For Healthcare, Doctors & Medspas
Trusted by medspas, pain clinics, surgeons & podiatrists across the US · 20+ case studies · Co-founded by a Dallas anesthesiologist
For Healthcare, Doctors & Medspas
HEALTHCARE PPC AGENCY
Stop Wasting Ad Spend on Leads
That Never Show Up
Most healthcare PPC campaigns burn budget on the wrong keywords, broken landing pages, and leads that don't pick up the phone. We run PPC the way a practice owner would - with compliance, real funnels, and proof.
Read-only access to your ad account. No sales call required.
By Daniel Madhan | Intellius Medical | Updated April 2026
Most clients come to us after trying everything else
Most of the clients that come to us basically come after trying Facebook ads, Google AdWords, Instagram ads, and Meta ads, and then they come to us. We usually recommend them to go for organic traffic and wait for three to six months to get the traffic for free, or agentic AEO traffic right now. But if they want the leads and the patients right away, we recommend PPC traffic.
But we don't recommend right away asking them to spend $100 or $200 a day like any other agency. We start with very small, like $500 to $1,000, to test the traffic and the conversion on a particular procedure. Since Google AdWords costs so much, we try to do Google AdWords and also Facebook ads and Meta ads by combining both, we'll try to find a retargeting of both the ad platforms and bring them patients at a lesser cost.
$500–$1,000
Our starting test spend - not the $100–$200/day most agencies push on day one
Why most healthcare PPC campaigns waste your money
Most of the medspa or doctors, surgeons, those who try to do PPC or hire a PPC agency to do ads for themselves, they focus on getting leads. They don't care about what they try, what copy they do, what images they put. So for example, if they hire a healthcare PPC agency to start marketing, then the PPC agency charges anywhere from $3K to $5K normally, and they additionally charge more money for doing ads for the doctors or the hospitals.
The negative keyword problem
Now, when they do keyword research, they don't remove the wrong keywords or negative keywords mostly. So negative keyword cleanup alone will improve your ROI by 50 to 80 percent, because people think there are no negative keywords, but these are negative keywords.
For example, according to us, "a pain doctor" is good. "How to become a pain doctor" is a negative keyword for us. People don't remove those things. And "how to treat my foot pain at home" we don't try that keyword, because even though it has a good search volume in that location, we don't add those kind of knowledge-based, information-seeking keywords into our PPC campaign.
So our traffic is highly targeted clients who want a certain procedure or a certain service done. We don't go after generic keywords or the keywords that people are looking for in a general way.
Example negative keywords we commonly flag
These are common negatives any experienced healthcare PPC manager would flag on day one. Your actual list depends on your specialty, location, and current search-term data that's what the audit is for.
PAIN MANAGEMENT
how to become a pain doctor
pain management salary
pain doctor degree
pain management residency
how to treat foot pain at home
free pain relief tips
home remedies for back pain
jobs near me
MEDSPA / AESTHETICS
medspa jobs
how to open a medspa
esthetician school
DIY botox
botox at home
cheap filler
groupon medspa
botox training course
BARIATRIC / GASTRO
gastric sleeve covered by insurance
free weight loss surgery
gastric sleeve mexico
gastric sleeve cost without insurance cheap
how to lose weight without surgery
ESG recipes
bariatric surgeon salary
weight loss meme
PODIATRY
how to become a podiatrist
podiatrist salary
podiatrist salary
free foot exam
home remedy for plantar fasciitis
best shoes for foot pain
foot pain stretches youtube
podiatrist jobs
Yes, we can do those keywords and we can get clients. We will get emails, phone numbers, names also. We may ask them to book an appointment with the doctor too. We can even book an appointment with the doctor using telemedicine schedules. But at the end of the day, they won't have a lot of patients coming into their clinic, and then they have to call off the PPC agreement. So these kinds of small details are going to probably waste your money by a lot.
50–80%
ROI improvement from negative keyword cleanup alone
The "launch right away" trap
When an agency onboards a client, after they create the campaign, they try to launch right away so that their clients can see the result, because clients as a doctor or hospital, they too expect results right away. "Since I'm paying money for your ads, then we can't take it, clicks and leads tomorrow." That's their expectation too.
So to meet their expectation, agencies also try to launch the ad without creating a proper funnel. There won't be any landing page. There won't be any automation setup. There won't be any AI-based scheduling or follow-up system set up, and they try to launch right away.
One classic example is one of the ophthalmologists, Supriya. She wanted leads and she wanted to launch the ads right away. She had given our team her credit card, gave access to their Meta ads manager, and we entered, and next day she is asking, "Hey, do you have the ad set up?" This was like five years back. We had to force our team to launch a lead form so that she could start receiving some leads today.
