A Northeast multi-location dermatology group generating 204 patient conversions per month at $20.99 CPA across multiple practice locations. The challenge of multi-location campaigns is allocating budget intelligently across offices — this account demonstrates what geo-aware campaign architecture delivers.
Multi-location practices face a unique challenge: budget allocation across locations. This dermatology group was running a single campaign covering all locations, which meant high-demand locations were competing with lower-demand ones for the same budget pool. Performance was uneven and the true opportunity at each location was obscured.
Location isolation was the core fix. Each practice location got its own campaign with its own budget ceiling, its own geo-targeting radius, and its own bid modifiers calibrated to local competitive intensity. We then built a shared negative keyword list applied across all locations to prevent intra-account competition. Performance reporting was restructured to show location-level CPA, enabling smart budget reallocation toward highest-ROI locations monthly.
Once each location was optimized independently, total group performance improved significantly. 204 monthly conversions at $20.99 CPA — a consistent baseline that the group could forecast and build staffing capacity around. The 21.1% conversion rate reflects how well location-specific landing pages with office-specific details, team photos, and directions outperform generic practice pages.
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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