Let's TalkLet's TalkPatient acquisition that survives a compliance review - built for practices where a booked consult is worth four figures and a suspended ad account costs a month.
Most practices are not short of leads. They are short of answered leads. We take your last 90 days of ad spend and your call logs, work out how many enquiries went unanswered past five minutes, and put a dollar figure on it. No call required to receive it, and no obligation after it.
Four failures we see repeatedly in this vertical, and what each one actually costs.
A patient enquiry is worth the most in its first five minutes, and a front desk that is also checking in the waiting room cannot hit that window. We have watched practices spend $30,000 a month generating enquiries that go to voicemail, then blame the ads. The fix is not more budget - it is the response.
Meta forbids ad copy that implies knowledge of a personal health condition, and detailed health targeting is gone. An agency that writes "Struggling with acne?" will get the account restricted, and the practice loses a month of pipeline recovering it. Compliance is not paperwork here - it is uptime.
If the procedure is billed to insurance, the practice cannot attribute revenue to a lead, and every conversation about cost per lead goes nowhere. We work on cash-pay procedures for exactly this reason: when a consult converts to a $4,000 treatment, the maths is arguable and the budget decision is easy.
Every location has its own landing page, its own phone number and its own idea of a follow-up. You cannot tell which market is working because nothing is measured the same way twice. Standardising that is usually worth more than the media buying on top of it.
Business outcomes rather than dashboard metrics. None of these is a guaranteed number - where we do guarantee something, it is written into the offer above.
The real deliverables, not a list written to make a proposal look thicker.
Not the general agency pitch. The reasons that only apply to this kind of business.
A dental group, a med spa and a physical therapy clinic fail in different places - the front desk, response speed, the step from first visit to plan of care. Applying one healthcare playbook to all of them fixes the wrong thing in most. We find the real constraint for your specialty first, then build around it.
Each new market has its own competitors, its own demand and often a different state board. Duplicating a successful location's campaigns into a new market ignores all of that. We assess the market first and adapt the campaigns, which is slower than copying and far more likely to work.
For specialties where patients choose from the map results, profile work and reviews often deliver more than paid search, at a fraction of the cost. Where that is the case we say so and put effort there first, even though it reduces the media we would otherwise manage.
We read your last 90 days of spend, your call logs and your existing creative, and flag anything that would attract a restriction before it does. You get the unanswered-lead number whether or not you work with us.
One standardised funnel per procedure, conversion set to the booked consult, and tracking configured so no patient data reaches Meta or Google. This is the week that decides whether the reporting is trustworthy later.
Our AI chatbot answers every enquiry inside a minute, hands off to your team during hours, and holds the conversation outside them. This alone usually moves booked consults before any media change does.
A single location or state, with enough budget to reach significance. We would rather prove the funnel on one market than spread a test so thin it teaches nothing.
Once cost per booked consult holds, we add markets one at a time. That is how the clinic below went from three states to twelve without the cost per lead climbing.
The parts of this that come from having run it in this industry before rather than from running it well in general.
When each location names campaigns differently and defines a booked consult differently, group-level reporting becomes impossible to trust. A consistent structure across every site - accounts, stages, conversions - is what allows a group to see which locations are really performing.
A practice joining a group often arrives with duplicate listings, outdated profiles, an old website and conflicting information across directories. Cleaning that up is marketing work in its own right, and until it is done the new location underperforms for reasons no campaign can fix.
Group growth depends on recruiting clinicians as much as attracting patients, and prospective hires read the same reviews and websites patients do. A strong reputation makes both easier, so reputation work pays off twice in a growing group.
Patients judge a group by the reviews of the location they search, and a poor profile at one site affects perception of the brand everywhere. Monitoring reputation location by location - and fixing the weakest first - protects the group as a whole.
A multi-state clinic group came to us running in three states with a cost per lead they could not scale past. We rebuilt the funnels around the booked consult, moved the conversion event off the form fill, and cut cost per lead 57% inside two weeks - which is what made further states affordable. Eighteen months later they were running in twelve states at 500+ leads a day on $327K of managed spend.
Read the full case studyThe unanswered-lead number was the part that landed. We were spending well and losing half of it at the front desk, and nobody had put it in dollars before.
Two agencies before this got our ad account restricted. This one wrote the creative to the policy from the start, and we have not had a single restriction since.
They refused to report on impressions. Every review was booked consults against spend, which made the budget conversation with my partners a lot shorter.
Not with a promise that it will never happen - nobody can honestly make one. Automated review in health categories flags compliant ads as well as careless ones, and accounts do get restricted. What full compliance changes is what happens next. Every hook is framed as what the practice helps with rather than what the reader supposedly has, the targeting works on geography, intent and lookalikes because detailed health targeting no longer exists, and every creative batch has a documented compliance pass. So a restriction is appealed on the record and reversed. An account built carelessly has nothing to appeal with.
No tracking pixel goes on a patient portal or anything behind a login, no condition name appears in a URL or a forwarded form field, and no diagnosis data enters a conversion payload. Conversions are sent server-side with personal data hashed before it leaves. Both Meta and Google have run enforcement waves on health data specifically, and hashing is not a defence for collecting something you should not have sent at all.
Cash-pay procedures, because the practice can attribute revenue to a specific lead and the economics are arguable. That means dermatology and aesthetics, med spa, dental implants and orthodontics, plastic surgery, LASIK, fertility, hair restoration and weight-loss clinics. We do not take on addiction treatment, telehealth or pharmacy work - all three require LegitScript certification before Google will run the ads, which is a business project rather than a campaign.
Every enquiry gets a reply from our AI chatbot inside 60 seconds, at any hour. During opening hours it hands off to your team with the context attached; outside them it holds the conversation and books into your calendar. Medical front desks are not slow because anyone is careless - they are busy with the people already in the building. Automating the first minute is the cheapest improvement available to most practices.
Both, though the work is different. A single location is about cost per booked consult and the response time. A group is mostly about standardisation - eight locations running eight different funnels cannot be compared, so nobody knows which market deserves more budget. For groups, the first month is usually worth more in measurement than in media.
Booked consults against spend, and where your systems allow it, treatment revenue against spend. Not impressions, not reach, not cost per click. If a metric cannot be traced to a patient sitting in a chair, it belongs in the working notes rather than the monthly review.
The response-time change shows up in booked consults within two weeks, because it is operational rather than algorithmic. Media changes need a month to reach significance on most practice budgets, and market expansion is a decision you make once cost per booked consult has held steady for a few weeks. Anyone promising a scaled multi-state programme in month one is describing a spend increase, not a result.
Written for owners weighing this up, whether or not they work with us.
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No pitch deck, no discovery call you have to sit through. Tell us the situation and we will tell you whether we can help.