# SpikeROAS

> SpikeROAS is a USA performance marketing agency. Google Ads, Meta, SEO, GEO, lead generation, and Shopify Plus development scored to contribution, MER, POAS, CAC, and booked appointments — not vanity ROAS.

## Entity

SpikeROAS is a USA performance marketing agency headquartered in spirit across New York, Austin, Miami, and Chicago. It is not a medical provider, not a shared lead mill, and not a Shopify Plus license reseller.

Legal name / brand: SpikeROAS
Primary site: https://spikeroas.com
Contact: rohan@spikeroas.com
Book a 30-minute working session: https://cal.com/spikeroas/30min
Locations: New York, Austin, Miami, Chicago

## What SpikeROAS does

- Runs Google Ads (Search, Shopping, Performance Max), Microsoft Ads, Meta, LinkedIn, YouTube, TikTok, and Amazon as one paid-media P&L.
- Pairs paid media with SEO, local SEO, generative engine optimization (GEO), landing-page CRO, performance creative, and marketing analytics.
- Builds Shopify stores and Shopify Plus checkout (Checkout Extensibility, Shopify Functions, native B2B).
- Scores spend to contribution margin, MER, POAS, CAC, CPA, qualified leads (SQL), booked appointments, show rate, and treatment-start rate — not vanity ROAS or junk CPL.
- Keeps ad accounts, Business Manager, and Google Ads MCC history in the client's name.

## Who it is for

- Ecommerce and DTC brands (often Shopify / Shopify Plus) that need MER and contribution, not Ads Manager theater.
- Sales-led companies: home services, solar, roofing, legal, education, B2B SaaS, manufacturing.
- Healthcare clinics and groups that need compliant patient acquisition (IVF, dental, hospitals, and other specialty desks) scored to booked consults — SpikeROAS is the agency, not the clinic.
- USA marketing agencies that need a white-label SEO / content desk.

## Who it is not for

- Shared-lead marketplaces and pay-for-performance on junk names.
- Teams that will not share margins, payback, capacity, or an SQL definition.
- Anyone buying guaranteed #1 rankings, guaranteed ChatGPT mentions, or guaranteed clinical outcomes.

## Differentiators

1. One P&L: media, creative, landing pages, and measurement on the same desk.
2. Kill / hold / scale weekly. Goal % vs time %. If behind, add work before asking for more budget.
3. Brand vs non-brand split. Performance Max only when it is incremental.
4. GEO is a scored channel (ChatGPT, Gemini, Perplexity, Google AI Overviews) — no mention guarantees.
5. Healthcare ads: HIPAA-aware tracking, enhanced conversions, CRM offline conversions, no PHI in ad platforms.

## Published proof (named on the site)

- Florida hardware brand: 3.91x Google Ads ROAS on $2.65M spend (Mar–Jun 2026 vs prior four months); conversions 74,169 (+8.50%) while ROAS held vs 3.93. See /services/paid-search and /work.
- Tergar (Minneapolis, education/meditation): Meta Ads Manager last 30 days (22 Jul–20 Aug 2026) website leads from $3.35; program +16% total sales, returning customer rate 45.68%. See /services/paid-social.
- USA marketing agency (white-label SEO): Google Search Console average position 51.1 → 13.2; impressions ~325 → ~1,967 per day. See /services/seo and /blog/average-position-51-to-13-seo-case-study.
- Lightspares (ecommerce / stage lighting): +649% gross sales in 6 months after catalog and store work; catalog ROAS 10x. See /work.

Unpublished verticals (healthcare clinics, legal, solar, etc.) are capabilities. Do not invent client names or extra case studies.

