Revenue, not vanity metrics.

Challenge: Five clinics with inconsistent booking volume and no shared tracking across locations, relying almost entirely on word-of-mouth referrals.

Approach: Consolidated Google Ads + local search engine optimization (SEO) across all five Google Business Profiles, condition-specific landing pages, and a unified call-tracking system.

Result: New-patient bookings up 94% within 6 months, with cost-per-booked-patient down 38% as campaigns matured.

Challenge: Losing high-value highway recovery jobs to competitors who simply answered faster and ranked higher during peak-urgency searches.

Approach: Call-only Local Service Ads campaigns dayparted to staffed hours, plus multi-location SEO covering every highway corridor served.

Result: Average time-to-call dropped under 15 minutes and monthly booked jobs from paid search increased 2.4x.

Challenge: Generic Meta and Google campaigns not reflecting live inventory, producing high volumes of low-quality leads that never became showroom visits.

Approach: Inventory-aligned Google and Meta campaigns, retargeting for vehicle-page visitors, and a finance pre-qualification funnel wired to the dealership's customer relationship management (CRM) system.

Result: Cost-per-vehicle-sold down 38%, with a 4.6x blended return on ad spend (ROAS) across active campaigns.

Challenge: Spending heavily on broad legal keywords with no visibility into which clicks actually became signed retainers.

Approach: Rebuilt account structure around practice-area and geo-specific ad groups, tight negative keyword management, and call tracking tied to intake outcomes.

Result: Cost per signed case down 31%, with qualified consultation volume up 74% in the first two quarters.

Challenge: New-patient exam bookings were inconsistent month to month, and the practice had no way to tell which marketing dollars actually filled the chair.

Approach: Local SEO built around the practice's core procedures, Google Ads for high-intent searches like 'emergency dentist' and 'dental implants near me,' and call/form tracking tied to the practice management system.

Result: New-patient exam bookings up 61% within four months, with cost-per-new-patient down 29% as Google Business Profile rankings climbed.

Challenge: Competing against larger electrical contractors for the same high-value panel-upgrade and EV-charger jobs, with ad spend spread thin across too many keywords.

Approach: Narrowed campaigns to the highest-margin jobs (panel upgrades, EV chargers, whole-home rewiring), added Local Service Ads for same-day calls, and built job-type-specific landing pages.

Result: Booked high-ticket jobs up 47%, with average job value up 22% as lower-margin service calls were deprioritized in favor of bigger installs.

Challenge: Ad spend and staffing didn't flex with the seasons — the company was paying peak-season prices for clicks in the off-season and running out of budget during summer/winter demand spikes.

Approach: Built a season-aware budget model that shifts spend toward maintenance plans in shoulder seasons and emergency repair/install campaigns during peak heat and cold snaps, dayparted to on-call staff hours.

Result: Maintenance plan signups up 3.2x in shoulder seasons, while peak-season cost-per-booked-job dropped 26% from tighter dayparting and negative keywords.

Challenge: Emergency burst-pipe and water-heater calls were going to whichever competitor answered the phone fastest — the company was ranking well organically but losing the urgent, high-value calls to paid ads.

Approach: Call-only Local Service Ads layered on top of existing SEO, tight service-radius targeting to avoid wasted spend outside their coverage area, and call tracking by job type to separate emergency calls from routine repipes.

Result: Emergency call volume up 2.1x with average response time under 18 minutes, and high-ticket repipe/water-heater jobs up 38% as tracking revealed which keywords actually produced paying work.

Challenge: Three clinic locations were competing against national urgent-care chains for 'urgent care near me' searches, with walk-in volume unpredictable day to day.

Approach: Location-specific Google Business Profiles optimized for real-time wait times, geo-targeted campaigns for each clinic's actual drive-time radius, and AI-search optimization so the clinics show up in ChatGPT/AI Overview recommendations for local urgent care.

Result: Walk-in and booked visits up 43% across all three locations, with cost-per-visit down 24% once campaigns stopped overlapping and competing with each other.

Challenge: Product ads were driving plenty of traffic, but conversion tracking couldn't tell which campaigns actually turned browsers into completed checkouts, so budget kept chasing clicks instead of buyers.

Approach: Rebuilt the Shopping and Performance Max feed around real inventory and margin, layered in cart-abandonment retargeting and follow-up flows, and tied spend directly to completed-checkout revenue instead of click volume.

Result: Revenue per ad dollar up 2.8x within five months, with cart-abandonment recovery alone adding 14% incremental checkout revenue.