Google Ads — Healthcare & high-ticket services
Google Ads for healthcare clinics — priced against verified patients, not clicks.
I’m Lev Brovtsev, a Google Ads consultant for US healthcare practices and high-ticket service businesses. I build and run paid search and Performance Max around one number: patients your CRM confirms as verified — spend tied to closed revenue through GCLID → Salesforce offline conversion import, never platform-modeled conversions.
You work with me directly, one-on-one. No account managers, no juniors, no handoff. Four clients at a time.
15 minutes. With me, not a sales rep.
The problem
Your agency reports conversions. Your CRM shows silence.
Every month the dashboard fills with conversions. Every month your CRM tells a quieter story, and no one can reconcile the two — or tell you which clicks actually became patients.
This isn’t a fringe complaint. Independent research puts healthcare executive confidence in marketing ROI data at roughly half, and most healthcare marketers report that fragmented data breaks their attribution models outright. The failure pattern is consistent across the industry: lead volume climbs, booked-appointment revenue barely moves, and no-shows quietly creep up — because the platform optimized toward the signal it could see, not the one that pays your staff.
Industry research, paraphrased: ~52% of healthcare executives report low confidence in marketing ROI data (Gartner) · ~63% of healthcare marketers say fragmented data breaks attribution models (Deloitte) · roughly 80% of healthcare appointments are still booked by phone — a channel most conversion setups undercount by default.
| What the platform counts | What your CRM counts | Why they diverge |
|---|---|---|
| Form submission | Qualified inquiry | Spam, duplicates and wrong-service submissions all count as conversions |
| Call click or call connect | Booked appointment | Wrong numbers, vendors and short calls clear Google’s duration threshold |
| Modeled conversion | Confirmed patient | A statistical estimate filling gaps Google can’t observe — never a CRM record |
| Consultation scheduled | Treatment accepted | No-shows and consults that don’t convert to treatment still count as wins |
What I actually do
The mechanism, named — not “advanced optimization.”
GCLID → Salesforce offline conversion import
Every click carries its GCLID into your CRM. When a lead becomes a verified patient, that outcome is imported back to Google as the conversion that matters — so bidding learns from verified revenue, not form fills.
Performance Max, restructured by payer type & modality
Asset groups and campaigns segmented by payer and treatment line, so budget flows to the mix that produces verified patients — not to whichever query PMax finds cheapest.
Search layered under PMax with tight query control
Intent-exact Search carries the highest-value terms; negative keyword sculpting keeps PMax off the queries that waste spend and mislead the model. Search does the capture when Meta creates the demand; the split from one account is in Meta ads vs Google ads.
Regulated-vertical policy from day one
Healthcare and addiction-treatment accounts built inside Google’s restricted-content rules, so growth doesn’t end in a policy suspension.
tROAS on verified patients
Target ROAS set against CRM-confirmed revenue — the algorithm optimizes toward closed patients, which is the whole point.
Proof
Inherited a wasteful account. Rebuilt it around verified patients.
Relative results for a luxury US healthcare clinic, verified against the client’s Salesforce. Full context on the flagship case.
"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."
"Lev is highly technical as a media buyer in both his execution and strategy. He's great to work with, and always pushing to improve tactics, tracking, and compliance. Easy to work with and communicate with, and is a team player."
How we work
Start small, prove it, then scale.
$500 paid audit, credited toward setup
I review the account, tracking, and CRM connection, then map exactly what I’d rebuild and in what order. The fastest, lowest-risk way to see how I work.
Monthly retainer, direct with the owner
Ongoing management as a monthly engagement — prepaid, no long lock-ins, working straight with you or your founder. No account managers in between.
Spend follows proof
Budget increases only after the CRM confirms the system converts. Growth is a consequence of verified performance, never a bet placed ahead of it.
The structural difference
What actually changes when it's direct.
| Typical agency account | Working with me | |
|---|---|---|
| Who runs your account | Junior account manager, rotates | Me, directly — no hand-offs |
| What counts as a conversion | Platform-modeled, form fills | CRM-confirmed patients |
| Reporting | Dashboard screenshots | Reconciled against your CRM, monthly |
| Compliance | Reactive, after a disapproval hits | Built into structure from day one |
| Entry point | Contract, minimum spend commitment | $500 audit, no ongoing commitment |
Questions owners ask
Before you book a call.
Do you work with addiction treatment and other regulated healthcare?
Yes. Regulated verticals — behavioral health, addiction treatment, aesthetic and plastic surgery — are the core of what I do. I build campaigns inside Google’s healthcare and restricted-content policies from the start, so accounts scale without policy suspensions.
How is CRM-verified different from Google’s own conversion tracking?
Google counts the conversions it can model — form fills, calls, clicks it credits itself. I import the outcomes your CRM confirms as real: consultations booked, treatments accepted, revenue closed. Bidding then optimizes toward the number that pays your staff, not the one that flatters the dashboard.
Will I work with you directly, or an account manager?
Directly with me. I’m solo by design — the person who plans your strategy is the person who builds and runs it. No account managers, no hand-offs, no layers between you and the work.
What does an engagement start with?
A $500 paid audit of one channel: I review your account, tracking, and CRM connection, then show you exactly what I would rebuild and in what order before you commit to anything ongoing. It is credited toward setup.
Get started
Let’s talk about your growth.
A 15-minute Fit Call to confirm whether we fit and agree the next step. Not an audit, not a free consultation; the diagnosis happens in the paid audit.
Prefer to start small? A $500 paid audit, credited toward setup is the fastest way in.
You work with me directly, one-on-one. No account managers, no juniors, no handoff. Four clients at a time.
Book a Fit Call15 minutes. With me, not a sales rep.