Case Studies

Outcomes that show up on the consultation schedule.

Each case study below documents a real engagement, what the practice looked like at the start, where the consult funnel was leaking, what we changed, and what changed for the business. Analytical, not testimonial.

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Published Case Studies

What changed, and how it changed.

A small set of detailed, public engagements. Many more are confidential at client request.

Plastic Surgery · Multi-Location

How a multi-location plastic surgery group increased qualified consultations by 510% in six months.

The four-location plastic surgery group was spending $28K/month on Google and Meta Ads with flat consultation volume — the budget wasn't the problem, the system was. We rebuilt campaigns at the procedure level, built four procedure-specific landing pages, and connected tracking to actual booked consultations. Qualified surgical consultations grew 510% in six months at the same ad budget.

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Qualified Consultations

+510%

Return on Ad Spend

7.0×

Cost per Consultation

−42%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Orthopedic Surgery · 14-Provider Group

How a 14-provider orthopedic group built 120+ monthly consultations and fully absorbed 3 new providers in 8 months.

The practice was adding surgeons faster than referrals could consistently fill schedules. We implemented SEO, Google Ads, landing pages, and conversion tracking tied to booked consultations. Within 8 months, the practice was consistently generating enough patient demand to support the expanded provider team.

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Monthly Qualified Consultations

120+

Show Rate

+38%

Organic Consultation Volume

+94%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Med Spa · 11-Location Cash-Pay Group

How an 11-location med spa group sustained a 3.1× return on ad spend and grew booked consultations by 62%.

The 11-location med spa group had inconsistent results across markets, with each location running different programs and no portfolio-wide standard. We rebuilt the creative with a compliance-first approach, shifted to conversion-objective campaigns, and built treatment-specific landing pages for each market. The group now sustains 3.1x ROAS across all 11 locations with consistent booked-consultation volume.

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Sustained Return on Ad Spend

3.1×

Booked Consultations

+62%

Patient Acquisition Cost

−31%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Vascular · Minimally Invasive Knee Pain

How a vascular practice generated 80+ qualified leads at $10 CPL by owning the alternative-to-surgery position.

The vascular practice offered a non-surgical alternative to knee replacement but couldn't compete with orthopedic practices on 'knee pain' search ads. We built a Meta campaign targeting patients who had already been told they need knee replacement, with creative speaking directly to patients looking for an alternative. The campaign now generates consistent qualified consultation volume from a niche audience that paid search couldn't reach efficiently.

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Qualified Leads

80+

Cost Per Lead

$10

Return on Investment

9:1

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

ABA Therapy · Digital Patient Acquisition

How an ABA therapy clinic replaced referral dependency with a system that produced 120+ leads in 90 days.

The clinic had a strong word-of-mouth reputation but no marketing infrastructure and no visibility into where families were coming from. We implemented Google Ads, Meta Ads, CRM follow-up workflows, and HIPAA-conscious conversion tracking. Within 90 days, the practice had predictable monthly family intake and clear visibility into which channels were producing patients.

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Qualified Leads

120+

Cost Per Lead

$28

Monthly Family Intakes

25-30

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Dental · Positioning & Paid Acquisition

How a dental practice moved from 1.5% conversion to 10%+ by getting out of the 'dentist near me' auction.

The clinic was competing against every nearby dental practice on commodity 'dentist near me' searches, with rising costs and inconsistent lead quality. We repositioned the practice as a long-term family dental home and rebuilt the Google Ads, landing pages, and messaging around that audience. Cost per lead dropped 300% and the practice now operates at a 15:1 return on ad spend.

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Conversion Rate

1.5%→10%+

Cost Per Lead

−300%

Return on Investment

15:1

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

GLP-1 Telehealth · Google Ads

How a national GLP-1 telehealth practice generated 200+ new patients at $22 CPL in 60 days.

The practice wanted to compete in the GLP-1 weight-loss space, but Google's pharmaceutical advertising restrictions block most healthcare providers from running compliant campaigns at all. We secured LegitScript certification, built intent-tiered Google Ads, a trust-optimized landing page, and ad copy written within Google's pharmaceutical guidelines. The practice became one of the few telehealth providers running compliant, profitable GLP-1 patient acquisition at scale.

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New Patients

200+

Cost Per Lead

$22

Return on Ad Spend

8:1

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Med Spa · Columbus, OH

How a Columbus med spa produced a 50% increase in patient volume by isolating campaigns at the procedure level.

The med spa was running blended ad campaigns that hid which treatments were profitable and which were losing money. We isolated each procedure into its own campaign with dedicated landing pages, ad copy, and bid strategies. ROAS now ranges from 2x to 6x by procedure, letting the practice scale what works and stop spending on what doesn't.

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Patient Volume

+50%

New Patients / Month

20–30

Monthly ROI

$10K–$20K

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Spine Surgery · Google Ads + Attribution

How a spine surgery practice produced $646,289 in attributable revenue at 12:1 ROI in 12 months.

