The scoreboard
booked
consults — the healthcare KPI, not form-fill CPL
Industry desk
Healthcare marketing that fills the schedule — without turning PHI into an ad metric.
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.
- P&L desk
- Reply in one business day
- 30-min working session
HIPAA-awareMedical PPCMulti-locationBooked consults
USA metros we work
Dallas–Fort WorthHoustonPhoenixAtlantaMiamiChicagoLos Angeles
How this desk thinks
Performance marketing for clinics, groups, and specialty practices
A healthcare marketing agency is not a lead mill with a medical keyword list. It is the team that fills the schedule by service line — orthopedics is not dermatology is not IVF — then gets that call into intake in minutes, with tracking compliance can live with.
Most medical PPC still optimizes to form fills. Patients who cannot be seen, wrong insurance, and wrong service line all count as 'leads.' We define a qualified patient with you, split campaigns by treatment, and score the desk on booked appointments, show rate, and treatment start — not vanity CPL.
SpikeROAS is not a medical provider. We do not diagnose, treat, or guarantee clinical outcomes. Google Ads Healthcare and medicines policies, Meta restricted-category rules, and HIPAA constrain creative, landing copy, and measurement. We still grow: enhanced conversions, first-party data, and CRM offline conversions for inquiry and booked-visit events — without diagnoses in the payload.
Related: lead generation, paid search, landing pages, local SEO, and analytics. Adjacent desks: IVF & fertility, hospitals, dental, cosmetic surgery, dermatology, hair restoration, LASIK, orthopedics, weight loss and cardiology.
SpikeROAS is a healthcare marketing agency for US clinics and specialty groups. We run Google Ads, Meta, local SEO, and landing pages scored to booked consults, show rate, and treatment start — not vanity CPL. We are not a medical provider. PHI does not go into ad platforms.
Clinic desks
Clinic desks on this floor
IVF, hospitals, dental, cosmetic surgery, dermatology, hair restoration, LASIK, orthopedics, weight loss, and cardiology each get their own page. The hub is the operating system. The vertical is the auction.
IVF & fertility
Consults, egg freezing, IUI, and ICSI intent — booked visits, not guaranteed outcomes.
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Hospitals & multi-specialty
Service-line Google Ads and GBP per rooftop. Corporate ads that steal from the unit die here.
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Dental clinics
Implants, Invisalign-style consults, and hygiene — clinic marketing, not product spam.
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Cosmetic surgery
Consult-first creative, before/after rules, and landing pages counsel can live with.
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Dermatology
Medical vs cosmetic skin, high CPC, and local pack that actually books.
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Hair restoration
High-ticket consults, honest creative, and CRM that trains bidding on shows.
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LASIK & ophthalmology
Seminar and consult funnels with call tracking and capacity-aware pacing.
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Orthopedics
Sports medicine and joint consults scored to booked visits, not symptom searches.
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Weight loss & bariatric
Medical weight-loss consults. No miracle-body claims. Show rate is the KPI.
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Cardiology
B2B-grade clinic marketing: referrers, high-intent Search, no sensational copy.
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Fit
Who this healthcare desk is for
Specialty practices and multi-location groups that need patient acquisition without treating PHI as a targeting list. SpikeROAS is the agency. You are the provider.
Specialty clinics
IVF, ortho, derm, dental, aesthetics — high CPC, high ticket, tight claims. Patient acquisition by service line, not a generic 'book now' homepage.
Multi-location groups
Each rooftop needs its own GBP, reviews, and local campaigns. Corporate ads that steal from the unit are how GMs revolt.
Health systems with a review path
We work with counsel. Claims, landing copy, and tracking go through legal. We do not scrape patient lists or retarget from clinical systems.
The leak
What breaks in this category
- HIPAA and platform restrictions on health claims and remarketing
- Call-center intake that leaks qualified patients
- Multi-location GBP and review complexity
- Patients who ask ChatGPT before they call
- One campaign mixing every service line at specialty CPCs
- Vanity CPL that hides no-shows and untreated leads
The desk
What we run
- Compliant paid search, Performance Max only when incremental, YouTube for education — by service line
- Meta with restricted-category controls; no health-condition Customer Match lists
- Landing and call tracking that sales and compliance can live with
- GBP and review programs per location
- GEO so high-intent treatment queries cite the practice, not a directory
- Enhanced conversions and CRM offline import for booked visits — no PHI in the payload
What you get
What a healthcare engagement delivers
- Service-line Google Ads and landing pages that intake will actually work
- Call tracking and routing that compliance can live with — no PHI in the ad platform
- GBP and review velocity per location
- GEO so treatment queries cite you, not a directory
- You keep the accounts, pages, and CRM if you ever leave
The fork
Vanity CPL vs booked consults
If you are comparing healthcare marketing agencies, start with the conversion. Form fills that intake cannot see are not patients.
Generic medical PPC
- One campaign for every service line
- Form fills counted as patients
- Tracking that would fail a HIPAA review
- Directory sites owning the 'best [treatment] near me' answer
- Guaranteed outcome language in ads
How this desk runs
- Campaigns and pages by treatment and location
- Booked appointments, show rate, and treatment start as conversions
- Event-level tracking without dumping PHI into Google or Meta
- Local pack plus GEO so models name your practice
- No clinical outcome guarantees — we market the consult, not the result
Angles
Growth angles we actually sell
Booked consults, not CPL
A $40 lead that never sits is more expensive than a $180 lead that starts treatment. We instrument show rate and treatment start so Google is not rewarded for no-shows.
Service-line architecture
Mixing IVF, derm, and primary care in one campaign is how you pay surgical CPCs for a rash search. Split the money. Split the pages.