Lead forms are simple ads. All you need to do is paste the copy into the Facebook ad description, title, and add an image and launch. That's it. For every $5 to $10, you will be getting leads. But the problem with those leads is they are not accurate ones. They always click, they don't show up, they don't pick up our call if we follow up, and all the nonsense out there.
So we always try to launch a campaign with a proper funnel setup with landing pages, upsell, downsell, appointment scheduled automatically, follow-up system, and tagging system set in our CRM.
The CRO gap at $5K–$10K/month ad spend
If you are spending more than $5,000 to $10,000 on ad spend, most of the agencies don't set up for CRO - Conversion Rate Optimization, which is most important for converting heavy traffic into good conversion. Even if you improve the conversion rate from 3% to 4%, that's a 25% increase in revenue for the hospital or the doctor.
25%
Revenue lift from moving conversion rate 3% → 4% (most agencies skip this entirely)
How conversion rate optimization is done is an entirely big topic, but there are some basics that every medspa or doctor or any healthcare procedure should do. They should install Hotjar or Lucky Orange and start tracking the user behavior in terms of videos, start analyzing if the people filled the forms or not, calculate the drop-off rate of the form. If they are dropping off at the third form field instead of filling in the eighth one, then just convert the form field from eight to four and have a second page to fill in the long form.
The lead-form-quality problem (and how we fixed it)
When they do a lead form, they don't ask extra questions. So people just fill name, email, and phone number, and submit in the Facebook ad. According to the Facebook algorithm, people are filling the form, so it decides: "Let me send these types of people always." But in reality, if you had a few more questions, you are going to get more high-quality leads.
For example, when we launched ESG Facebook ads for Dr. Kadia, we were targeting people who were triple XL, 4XL, 5XL and all the brand names. We did a Facebook lead form ad with added questions: What is your BMI? Do you have heart issues? Do you have plans to do minimally invasive surgery - yes or no? If they filled all of them, then we redirected them to a page with a VSL (video sales letter) from Dr. Kadia, where he talks about endoscopic sleeve gastroplasty. In the same page, we also had a testimonial video from a woman who lost 14 pounds with this surgery within one month. So people who filled the form by answering the extra steps remembered us, and when we called them again after a day or two, they picked up and answered.
Our healthcare agency takeover protocol
Week 1 - Full audit and leak detection
In week 1, our PPC healthcare agency will clean up the account if you are running ads already, study the campaign structure, keyword intent, remove negative keywords or keywords that are informational, generic, and no longer serve commercial intent, fix location targeting, clean up search terms, and install pixels and conversion setup.
We study the funnel if a doctor or surgeon has one and try to understand if the steps are correct or not, where the funnel is built or the automations are set up or not. If the email marketing campaign for the leads who signed up with us or opted in is not built, automations and tagging system are set up or not, and the pipeline should be set up so that whenever the lead moves from lead to qualified lead section, and then moves forward, we put them in the appointment schedule. Once they are put in the appointment schedule, we need to put them in reminder automation before they come to the clinic.
01
Account audit & campaign structure review
Study how the ads accounts are structured, how many ads are published in each account, how much is spent on each ad, what is the conversion rate, and what keywords are driving conversions.
02
Keyword and ads cleanup
Remove wasted traffic by cleaning up the keywords that aren't bringing any conversion, remove negative keywords, and tighten match types for Google AdWords.
03
Ad copy rewrite based on patient intent
Rewrite the Facebook ads copy based on patient intent and be straight - no hype or sentences that make them engage on emotion and then not show up.
04
Landing page, offer, CTA, upsell, downsell review
Study the landing page for offer clarity, call-to-action placement, upsell, and downsell paths.
The straight-copy principle
For ESG (endoscopic sleeve gastroplasty) Facebook ads, if we tell people, "Book the call today, tomorrow you will lose 10 pounds," then we will get most of the leads. But in reality, we were explaining the whole procedure in the Facebook ad copy, so we got fewer leads, but the leads that came from the ads were the ones who had learned the entire procedure, what it is, in the Facebook ad copy section, and then booked an appointment with us. We removed most of the fake leads or the leads that come with emotion. We even mentioned that this procedure is not covered by insurance, so you have to pay anywhere from $7,000 to $10,000 - which also filtered out most of the people who don't have the money.
