Buried on page 3 of Google for their entire local area, on a website eight years past its prime. In nine months, a ground-up local SEO rebuild across five target zip codes plus a full site redesign moved them into the 3-pack for 24 high-intent keywords. New-patient bookings quadrupled — and they hired a fourth associate to keep up with demand.
“We stopped worrying about the phone ringing.”— Dr. Amanda Reyes, Owner
Each card is a compact case file — strategy, timeline, and results. The full write-up lives one click deeper. Filter by service category, or read them all.
02SEO & Content
+214%
Organic traffic
47 KWs on page 1 · 6 months
Meridian Cardiology
Boston, MA · 12-cardiologist group
A specialty group whose only inbound was physician referrals — and referring providers were increasingly sending patients to two well-optimized competitors. Six months of clinically-cited long-form content built visibility across 47 procedure keywords.
Google rating stuck at 3.6, dragged down by two prominent negative reviews and a review response rate close to zero. In four months, we rebuilt the review pipeline — automated post-visit outreach, 8-hour SLA on every review response, and a review-signaling section on the site.
Paying $184 per booked patient across Google and Meta, on landing pages that hadn't been touched in three years. New pain-point-keyword landing pages plus tighter audience targeting dropped CAC by 70% in twelve weeks — without cutting ad spend.
Missing 48% of scheduled appointments — a $340K annual revenue hole. A HIPAA-compliant PRM automated the entire recall and reminder chain (SMS, email, and call task escalation), lifted show-up rates to 78%, and re-engaged 214 dormant patients in the first quarter alone.
Front-desk staff drowning in administrative work: new-patient intake, insurance verification, referral tracking, post-visit follow-up. Forty-seven workflows automated across four locations gave twelve hours a week back to clinical staff.
A site that looked eight years old, failed accessibility audits, and converted at 0.6%. An editorial rebuild with WCAG 2.2 AA compliance, page speed from 42 to 96, and a rebuilt online consultation booking flow tripled conversions in the first quarter.
Coordinators spending 60% of their day answering the same questions. A HIPAA-compliant chatbot now deflects 42% of routine inquiries with full audit trail; predictive analytics flags high no-show-risk consults 48 hours out with 89% accuracy.
Six-figure monthly ad spend across Google, Meta, and TikTok, with no visibility into which campaigns were paying off. AI-driven bid optimization plus tight attribution routing produced 4.7× ROAS at the same total spend, and cut cost-per-patient by a third.
Try a different filter, or reach out — we may have an unpublished one that fits.
Ready for case file #10
Every practice above started with one call.
The strategy call is free. The analysis takes about a week. You walk away with a plan whether you work with us or not — because if we can't honestly move the needle for you, we'd rather send you elsewhere.