A boutique Southeast dermatology practice achieving 59 patient conversions per month at $15.02 CPA on a $900/month budget. A 22.4% conversion rate demonstrates that boutique practices with limited budgets can compete effectively when the campaign is built around focus rather than scale.
Small budget, high competition. This boutique practice was competing in a market with large dermatology groups running 5-10x the budget. The conventional approach — try to match broad coverage — was impossible. A different strategy was needed.
Radical focus. We identified the practice's single strongest differentiator (a specific cosmetic specialty the practice had built exceptional reputation around) and concentrated 80% of budget exclusively on searches related to that specialty. The remaining 20% covered the highest-intent general dermatology searches in the immediate geographic area. This produced a campaign that competed at the top of a narrow, high-value niche rather than middling performance across a broad market.
59 monthly conversions at $15.02 CPA — strong results for a boutique practice on a tight budget. The 22.4% conversion rate reflects the quality of fit between highly specific ad copy, the practice's specific expertise, and the patient's specific search intent.
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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