Frequently Asked Questions — Google Ads for Medical Practices

Everything you want to know before you invest in Google Ads for your practice. 25 honest answers to the questions we hear most.

Getting Started

Most clients see their first new patient calls within the first 2–4 weeks of going live. The first 30 days are the baseline period — campaigns are gathering data and making initial optimizations. By day 30–60, performance is typically strong enough to project monthly averages. Our clients average 30 qualified new patient calls per month once campaigns reach full optimization, usually around day 45–60.
We work with practices spending as little as $1,000/month on Google Ads. In most markets, $1,500–$3,000/month delivers the best cost-per-patient ratios. Your ad spend goes directly to Google — we never markup your budget. The key insight: a smaller budget spent precisely on high-intent keywords often outperforms a larger budget spread too broadly.
Not necessarily — but your landing page matters enormously. A well-designed landing page with a clear phone number, trust signals, and a visible call-to-action can double your conversion rate compared to a basic homepage. As part of our campaign setup, we review your landing page and provide specific optimization recommendations at no additional cost.
Very little upfront. For the free audit, we just need your practice name, location, and specialty. For the campaign setup, we'll need access to your Google Ads account (or we create one for you), details about the services you want to promote, your service area, and your monthly ad budget. We handle everything from there.
You can, but the learning curve for healthcare Google Ads is steeper than most industries. Healthcare-specific keyword structures, negative keyword management, call tracking setup, and understanding search intent for medical patients are all areas where experience directly affects cost-per-patient. Most physicians who try self-managing tell us they spent 2–3x more per patient before engaging a specialist. That said — start with the free audit and see if it makes sense for your situation.

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Pricing & Contracts

Our management fee is $1,250/month. The one-time campaign setup fee is $1,000. There are no other fees from us. Your Google ad spend is a separate budget paid directly to Google — we never handle or markup that money. To compare: generalist agencies typically charge $2,500–$5,000/month for similar services. We're able to price lower because our systems are built specifically for healthcare.
We recommend $1,000–$1,500/month for practices in smaller markets and $1,500–$3,000/month for competitive urban markets. Podiatry keywords typically cost $8–$25 per click depending on your location and competition. At our average 4.12% conversion rate and $1,500/month spend, you can expect 6–9 new patient calls per month from that budget alone. At $3,000/month, you're looking at 12–20 calls.
No. We operate month-to-month after the initial campaign setup. We believe our results should be the reason you stay, not a contract. We do ask for 30 days notice before pausing campaigns — this gives us time to document your account and ensure a clean handoff if you ever need one. Some clients pause seasonally; that's fine too.
Everything required to run and continuously improve your campaigns: daily bid monitoring and adjustments, weekly search term analysis and negative keyword updates, A/B testing of ad copy, monthly performance reporting with full ROI breakdown, call recording review, budget pacing, and direct Slack or email access to your campaign manager. No add-on packages, no tiered service levels.
No. The $1,000 covers the complete campaign build — account setup, keyword research, ad copy, call tracking, conversion configuration, and everything required to go live. The only additional costs you'll ever see from us are if you ask us to build a second campaign for a new service line or location, which we discuss and quote separately.

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Results & Expectations

Our clients average a 3:1 return on total investment. At $3,250/month total investment (management + $2,000 ad spend), generating 30 new patients at a conservative $800 lifetime value each produces $24,000 in monthly revenue. At higher patient values or higher patient volume, the multiplier is significantly better. We'll give you projections specific to your market and specialty during the free audit.
The primary metric is cost per acquired patient — what it costs, in total, to generate one new patient appointment. Secondary metrics include conversion rate (percentage of clicks that become calls), call volume, and cost per call. We deliberately de-emphasize vanity metrics like impressions and click-through rates. If the cost-per-patient is trending down and call volume is trending up, we're winning.
Conversion rate is the percentage of ad clicks that result in a tracked conversion — typically a phone call or form submission from a prospective patient. The industry average for healthcare PPC is 2.70%. Our 4.12% figure is an average across all active client accounts, measured over the trailing 12 months. Higher conversion rates mean you pay less per patient for the same ad spend.
Disappointing results trigger an immediate account review — not an excuse. We'll identify the specific issue: is it the keywords, the landing page, the ad copy, the bid strategy, or the market competition? We'll present a specific action plan and implement it within the same billing period. If results don't improve within 60 days of the corrective plan, we'll have an honest conversation about whether our service is the right fit for your situation.
Our average cost per new patient is $50–$80. For comparison: direct mail typically runs $200–$500 per new patient in healthcare; TV and radio are higher still and harder to attribute; SEO can be lower long-term but takes 6–18 months to build and requires ongoing content investment. Google Ads is unique in that it captures patients at the exact moment they're searching — making it the highest-intent channel available to medical practices.

