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How a concierge medical practice spending $8,000 per month on Google Ads with poor ROI uncovered the real reasons behind high costs and low-quality leads.
The four critical problems that were quietly killing performance: broad match chaos, negative keyword overload, automation traps, and geographic waste.
The ZIP-code based targeting framework that focused budget on proven patient areas instead of spraying ads across the entire state.
How switching to high-intent phrase-match keywords and trimming 18,000+ negative keywords down to fewer than 500 created control without blocking good searches.
The “smart bid strategy” that dropped average CPC from $7.68 to $3.20 while growing monthly clicks from 700 to 1,650 and impression share from under 15% to 68%.
Why lead quality improved so dramatically and how that translated into better patients, not just more clicks.



Concierge physicians who suspect they are overspending on Google Ads
Practice owners who are not sure which keywords, locations, or campaigns are actually working
Office managers or marketing staff who inherited a messy Google Ads account and want a proven roadmap
Any concierge practice that wants higher-quality patient inquiries without automatically increasing ad budget
"We went from spending $8,000 a month with poor results to spending half that amount and getting more than double the qualified leads. The difference has been transformational for our practice."
- Concierge Medicine Practice Owner

This is not theory. It is a detailed breakdown of what changed inside one real Google Ads account and how those changes produced measurable savings and better patients.
Download the case study now and review the full breakdown of spend, clicks, cost per click, and lead quality improvements. Once you have gone through it, you will know exactly what to look for inside your own Google Ads account.