Real results from
real clients.
Two med spa accounts, two different jobs, and the same lesson underneath both of them. Build the conversion engine first, then feed it traffic. Every figure below is what we actually measured, with the denominator written down so you can check it.
What we put in place for Gallardo's Clinic
Gallardo's Clinic.
Dalton, Georgia. Medical aesthetics, primary care, weight management and wellness. Partnered with us in June 2025.
Gallardo's Clinic partnered with LA Media Group in June 2025 with one clear goal: dominate local search visibility and turn that visibility into consistent booked appointments.
Multiple services ranking on Page 1 organically, strong paid placement, and visibility inside Google's AI summaries. Proof that the entire ecosystem is working.
For high-intent Botox searches, Gallardo's Clinic shows up where it matters most: top paid placement plus strong organic ranking on the first page . This is the ideal scenario, because the two do different jobs and neither replaces the other.
Gallardo's Clinic ranks as the #1 organic result for skin rejuvenation searches , earning top visibility without paying for a single click. That placement happens when service pages are built with the right structure, enough content depth, and keywords that match what people actually type.
Laser services are competitive, which is exactly why a combined strategy wins. Gallardo's Clinic appears on Page 1 through Google Ads and through organic SEO at the same time , taking up the most valuable search real estate twice over.
This one is a milestone. Gallardo's Clinic now appears in Google's AI summaries , which is increasingly where a search ends rather than begins. That visibility comes from rich service page content, strong on-page SEO, properly structured FAQs, and formatting that lets Google understand the clinic well enough to recommend it.
Ten months. $9,961 in ad spend. 850 patient enquiries.
Gallardo's Clinic is a multi service practice in Dalton, Georgia offering primary care, aesthetic treatments, weight management and wellness. It is the same clinic as the section above. These are the advertising figures behind that work.
The challenge
Before June 2025 the clinic had a functional but underperforming website, very little local search visibility and no paid advertising at all. Growth came almost entirely from word of mouth, which made it unpredictable and slow. Leadership wanted to dominate local search for their key treatments, generate a predictable number of enquiries every month, reduce the dependence on referrals, and be seen as the local authority in aesthetics and primary care.
Our approach, in order
We followed the foundation first method: build the infrastructure properly before spending a dollar on ads.
We rebuilt the site from the ground up with a marketing first approach: a dedicated page for every treatment, clean user experience, strong calls to action throughout, and SEO ready formatting designed to rank locally.
We published the clinic's business information to more than seventy high authority local and digital listings, optimised with service keywords, consistent business information and citations that strengthen Google's trust signals. This is what lets the clinic show up across its whole service area.
We connected the website to the dashboard and trained the front office on how to capture, organise and follow up an incoming enquiry quickly. Speed of response is usually the single biggest factor in whether an enquiry becomes a booked appointment.
Only once the website was indexed, the listings had propagated and the lead capture system was working did we launch Google Ads. The sequence is the point: ads pointed at a weak foundation waste budget, ads pointed at a strong one compound.
What it produced
By March 2026, the tenth month of the engagement, the campaign was compounding rather than plateauing. In one representative month a $2,557 budget produced 97 direct patient enquiries and 194 phone calls , at a cost per conversion far below the healthcare benchmark of $100 and up.
- 850 patient enquiries in total, being 287 web leads plus 563 phone calls attributed to Google Ads
- $9,961 of ad spend across ten months
- $11.72 average cost per patient enquiry , improving month over month as the campaigns were optimised
- 2,125 targeted clicks from high intent local searchers
- Page 1 organic for multiple high value treatment keywords in the local market
- Top paid placement alongside that organic visibility on high intent searches
- Named in Google's AI summaries as a recommended clinic for relevant patient questions
For a search like Botox near me in their area, the clinic now holds the top paid placement and a page one organic ranking at the same time. Ads capture the demand that exists today. SEO builds the position that lasts. Both at once is where the leverage is.
The lesson
This is why we do not simply turn on Google Ads the day a client signs. Ads without a conversion optimised website, complete local listings and a team trained to respond quickly produce disappointing results even when the ad account itself is managed well. Sequencing the website, then the listings, then the lead capture training, then the paid ads is the reason the cumulative cost landed under $12 an enquiry. Not because the ads are magic, but because what sits underneath them is strong.
Seven months. 815 patient enquiries. And then they stopped.
A physician led wellness and aesthetics clinic in Tampa, Florida, run by two board certified neurosurgeons with more than fifty years of combined medical experience. Neurotoxins, dermal fillers, medical weight loss, microneedling, and face and body sculpting. This one has an ending most agencies would leave out.
