The Work.
Eighteen years of connecting ad spend to seated procedures. Here's the proof.
Paid search restructure for a medical group
A multi-location medical group was overspending on generic paid search campaigns with poor conversion rates.
Their existing agency was optimizing for clicks rather than scheduled procedures, resulting in high patient acquisition costs and low ROI on a massive ad spend.
- —Restructured the entire Google Ads account to focus on high-margin procedure intent.
- —Implemented exact-match silos to eliminate wasted spend.
- —Integrated EHR data to track actual bookings, not just form fills.
- —Developed dedicated landing pages with clear conversion paths.
"The transparency we have now is staggering. We finally know which keywords actually turn into surgeries, not just phone calls."
Programmatic SEO build
A regional specialty practice needed to dominate local search across 50+ service areas without paid ads.
They were invisible for 'near me' procedure searches, losing consistent organic patient volume to national competitors with stronger domains.
- —Built a programmatic SEO architecture covering every service and location combination.
- —Created medically accurate, structured content for each condition.
- —Implemented local schema markup across all pages.
- —Optimized internal linking to pass authority to key conversion pages.
"We spent years trying to rank for our core procedures. This approach blanketed the region in 6 months."