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Google Ads & Healthcare

Google Ads is not itself a HIPAA-covered entity, and Google does not sign Business Associate Agreements for advertising products. However, your advertising approach can be designed to be HIPAA-conscious — avoiding collection of protected health information, not using health condition data for audience targeting, and configuring conversion tracking to capture only contact events (calls, form submissions) without storing health data. This is how we build all healthcare campaigns.
SEO builds organic rankings over 6–18 months with ongoing content investment. Google Ads delivers results in 2–4 weeks and can be turned on or off based on need. For new or growing practices that need patients now, Google Ads is the right starting point. For established practices with more patience, a combination of both is optimal. We specialize in Google Ads; for SEO, we can point you toward reputable healthcare-specific SEO partners.
Google Ads does not allow targeting by insurance type, and targeting by specific health conditions or demographics related to health status is restricted under Google's healthcare advertising policies. We can target by geography, device, time of day, and search intent (keywords). These parameters, combined with healthcare-specific ad copy, are sufficient to reach high-intent patients effectively.
Yes. Google has specific policies for healthcare and pharmaceutical advertising, including restrictions on certain medical content, certification requirements for some clinical services, and limits on the types of health-related claims that can be made in ad copy. Navigating these policies correctly is one of the areas where a healthcare-specialized agency adds significant value — policy violations result in ad disapprovals and account suspensions.
Very few. Most standard medical practice specialties — podiatry, orthopedics, PT, primary care, dermatology, dental, chiropractic — can advertise effectively on Google with no restrictions. Some specialties dealing with substance abuse treatment, certain mental health services, or experimental treatments face additional hurdles. Pharmaceutical products and some clinical trials have separate certification requirements. If you're unsure about your specific situation, ask us — we'll tell you honestly before you spend anything.

Questions about Google Ads for your specific specialty?

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Working With Dr. Foot Traffic

We exclusively serve medical practices — no restaurants, no e-commerce, no law firms. This means our keyword databases, negative keyword lists, ad copy templates, landing page frameworks, and campaign architectures are all built from real healthcare campaign data. A generalist agency applies generic templates to your practice and charges you while they learn your industry. We already know your industry.
Yes. While we're based in St. George, Utah, we serve medical practices nationwide. Google Ads management is entirely remote — we access your account through Google's platform regardless of geography. Local market knowledge matters for keyword and bid strategy, which we research thoroughly for every new client regardless of location.
We work with podiatry, orthopedics, physical therapy, primary care, dermatology, urgent care, chiropractic, and dental/oral surgery practices. Podiatry is our founding specialty with the deepest data and fastest ramp-up time. Other specialties perform well with us, though the initial optimization period may be slightly longer as we build specialty-specific data. See our full specialty breakdown on the About page.
Yes. Every client is assigned a dedicated account manager who is the single point of contact for your campaign. You'll know who manages your account, and they'll know your practice. We don't rotate accounts between staff or outsource work to contractors — your manager stays with your account.
Your choice. Most clients prefer a combination of monthly report emails, occasional Slack messages for quick questions, and quarterly video calls for strategy reviews. For urgent issues — a campaign going off the rails, a sudden change in performance — we reach out proactively before you notice. Response time for direct messages is typically under 4 business hours.

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