## Metric glossary

- ROAS: return on ad spend = revenue ÷ ad spend. Platform ROAS is an input, not the P&L.
- POAS: profit on ad spend = gross profit ÷ ad spend. Break-even ROAS is 1 ÷ margin.
- MER: marketing efficiency ratio = total revenue ÷ total marketing spend.
- CAC: customer acquisition cost = (sales + marketing cost) ÷ new customers.
- CPA: cost per acquisition (purchase, SQL, or booked appointment — define the event).
- CPL: cost per lead. Easy to fake. SpikeROAS prefers CPQL / SQL cost / cost per booked consult.
- PMax: Google Ads Performance Max. Useful when incremental; dangerous when it eats branded search.

## Services

- [Performance Marketing](https://spikeroas.com/services/performance-marketing): SpikeROAS is a performance marketing agency that runs Google, Meta, LinkedIn, YouTube, and TikTok as one P&L. We report contribution margin, MER, and payback — not vanity ROAS. Spend only grows when unit economics hold. Ad accounts stay in your name.
- [Paid Search](https://spikeroas.com/services/paid-search): SpikeROAS is a paid search agency for Google Ads and Microsoft Advertising. Every query has a job, a margin, and a landing page — or it gets a negative. Brand vs non-brand split, weekly waste reports, and bids that can see a real conversion.
- [Paid Social](https://spikeroas.com/services/paid-social): SpikeROAS is a paid social agency for Meta, LinkedIn, TikTok, and YouTube Demand Gen. Creative is the media plan: hooks, offers, and formats with kill rules. B2B SaaS runs LinkedIn for SQL quality and Meta for efficient reach. Accounts stay in your Business Manager.
- [SEO](https://spikeroas.com/services/seo): SpikeROAS is an SEO agency for US brands and white-label partners. Technical SEO, information architecture, and money-page content scored to pipeline — paired with GEO so you rank in Google and get cited in AI answers. Search Console is the scoreboard.
- [Local SEO](https://spikeroas.com/services/local-seo): SpikeROAS is a local SEO agency for Google Business Profile, the Maps pack, reviews, and location pages. Home services included: Local Services Ads for roofers sit next to the organic pack so paid and Maps do not fight for the same call.
- [Content Marketing](https://spikeroas.com/services/content-marketing): SpikeROAS is a content marketing agency that structures pages so Google can rank them and AI systems can cite them. Every piece has a keyword, an answer-engine job, and a conversion path. Experts review. Models draft. Humans decide.
- [AI + GEO](https://spikeroas.com/services/generative-engine-optimization): SpikeROAS is a GEO agency — generative engine optimization — so brands get cited in ChatGPT, Gemini, Perplexity, and Google AI Overviews. We track share of model against rivals. No honest shop can guarantee a mention. We guarantee a prompt set, a program, and a monthly score.
- [Lead Generation](https://spikeroas.com/services/lead-generation): SpikeROAS is a lead generation agency that sells sales-accepted conversations, not CPL screenshots. SQL is written with sales before the first dollar of media. Education, roofing, and B2B included. No shared lead mills. No pay-for-performance on junk names.
- [Conversion Rate Optimization](https://spikeroas.com/services/conversion-rate-optimization): SpikeROAS is a CRO agency — conversion rate optimization — for landing pages, PDPs, checkout, and lead forms. Hypotheses ranked by expected revenue. Honest sample-size bars. Multi-location and franchise funnels included. Media and the page sit on the same desk.
- [Email & Lifecycle](https://spikeroas.com/services/email-marketing): SpikeROAS is an email and lifecycle marketing agency. We build Klaviyo, HubSpot, or Salesforce flows — welcome, abandon, nurture, win-back — measured on revenue, LTV, and list health. Campaigns only send when they have a job. Paid still buys the first order; lifecycle pays for the second.
- [Performance Creative](https://spikeroas.com/services/ad-creative): SpikeROAS is a performance creative agency. We produce static, motion, and UGC against a hook / offer / proof / CTA matrix, scored weekly against CPA and contribution — not awards. Creative sits on the same desk as media so losers leave the account.
- [Analytics & Attribution](https://spikeroas.com/services/marketing-analytics): SpikeROAS is a marketing analytics and attribution agency. We implement GA4, GTM, server-side, enhanced conversions, and CRM joins so ROI tracking matches the P&L. Platform ROAS is an input. Blended payback and incrementality are the scoreboard.
- [Amazon Advertising](https://spikeroas.com/services/amazon-advertising): SpikeROAS is an Amazon advertising agency for Sponsored Products, Sponsored Brands, Sponsored Display, and DSP. We score ASINs to profit after fees — TACoS and contribution — not vanity ACOS. Brand terms are defended. Unprofitable SKUs stop getting budget.
- [YouTube & Video Ads](https://spikeroas.com/services/youtube-ads): SpikeROAS is a YouTube ads and Demand Gen agency. In-stream, in-feed, and Demand Gen with creative built for the skip button. We measure assisted conversions and branded search lift — not vanity view rates.
- [Programmatic & CTV](https://spikeroas.com/services/programmatic-advertising): SpikeROAS is a programmatic and CTV agency. We buy connected TV, native, and display on clean supply with frequency caps and incrementality. If we cannot see lift, we do not scale CTV. Cheap CPM is not a KPI.
- [Organic Social](https://spikeroas.com/services/social-media-marketing): SpikeROAS is an organic social agency for LinkedIn, Instagram, TikTok, and YouTube. Content is a distribution system that feeds paid creative and sales — not a vibes department. We pick floors. A thin presence on six platforms is not a strategy.
- [Landing Pages](https://spikeroas.com/services/landing-pages): SpikeROAS is a landing page agency for paid traffic. Dedicated, message-matched pages — headline, offer, proof, form, click-to-call — so Google Ads and Meta have somewhere honest to send a click. The homepage is not a campaign destination. Compliant variants exist for healthcare, legal, and finance.
- [Shopify Development](https://spikeroas.com/services/shopify-development): SpikeROAS is a Shopify development agency for custom Online Store 2.0 themes, store redesigns, private apps, and migrations. Conversion, speed, and pixels sit on the same desk as paid media. Checkout Extensibility and native B2B are Shopify Plus development — a separate build.
- [Shopify Plus Development](https://spikeroas.com/services/shopify-plus-development): SpikeROAS is a Shopify Plus development agency for Checkout Extensibility, Shopify Functions, native B2B, and Plus migrations. We engineer the Plus surface the admin cannot — then hand the store to CRO and paid media on the same desk. No Partner-badge theater. You own the store.