Compliance as a growth system
Copy that is reckless gets you suspended. Copy that is empty converts nobody. We write claim-safe creative, run it through your review, and still test. That is the job.
Channels
The performance stack for healthcare marketing
Clinic growth is not one channel with a stock-photo hero. We run Search, social, local, landing, and measurement as one intake P&L.
Google Ads (Search, PMax, YouTube)
High-intent Search by service line. Brand vs non-brand split. Performance Max only when it is incremental after that split. YouTube for education, not miracle claims. Query negatives for jobs, students, and DIY.
Meta ads
Demand and remarketing inside platform rules. No uploading clinical lists. Instant forms that dump junk into CRM get killed. Landing pages usually beat lead ads on qualified cost.
SEO, local SEO, and GEO
Location pages, GBP, reviews, and treatment pages that can rank and be cited. Patients brief ChatGPT before they call. If a directory owns the answer, you overpay for ads forever.
Landing pages and call tracking
Message match, proof, licenses, click-to-call, short forms. One intent per page. Recordings and vendors need a BAA when PHI could appear. Speed-to-lead into intake, not a weekly voicemail dump.
CRM and offline conversions
HubSpot, Salesforce, or specialty CRMs. Enhanced conversions for leads and offline import for booked / showed / started — hashed first-party, no diagnosis in the event. Smart Bidding hunts real appointments.
Engagement
How clinic performance marketing starts here
01
Define the visit, not the 'lead'
Service line, insurance vs cash, geography, and what intake will actually schedule. If marketing and the front desk disagree, we do not buy volume.
02
Rebuild the path
Tracking without PHI, landers, call routing, CRM stages. Ads do not launch into a homepage that was never built to convert a $40 click.
03
Launch Search, then compound
Google Ads can produce calls in days. SEO and GBP take a quarter. We run both so you are not hostage to a directory.
04
Pace to booked consults
Weekly kill list. Offline conversions for real appointments. Throttle when the schedule is full — that is how you protect reviews.
Playbook
How the desk actually works
Intake is the conversion
A form fill that never reaches a scheduler is not patient acquisition. We instrument speed-to-lead, call scoring, and booked visits — then push those events back so Smart Bidding hunts real appointments.
Claims go through counsel, then we still grow
Healthcare ads die when copy is either reckless or so sanitized it converts nobody. We write claim-safe creative, run it through your review, and still split tests.
Published proof vs capability
Named case studies on this site are hardware Google Ads, Tergar Meta, and a USA agency SEO program. Healthcare is a capability we run with the same operating system. We will not invent clinic logos.
Stack
Services this desk uses
Lead Generation
Sales-accepted conversations. Not a CPL screenshot.
Paid Search
Google and Microsoft Ads treated as capital — every query has a job.
Paid Social
Meta, LinkedIn, TikTok, and YouTube — creative as the media plan.
Landing Pages
The page is the second half of the ad.
Local SEO
Maps, GBP, and city pages that actually ring the phone.
SEO
Search that compounds. Rankings that close.
AI + GEO
Get cited in ChatGPT, Gemini, Perplexity, and AI Overviews.
Performance Creative
Ads designed to be tested, killed, and scaled — not presented.
Analytics & Attribution
Know which dollar worked — without worshipping last click.
FAQ
Questions from this industry
What does a healthcare marketing agency do?
A healthcare marketing agency runs patient acquisition as a performance system: Google Ads, Meta, local SEO, landing pages, call tracking, and CRM — scored to booked consults. SpikeROAS is the agency, not a medical provider. We do not guarantee clinical outcomes.
Can you run ads for medical services?
Yes, within Google Ads Healthcare and medicines rules and Meta restricted-category policies. We do not scrape patient lists or retarget from clinical systems. Some treatments need extra certifications or cannot be advertised as requested — we say so on the call.
How do you handle HIPAA and tracking?
We do not send patient identifiers, diagnoses, or clinical records into Google or Meta. Conversion events are consented and event-level (inquiry, booked visit) without PHI in the payload. Call-recording vendors that might hear PHI need a BAA.
Do you work with hospital systems or only clinics?
Both — as long as there is a clear acquisition KPI and a legal review path. Multi-location groups need unit-level GBP and campaigns.
IVF, dental, or multi-specialty?
Specialty desks live on their own pages. Each service line gets its own campaigns so a $12 derm click does not compete with a surgical consult.
What KPIs should a clinic use instead of CPL?
Cost per booked consult, show rate, consult-to-treatment start, and cost per treatment start. CPL is a diagnostic. Finance funds the visit that actually happens.
Is SpikeROAS a medical provider?
No. SpikeROAS is a USA performance marketing agency. Healthcare pages describe marketing we can run for clinics. We do not diagnose, treat, or promise results of care.
Can Google Ads use patient data for healthcare remarketing?
Not as PHI or health-condition lists. We use consented, hashed first-party events (inquiry, booked visit) and enhanced conversions. Customer Match must not encode health status.
Also on the floor
Other clinic desks
Further reading
The playbooks behind this work
Lead Generation
Cost per lead vs cost per qualified lead: why cheap leads cost more
A $28 lead that never books is more expensive than a $95 lead that does. The funnel math, 2026 benchmarks, and the tracking setup nobody in this SERP explains.
13 min read →
AI & Search
How to get cited by ChatGPT: a 2026 GEO playbook
Most GEO advice recommends things Google has publicly said do nothing. Here is what the documentation says, what the research measured, and where the published numbers disagree.
14 min read →
Next step
Ready to brief healthcare?
Tell us the service lines, locations, and intake KPI. We will map compliant paid search and local SEO — and what we would cut.