The risk
A third location inside the same drive-time radius can divide existing patient flow rather than add to it. Combined volume stays flat while three locations each report a decline, and nobody can prove which campaign caused it.
Two rebuilds, one from each track, plus a multi-location group. Same method every time: find the structural gap, rebuild the campaign architecture around real patient behaviour, and connect the reporting to something that appears on a P&L.
Attended appointments do. Completed procedures do. Every engagement is wired through to the numbers your practice actually runs on, and every case below is reported in those terms.
Four-location medical dermatology group. Strong clinical reputation, one Google Ads campaign carrying every condition and every location.
A single Google Ads campaign. Medical and cosmetic patients combined in one budget. The homepage doing landing page duty for every condition. No call tracking. No EHR attribution. Cost per lead climbing quarter over quarter.
Dual-track campaign rebuild with separate budgets and negative keyword libraries. Eight condition-specific landing pages. Mohs surgery split into a standalone campaign. EHR-connected conversion events, location-level CPA tracking, and a HIPAA-compliant pixel configuration deployed in week one.
The largest single gain came from splitting Mohs surgery out of the general skin cancer campaign. Mohs patients have already been diagnosed and referred. They search for a surgeon, not a dermatologist. Once that intent had its own keyword set, its own page and its own benchmark, the general screening campaign stopped absorbing budget it was never going to convert.
Cosmetic-forward dermatology practice. Rising ad spend, flat consultation volume, and an untouched RealSelf profile.
A single Meta campaign firing “Book Now” at cold audiences. No RealSelf presence. No seasonal structure. No before/after content in paid media, despite a full library sitting unused in the EHR. Consultation volume flat while spend rose.
Three-stage Meta system running awareness, consideration and conversion simultaneously. RealSelf profile optimized and actively managed. Procedure-specific landing pages for Botox, fillers and laser. Pre-summer Botox campaign activated ten weeks before Memorial Day, with a compliant before/after consent workflow behind it.
The cost-per-consultation drop was not a bidding change. It was an audience change. The practice had been running conversion-stage creative at people who were eleven months from booking. Moving that audience into an awareness layer. Provider credibility, natural result showcases, no booking CTA. That let the conversion layer spend only on people who were actually close.
A PE-backed dermatology group opening its third location in an overlapping catchment.
A third location inside the same drive-time radius can divide existing patient flow rather than add to it. Combined volume stays flat while three locations each report a decline, and nobody can prove which campaign caused it.
A scalable landing page architecture for rapid location additions, location-level CPA reporting, and cannibalization monitoring that tracks combined patient volume against per-location volume. All of it live before the new campaign launched.
Combined patient volume up 31 percent across twelve months, with all three locations reporting against a single attribution model rather than three competing ones.
Every agency I talked to before told me they had healthcare experience. None of them had ever heard of prior auth. Claros Digital knew my world before the first call ended.
Our reports used to show clicks and impressions. Now they show attended appointments and cost per patient by location.
We opened a third location and Claros Digital had cannibalization monitoring in place before the campaign launched. We grew combined volume instead of splitting it.
We audit your current setup before the call. You arrive with a diagnosis. We arrive with a direction.