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SMP clinic · three metros

Google Ads · measurement

4×

reduction in cost per validated lead

The situation

Multi-location clinic running Search across three cities. The account reported healthy conversion volume; the clinic could not reconcile it with the consultations in the diary. Several campaigns had been paused by a previous agency and never restarted.

What changed

Conversion tracking rebuilt against the CRM so that a conversion meant a validated lead. Paused Search campaigns reviewed and revived where the search terms justified it. Spend reallocated on the corrected numbers rather than the reported ones.

Across the client base

Measurement

100%

of leads validated before a channel decision

The situation

Ad-platform conversion counts were consistently overstating genuine lead flow — not through anyone’s error, but because the platform counts what it can see and cannot see what reception knows.

What changed

Every lead is now checked against the CRM before a channel decision is made anywhere. Where the platform and the CRM disagree, the CRM wins.

Across the client base

Retention

Multi-year

client relationships

The situation

Clinics in this vertical typically change agency annually, which means the agency is usually still learning the account when it is replaced.

What changed

Relationships here run considerably longer than that, which is the only reason the vertical knowledge in the first section of this site exists at all.