The challenge
A relatively young practice trying to establish itself in a competitive Tampa market. They had a website and some local visibility, but no scalable way to drive consistent enquiries for their core treatments, particularly neurotoxins, medical weight loss and dermal fillers.
Our approach
They engaged us for Google Ads management only, with the goal of high volume, low cost patient enquiries across the full treatment menu. We designed a campaign structure that targeted high intent local searches while holding cost per conversion down.
- Tightly structured campaigns by treatment line, so neurotoxins, fillers, weight loss and microneedling each stood on their own
- Precise geographic targeting around the Tampa metro
- Aggressive negative keyword management to filter out low intent searches
- Conversion tracking on every form fill and every phone call
- A weekly optimisation pass for the whole engagement
What it produced
Over seven active months the campaigns produced 815 patient enquiries at $12.91 each , from $10,523 of spend and 7,019 targeted clicks. At the account's most optimised point, in November and December 2025, the cost per enquiry was under $5.
Thirteen dollars a patient enquiry is the kind of number that reshapes a practice. The healthcare average is over a hundred. By November the account was so tightly dialled that it was producing enquiries at under five.
The twist, and the part every owner needs to hear
The clinic paused Google Ads in early 2026. Not because the ads had stopped working, but because their internal team could not process the volume fast enough to make the economics work at their end.
Think about what that means. 815 qualified patient enquiries in seven months at $12.91 each is exactly the volume that should transform a practice. But an enquiry only becomes a paying patient if the team receiving it is built to handle it: fast response times, disciplined follow up, and a booking process as tight as the marketing engine feeding it.
Enquiries without a conversion engine are just burned budget. You can have the best Google Ads in the world, but if the front desk takes a day to call back, or the receptionist is not trained to book a consultation, or the follow up is inconsistent, those enquiries evaporate before they become revenue.
Why this matters for you
It is why we do not sell Google Ads management as a standalone service and expect it to work on its own. What we sell is the whole conversion system: a website built to convert, a dashboard that captures every enquiry, follow up that goes out in seconds, chat that answers at two in the morning, and reputation management that keeps the trust signals strong. The ads feed the system. The system converts the enquiries. Buy only the ads and you have bought part of what it takes.
Build the system. Feed it traffic. Watch it compound.
Across 1,665 combined patient enquiries and $20,484 of ad spend, these two accounts produced a new patient touchpoint at an average of $12, against a healthcare benchmark of $100 and up. That is what campaigns built and managed properly look like.
Gallardo's Clinic compounded month after month because the website, the listings and the lead capture were built before a single ad ran. That is the difference between results that build and results that flatline.
The Tampa account shows what happens when extraordinary ad results meet a team that cannot keep up. The enquiries do not convert and the campaign stalls. It is the reason we sell a complete system rather than ad management on its own.
Both clients could have walked at any point, and one of them did pause. There is no contract holding anybody in place, which means the work has to be worth it every single month.
About these results.
Yes, and they are recorded as we measured them rather than rounded into something neater. Both accounts are anonymised only where the client asked for it. Gallardo's Clinic is named because they were happy to be.
Because they are different denominators, and it is worth being precise about it. $11.72 is the cost per patient enquiry, counting web leads and tracked phone calls together, which is what actually reaches the front desk. Divide the same spend by web leads alone and you get about $34. We use enquiries throughout this page, and we say so.
Because ads point at something. Sending paid traffic to a site with no treatment pages, no lead capture and nobody trained to follow up is the most expensive way to discover those things are missing. We built the foundation first and launched ads once it would hold.
They partnered with us in June 2025 and the results here built over the following ten months. SEO does not move in weeks, which is why the ads went on once the organic foundation was in place rather than instead of it.
It is the answer Google writes at the top of the page, above the results. More and more searches end there rather than beginning there. Being named in one comes from treatment page content, on page SEO, structured FAQs and markup that lets Google understand the clinic well enough to recommend it.
Because it is the most useful thing on this page. The marketing worked and the practice still could not convert the volume, which is a real risk and one you should hear about before you spend money rather than after. It is also why our answer is a complete system rather than ad management sold on its own.
Roughly $1,000 to $2,500 a month of actual ad spend, which is separate from the management fee and is paid to Google directly. Both of these accounts sat in that range.
Nobody honest promises that. What these show is the kind of work we do and the shape of what it produces. On a call we would look at your own numbers and tell you which of these levers is genuinely available to you, including when the answer is that fewer of them are.
Ask on the call. We will not put a client's contact details on a webpage, but we are happy to arrange an introduction where the client is willing.
Let us look at your numbers.
Book a free 30 minute call and we will go through your website, your local search visibility and, if you are already running ads, your cost per enquiry. Month to month, and nothing to sign.