The upsell/downsell funnel in action
If we are doing ads for a medspa for a Botox offer at $8 per unit, we'll try to catch them at $8 per unit. If they say "I don't want," then we jump on and show a dermal filler offer. If they click "no, I don't want any offer," then we will show them a third offer that involves laser hair removal, or an anti-aging consultation worth $100, but free for them. And if they fill that out, we will ask more questions and then make them schedule a call with us.
HOW WE STRUCTURE A MEDSPA DOWNSELL FUNNEL
PRIMARY OFFER
Botox at $8 per unit
↓
DOWNSELL 1 - "I DON'T WANT"
Dermal Filler Offer
↓
DOWNSELL 2 - "NO OFFER"
Laser Hair Removal or $100 Anti-Aging Consult (free)
↓
QUALIFICATION
Extra questions + scheduled call
To increase the conversion rate from appointment booked to appointment show-up, we charge a flat fee of $50, and it is refunded once they come to the medspa. This resistance creates a situation where people show up to the medspa no matter what, because they are paying $50 upfront for the consultation or procedure.
Healthcare PPC by specialty - why one template doesn't work
Every agency does the ads for Facebook or Google AdWords by considering all of them the same medspa PPC, podiatry, pain doctor, or specialty clinic PPC. And almost all the medspa owners use a GoHighLevel template landing page or automation pages and try to get the leads through that. They just change the image and copy a little bit. Since they are serving so many clients, they cannot be doing individual pages.
But we prefer creating a dedicated page per specialty.
Medspa patients are looking for aesthetics. They are not looking to fix their pain or symptoms. Podiatrist and pain management patients are all in pain and agony. You cannot show an aesthetics image in their landing page. The messaging and wording should be focused on solving their pain problem, rather than "we will make you look great" kinds of quotes in the landing page.
MEDSPA
Patient wants aesthetics
Landing page: before/after photos, confidence-driven copy, offer-led
PAIN MANAGEMENT
Patient is in pain and agony
Landing page: empathy-first, symptom relief, no aesthetic hype
PODIATRY
Patient wants pain gone
Landing page: problem-solving focus, not aspirational imagery
BARIATRIC / GASTRO
Patient wants trust + proof
Landing page: VSL, testimonials, price transparency, medical credibility
Each and every category needs a different landing page and different ad images and copy. For example, Summer Glow IV ads or Facebook ads or Google Ads are not equal to gastric sleeve Facebook ads or Google AdWords. People who search for "gastric sleeve" are entirely different from people who search for "semaglutide." So the landing page varies. You can create a cheap landing page for semaglutide, people are going to convert. But if you don't have trust elements in the landing page where you offer gastric sleeve gastrectomy weight loss procedure, then you are not going to get a good conversion rate.
Instead of making the same mistake that every marketing agency makes in this healthcare niche, we proactively provide what the client actually needs. Medspa PPC should always be done by a medspa PPC manager only.
Why healthcare PPC is entirely different from normal PPC
The healthcare audience is entirely different from normal PPC. People who want to buy a software are entirely different from people who have a knee problem and want to have a surgery. People trying to sign up for a social network or searching for a job are entirely different from people who are suffering from pain and want to get rid of the pain.
Patient intent is entirely different from standard local search traffic, and compliance matters a lot. You cannot hype, and you cannot hide from the HIPAA compliance rules. Landing page language matters a lot.
COMPLIANCE WARNING
Our Facebook and Google AdWords account were shut down because we didn't have a disclaimer on our landing page for Dr. Prashant Kadia's ESG (endoscopic sleeve gastroplasty) landing page. Both platforms disabled our ad account. Once we fixed it, it actually started working. So we make sure we follow the compliance thing very carefully now.
What you get in our free healthcare PPC audit
Free 9-Point Healthcare PPC Audit
Once you jump on a call with us, after we get access to your PPC ad account and your Google Search Console, we will review your account structure:
✓ How the ad accounts are structured
✓ How many ads are published in each account
✓ How much is spent on each ad
✓ What the conversion rate is
✓ What keywords are driving the conversion rate
✓ Why you can't achieve the same result with less money that's our actual goal always
✓ Negative keyword gap review - many people think their keywords are fine, but negative keywords are one of the worst things that will eat up your CPC cost right away
✓ Location targeting review - most agencies fail at location, thinking that even if it's 20–30 kilometers away from your location, people will drive. It depends: you may be right one day, you may be wrong another day
✓ Funnel, landing page, and CRO assessment
Real numbers from real practices
These are current and past client results. More case studies.
1,540
PATIENT CALLS
Waco Heart & Vascular
349×
IMPRESSION GROWTH
Healthy By Hillary, Wylie TX
3,418%
USER GROWTH
Dr. Jeremy Graff Podiatry