good opportunity for a nurse.

If you don’t want to go the franchise route, then start talking to insurance agents who use portamedic companies. Ask their representatives what their companies need and want, what they like or dislike about the companies they currently do business with, etc. Doing so will help you find out what they are paying for the service so you can offer a competitive rate. You might even consider working for a while as an examiner for one of the companies to learn more about how they operate before starting your own business.

My best wishes,

About the Author:

Donna Cardillo
Donna Cardillo, RN, MA, CSP, is president of Known as The Inspiration Nurse, she is a keynote speaker, retreat and seminar leader, and author of "Your First Year as a Nurse: Making the Transition from Total Novice to Successful Professional" and "The ULTIMATE Career Guide for Nurses: Practical Advice for Thriving at Every Stage of Your Career." She brings more than 25 years of clinical, management and business experience to her role as career guru.


  1. Avatar
    Linda Anderson January 11, 2017 at 7:20 pm - Reply

    I would like to see how I might go about starting my own business doing insurance physicals and labs. I am a LVN

  2. Avatar
    Lisa Pitts January 13, 2017 at 12:26 am - Reply

    want to talk about starting my own paramedical company. i use to have a portamedic branch

    • Avatar
      Lisa Meinero February 11, 2017 at 5:05 pm - Reply

      I’m interested in your input on how to start a paramedical
      Business. I’ve worked for both APPS and Porta medic on and off for 19 years. I’d love your input on how to do this on my own. I’m tired of running around and making them money and would like to increase my income without franchising.
      Thanks for your suggestions and input in advance

      • Avatar
        Dana Jump February 27, 2017 at 4:17 pm - Reply

        I am interested as well.

    • Avatar
      Lisa Howard May 27, 2018 at 6:10 pm - Reply

      Would love to talk with someone about opening my own paramed exam company in Tennessee. I currently do exams and feel I could definitely open and operate my own office. Would love to talk to you Lisa Pitts since you have done this before!

    • Avatar
      Stephanie Scott April 24, 2020 at 6:56 pm - Reply

      Love to talk

  3. Avatar
    BRENDA R RODRIGUEZ October 4, 2017 at 9:07 pm - Reply

    would like steps on opening paramed company in houston

  4. Avatar
    Chris P March 28, 2018 at 2:42 pm - Reply

    Yes – would love the opportunity to start my own paramedical company.

  5. Avatar
    Hemaxi Patel August 1, 2018 at 11:43 pm - Reply

    I have 18 + years of phlebotomist experience with pediatric to geriatric patient and with Medicare and Medicaid patients and all other insurance + I can do pre employment Urine drug screen and EKG as well , spin down serum too, I can take vital, pulse, blood pressure, Height and weights and being 18 + years of experience I like to open up my own business or independent contractor so but I don’t know what I need to do and I am certified phlebotomist also. How can I start ? Or what I need to do?

  6. Avatar
    Veronica Madison August 13, 2018 at 7:52 pm - Reply

    I am very interested in starting my own national paramedical exams company. Unfortunately, I need some help on how to go about doing so. I am certified nurse technician. I know I can do this. Thank you for your guidance

  7. Avatar
    Denise Potter January 18, 2019 at 1:48 pm - Reply

    Wanting info on how to start my own paramed business

    • Avatar
      ryan January 22, 2019 at 9:31 am - Reply

      Hi Denise,

      Shoot me an email, I can help you start your own paramed business

      • Avatar
        Essie March 6, 2019 at 8:11 pm - Reply

        Ryan I am in Rochester NY and would like more help on opening my own Paramed business. please email me at [email protected].
        Thanks in advance.

      • Avatar
        Kevin August 16, 2019 at 5:14 pm - Reply

        @ryan, I would like to know more also

      • Avatar
        Chavez L. September 5, 2019 at 6:20 pm - Reply

        Hello Ryan,
        I am interested as well in opening my own business. Will you please inform me with more information?

      • Avatar
        Daphne November 12, 2019 at 5:07 am - Reply

        Hi Ryan,

        Im interested in starting a paramed business, please email me at [email protected].


