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FREE Google Ads Audit - Saved $1200/Month Waste - Sep 2026
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Related posts
Clinic: tracking you can trust
Google Ads was optimizing toward form submissions, and nobody knew which leads became patients. I set up click IDs going into the CRM and back into Google Ads as offline conversions, then compared GA4 and CRM data in SQL. The real conversion rate of paid traffic was 9.4%, about six times higher than the 1.5% the platform showed. That changed which campaigns we scaled, and bidding started learning from real patients instead of form events.
Google Ads and Meta Ads for a UK food brand's online shop, run in the brand's own ad accounts.
What I did:
Campaign structure, bidding and budgets on Google Ads
Meta Ads campaigns alongside the email and SEO work
Every campaign measured against break-even ROAS, not clicks
Full case study: mariamadeira.com/case-study-google-ads
Clinic: ads audit and cleanup
A private clinic felt its ads had stopped working. I audited the account against GA4, call tracking and the CRM, found campaigns that were spending without bringing patients, and switched them off. I then focused the budget on the search campaigns that actually drove calls.
Next month, compared with the month before:
calls from ads: +137%
patients who came to an appointment: +212%
ad spend: −16%
cost per patient: −73%
