• Healthcare
• Google Ads
• Brand

A chiropractic practice cut cost per lead by 89 percent.

The account was spending steadily and producing almost nothing. Three conversions in January. Four in February. Zero in March, on the highest spend month of the quarter. The practice was paying roughly two hundred dollars every time someone raised a hand.

What I diagnosed

The keyword structure was pulling broad, low intent traffic, and the campaign had no way to tell someone looking for a chiropractor from someone researching back pain. Spend was going up while relevance was going down. This was not a budget problem.

What I changed

The takeaway

Spend went up 29 percent. Conversions went up eleven times over. The account was never underfunded, it was pointed at the wrong people.

• Legal
• Technical SEO
• Local visibility

A trial law firm tripled organic impressions and now owns its own name.

The firm was well established and effectively invisible in search for its own attorneys. Its name was written differently across the website, the Google Business Profile, directory listings, and every social account. Search engines had no consistent signal to attach authority to.

What I diagnosed

An entity consistency problem, not a content problem. When a firm is named four different ways across the web, search engines treat it as ambiguous and give the authority to somebody else. The fix costs almost nothing and is invisible on any dashboard until it works.

What I changed

The takeaway

Some of the highest return work in marketing is unglamorous cleanup. This firm did not need more content. It needed search engines to be certain who it was.

• Healthcare
• Multi location
• Google Ads
• CRM

A multi location senior living operator went from $912 a lead to $161.

Several communities running through a single shared ad account with no location level structure. Broad match keywords were pulling searches for anything adjacent to senior care, so staff were fielding calls for services the business does not offer. Conversion tracking was firing on actions that were not leads.

What I diagnosed

The account was structurally incapable of producing a clean lead. Wrong match types, no negative keyword discipline, no location separation, and a conversion signal that meant nothing. Each of those problems made the others worse.

What I changed

The takeaway

The account was not underfunded. It was aimed at the wrong target. When the conversion signal is wrong, more budget just buys more of the wrong thing faster.

• Healthcare
• CRM buildout
• Launch SEO

A naturopathic practice went from position 44 to position 6 in one month.

A solo practitioner running the entire patient journey manually. Intake, lab result tracking, booking, and follow up lived across email, paper, and memory. The web presence was new enough that search engines had barely acknowledged it: 490 impressions and an average position near 45.

What I diagnosed

Not a marketing problem first. A capacity problem that marketing would have made worse. Generating leads into a manual process would have degraded the experience for the patients already there. The system had to come before the traffic.

What I changed

The takeaway

Sometimes the right first move is not more leads. It is building something capable of holding the leads you already get.

• Healthcare
• Google Ads
• Conversion tracking

A medical aesthetics practice cut 96 percent of its traffic and multiplied its conversion rate.

In June the account delivered 110,603 impressions and 3,538 clicks. It produced two conversions, a rate of six hundredths of one percent. The dashboard looked busy and the schedule stayed empty.

What I diagnosed

The account was buying enormous volumes of unqualified attention, and conversion tracking counted online booking completions when the overwhelming majority of this practice real business arrives as an inbound phone call. Every optimization decision made from that data was a guess.

What I changed

The takeaway

Traffic is not a result. Before you optimize anything, make sure you are counting the thing that actually pays you.

• Local service
• Website build
• LinkedIn

A commercial drone services operator went from no web presence to indexed and growing.

An experienced operator with real credentials and nothing online. Every job came through word of mouth, which meant growth was capped by how many people he could personally talk to.

What I diagnosed

Nothing was broken. Nothing existed. The right first move was a small, correct footprint rather than a content program he would abandon by month two.

What I changed

The takeaway

Small numbers, honestly reported. This is what month two of a new site looks like. Anyone showing you thousands of visits in the first sixty days is showing you bots.

Want to know what your numbers actually say?

Fifteen minutes. Share your Google Ads or Search Console and I will tell you what I see, whether or not we end up working together.