A medical practice Google now quotes by name.

• Four offices competing for the same searches, with no clear picture of which office or channel produced which calls.
• Review volume had dropped to roughly half its earlier pace after batched review requests stopped.
• The paid landing page buried the form at the bottom of a very long page, with a chat popup covering the headline on mobile.

1. Ongoing
   Clinical content library

   Plain-English condition and treatment articles, written for patients and structured so search engines and AI answers can cite them.

2. 2026
   Local search by office

   Google profile work and grid scans for each office, so every location competes for its own neighborhood.

3. 2026
   Call and form tracking

   Every call and form lands in the CRM tagged by source (organic, paid, chat), with no clinical data in any ad platform.

4. Oct 2026
   Paid landing page rebuild

   Form above the fold, mobile-first layout, real proof, and connected-call tracking instead of tap counts.

• Organic search clicks up 83% year over year for the summer months, with average position improving from the high 30s to single digits.
• In July 2026, 510 organic calls came in from Google, before any ad spend.
• Riverhead now shows up across almost the whole grid for "spine surgeon" (visibility 61% → 99%).
• Commack's wider-area visibility for "spine surgeons" nearly tripled in one month.

Sources: Google Search Console (Feb 2026 excluded for a non-human traffic spike), CRM call tags, map grid scans. Call counts include existing patients. No patient information is used in this story.