Reincke Vein Center
Case studies
Named accounts, real spend, and the numbers underneath
Three accounts, $200,000 in managed spend, and every figure taken from the live platform rather than a slide. Where a client cannot be named we say so, and the numbers stay the same.
What these have in common
These are not six month wins. Two practices have been with us more than four years, and Leg Pain and Vascular Institute was built from nothing. Which makes the pattern worth noticing: all three are still getting cheaper. Reincke Vein Center produces 55 percent more leads than it did a year ago on a budget that has not moved. The plastic surgery account cut its cost per inquiry by 44 percent in its fourth year, not its first. A long account that keeps improving is a harder thing to show than a turnaround, and it is the only evidence that matters if you are choosing somebody to work with for a while. What moved each one was a decision to stop accepting a number that was already respectable. Reincke Vein Center was producing leads at a fair cost, so we narrowed the targeting until it produced far more of them for less. The plastic surgery account was profitable and flat, so we spent a month testing wider to find out which procedures could scale, and moved the budget into them. Neither needed rescuing. Both needed somebody to keep asking whether this was as good as it gets. A vascular practice was advertising procedures nobody searches for by name.
Cosmetic and plastic surgery practice, New York City
From 183 inquiries a month to 429 a month
Conversions more than doubled on a budget that rose a third Read the case study
Leg Pain and Vascular Institute
Five months from invisible to 150+ booked appointments a month
1,500+ patient inquiries in five months Read the case study
Questions
What people ask about these numbers
Every figure on these pages comes from the live ad account. Here is what that does and does not mean.
The live Google Ads and Meta accounts, pulled directly rather than retyped from a report. Spend, clicks, impressions and conversions are all platform recorded. Where a figure comes from somewhere else, such as appointments a practice booked from its own records, the page says so.
The New York cosmetic surgery account is a white label arrangement, so we are not able to name the practice. Everything else about it is unchanged: the spend, the monthly figures and the cost per inquiry are the real ones. The other two clients are named because they agreed to be.
Because somebody who saw a targeted ad, read it, clicked it and started a conversation is a contactable person who raised their hand. Meta records it as a conversion and so do we. Where a case study counts both conversations and form submissions, it shows the split rather than only the total.
Mostly inquiries, and there is a reason for that. HIPAA means booked appointments cannot be fed back into Google or Meta, so the platform can only ever see the inquiry. Any appointment figure on these pages comes from the practice's own records and is labeled that way.
They are three of the accounts we run, chosen because each shows something different: a fixed budget producing more over time, a large account that had plateaued, and a practice whose procedures nobody searches for by name. They are not the only accounts and they are not the worst ones.
Because we would be guessing. What a booked patient is worth, and how many inquiries become patients, sits inside the practice rather than inside the ad account. We would rather publish a cost per inquiry we can prove than a return on ad spend we cannot.
The vein account covers twenty four months, the cosmetic surgery account eight, and the vascular practice five. Paid search usually shows whether the economics work within about ninety days. Anything described as a trend rather than a month is measured over at least a quarter.
The method transfers, the numbers do not. Cost per inquiry depends on your specialty, your market and what a click costs there, and those vary enormously. We model your own numbers before quoting anything, and if they do not support the spend we will say so on the first call.
Want to see what these figures would look like in your market? Model your own budget, or send us the account and we will tell you what we would change.
Get a proposal
Start here
See what your budget can actually buy.
Model your campaign before you commit a dollar, or send us the account and we will tell you what we would change first.