Yournextcustomeris
alreadysearching.

Challenge

The clinic struggled to attract new patients in a saturated local market dominated by hospital networks. Ad spend was generating clicks but few qualified phone calls, and the team needed to grow appointments without inflating CPL.

Approach

• Built custom audiences by income band, age (25–65+), and interest in diagnostic and health services
• Split campaigns into intent-driven Search and click-to-call ads to capture phone-first patients
• Wrote service-specific ad copy for MRI, CT, ultrasound, and X-ray queries
• Tightened geo-targeting to Bergen and Passaic counties to cut spillover spend

Results

3.45%

click-through rate on best-performing ad

76

high-quality phone calls from a single ad

8x

weekly leads from week 1 to week 4

Challenge

The contractor had tried Google Ads with targeted keywords and audiences but was generating leads at a CPL their margins couldn't support. Volume was too thin to keep crews booked through quieter months.

Approach

• Restructured Search campaigns around the contractor's most profitable services
• Rewrote ad copy to qualify intent and pre-filter low-fit clicks
• Layered Performance Max for broader reach once Search was profitable
• Switched to automated bidding tied to lead conversions, not clicks
• Adjusted bids and budgets monthly around the seasonality of renovation demand

Results

$24

final cost per lead

3.46%

click-through rate

$9,961

total ad spend across 21 months

Challenge

The spa was generating very few leads and CPL was unsustainable at $239. Keyword targeting was too broad and Search Term reports showed budget bleeding into irrelevant queries.

Approach

• Rebuilt keyword lists around high-intent medical weight loss and hair-care queries
• Mined Search Term Reports weekly to add negatives and cut wasted spend
• Tested manual CPC, then transitioned to automated bidding once conversion data stabilized
• Expanded audience targeting in measured phases instead of broad-matching everything at once

Results

$239 → $54

cost per lead, month 1 to month 3

16

leads in 3 months on a $500/mo budget

6.77%

campaign click-through rate

Challenge

Strong reputation locally, but Google Ads was producing inconsistent lead volume and a CPL that made scaling unattractive. The client needed dependable, qualified phone calls — not just clicks.

Approach

• Segmented Search and call-only campaigns by service line (pest, weed, termite, rodent)
• Built ad copy around urgent, action-led CTAs like "Call us now"
• Refined audience targeting after analyzing which services and times converted best
• Layered automated bidding once enough conversion data was in the account

Results

$133 → $47

CPL, first 4 months vs. final 4 months

98

total leads at 7.58% CTR

$10.73

average cost per click

Challenge

The hospital had a strong clinical reputation but couldn't translate it into a steady online intake. CPL was high relative to the budget, and lead quality was uneven.

Approach

• Built service-specific Search campaigns around diagnostic, therapy, and TMS queries
• Wrote ad copy with clear "Apply Now" and "Request Appointment" CTAs
• Refined audiences continuously based on which intake forms actually converted to consults
• Migrated to automated bidding once enough conversion volume was available

Results

$17 → $11

CPL, year 1 to year 2

8.24%

campaign click-through rate

$4.38

average cost per click

Challenge

Keyword and audience targeting was technically correct, but ad copy and bidding weren't pulling their weight. CPL needed to drop sharply before the campaign could scale.

Approach

• Rewrote ad copy iteratively against live performance data
• Split Search into website-visit and direct-call intents
• Implemented automated bidding tied to lead conversions
• Adjusted bids and creative for seasonal swings in renovation demand

Results

$24

cost per conversion

$9,961

total spend over 21 months

4.5x

lead growth from months 1–4 to months 13–18

Challenge

The clinic needed leads who could afford a high-ticket procedure, while broadening its demographic mix. Generic Facebook lead ads weren't sorting tire-kickers from real consult-ready prospects.

Approach

• Targeted higher-income segments inside the clinic's metro area
• Produced descriptive videos featuring the clinic's surgeon to educate and pre-qualify
• Used Messenger ads so the sales team could converse and book in real time
• Pushed special pricing offers through static conversion ads with action-led copy

Results

17.80%

click-through rate

$0.37

average cost per click

3,700

people reached on a $350/mo budget

Challenge

The owner wanted homeowner leads who could become repeat customers — not just one-off bookings. Early static ads weren't delivering the volume or CPL needed to fill the route.

Approach

• Researched and tested homeowner audiences across the target ZIPs
• Built remarketing and lookalike audiences off early lead data
• AB-tested dynamic static creatives against regular static ads — dynamic won decisively
• Iterated on creative weekly based on cost-per-lead by audience segment

Results

$40 → $21

CPL from month 1 to month 2

1,140%

month-over-month lead growth in month 2

20 mi

targeting radius around Fredericksburg

Challenge

The client needed two distinct lead types — homeowners and commercial property owners — without doubling the budget. Cold traffic alone wasn't converting at a sustainable CPA.

Approach

• Seeded a lookalike audience from existing customer data and warm leads
• Retargeted website visitors with creative tuned to insulation-specific objections
• Layered cost-per-click optimized custom audiences for cold prospecting
• Used native lead form ads to remove friction for service-area homeowners and businesses

Results

10x

lead growth from week 1 to week 4

1.36%

click-through rate

77,478

impressions in the target service area

Challenge

The cleaning sector is dominated by national brands and aggregator sites. Our client had a strong reputation offline but couldn't break into the first page for the keywords that actually drove bookings.

Approach

• Ran a full SEO audit and prioritized fixes by traffic impact
• Optimized on-page content around residential, commercial, and move-in/move-out cleaning intent
• Tightened site structure and internal linking for better crawl and UX
• Built a steady backlink program to grow domain authority
• Published recurring blog and service-page updates to keep the site active

Results

100 → 1

rank for "cleaning service app"

0.3% → 0.5%

organic click-through rate

8

high-intent keywords ranked in the top 6

Challenge

The clinic offered top-tier procedures but ranked nowhere for the searches patients actually used. Low impressions meant low traffic and a thin pipeline of consult requests.

Approach

• Researched and mapped procedure-level keywords (breast reduction, tummy tuck, mommy makeover, gynecomastia)
• Built service pages and educational content to establish surgical authority
• Optimized the Google Business Profile and standardized NAP across directories
• Drove review velocity from existing patients to lift local rankings
• Shipped technical fixes — speed, mobile, broken links, indexing, schema markup

Results

+61%

growth in organic website traffic

100 → 1

rank for "best breast reduction surgeons near me"

9

high-intent keywords now ranking on page one

Challenge

Strong field reputation, near-zero digital presence. The site ranked poorly for the exact safety queries that drive emergency and B2B inquiries.

Approach

• Produced expert-led blogs and service pages around fire safety, sprinklers, and alarm install
• Earned backlinks via guest posts and local business collaborations
• Resolved technical debt — page speed, broken links, indexing coverage, schema markup
• Optimized geo-targeted pages for Anaheim and surrounding service zones

Results

+59%

growth in organic website traffic

59 → 3

rank for "fire alarm installation company near me"

7

primary keywords now ranking #1