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Case Study · Healthcare

We inherited a "decent" SEO account and found the value the last agency left on the table.

Engagement Snapshot

Established acupuncture & wellness practice (name withheld)

Client

Inherited from a prior SEO vendor, competent but incomplete

Situation

On-page content, image naming & optimization, internal linking, and shifting spend from paid toward organic

Our scope

Trailing-16-month Google Search Console

Reported

The Approach

  • Captured the on-page opportunities the prior agency had left unaddressed
  • Improved and consistently named images for search and accessibility value
  • Organized page content around what patients actually search for
  • Strengthened internal linking so the whole site reinforced its key pages
  • Lowered ad spend by letting a stronger organic presence carry demand

2.18M

Search impressions, trailing 16 months

21.9K

Organic clicks, same window

10.4

Average Google position

Lower

Ad spend, as organic took over

Our stance: every business owner has different needs. We don’t apply one playbook to everyone. We find the real constraint, do the work in the right order, and let you decide how far to take it.

The results, in context

Coming in behind a competent vendor, we didn’t rebuild. We audited. The fast wins were the on-page opportunities the previous team hadn’t claimed. From there, cleaner content organization, disciplined image naming, and stronger internal linking pushed organic visibility to 2.18M impressions and 21.9K clicks over the trailing 16 months, at an average position of 10.4, while paid ad spend came down, because organic was carrying more of the demand.

What's working well

  • Condition-specific service pages that map to how patients actually search
  • A reviews page that curates real patient excerpts and routes visitors to the live Google profile
  • Strong review volume and rating, plus broad presence across local directories
  • An education blog that supports the money pages

What's still on the table

  • A consistent publishing cadence with the practitioner’s own expertise attached (a real E-E-A-T signal)
  • Descriptive image alt-text and file naming: low effort, real image-search and accessibility gains
  • Diversifying where reviews are requested, to keep trust signals fresh
  • A direct online-booking button to cut friction between interest and appointment
  • Deeper internal links between condition pages, modality pages, and the blog

Why the approach matters

Why a documented game plan matters

When you inherit an account, you don’t yet know what was tried, what’s driving the current baseline, or which pages are load-bearing. A written audit-and-sequence plan prevents redundant or conflicting changes, protects a practice’s name-address-phone consistency, and shows the owner priority and reasoning instead of a black box.

Why getting involved multiplies it

In healthcare, the practitioner is the differentiator. A provider who reviews content, responds to reviews, and appears in a few photos or videos compounds credibility signals no vendor can fake, and directly feeds the review-velocity and freshness gaps above.

Questions this raises

We already have an SEO company. Why switch?

A vendor can be doing a perfectly decent job and still leave easy wins on the table. We start by auditing what exists, capture the uncontested opportunities first, then go deeper. Switching only makes sense if there’s real value being missed. We show you that value first.

Will you undo the rankings we already have?

No. Audit-first exists precisely to protect the pages already working. We identify what’s load-bearing before we touch anything.

Do we have to blog and post constantly?

No. But in healthcare, your involvement is the single biggest multiplier. Even light participation moves the needle more than anything we do alone.

Can we actually spend less on ads?

Yes, that was part of the result here. As organic visibility grew, paid could carry less of the load, which lowers your cost to acquire a patient.

Want a plan built around your business?

A 30-minute call to find where your growth is stuck, with a sensible next step for you.

About these figures: All performance data reflects the client’s own Shopify and/or Google Search Console reporting for the periods shown. Client names and identifying details are withheld at the client’s request. Headline metrics are actual reported figures; trend charts illustrate the documented direction of performance and are not intended to convey exact interim values. Past results reflect a specific engagement and are not a guarantee of future outcomes.

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