The spine surgery practice had run with a general healthcare agency for 18 months but couldn't connect ad spend to actual surgical revenue. We restructured Google Ads around surgical intent keywords, built revenue attribution from keyword to surgical case, and shifted optimization from form fills to booked consultations. The practice now ties every marketing dollar to attributed surgical revenue with clear ROI by campaign.

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Attributable Revenue

$646,289

Return on Ad Spend

12:1

Intent Structure

3 tiers

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Plastic Surgery · Bogotá, Colombia

How a plastic surgeon in Bogotá produced $40,000 in international revenue in two weeks at 30:1 ROI.

The surgeon wanted to attract US and Canadian patients but the existing brand didn't communicate the philosophy that differentiated the practice. We led with brand alignment, then rebuilt the website around it, and only then launched advertising across Meta and Google. The practice produced $40,000 in international revenue within the first two weeks at 30:1 ROI.

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International Revenue

$40,000

Return on Investment

30:1

Surgeries Booked

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Facial Plastic Surgery · Mexico

How a facial plastic surgeon in Mexico produced $400,000 in international revenue from 5 countries at 10:1 ROI.

The surgeon wanted to attract international facelift patients but had no content depth or international visibility to capture the long research cycle these patients run before booking. We published seven SEO posts per month for eight months, optimized procedure pages for international search intent, and layered Google Ads on top. The practice generated $400,000 in international patient revenue from five countries at 10:1 ROI.

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International Revenue

$400,000

Return on Investment

10:1

Patient Countries

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Plastic Surgery · Landing Page Rebuild

How a plastic surgeon produced 510% more leads in 90 days while still under contract with another agency.

The practice's existing agency was underperforming but the surgeon couldn't get account access to audit or fix it. We built a parallel landing page and new ad campaigns that ran alongside the existing system without touching it. The new system produced 510% more leads within two weeks, giving the practice clear performance data and an obvious path forward.

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Lead Volume

+510%

Return on Investment

17:1

Inquiries in 14 Days

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Plastic Surgery · Trust-First Brand

How a plastic surgeon produced 12:1 ROAS in month one with a minimalist, trust-first digital build.

The surgeon wanted to attract higher-value patients but the existing brand and website looked like every other promotional plastic surgery practice. We rebuilt the brand and website around trust signals, refined design, and a non-promotional voice that answered 'why this surgeon' before the patient ever called. Revenue grew with higher-value patients arriving already aligned with the surgeon's positioning.

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International Patients

Return on Ad Spend

12:1

Annual Revenue Projection

+200%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Plastic Surgery · SEO-Only Build

How a plastic surgeon ranked #1 on Google and ChatGPT for breast procedures in Guadalajara without a dollar of ad spend.

The surgeon wanted to rank organically for high-value breast procedures without ongoing paid advertising spend. We built topical authority through consistent SEO content, technical optimization, and deep procedure pages across three breast procedure categories. The practice now ranks on Page 1 for those procedures and is cited by ChatGPT and Perplexity for related healthcare queries.

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Google · 3 Procedures

ChatGPT Citation

Weekly Patient Inquiries

5–10

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Orthopedic Surgery · Video-Led Acquisition

How an orthopedic surgeon closed the credibility gap and produced 24:1 ROI with video at the center.

The practice was booking consultations but losing too many patients between the consultation and the procedure decision. We built a video advertising program where the surgeon explained his approach in 60–90 second segments, ran across Meta and YouTube to in-market patients. Consultation-to-procedure close rate improved measurably, with patients arriving already aligned with the surgeon's philosophy.

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Return on Investment

24:1

Surgical Bookings / Month

3–5

International Patients / Month

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Plastic Surgery · Meta Ads + Landing Page

How a plastic surgeon turned an Instagram audience into 10–15 weekly inquiries in 30 days.

The surgeon had four months of strong Instagram brand-building but no website to convert that audience into inquiries. We built a high-converting landing page in two weeks and launched Meta retargeting against the existing follower base alongside Google Ads on procedure searches. The practice now generates 10–15 weekly inquiries with positive ROI inside 30 days.

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Weekly Inquiries

10–15

Inquiries at Day 14

Time to Positive ROI

< 30 days

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Compounding Pharmacy · Houston, TX

How a compounding pharmacy with no ad history produced 20-30 calls per week at 11:1 ROI in 60 days.

The pharmacy had no functional website or patient acquisition system to support its compounding services. We built an SEO-ready website, local SEO targeting high-intent compound searches, and Google and Meta campaigns reaching both patients and referring providers. Within 60 days, the pharmacy was generating 20–30 weekly inquiries at an 11:1 return on ad spend.

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Inbound Calls / Week

20-30

Return on Ad Spend

11:1

Organic Traffic

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Multi-Doctor Network · Agency Build

How a 20+ doctor network reached $40K/month in managed ad spend and 75% organic growth in six months.

