1,919 Patient Conversions at $4.98 CPA — Multi-Location Ophthalmology Group

What we were working with.

This multi-location ophthalmology practice was generating patient interest but burning budget on poorly segmented campaigns. Broad keyword targeting was pulling in low-intent traffic — research queries, competitor brand searches, and informational clicks that never converted. The practice had strong clinical reputation and genuine patient demand but the campaign structure wasn't capturing it efficiently.

How we built the campaign.

We rebuilt the campaign from scratch around procedure-specific ad groups — cataracts, LASIK, dry eye, glaucoma management, and routine exams each got their own keyword sets, ad copy, and landing page assignments. Location-level bidding was calibrated to each office's patient capacity and geographic demand density. AI-driven Smart Bidding was layered on top of the restructured architecture with conversion value rules that weighted surgical consult bookings higher than routine appointment requests.

What the numbers say.

The results were immediate and sustained. Conversions jumped to 1,919 in the campaign month — 44.5% of all clicks converting to a trackable patient action. At $4.98 CPA against a $12,500 monthly budget, this campaign generated patient contacts at a fraction of industry benchmarks for surgical specialty practices.

Specific tactics deployed.

• Procedure-level ad group segmentation across 5 surgical and clinical specialties
• Location-specific bid modifiers calibrated to each office's capacity
• AI Smart Bidding with custom conversion value rules weighting surgical consults
• Negative keyword architecture eliminating informational and research traffic
• Call extension optimization with location-specific phone numbers tracked individually