      • Avatar
        Connie Miller April 9, 2020 at 8:49 pm - Reply

        Hey Ryan,
        I’m interested in starting my own paramed business in TX and possibly CA. Can you email me back with information and/or guidance to [email protected]

      • Avatar
        shelah Layton July 6, 2021 at 8:45 am - Reply

        Hi Ryan! Im interested in knowing more as well. Please email me. [email protected]

      • Avatar
        Shandah July 9, 2021 at 7:34 pm - Reply

        Hello Ryan, I am currently a paramedical examiner working for Examone in Delaware. I would like to start my own business also, could you please help point me in the right direction. Please email me. I appreciate your time and look forward to your email, thank you.

      • Avatar
        Kelly March 12, 2022 at 4:18 pm - Reply

        Hi i have been an examiner for 15 years, for a very well known Company. I would like some information as well on becoming involved in my own paramed company.

      • Avatar
        Miecha December 6, 2022 at 11:58 am - Reply

        Hi Ryan,

        My sister and I would like to start our own paramed company as well [email protected]

  8. Avatar
    Teresa Rudik January 20, 2019 at 2:07 pm - Reply

    Denise The start up for a paramedical company would take too many steps to go through here! Franchises for some cities are available. APPS American Para Professional Systems Inc have been around since 1973 and provide tremendous support of their franchisee’s Good Luck

  9. Avatar
    Shirine January 29, 2019 at 11:23 pm - Reply

    I am a nurse and paramed examiner and would like to talk to someone about starting my own business or franchise.

  10. Avatar
    Rickey Luckett February 22, 2019 at 9:02 pm - Reply

    I am a phlebotomist and I do paramedical exams for one of the major paramedical conpanies. I would like to talk to someone about starting my own business.

  11. Avatar
    tona keller April 20, 2019 at 4:26 am - Reply

    I am in Texas
    I am interested in starting a paramedical company, I have extensive health care experience
    could you have someone contact me

  12. Avatar
    Takela Bugg July 24, 2019 at 10:13 pm - Reply

    Wanting info on how to start my own paramed business been in the medical field for 15 year help please

  13. Avatar
    Lisa Prince October 1, 2019 at 1:02 pm - Reply

    I would like to get more info on how to start my on Paramed business. I have been doing these insurance exams for about 12years now, I am a Certified Medical Assistant.. I just want to work for me! Please help

  14. Avatar
    DeeDee Taylor November 29, 2019 at 12:25 pm - Reply

    I would love to start my own paramed business in North Carolina, a non franchise business. I’m not sure how to become accredited with insurance companies and to get paid by them. Can someone give me some advice on how to do this. Thank you!

  15. Avatar
    Hasmik Azaryan June 22, 2020 at 8:51 pm - Reply

    Hi my name is Hasmik I am interested in opening up my own paramedical business my email is [email protected] I need help or info how to start thank you

  16. Avatar
    Chavez May 6, 2021 at 5:32 pm - Reply

    I am interested in starting my Own business and I’m a paramedical examiner.

  17. Avatar
    Michelle July 3, 2021 at 11:12 pm - Reply

    Hi Ryan,

    I am an established Paramedical examiner with my own clients. I do very well, very well. I have an offer to buy out a Portamedic business but I dont know if that’s necessary because of how well I do. Please give me some advice.

    Thank you kindly,

  18. Avatar
    ORZEALYEA CAVIL July 6, 2021 at 7:20 am - Reply

    Hi Ryan,
    My name is Orzealyea and I am interested in learning how to open my own paramedical company,

  19. Avatar
    Yvonne January 24, 2022 at 1:36 pm - Reply

    Hi Ryan,

    My name is Yvonne and I am interested in learning how to open my own paramedical business. Please give me some advice.

  20. Avatar
    Monte M November 21, 2022 at 12:55 pm - Reply

    Hi Michelle, I would like to know how you found your clients.

  21. Avatar
    Bonnie S January 31, 2023 at 10:29 am - Reply

    I am a mobile examiner. I would like to start my own business, but want to make sure it would be worth it.

  22. Avatar
    Marco A Ortiz Ramirez February 21, 2023 at 1:25 pm - Reply

    Hello Lisa,

    I would love to talk to you about how to get started. I currently work for a paramedical company. Please any assistance is greatly appreciated.

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