Industries
Category desks.Solar, ecommerce, healthcare — not a generic menu.
Solar leads are not a kitchen remodel. An IVF clinic is not a Shopify brand. We run Google Ads, Meta, SEO, lead gen, and GEO with the rules, seasonality, and KPIs of your category — booked appointments, SQLs, and contribution, not a recycled deck.
- Exclusive demand
- P&L scoreboard
- US metros
Core desks
Where we spend most of the floor.
Solar, roofing, interiors, ecommerce, education, and healthcare get dedicated playbooks. Clinic verticals — IVF, dental, hospitals, and more — sit under the healthcare floor. The rest still runs as a category desk.
Solar Industry Leads
Solar leads from homeowners who can actually install — not renters and grant-chasers.
Solar lead generation for installers and EPCs. We run Google Ads, Meta, landing pages, and CRM follow-up so you get exclusive appointments in your territory — not shared aggregator names sold to three competitors.
Roofing
Exclusive inspections for storm, repair, replacement, and commercial roofs.
SpikeROAS is a roofing lead generation agency for US contractors who need owned demand. We run Google Ads, Local Services Ads, local SEO, and landing pages so the homeowner calls you — not three other trucks from the same form.
Home Interior
Exclusive kitchen remodeling leads, bathroom remodeling leads, and design consults — not $800 paint jobs.
SpikeROAS is a home interior lead generation agency for US kitchen and bath remodelers, interior designers, and design-build firms. We run Google Ads, Meta, local SEO, and 30–90 day nurture so you talk to homeowners with a real scope and budget — not shared Angi or Houzz names.
Ecommerce & DTC
Shopify, Amazon, and DTC ads scored after COGS, shipping, and returns.
Ecommerce marketing agency for US DTC and Shopify brands that are tired of a 4x ROAS that loses money after landed cost. We run Meta, Google Ads, Amazon, TikTok, and Klaviyo as one P&L — then GEO so AI shopping answers name you first.
Education
Exclusive student inquiries that become seats — not aggregator dumps sold five times.
SpikeROAS is an education marketing agency for US colleges, universities, bootcamps, and online programs. We run Google Ads, Meta, landing pages, and cohort-timed nurture so admissions gets exclusive inquiries — then we score the desk on cost per enrolled student, not form fills.
Healthcare
Patient acquisition that respects HIPAA — and still fills the schedule.
Healthcare marketing agency for US clinics, groups, and specialty practices. We run paid search, Meta, local SEO, GEO, and intake systems without turning PHI into an ad metric — scored to booked appointments, not junk CPL.
Healthcare clinics
IVF, dental, hospitals — and the rest of the floor.
Each clinic vertical is a category desk: Google Ads, Meta, local SEO, landing pages, and HIPAA-aware measurement scored to booked consults. SpikeROAS is the agency, not a medical provider.
IVF & Fertility
Fertility clinic marketing for consults patients will actually attend.
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Hospitals
Service-line demand a scheduler can actually sit.
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Dental
Implants, aligners, and GP — booked chairs, not a coupon mill.
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Cosmetic Surgery
Consult-first aesthetics. No miracle bodies in the ad.
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Dermatology
Medical derm and cosmetic skin — two auctions, one desk.
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Hair Restoration
High-ticket consults. Honest creative. Show rate as the kill rule.
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LASIK & Eye
Eligibility consults. Honest vision copy. Capacity-aware calendars.
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Orthopedics
Joints, sports, spine — booked visits, not a pain-keyword dump.
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Weight Loss
Medical consults. Honest offers. No spammy body ads.
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Cardiology
B2B-grade clinic marketing. No scare tactics. Booked visits.
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Also on the floor
Every category still gets its own rules.
Home Services
HVAC, plumbing, and electrical — booked jobs, not form spam.
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Legal
Signed matters. Not intake theater.
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B2B SaaS
Pipeline, not MQLs that sales throws back.
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Financial Services
Compliant demand for advisors, fintech, and institutions.
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Manufacturing & Industrial
Heavy equipment, components, and B2B industrial — found in search and in models.
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Hospitality & Travel
Direct bookings that do not donate the margin to OTAs.
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Automotive
Dealer and OEM demand — VDP views, service lanes, and sold units.
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Real Estate
Buyer and seller leads that agents will actually work.
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Franchise & Multi-location
National brand. Local P&L. One scoreboard.
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Next step
Do not see your category?
If wasted media hurts, we will tell you quickly whether we are the right desk.