Let's TalkLet's TalkEnquiries answered inside a minute and tracked to a booked consult, because the constraint in most practices is the response time rather than the lead volume.
Send us 90 days of call logs and form submissions. We will find every enquiry that went unanswered past five minutes, price it at your own average treatment value, and send you the total. It is usually the largest single number in the practice, and it is almost never in anyone's report.
Local conditions that change the plan, rather than the state name pasted into a template.
Texas has the highest uninsured rate in the country, and that changes patient acquisition rather than just complicating it. A larger share of enquiries arrive expecting to pay directly, which favours cash-pay procedures and makes financing a first-conversation topic rather than a closing one. Campaigns built for an insured population under-perform here for reasons that have nothing to do with the creative.
Houston, Dallas-Fort Worth, San Antonio, Austin and El Paso differ enough in cost per lead and competitive density that a statewide budget averages them into a figure describing none of them. Austin runs expensive relative to patient volume; San Antonio is consistently the best value of the large metros. A single state-level target quietly overspends in one and underfunds another.
Outside the metros, a Texas practice draws patients from a radius no city-based targeting setting describes. A clinic in Lubbock, Midland or Tyler competes across a catchment measured in hours, and patients will travel for a procedure they would not travel for a check-up. Targeting by city limits leaves the most willing patients unreached.
The board that governs your advertising depends on the licence you hold, not only on the state. These are the rules that bite in Texas.
Texas requires the physician to retain a recording or copy of any advertisement for two years from the last date it was communicated. Practically nobody does this, and practically no agency sets it up. It costs nothing and it is the difference between a complaint you can answer with a dated archive and one you cannot answer at all.
Under Texas rules the physician is responsible for the form and content of every advertisement for the practice, and is deemed to have reviewed and approved all of it. No agency agreement moves that exposure. It is the reason our compliance review happens before launch and in writing, so the person whose licence is attached has actually seen what runs.
The board prohibits advertising that is false, deceptive or misleading, and any statement about professional experience, competence or quality has to be supportable. That reaches ordinary marketing superlatives - best, leading, most experienced - which are the easiest words to put in a headline and the hardest to evidence if asked.
This is federal rather than Texas-specific, but it is where carelessness stops being a marketing problem. No pixel on a patient portal or anything behind a login, no condition names in URLs or forwarded form fields, and conversions sent server-side with personal data hashed. Both Meta and Google have enforced on health data specifically.
The same programme as everywhere, run against this state's rules.
The clinic group below is the closest thing we have to this market and it was not a Texas account - we would rather say so. What transfers is the mechanism: demand split by service line instead of one campaign across everything, and the conversion moved off the form fill onto the booked consult. Cost per lead fell 57% in two weeks, which is what made expansion from three states to twelve affordable rather than theoretical.
Read the full case studyYes, and more than most practices expect. A larger self-pay share means more enquiries arrive ready to pay directly, which favours cash-pay procedures and makes financing part of the first conversation rather than a rescue at the end. It also means insurance-led messaging - accepting your plan, in-network, covered by - speaks to a smaller slice of the market here than it would in most states.
Usually not the biggest one. Austin runs expensive relative to patient volume, and Houston and Dallas-Fort Worth have the deepest competition. San Antonio is consistently the best value of the large metros. But the honest answer depends on where your capacity is and what a patient is worth to you, and we would rather model that from your own numbers than recommend a metro from a benchmark.
Texas requires the physician to keep a recording or copy of any advertisement for two years from the last date it ran. In practice that means an archive of every creative, every landing page version and every piece of copy, with dates attached. We maintain it as part of the engagement, because it turns a board complaint from an unanswerable problem into a document you hand over.
On you. Texas rules make the physician responsible for the form and content of every advertisement for the practice and deem the physician to have reviewed and approved all of it. That is why our review happens before launch and in writing rather than after a rejection, and why we put the archive in place. It is a marketing review rather than legal advice, and it is written so your counsel can read it quickly.
You should. Texas distances mean a practice outside the major metros draws from a catchment measured in drive time rather than city limits, and patients travel further for procedures than for routine care. Targeting set to a city name leaves the most motivated patients unreached, which is one of the most common and cheapest mistakes to fix in a Texas account.
The full service, and the neighbouring states we cover.
Which metro, which procedures, and what you are running now. We will tell you honestly whether we can help, and what the board rules mean for it.