The multi-doctor network needed to scale acquisition across 20+ providers in multiple specialties without making each doctor a one-off project. We built individual websites, procedure-specific landing pages, per-doctor CPL benchmarks, and a documented onboarding system for new providers. The network now runs $40K+/month in ad spend with 75% organic traffic growth and standardized per-doctor performance reporting.

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Doctors Onboarded

20+

Monthly Managed Spend

$40K+

Organic Traffic Growth

+75%

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Healthcare Consulting · B2B Acquisition

How a healthcare consulting firm cut CPL 66% before scaling from $4K to $40K per month in ad spend.

The healthcare consulting firm needed to scale revenue from $2M to $10M ARR but cost per lead was too high to profitably scale ad spend. We refined audience targeting, ran message testing across channels, and expanded paid campaigns across Google, LinkedIn, and Bing alongside an organic SEO program that grew traffic 418%. Cost per lead dropped 66% before spend scaled, supporting the path to $10M ARR.

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Cost Per Lead

−66%

Organic Traffic

+418%

Monthly Ad Spend

$4K → $40K

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Dental Tourism · Cancún

How a Cancún dental clinic produced 90+ monthly international leads at 10:1 ROI by building for trust before procedures.

The clinic wanted to attract US patients traveling for dental work but had no trust signals or international patient infrastructure online. We rebuilt the website with US-trained credentials, international testimonials, procedure-specific landing pages, WhatsApp contact, technical SEO, and procedure-targeted Google Ads. The practice now generates 1,500+ monthly international visitors and a steady flow of international patient inquiries at 10:1 ROI.

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Monthly Visitors

1,500+

Monthly Form Submissions

90+

Return on Investment

10:1

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Orthopedic Surgery · SEO + Brand

How an orthopedic surgeon went from near-zero visibility to page 1 for knee, hip, and shoulder surgery in eight months.

The surgeon ranked organically for procedures but website visitors weren't converting into consultations because the brand didn't align with what patients actually wanted from surgery. We built a brand platform around returning to movement and quality of life, then organized SEO, procedure pages, and content around that messaging. The practice now ranks on Page 1 for knee, hip, and shoulder procedures with 3,000+ monthly visitors converting into booked consultations.

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Monthly Visitors

3,000+

Local Rankings

Page 1

Primary Acquisition Channel

Organic

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Orthopedic Surgery · Site Recovery

How an orthopedic surgeon recovered from a deleted website to #1 rankings and his best revenue year ever.

The previous agency deleted the practice's website as leverage during a contract dispute, leaving zero web presence overnight. We deployed an emergency landing page within days to keep paid ads running, then launched a full SEO-first rebuild within two weeks. The practice now generates +2,000% traffic, #1 rankings on four procedures, and a 20:1 return on marketing investment.

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Website Traffic

+2,000%

Local Rankings

Return on Investment

20:1

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Urology · Cancún · International Patients

How a Cancún urologist replaced referral dependency with 5,000% traffic growth and patients from 5+ countries.

The Cancún urologist relied on local referrals and had no online visibility for international or Spanish-speaking local patients. We built a bilingual SEO architecture with procedure-specific pages for English-speaking international audiences and Spanish-speaking locals. Organic traffic grew 5,000% with patients now arriving from five countries at 20:1 ROI.

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Website Traffic

+5,000%

Monthly Visitors

4,000+

Patient Countries

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

Urology Clinic · Brand Expansion

How a urology clinic produced 400% traffic growth in six months by expanding the brand to match its actual services.

The clinic was clinically capable across urology, but its brand and website only communicated prostate care, blocking female, incontinence, and oncology patients from ever finding the practice. We rebranded, rebuilt the website with segmented patient journeys, added dedicated procedure content, expanded SEO into new keyword categories, and ran paid advertising per new patient demographic. Traffic grew 400% in six months with consistent flow across every previously invisible service line.

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Website Traffic

+400%

Consistent Patient Flow

All Lines

Female Patient Growth

Significant

Outcome focus

Booked consultations, show rate, cost per consult, provider utilization.

What These Demonstrate

A pattern, not luck.

The structures behind these outcomes repeat across our engagements. Different specialties, similar mechanisms.

Procedure-level campaign architecture.

Generic campaigns get replaced with procedure-specific ad groups, audiences, and landing pages, patients searching for rhinoplasty don't land on a general cosmetic page.

Tracking tied to consultations, not clicks.

GA4, GTM, CRM, and call tracking are wired into a single attribution model. We optimize off booked consultations, not vanity metrics that don't predict revenue.

Conversion infrastructure that catches inquiries.

Landing pages, intake handoff, and follow-up systems are built to convert qualified inquiries into attended consults, usually the highest-leverage layer in the funnel.

Ready to talk?

If your situation looks like one of these, let's compare notes.

The strategy call is the same regardless of where you are. We diagnose the consult funnel, share what we'd change in the first 30 days, and follow up in writing.

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