Google Ads, Meta Ads, SEO and AI search, run by senior specialists. $10M+ in managed spend. 13 years in business.
Minimally invasive knee arthritis treatment. Restores movement. Covered by Medicare
Minimally invasive procedure for knee arthritis. Reduces inflammation, restores movement. No surgery required. Covered by most insurance.
Northgate Vein and Vascular
Open until 5 PM · (555) 014-8210
Riverside Vascular Institute
Bayview Vein Center
Ads bring patients and clients this month. SEO lowers what you pay for the same patient next year. AI search reaches people before they know what to search for. And the website underneath decides how many of them ever become an appointment. Run one on its own and you spend more for less, which is why we do not sell them separately.
Be the answer, not a blue link
People are asking chatGPT what their options are, often before they know the name of the procedure. We work both sides of that answer, the paid placement and the earned citation.
Demand that already exists
Somebody in your city typed your service into Google this morning. Search ads and Meta ads, built around what people actually search for when they are ready to book.
Somewhere worth sending the click
Premium custom builds and the structure behind them. Every site we make includes an engine that works out what the visitor needs before asking them for anything. Priced as part of the marketing, not as an agency project.
Named clients, real figures, and the full report attached to each one.
“The website they made for us is impressive, local SEO greatly improved our visibility in the local community, and their paid advertising campaigns consistently bring in new patients. A reliable partner for any medical practice.”
A vascular practice in Houston asks visitors what is holding them back, takes a description of where it hurts, and routes them to the treatment that fits. A wellness clinic asks what brings you in today and sorts between aesthetics, weight and hormone care. A flooring company lets a homeowner photograph their own garage and see it finished before they speak to anybody.
None of that came off a shelf. We build it because the thing that should exist usually does not, and because an agency that can only buy traffic has to accept whatever the site does with it.
The same habit produced a front desk system that pulls every lead from every source into one place, so an enquiry does not sit unanswered while the patient books somewhere else.
Why it matters more than it sounds
Most people arriving on a medical site cannot name what they need. A service list asks them to translate their symptom into your vocabulary before you will help them. Plenty of them cannot, and they leave.
What is holding you back, rather than choose a procedure
A page that answers one question plainly, loads fast, and is marked up so a machine knows what it is looking at will rank in local search, get quoted in AI answers, and convert paid traffic. It is one piece of work with three returns.
That is why we do not recommend these as separate services with separate teams. Local SEO lowers what you pay for the same patient over time. AI search reaches people before they know what to search for. Paid ads bring bookings this month while the other two are still building. The site underneath decides how well any of it works.
Agencies that specialise in one channel have to pretend the other three do not matter. We would rather tell you which one your money should go to first, even when it is not the expensive one.
What that means in practice
One senior specialist can see your search terms, your rankings and your AI citations at once. The queries that convert in the ad account are the ones worth building pages around, and that only happens when the same person watches both.
One set of foundations, three places it pays off
Built to see what standard reporting misses. Acts before problems become costs.
Before any campaign launches, ProSocial Intelligence models your goals, budget, and market data to project realistic outcomes. You know what to expect before a single dollar is committed.
Your campaigns are analyzed daily, not monthly. Underperformance is flagged and addressed in hours. By the time a traditional agency notices, we've already corrected it.
Audience fatigue, bid inflation, creative burnout: ProSocial Intelligence identifies these signals days before they impact your leads or revenue. Prevention, not reaction.
Budget allocation decisions are driven by continuous performance signals, not monthly gut checks. Capital moves toward what's working before waste accumulates.
Enter your parameters and get a state-level outcome projection across three scenarios. This is a directional simulation, not the full ProSocial Intelligence system our team uses on live accounts.
Complete all fields to run your simulation
Most single location practices need at least 2,500 dollars a month in ad spend before the data is reliable enough to optimize against. Below roughly 1,500 a month you are buying too few clicks to learn anything, and the account stays guesswork. The right number depends on what a click costs in your specialty and your state, which is what the simulator on this page estimates.
Google first in almost every case. Google captures people already looking for the procedure, so intent is higher and the path to a booking is shorter. Meta creates demand rather than capturing it, which works well for elective and cosmetic work but takes longer to pay back. Practices with an established Google account are the ones that see Meta perform.
Leads usually start within the first two weeks. Booked appointments follow the length of your sales cycle, which for most specialties is two to six weeks after the first inquiry. Expect the first 60 to 90 days to be spent finding which campaigns and keywords convert, not scaling them.
AI search advertising is available and we run it. Eligibility varies by platform and by category, and healthcare is handled case by case with verification on some networks. We assess your specific situation before anything goes live, and there is always earned AI visibility work available regardless of paid eligibility.
No. We work month to month. The accounts, the data and the creative are yours, and you can take them with you. Ten years of referral only growth is not something you get by locking people in.
The person who sold it to you. Nothing gets handed to a junior after the contract signs, and you are not passed to an account manager who relays messages. That is the practical limit on how many clients we take at once.
Both, and they work better together. We build custom WordPress sites with the condition pages, schema and interactive tools the campaigns need to convert against. Several clients came to us for ads and stayed for the rebuild once it was clear the site was the constraint.
We tell you before you sign if we think the numbers will not work, and we have turned down accounts on that basis. If something is underperforming once live we say so in plain terms and change it. Month to month terms mean we have to keep earning the account every month.
We are a small team and we take on a limited number of accounts, because the person who sells the work is the person who does it. That is a real constraint, not a positioning line.
If your budget is too small to produce useful data, or your market is too thin to support the volume you need, we will tell you on the first call rather than after the first invoice. We have turned down accounts for both reasons and we would rather do that than take money we cannot earn.
If you are somewhere in the middle and not sure which, that is the most useful conversation to have.
Model your campaign before you commit a dollar, or send us the account and we will tell you what we would change first.
