Your ad budget shouldn't be
funding their legal fees.
We extract orthopedic, dermatology, and dental practices from keyword auctions they were never meant to enter — and rebuild campaigns around patients who actually book.
Account Audit — Q3 2024
Orthopedic Associates
of Northern Virginia
Cost Per Lead
$312
avg. 30-day
CTR
1.4%
search network
Conv. Rate
2.1%
landing page
Monthly Lead Volume
$28,400 monthly ad spend competing against 14 personal injury law firms on "knee surgeon near me"
Live Dashboard — Current
Orthopedic Associates
of Northern Virginia
Cost Per Lead
$41
avg. 30-day
CTR
4.7%
search network
Conv. Rate
8.3%
landing page
Monthly Lead Volume
87% reduction in cost-per-lead. Same $28,400 budget. Zero wasted impressions on legal queries.
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Case Exhibits · Gallery Walk
Evidence accumulates.
So does conviction.
Four practices. Four different specialties. One methodology. Scroll through the exhibits — each one is a framed result, typeset like a journal figure.

Search Impression Share Recovery
Impression Share
from 18% baseline
After restructuring match types and adding 340 negative keywords, impression share climbed from 18% to 91% over 6 months without increasing budget.
¹ Campaign period: Jan–Jun 2025. Google Ads search network only. Budget held constant at $14,200/mo.

Call Tracking Heatmap — Appointment Calls by Hour
Appointment Calls
in 45 days
Reallocating 68% of budget to the 7–9 AM and 3–6 PM windows — when parents call during school drop-off and pickup — tripled appointment-booking calls within 45 days.
¹ Data aggregated across 3 Austin locations. Call recordings verified by front-desk staff. Period: Feb–Apr 2025.

Landing Page A/B Test — Consultation Form
Form Completions
Variant B vs. Control
Variant B replaced generic "Book a Consultation" with procedure-specific pages for rhinoplasty, blepharoplasty, and abdominoplasty. Winner circled below.
¹ A/B test run for 28 days. Statistical significance: 97.4%. Variant B declared winner at 2,200 sessions per variant.

New Patient Acquisition — 12-Month Trajectory
New Patient Calls
YoY growth
After the in-house coordinator departed, PearlPath was running 7 campaigns with overlapping geo-targets and no conversion tracking. Full rebuild delivered 180% growth in new patient calls.
¹ Baseline period: 6 months pre-engagement. Growth measured against same-period prior year. Budget increased 22% at month 4.
Specialties We Serve
Your auction is different.
Your strategy should be too.
Orthopedic Surgery
↳ Competing against PI lawyers on joint-replacement queries
Dermatology
↳ "Botox near me" auctions flooded by med spas
Plastic Surgery
↳ Generic landing pages converting at 2% or less
Multi-Location Dental
↳ Overlapping geo-targets cannibalizing each other
Pediatric Dental
↳ Running ads 24/7 when parents only call at school hours
Cardiology
↳ 18% impression share — invisible to patients who need you
The Audit Process
Three steps from bleeding budget to booking patients.
Keyword Triage
We pull your last 90 days of search term reports and map every query that triggered your ads. Typically 40–60% of spend is leaking to queries that cannot convert to appointments.
Specialty Restructure
We rebuild your campaign architecture around procedure intent, not broad match guesses — separate ad groups for each service line, with landing pages that match the query, not your homepage.
Conversion Calibration
Call tracking, form submissions, and appointment confirmations all flow into a single attribution dashboard. You see exactly which keywords book patients, not just generate clicks.
The Healthcare PPC
Benchmark Report
Industry CPL benchmarks by specialty, impression share norms, the 12 most-wasted keyword categories in medical PPC, and the exact campaign structure we use for each specialty. Updated quarterly with real account data.