Performance marketing consultant — Google Ads, SEO & AI Search for clinics and high-ticket services in the US & Canada
Marketing you can verify in your own CRM.
You work with me, directly, one-on-one. No account managers, no juniors, no handoff. The person who plans the strategy is the person in your account.
I work with owners, founders and CEOs of established clinics and high-ticket service businesses in the United States and Canada. Google Ads, Microsoft Ads, Meta, SEO and AI Search, engineered around booked patients and closed revenue rather than platform-modeled conversions.
Who I work with
A specialist, not a generalist agency.
Owners, founders and CEOs, or the person they trust to run growth. Clinics and high-ticket service businesses in the United States and Canada: plastic surgery, dental implants, med spa, fertility and other private-pay care. I keep a small client list so each one gets me and not a team.
How I work
Built backward from revenue.
Most campaigns optimize for clicks and call it progress. I start from the business outcome and engineer the system to reach it — then prove what works before scaling spend.
Define the real objective
Every engagement starts with the actual business goal — booked patients, qualified leads, revenue — not platform metrics. Click-through and cost-per-lead are diagnostics, never the destination.
Architect the system
Paid media, SEO, and AI Search structured to work together: campaign architecture, segmentation, landing pages, and end-to-end tracking — designed as one system, not disconnected tactics.
Prove, then scale
Validate the approach on a controlled budget, confirm it converts in the CRM, then scale only what is already working. Spend follows proof — not the other way around.
How verification works
Every click, traced to closed revenue.
The plumbing under every campaign: ad clicks tied to admitted patients in your CRM, then fed back so bidding optimizes on verified revenue — not platform-modeled conversions.
Track record
Systems built from zero — proven across verticals.
Acquisition systems designed and run end to end. Some client names withheld under confidentiality; results shown in relative terms and verified against the client's CRM.
Inherited a wasteful account. Rebuilt it around admitted patients.
For an established luxury US healthcare clinic: took over a six-figure-per-month Google Ads program that counted platform conversions as wins, wired GCLID-to-Salesforce offline conversion import, and rebuilt the account to bid on verified admissions. In parallel, built organic and AI Search visibility from near zero.
Built attribution-first. Scaled to 7× ROAS across channels.
For Rent For Event, a nationwide US event-production and AV-rental company: built one attribution model tying Google, Microsoft, Meta, and organic to quote pipeline and revenue, then scaled each channel on verified return.
+35% patient acquisition across SEO and paid.
For US healthcare clients at Active Marketing Services: led SEO and PPC as one system and rebuilt the funnels they fed — lifting patient acquisition ~35% without added budget, measured on booked patients.
Organic market entry for an AI travel product.
For TripTip, an AI-powered travel planner (Vallex): built high-authority backlinks, an intent-driven keyword strategy, and technical SEO to win rankings in a competitive vertical and optimize the search-to-booking journey.
Read the full caseDetailed paid-performance figures shared directly on a confidential discovery call.
What clients say
In the words of the people I work with.
"Lev is responsible for managing our paid acquisition channels and plays a key role in supporting our broader growth efforts, including close involvement in SEO. What stands out most is his ownership mindset and the level of control he maintains over the entire process."
"Lev immediately stands out as an exceptional partner to work with over my last 3 years with Google. He uniquely blends high-level, data-driven strategy with deep, hands-on technical skill — precisely the kind of results-oriented partner you want managing significant in-platform investment."
"He's not just a media buyer — he's a strategist. Deep in SEM, sharp on funnel flow, and relentless about turning clicks into revenue. He doesn't chase vanity metrics. He thinks like an owner, communicates like a partner, and makes your budget work like it's his own."
What I do
Three channels, one revenue system.
Google Ads
Paid search and Performance Max built and managed for measurable acquisition — including regulated verticals with strict platform policy requirements.
Google Ads for healthcareMicrosoft Ads
Bing and the Microsoft network — a lower-CPC second search channel reaching an older, higher-intent audience, verified against your CRM.
Microsoft Ads for clinicsMeta Ads
Facebook and Instagram as compliant demand generation — volume at efficiency, tied to booked patients through the Conversions API.
Meta Ads for clinicsSEO
Technical and content SEO that compounds — organic visibility engineered as a durable acquisition channel, not a one-time audit.
Medical SEOLocal SEO
Google Business Profile, the map pack, citations and reviews — engineered so nearby patients find and choose you.
