A high-volume Mid-Atlantic ophthalmology practice running a mature, consistently optimized Google Ads account. 395 conversions per month at $19.10 CPA and a 40.4% conversion rate — what sustained campaign optimization produces over time when the account architecture is built correctly from the start.
This practice had been running Google Ads with a previous agency and was generating moderate results — but had never had the campaign architecture built at the procedure level. All keywords competed in a single broad campaign, conversion tracking was incomplete (missing call conversions), and Smart Bidding had no quality signal to optimize against. Results were inconsistent month-to-month.
Complete account reconstruction. Every procedure — LASIK, cataract consultations, diabetic eye care, glaucoma management, dry eye treatment — got its own campaign with dedicated budget, custom landing page, and tightly controlled keyword lists. Call tracking was implemented and integrated as a primary conversion action. Smart Bidding was introduced gradually after six weeks of conversion data accumulation, then optimized with conversion value rules.
Month-over-month consistency became the norm rather than the exception. With procedure-level tracking, we identified which treatments had the best CPA and shifted budget toward them. The 40.4% conversion rate reflects both strong landing page alignment and the quality of traffic the procedure-specific keyword architecture produces — patients searching for exactly what the practice offers.
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.
Book a free AI marketing audit. We'll show you what the opportunity looks like in your specific market and specialty.
Get My Free AI Marketing Audit