Google Ads management
measured in patients.
We build, run and optimize Google Ads accounts for practices and local businesses across the United States — Search, Performance Max, Display, YouTube and Shopping. Every dollar is measured against booked appointments and qualified leads, not clicks.
The full Google inventory,
used selectively.
We don’t switch on every campaign type by default. We start where the intent is highest and expand once the economics are proven.
Search campaigns
The core of almost every account we run. Tightly themed ad groups, exact and phrase match discipline, aggressive negative keyword management and ad copy written for the specific procedure or service being searched.
Performance Max
Deployed only with clean conversion data and proper asset groups, brand exclusions and search-theme controls. Used to extend reach — never as a substitute for a well-structured Search account.
YouTube campaigns
In-stream and in-feed video built from creative we produce in your space. Used for high-consideration services where a patient needs to see the practice before they call.
Display & remarketing
Audience-controlled remarketing to visitors who researched a specific service and didn’t convert, with frequency capping and placement exclusions to protect the brand.
Local & Maps ads
Location-targeted campaigns and Local Services alignment for practices that draw from a defined radius, coordinated with Google Business Profile so paid and organic reinforce each other.
Shopping campaigns
For clients selling physical product alongside services — Merchant Center setup, feed hygiene and product-level bidding tied to real margin, not blended ROAS.
Management, not babysitting.
Every Google Ads engagement includes all of the following. There is no tiered feature list and no upsell for basic account hygiene.
- Full account audit before anything is changed
- Keyword and competitor research for your market
- Account and campaign structure build or rebuild
- Conversion tracking setup — calls, forms, bookings and offline conversions
- Google Analytics 4 and Google Tag Manager configuration
- Ad copy writing and systematic A/B testing
- Landing page recommendations, or full build if needed
- Bid strategy management and budget pacing
- Negative keyword and placement management
- Audience, location and schedule targeting
- Monthly performance reporting in plain language
- A standing call with the strategist running your account
Your account. Your data.
Full transparency.
How we operate on the Google Ads platform, stated plainly — because most agencies won’t.
You own the account
Campaigns run in a Google Ads account owned by you and billed to your card. We are linked as a manager, with your written authorization. If the engagement ends, we unlink — you keep the account, the history and the data.
Managed through our MCC
Client accounts are administered through the Organic Search Google Ads Manager (MCC) account. Access is limited to the strategists assigned to your account and is revoked immediately when it is no longer needed.
API-based reporting
We use the Google Ads API to pull performance data from the client accounts we manage into our internal reporting and monitoring — for budget pacing, anomaly alerts and monthly reports. Data is used solely to manage and report on that client’s own campaigns, in line with the Google Ads API Terms of Service and our Privacy Policy.
No hidden markup on spend
Media spend goes directly from you to Google. We charge a management fee, disclosed up front. We never mark up ad spend or resell it as our own inventory.
Policy compliance
All campaigns are built to comply with Google Ads policies, including the additional requirements that apply to healthcare and medical advertising. We will not run creative or claims that put your account at risk.
Who this is for.
A good fit if…
- You’re a practice or local business with a defined service area
- A new patient or customer is worth four figures or more
- You can handle more inbound calls than you get today
- You want to know cost per booked appointment, not cost per click
- You’re prepared to run a real testing budget for at least 90 days
Not a fit if…
- You want results guaranteed in writing — nobody can honestly offer that
- You want spend marked up and hidden inside a flat fee
- You want us to run ads in an account we can’t measure properly
- We already serve a direct competitor in your market
Start with a free account audit.
Send us read access to your existing Google Ads account and we’ll come back with what’s working, what’s wasting money, and what we’d change first — whether or not you hire us.