135 patient conversions per month at $13.93 CPA in the New York City market — one of the highest-CPC medical advertising markets in the country. At $1.67 average CPC in NYC, this account demonstrates what focused, geo-precise targeting delivers in a competitive urban environment.
NYC ENT practices face some of the most expensive CPCs for medical searches in the country — $15-$40+ for core ENT terms in Manhattan. A $1,900/month budget in this environment requires extreme precision. Generic broad-match campaigns burn through budget in hours. The practice needed a hyper-targeted approach.
Neighborhood-level geo-targeting was the core strategy. Rather than targeting all of NYC, we mapped the practice location relative to subway lines and walking catchment areas, then geo-targeted to the specific neighborhoods where patients were most likely to prefer this location over competitors. Bid modifiers boosted visibility for searches within 1 mile of the office during office hours. Keywords were limited to exact and phrase match only — no broad match in a market where irrelevant clicks cost $20.
135 monthly conversions at $13.93 CPA — a CPA that would be difficult to achieve in NYC without the neighborhood-level targeting precision. The 4.89% CTR across 1,125 monthly clicks reflects tight ad-to-keyword relevance.
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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