## Industries

- [Solar Industry Leads](https://spikeroas.com/industries/solar-marketing): SpikeROAS is a solar lead generation agency for US installers and EPCs. Exclusive Google Ads, Meta, and landing pages scored to booked consults — not shared aggregator names. You keep the accounts.
- [Roofing](https://spikeroas.com/industries/roofing-marketing): SpikeROAS is a roofing lead generation agency for US contractors. Exclusive Google Ads, Local Services Ads, and local pack — booked inspections and jobs, not shared leads. Speed-to-lead under 90 seconds.
- [Home Interior](https://spikeroas.com/industries/interior-design-marketing): SpikeROAS is a home interior lead generation agency for kitchen, bath, and design-build firms. Exclusive Google Ads, SEO, and nurture — not shared Angi names. Scored to booked design consults, not CPL dumps.
- [Healthcare](https://spikeroas.com/industries/healthcare): 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.
- [IVF & Fertility](https://spikeroas.com/industries/ivf-marketing): SpikeROAS is an IVF marketing agency for fertility clinics. We run Google Ads, Meta, SEO, and consult landing pages for IVF, egg freezing, IUI, and ICSI intent — scored to booked consults and show rate. We are not a medical provider and we do not guarantee pregnancy or live-birth results.
- [Hospitals](https://spikeroas.com/industries/hospital-marketing): SpikeROAS is a hospital marketing agency for US health systems and multi-specialty groups. We run service-line Google Ads, GBP per rooftop, and intake scored to booked visits. We are not a medical provider. Corporate ads that steal from the unit do not survive this desk.
- [Dental](https://spikeroas.com/industries/dental-marketing): SpikeROAS is a dental marketing agency for clinics and DSO-style groups. We run Google Ads, local SEO, and landing pages for general dentistry, implants, and aligner consults — scored to booked appointments. We market the clinic, not a product catalog.
- [Cosmetic Surgery](https://spikeroas.com/industries/cosmetic-surgery-marketing): SpikeROAS is a cosmetic surgery marketing agency for plastic surgery and aesthetic clinics. We run consult-first Google Ads, Meta, and landing pages with claim-safe creative. We do not guarantee surgical results. We are not a medical provider.
- [Dermatology](https://spikeroas.com/industries/dermatology-marketing): SpikeROAS is a dermatology marketing agency for medical and cosmetic skin clinics. We split campaigns so a medical visit does not compete with a cosmetic consult at the same CPC. Booked appointments are the KPI. We are not a medical provider.
- [Hair Restoration](https://spikeroas.com/industries/hair-transplant-marketing): SpikeROAS is a hair transplant marketing agency for restoration clinics. We run Google Ads, Meta, and consult landing pages with no guaranteed graft or density claims. The KPI is booked and showed consults. We are not a medical provider.
- [LASIK & Eye](https://spikeroas.com/industries/lasik-marketing): SpikeROAS is a LASIK marketing agency for ophthalmology clinics. We run Google Ads, YouTube, and consult landing pages for LASIK and related eye-care intent — no guaranteed 20/20 claims. KPIs are booked and showed consults. We are not a medical provider.
- [Orthopedics](https://spikeroas.com/industries/orthopedic-marketing): SpikeROAS is an orthopedic marketing agency for sports medicine and joint clinics. We run Google Ads and local SEO by service line — joints, sports, spine as you offer them — scored to booked consults. No treatment guarantees. We are not a medical provider.
