ME

Medical Clinic

Industry Healthcare / Primary Care Medical Services

Timeline 3 months

Budget $4,200/mo

Type B2C

Channels used

Google Ads Instagram Ads Google Ads Instagram Ads

142 new patient bookings at $29.58 CPL — calendar vacancy reduced from 33% to 8%

142 New Patients Booked

$29.58 Cost per Lead

74% Show-up Rate

8% Calendar Vacancy

On this page

A regional medical clinic operating in a high-demand urban market. Despite consistent patient demand for primary care, the clinic was losing 30-35% of available appointment slots each month. Previous Google Ads attempts had spent $2,100 with zero tracked patient conversions.

Booking calendar 30-35% empty despite operating in a high-demand primary care market.

Previous self-managed Google Ads spent $2,100 with no trackable patient appointment conversions.

No Instagram presence — missing younger demographics searching for primary care providers.

Show-up rate only 61% — booked patients not showing to scheduled appointments.

Rebuilt acquisition strategy using precision-targeted Google Search for high-intent appointment queries and Instagram awareness campaigns for the 25-45 age demographic. Full conversion tracking via call tracking and booking form integration. Automated SMS appointment reminders to reduce no-shows.

Fill calendar vacancy to under 10%

Book 120+ new patients in 90 days

Achieve sustainable cost per new patient acquisition

CPL under $40

Reduce no-show rate significantly

Show-up rate above 70%

01

Audited the previous Google Ads account — found zero conversion tracking and broad match keywords spending $80+ per click on irrelevant searches. Rebuilt from scratch. Set up call tracking, booking form pixel, and Google Analytics 4 with appointment conversion events.

02

Tightly themed Google Search campaigns around high-intent patient keywords. Instagram awareness campaigns targeting adults 25-45 within 12km radius. Three creative variants tested: patient testimonial, symptom-to-solution, and appointment convenience messaging.

03

Integrated automated SMS appointment reminders at 48 hours and 2 hours before scheduled visits. Added a one-click reschedule link to reduce outright cancellations and convert no-shows to rescheduled appointments.

04

Weekly optimization cycles: paused underperforming keywords, scaled winning ad groups. Shifted 30% of budget to Instagram after it outperformed Google on cost-per-booking in week 4. Final CPL stabilized at $29.58 — 59% below the $40 target.

142 New Patients Booked

$29.58 Cost per Lead

74% Show-up Rate

8% Calendar Vacancy

142 new patients booked over 90 days at $29.58 average CPL. Calendar vacancy dropped from 33% to 8%. Show-up rate improved from 61% to 74% following SMS reminder launch. The clinic expanded operating hours in month 3 to accommodate increased demand.

Key Result: 142 new patient bookings at $29.58 CPL — filling a chronic 30% calendar vacancy in 3 months.

A regional medical clinic approached ENDIGITA with a specific problem: their booking calendar was consistently 30–35% empty despite operating in a high-demand market. Previous self-managed Google Ads had burned through $2,100 with no measurable outcome. We rebuilt their acquisition strategy from scratch using precision-targeted Google Search and Instagram campaigns with full conversion attribution. The result: 142 new patients booked, $29.58 average CPL, and a show-up rate that improved from 61% to 74%.

Google Search targeting symptom-specific keywords outperformed broad healthcare brand keywords 3:1 on conversion rate — intent specificity is the primary driver of lead quality.

SMS appointment reminders delivered a 13-point improvement in show-up rate — the highest-ROI single change in the entire campaign at near-zero ongoing cost.

Instagram ads contributed to 18% organic booking increase alongside paid — brand awareness from paid social generated spillover organic demand.

Healthcare advertising requires tracking both call and form conversion touchpoints — measuring only one misattributes 40%+ of actual conversions and leads to incorrect budget decisions.

Reducing no-shows is often more impactful than acquiring new patients — a 13-point show-up rate improvement is equivalent to acquiring 13% more patients at zero additional acquisition cost.