- 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.
- 2025 to 2026Clinical content library
Plain-English condition and treatment articles, written for patients and structured so search engines and AI answers can cite them.
- 2026Local search by office
Google profile work and grid scans for each office, so every location competes for its own neighborhood.
- 2026Call 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.
- Oct 2026Paid 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.
- One office went from patchy to near-complete map coverage for "spine surgeon" (visibility 61% → 99%).
- Another office nearly tripled its wider-area visibility for "spine surgeons" in one month.
Engagement completed November 2026. The practice is no longer a client; results are shown anonymized for its privacy.
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.
