No website. No brand kit. No tracking. No campaigns. We built it all from day one, and the clinic was generating qualified patient leads within the first month.
Zamzam Family Clinic had been serving patients in Lawrenceville for years. Good doctors, good care. But their entire new patient pipeline came from word of mouth and an online presence that ranked for nothing.
Two leads the month before they called us. Not two a day, two for the whole month. The clinic had the capacity to take on far more patients. The only problem was visibility.
We started from genuine zero: no SEO baseline, no ad account history, no website they owned, no brand system. The first 30 days would tell us exactly what the market was willing to do.
What We Found on Day 1
Before the first lead came in, we built everything from scratch. Brand, website, tracking, ad accounts. Most agencies walk into something already running. We built theirs from the ground up.
Every figure below is from the actual campaign data. No projections. No rounding.
We didn't run three separate campaigns and hope for the best. Each channel was built to reinforce the others, SEO for discoverability, PPC for immediate demand capture, social for trust and retargeting fuel.
Month 2 almost always beats Month 1. But not by this much. The gap reflects the system compounding: SEO gaining traction, ad accounts accumulating history, audiences warming up from the social work. All of it feeding each other.
By Month 2, organic channels were pulling traffic without any additional ad spend, the SEO foundation was working independently.
Most new campaigns take 60-90 days for organic to kick in. Zamzam saw all four channels contributing from the first month, because we built the infrastructure before we launched.
High CTR and low CPL matter, but they're not the whole story. The real number is what happens after the click. A 90%+ lead-to-revenue rate tells you the targeting was precise and the practice was ready to handle what came in.
We'd been in practice for years and never had a real online presence, we relied entirely on word of mouth. Percee came in, built the website, set up everything, and within the first month the phone was ringing from patients we'd never have reached on our own. The speed was what surprised me most.
The 1,200% Month 1 leap wasn't luck. Lawrenceville has dense, consistent demand for family healthcare, the searches were already happening. Zamzam had the clinical quality to back it up. All they were missing was the infrastructure for anyone to find them. Website, brand, tracking, campaigns: built and live in 14 days. The market doesn't take long to respond when the foundation is actually there.
The 8.63% CTR is the number we keep coming back to. Healthcare Google Ads average 2.8-3.5%. Nearly tripling that benchmark tells you the targeting was tight and the messaging was on. When the right people see the right ad, they click. When they click through to a real practice that answers the phone, they book.
This engagement was delivered in partnership with Ekko Media.
Caregivers HHS · Home Healthcare · Northern Virginia
Full website overhaul, local SEO, and social strategy. From invisible to dominant local name in home health care.
22×
Session Growth
14.5×
Click Growth
49.3%
Engagement Rate
+1,550%
FB Followers YoY
Swedish Hasbeens · Scandinavian Footwear · E-Commerce
New creative direction, audience segmentation, and full-funnel approach across Facebook and Instagram.
+103%
Revenue Growth
+105%
Purchase Volume
4.50×
Peak ROAS
↓52%
Cost Per Purchase
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