Local search, procedure pages, reviews and health advertising for practices across Los Angeles, measured in booked appointments rather than sessions.
Step through the path a new patient actually takes. Every stage has a common failure point, and most practices lose people at the second one.
Three things that don't apply to most other businesses.
Most patients choose before they reach your site. They see the map result, the star rating, the recent photos and how you reply to criticism, and that's the decision. A beautiful website behind a neglected Business Profile is a shop with a lovely interior and a dirty window.
Ad platforms apply extra rules to health advertising, on claims, before-and-after imagery, certification and how audiences can be targeted. Campaigns written without that in mind get rejected, or quietly limited, and the account never performs the way the projections said it would.
Patients call. If those calls aren't tracked to the campaign, page or search that produced them, the practice is making budget decisions on the fraction of enquiries that happened to arrive by form.
Five areas, in the order they usually need attention.
We work the Google Business Profile that feeds the map results: primary category matched to what you want to be found for, services listed individually, hours and insurance details current, and photographs that are recent. For a group, each site needs its own profile and its own page, or your locations compete with each other instead of covering more of the city.
Checked from each neighbourhood you draw patients from, not one city-wide average.
Patients search for a procedure or a symptom, not for a practice. One services page listing twenty treatments ranks well for none of them. Each procedure you genuinely want more of needs its own page answering what the patient is anxious about: whether they're a candidate, what it costs, what recovery looks like, who will be doing it.
Ratings move the map results and they move the patient. What works is a routine your front desk can actually keep up with, asking at the right moment, plus replies to the difficult ones written in a way that reassures the next reader without discussing anyone's care.
A steady trickle beats a burst, which platforms treat with suspicion anyway.
We build health campaigns inside the platforms' rules from the first draft rather than appealing rejections afterwards: careful claims, imagery that meets the platforms' rules, and targeting that doesn't rely on the sensitive categories they won't allow. Tight geography, a real negative keyword list, and a landing page about the procedure that was searched for.
Medical keywords are expensive, so waste shows up quickly.
Built to be approved first time, rather than appealed later.
Patients call rather than fill in forms, so the phone is where most of the value arrives and where most practices are flying blind. Calls are attributed to the campaign, page or search behind them wherever tracking reaches, form enquiries are counted once, and the monthly report shows which marketing produced appointments rather than how many people visited.
What we report is booked-appointment enquiries, not sessions.
Most of the enquiries, and usually the least measured.
Plastic surgery and med spas, dental practices, primary, urgent and concierge care, and specialist clinics including hair restoration, weight loss and fertility. The pattern is similar across them: local search decides who gets found, procedure pages decide who gets chosen, and the phone is where it lands.
Read-only access to your analytics, ad accounts and Search Console, manager access to your Google Business Profile because the work includes posts, photos, services and categories, and one person at the practice who can approve content and answer a clinical question when one comes up. That's usually an hour of someone's time in the first fortnight and very little after that.
Business Profile and tracking work can move within weeks, since it's mostly correcting and completing things. Competitive procedure rankings take several months, depending on the specialty and how much competition there is in your part of the city. Paid search produces enquiries much faster, which is often the right place to start.
Usually. Our developers build API integrations connecting the website to booking and CRM systems, so an enquiry reaches your schedule without anyone retyping it. If yours doesn't offer a way in, we'll tell you plainly rather than build something fragile around it.
No. Anyone quoting you a patient number before seeing your market, your capacity and your current tracking is making it up. What we commit to is measuring every enquiry honestly and showing you the leading indicators every month.
A free, independent review of your tracking, campaigns and search visibility, even if another agency runs them.
Rank in search and run Google and social campaigns that produce measurable results.
Get understood and cited by ChatGPT, Gemini, Perplexity and AI Overviews.
Tell us your specialty and the areas you draw patients from. You will hear back from the person who would actually do the work.