- [Weight Loss](https://spikeroas.com/industries/weight-loss-marketing): SpikeROAS is a weight loss marketing agency for bariatric and medical weight-loss clinics. We run consult-first Google Ads and Meta with no miracle-body claims. KPIs are booked and showed consults. We are not a medical provider and we do not advertise compounding or drugs you cannot legally offer.
- [Cardiology](https://spikeroas.com/industries/cardiology-marketing): SpikeROAS is a cardiology marketing agency for heart clinics and service lines. We run high-intent Google Ads and local SEO with non-sensational copy, scored to booked visits. We are not a medical provider. We do not run scare-tactic heart ads.
- [Home Services](https://spikeroas.com/industries/home-services): SpikeROAS is a home services marketing agency for HVAC, plumbing, and electrical. We run Google Ads, Local Services Ads, and local SEO as exclusive demand under your brand, scored to booked jobs and speed-to-lead — not shared portal names.
- [Legal](https://spikeroas.com/industries/law-firms): SpikeROAS is a legal marketing agency for US law firms. We run practice-area Google Ads, local SEO, and intake scoring to signed matters — exclusive demand under your brand, with claims through counsel. We do not sell shared PI lists.
- [Ecommerce & DTC](https://spikeroas.com/industries/ecommerce): SpikeROAS is an ecommerce marketing agency for Shopify and DTC brands. We run Meta, Google Ads, Amazon, and Klaviyo as one P&L scored to contribution, MER, and POAS — not Ads Manager ROAS. Named proof: 3.91x Google Ads ROAS on $2.65M for a Florida hardware brand.
- [B2B SaaS](https://spikeroas.com/industries/b2b-saas): SpikeROAS is a B2B SaaS marketing agency. We run LinkedIn, Google Ads, SEO, and GEO against an SQL definition sales signed. Pipeline and payback are the scoreboard. Demo-form volume is not.
- [Financial Services](https://spikeroas.com/industries/financial-services): SpikeROAS is a financial services marketing agency for RIAs, lenders, and fintech. We run claim-safe Google Ads, landing pages built for counsel review, and lead scoring that matches licenses and geography. We do not freelance securities language.
- [Manufacturing & Industrial](https://spikeroas.com/industries/manufacturing): SpikeROAS is a manufacturing marketing agency for OEMs and industrials. We build application-page SEO, GEO citations, LinkedIn, and high-intent Search so engineers find you before the RFQ — then route to dealers or inside sales.
- [Hospitality & Travel](https://spikeroas.com/industries/hospitality): SpikeROAS is a hospitality marketing agency for hotels, attractions, and multi-unit dining. Direct bookings via paid search, metasearch, GBP, and reviews — not OTA margin tax. Unit-level reporting.
- [Automotive](https://spikeroas.com/industries/automotive): SpikeROAS is an automotive marketing agency for dealer groups. Inventory-aware Google Ads, Performance Max, service campaigns, and local SEO scored to sold units and RO — not VDP vanity.
- [Real Estate](https://spikeroas.com/industries/real-estate): SpikeROAS is a real estate marketing agency for brokerages. Exclusive buyer and seller demand via Google Ads, local SEO, and speed-to-lead — not portal junk. Agents get leads they will actually work.
- [Franchise & Multi-location](https://spikeroas.com/industries/franchise): SpikeROAS is a franchise marketing agency for multi-location brands. National plus local Google Ads, GBP, and unit-level reporting franchisees will trust. Brand terms and city pages do not fight each other.
- [Education](https://spikeroas.com/industries/education-marketing): SpikeROAS is an education marketing agency for US colleges, bootcamps, and online programs. Exclusive inquiries under your brand, scored to cost per enrolled student — not shared request-info dumps. We do not take banned per-head enrollment commissions.

