An independent Southeast dermatology practice achieving 22 patient conversions per month at $21.49 CPA on just $500/month — the leanest budget in our portfolio. This account demonstrates that when budget forces extreme focus, results often outperform less constrained accounts.
$500/month in Google Ads for a dermatology practice in a competitive market. Most agencies wouldn't take the account. The conventional wisdom is that $500 isn't enough to compete. We disagreed — because $500 concentrated on exactly the right keywords, in exactly the right geography, at exactly the right times, is more than enough.
Maximum concentration. Two keyword themes only: the practice's single strongest cosmetic procedure specialty, and "dermatologist near me" variants within a 3-mile geo radius. Every dollar of the $500 was accountable. Bid capping ensured visibility during peak conversion hours and suppressed the account outside those windows. Every inefficiency was eliminated because there was no budget to absorb inefficiency.
22 monthly conversions at $21.49 CPA on $500/month. A 13.5% conversion rate. This account proves the principle: budget size is not the determinant of performance — focus and architecture are. The practice gets more patient contacts per dollar spent from this campaign than any other in our portfolio.
All metrics on this page are pulled directly from live Google Ads dashboards and represent actual campaign performance. Practice identity is anonymized by agreement. Results vary by market, specialty, budget level, and competitive environment. Past performance does not guarantee future results.
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