PPC/Google Ads Case Study: Optimizing for Chiropractic Growth
This local PPC campaign focused on reaching chiropractic patients in need of pain relief, spinal adjustments, and overall wellness care. When we took over the account, our goal was clear: drive more leads without increasing spend. Through strategic keyword refinement, smarter bidding, and campaign restructuring, we were able to deliver results fast.
Over a two-month period, conversions jumped by 74%, cost per click dropped, and total ad spend was reduced by more than 50%. The outcome? More new patient inquiries, lower acquisition costs, and a campaign that now runs lean and performs strong.
Goals
- Increase New Patient Leads: Attract more local patients actively searching for chiropractic services.
- Reduce Cost per Conversion: Improve efficiency and ROI through better targeting and bidding.
- Improve Local Visibility: Expand impression share within service area zip codes.
- Optimize Performance by Service Focus: Test ad variants around pain relief, spinal health, and holistic care.
Month-Over-Month Results:
- Average CPC: Dropped to $7.56 (↓ $2.32 / -23.5%)
- Conversions: Increased by 45 → Total: 106 (↑ 74%)
- Cost per Conversion: Dropped to $37.00 (↓ $106.00 / -74.1%)
- Total Cost: Reduced to $3.92K (↓ $4.78K / -54.9%)
With a lower cost-per-click and smarter spend distribution, this campaign delivered impressive performance gains. Conversions rose by 74%, while the overall cost dropped by over 50%. That means more qualified leads at a much lower cost, maximizing ROI and proving the value of precision targeting and optimized bidding.
Campaign Strategy
- Keyword: Focused on location-based and condition-specific terms (e.g., “chiropractor for back pain Tempe”).
- Ad Split Testing: Ran multiple versions tailored to urgent care, holistic wellness, and family care.
- Geo & Device Bid Adjustments: Shifted budget toward high-performing zip codes and mobile searches.
- Landing Page Optimization: Ensured fast load times, trust-building content, and clear CTAs.
- Conversion Tracking Cleanup: Aligned form submissions and call actions for more accurate measurement.
Key Takeaways
- Efficiency Wins: Conversion costs dropped by over 50%, making the campaign far more profitable.
- Lead Volume Growth: An extra 45 conversions proves the strategy is scaling patient acquisition.
- Tactical Refinement Pays Off: CPCs rose slightly, but smarter targeting and ad copy pulled in higher-intent traffic.
- Chiropractic PPC is Scalable: This campaign sets the foundation for expanding services or increasing budget intelligently.
How we did it:
- A/B Split Testing of Google Ads
- High-Intent, Consumer-Centric Ad Copy
- Advanced Keyword Research & Search Query Refinement
- Daily Negative Keyword List Expansion
- Click Fraud Prevention via Invalid Click Monitoring
- Google Analytics Setup & Goal Tracking
- Call Tracking with Recording & Conversion Reporting
- Instant/Daily/Weekly/Monthly Reports for Campaign Optimization
- Client Feedback Loop Between Marketing Team & Internal Staff
- Strict Adherence to Google Search & Partner Channels Only
By refining campaign targeting and optimizing spend allocation, this chiropractic PPC campaign achieved a rare trifecta — more conversions, lower CPC, and reduced total cost. Without increasing the budget, the campaign drove stronger lead volume and improved cost efficiency across the board. With this framework in place, the account is well-positioned to scale new patient acquisition without sacrificing profitability.
Medical Success Stories: SEO, PPC & More
I do want to share that Jake Schneider is a pleasure to work with. He is very responsive and on time with everything. He is always open and willing to help us with anything. His and RealTop Services are TOP! Thank you, looking forward to continue our partnership. – Estefanía Vega
Local Medical Clinic Google Ads FAQs
What kind of growth did the local medical clinic achieve with Google Ads?
The clinic gained over 1.45K additional conversions, dropped cost per conversion by $20.06, and improved visibility by reaching 288K total impressions.
How much did the cost per conversion improve?
Cost per conversion dropped to $13.42, improving ROI and lowering patient acquisition costs dramatically.
What was the impact on conversion rate and engagement?
:The conversion rate increased by 4.21%, reaching a strong 9.86%, signaling higher engagement and better targeting.
Can other clinics replicate this success with Google Ads?
Yes — with audience segmentation, budget optimization, and intent-based targeting, similar strategies can help any healthcare practice grow.