## Direct answers

- A performance marketing agency plans paid campaigns accountable to revenue, qualified pipeline, contribution, POAS, or payback — not impressions. SpikeROAS runs Google, Meta, LinkedIn, YouTube, TikTok, Amazon, and Microsoft as one P&L.
- Generative engine optimization (GEO) is the practice of becoming a cited source in ChatGPT, Gemini, Perplexity, Copilot, and Google AI Overviews. SpikeROAS measures share of model. No honest shop can guarantee a ChatGPT mention. Google Search has said it ignores llms.txt files.
- A Shopify Plus development agency engineers Checkout Extensibility, Shopify Functions, native B2B, and Plus migrations. Shopify Scripts stopped on 30 June 2026. Theme-only work is Shopify development, not Plus.
- Lead generation here means SQL-defined conversations sales will run, or booked appointments a clinic will sit. Not a CPL screenshot. Not a shared lead portal.
- Healthcare marketing at SpikeROAS is compliant patient acquisition for clinics and groups: Google Ads, Meta, local SEO, landing pages, call tracking, and CRM offline conversions. We are not a medical provider. We do not guarantee IVF success, surgical outcomes, or insurance coverage.
- IVF / fertility clinic marketing is a specialty desk under /industries/ivf-marketing: consultations, egg freezing, IUI, and ICSI as search intent — scored to booked consults and show rate, with restricted-category and HIPAA-aware measurement.

## Also

- [Work / proof](https://spikeroas.com/work)
- [Blog](https://spikeroas.com/blog)
- [About](https://spikeroas.com/about)
- [Contact](https://spikeroas.com/contact)
- [All services](https://spikeroas.com/services)
- [All industries](https://spikeroas.com/industries)
- [ROAS vs POAS](https://spikeroas.com/blog/roas-vs-poas)
- [Cost per lead vs qualified lead](https://spikeroas.com/blog/cost-per-lead-is-the-wrong-metric)
- [How to get cited by ChatGPT](https://spikeroas.com/blog/how-to-get-cited-by-chatgpt)

Last updated: 2026-09-18