Local SEO for practicesAI Search
Generative Engine Optimization — earning visibility and citations in AI answer engines as search shifts from links to answers.
AI search visibilityRehab & Addiction Treatment
LegitScript-certified acquisition for treatment centers — Google Ads, SEO and AI Search measured in verified admissions, not form fills.
Addiction treatment marketingPlastic Surgery
Procedure-line campaigns and policy-compliant creative, tracked from click to booked consultation to surgery in your practice system.
Plastic surgery marketingDental & Implants
PPC structured by case value — implant-grade budget on implant-grade clicks, verified against booked patients.
Dental PPCMed Spa & Aesthetics
Service-line campaigns for injectables, lasers and body contouring — booked treatments, not discount hunters.
Med spa marketingPhysicians & Medical Practices
Google Ads for physician-owned practices — click ID into the scheduler, bidding that learns from booked patients, not calls.
Google Ads for physiciansDental SEO
Organic and map-pack visibility for implant, ortho and cosmetic cases, reported as patients per page, not rankings.
Dental SEOFertility & IVF
High-consideration acquisition for reproductive medicine, with the privacy architecture the vertical demands.
Fertility and IVF marketingFull stack capabilities
Beyond the three core channels, I handle every layer that makes paid and organic actually convert — so nothing is held up waiting on another vendor.
Paid media
- Google Ads — Search, Performance Max, Display, Video
- Meta Ads — Facebook & Instagram
- Microsoft Ads — Bing & partner network
- Regulated-vertical compliance (healthcare, addiction treatment)
- Bid strategy & budget pacing across portfolios
SEO & content
- Technical SEO audits & remediation
- On-page optimization & content architecture
- Local SEO & Google Business Profile
- Schema & structured data implementation
- Content briefs and editorial direction
AI search (GEO / AEO)
- Visibility & citation strategy in ChatGPT, Perplexity, Gemini, Claude
- Answer Engine Optimization for Google AI Overviews
- Entity & authority signal building
- Brand mention monitoring across LLM responses
Tracking & attribution
- GA4 setup & event configuration
- Google Tag Manager — client-side & server-side
- End-to-end conversion tracking to admission / sale
- CRM-to-platform integrations (Salesforce, HubSpot, custom)
- Attribution modeling & UTM governance
CRO & landing pages
- Landing page strategy & messaging frameworks
- Conversion rate optimization & A/B testing
- Form, funnel, and lead-qualification design
- Speed and Core Web Vitals optimization
Reporting & strategy
- Looker Studio dashboards
- Weekly performance reviews & roadmaps
- Competitive intelligence & positioning
- Quarterly growth planning
Insights
Notes on performance marketing for healthcare.
Practical writing on paid media, SEO, and AI Search for clinics and high-ticket service businesses.
Offline Conversion Imports: How to Tell Google Which Leads Became Patients
ReadCall Tracking for Dental Practices Without Breaking HIPAA
ReadWhy Plastic Surgery Ads Produce Consultations That Never Book
ReadGCLID to Salesforce: offline conversion import
ReadHow to audit the agency running your ads
ReadCost per patient vs cost per lead
ReadWhy your Google Ads conversions don’t match your CRM
ReadBefore you ask
The five questions buyers send me.
Who does the work?
I do. All of it: strategy, builds, tracking and reporting. Nothing is subcontracted or delegated, and there are no account managers between us.
How many clients do you take?
A small number, so that each one gets me and not a team. Ask about current availability on the call.
What does it cost?
The audit is $500 per ad account, comes with a 90-day plan, and is credited toward the first month if you continue with me. Retainers start at $5,000 a month, adjusted to budget and workload. Ad spend is separate.
Do you have healthcare and long-cycle experience, and references?
Yes. Healthcare is my main field, including accounts with multi-week decision cycles and strict privacy and ad-policy limits. Recommendations from clients and from my Google account team are public on LinkedIn, and you are welcome to contact them.
Do you work with my competitors?
I tell you about any conflict before we start. I am currently under exclusivity in US addiction treatment, so I am not taking new clients in that category.
Get started
Let's talk about your growth.
A 30-minute call to understand your business, your goals, and whether I'm the right fit. No pitch deck — a straight conversation about what would actually move your numbers.
Prefer to start small? A $500 audit per ad account, with a 90-day roadmap, credited toward the first month if you continue with me.
Book a 30-minute call