44% More Orders.
$25K More Revenue.
How a nationwide medical apparel retailer grew Google Ads-attributed purchases and revenue through Shopping, Performance Max, and Search campaigns.
Grow Your Store
Additional Online Purchases
The account recorded 905 purchases during April–September 2026, compared with 629 during the same period in 2025.
The goal was to grow order volume while keeping acquisition costs under control.
More Shoppers. More Orders. Better E-Commerce Growth.
Healthcare professionals need dependable scrubs, lab coats, and medical apparel. For an online retailer serving customers across the United States, Google Ads provides an opportunity to reach shoppers already searching for these products.
But increasing visibility alone doesn't guarantee profitable growth. More clicks can also mean higher costs.
The objective was to grow purchases and Google Ads-attributed revenue without allowing the cost of acquiring each order to rise sharply.
The account combined Shopping, Performance Max, and Search campaigns, with a focus on product discovery, brand visibility, and revenue-based bidding.
From $64,540 to $90,001 in Tracked Revenue.
Google Ads-attributed purchase revenue increased by $25,461 compared with the previous year.
Revenue shown is Google Ads-attributed purchase value reported through GA4, not the store's total revenue.
The store generated 39% more Google Ads-attributed revenue while increasing its order volume by 44%.
Cost per purchase moved from $37.64 to $39.02, an increase of approximately 4%.
The account generated substantially more orders while keeping the reported cost per purchase close to its previous level.
See What Changed in the Numbers.
Select a metric to compare April–September 2025 with April–September 2026.
Online Purchases
276 additional tracked purchases compared with the previous year.
Comparison covers April 1–September 30 in each year. Advertising spend and ROAS are included for transparency.
Different Campaigns. One Connected Shopping Journey.
The account used multiple campaign types to support product discovery, capture purchase intent, and protect existing brand demand.
Reach Shoppers Across Google
Performance Max supported product discovery across Google's eligible advertising inventory.
Put Products in Front of Buyers
Shopping campaigns featured medical apparel product lines and relevant catalog brands.
Capture Existing Brand Demand
Dedicated brand Search campaigns helped the retailer reach shoppers already searching for the store.
Reach New Product Searches
A newer REALTOP non-brand Search campaign targeted queries related to lab coats and personalized apparel.
Make Shopping Easier
Thirteen sitelinks, promotional assets, price assets, and callouts highlighted product categories, sizing, and embroidery options.
Optimize Beyond Clicks
Shopping campaigns used target return-on-ad-spend bidding to support purchase-value goals.
Reaching Healthcare Shoppers Across Key Apparel Categories.
The advertising account supported a nationwide catalog of scrubs, lab coats, and other medical apparel.
Illustrative photography only. Images are not product photography from the retailer's catalog.
Where the Advertising Budget Went.
The account combined Performance Max, Shopping, and Search campaigns rather than relying on a single format.
Percentages are rounded and sum to 99%. Campaigns are labeled generically to protect client anonymity.
The Searches That Turned Into Purchases.
Brand searches contributed substantially to conversions, while non-branded product searches created opportunities to reach shoppers researching apparel.
Brand Search Performance
Approximately 177 conversions came from searches related to the retailer's brand name.
Dedicated brand campaigns helped capture shoppers already familiar with the business.
Bars compare purchases from selected non-branded keywords. Client-specific branded keywords are excluded for anonymity.
Three Lessons for Growing an Online Store.
Growth Requires More Than Traffic
Clicks increased by 23%, while purchases increased by 44%. The reported purchase rate rose from 2.8% to 3.2%.
Cost Per Order Matters
Cost per purchase increased only 4%, from $37.64 to $39.02, while purchase volume grew substantially.
Scaling Requires Monitoring
Spend increased 49% and full-period ROAS declined from 2.73x to 2.55x. Growth should be evaluated alongside efficiency.
Before the August budget increase, April–July 2026 delivered approximately 3.5x ROAS compared with 2.8x in the same months of 2025. Cost per purchase was approximately $30 versus $38. The later budget expansion reduced full-period efficiency, highlighting the importance of ongoing optimization.
Google Ads for E-Commerce: What Businesses Ask.
Can Google Ads increase online store purchases?
Google Ads can help retailers reach shoppers searching for products. In this case, the account recorded 905 tracked purchases compared with 629 during the same period last year.
What is the difference between Shopping and Search ads?
Shopping ads can display product information such as images and prices. Search ads use text to respond to relevant searches. Both can support different stages of the shopping journey.
What does cost per purchase mean?
Cost per purchase measures the average advertising spend associated with a tracked order. In this case, it was $39.02 during April–September 2026.
What is ROAS in Google Ads?
ROAS means return on ad spend. It compares tracked advertising revenue with advertising cost. The account recorded 2.55x ROAS during the 2026 comparison period.
Does Google Ads-attributed revenue represent total store sales?
No. Google Ads-attributed revenue represents purchase value associated with advertising according to the account's measurement setup. It is not the retailer's total business revenue.
Your Products Deserve More Than Impressions. They Deserve Buyers.
From Google Shopping to Search and Performance Max, REALTOP helps businesses build digital advertising strategies focused on measurable results, customer acquisition, and sustainable growth.
Talk to REALTOPResults reflect one Google Ads account and do not guarantee future performance. Data extracted October 2, 2026.
