Google Ads · Healthcare & high-ticket services

Google Ads for healthcare clinics — priced against admitted 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 were admitted — spend tied to closed revenue through GCLID → Salesforce offline conversion import, never platform-modeled conversions.

Book a 30-minute call See the flagship rebuild

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.

Where the reported number and the real number split
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	Patient admitted	No-shows and consults that don’t convert to treatment still count as wins

The industry-typical pattern when bidding optimizes toward platform-modeled conversions instead of CRM-verified outcomes: reported volume climbs, real patient growth barely follows.

What I actually do

The mechanism, named — not “advanced optimization.”

Attribution

GCLID → Salesforce offline conversion import

Every click carries its GCLID into your CRM. When a lead becomes an admitted patient, that outcome is imported back to Google as the conversion that matters — so bidding learns from verified revenue, not form fills.

Structure

Performance Max, restructured by payer type & modality

Asset groups and campaigns segmented by payer and treatment line, so budget flows to the mix that admits patients — not to whichever query PMax finds cheapest.

Control

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.

Compliance

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.

Bidding

tROAS on verified admissions

Target ROAS set against CRM-confirmed revenue — the algorithm optimizes toward closed patients, which is the whole point.

From the source: Google's own introduction to value-based Smart Bidding — the mechanism behind the Bidding row above.

Proof

Inherited a wasteful account. Rebuilt it around admissions.

Relative results for a luxury US healthcare clinic, verified against the client’s Salesforce. Full context on the flagship case.

Cost per admitted patient after rebuilding an inherited, wasteful account−78%VERIFIED · Salesforce · Jun 2026

Approved patients per month, on roughly double the ad spend~9×VERIFIED · CRM admissions

Ad spend scaled, profitably, on verified revenue~2×VERIFIED · Salesforce

"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."

Brandon Mitchell ↗

Mid-Market Partnerships, Google

"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."

Alexander McAfee

Performance marketing leader · managed Lev directly

Read the flagship case →

How we work

Start small, prove it, then scale.

01 · ENTRY

$500 audit + 90-day roadmap

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.

02 · BUILD

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.

03 · SCALE

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 vs. working with me
	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 admitted 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, patients admitted, 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 audit and a 90-day roadmap: 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.

Part of one revenue system.

Diagnostic

Conversion Tracking Audit

Why Google Ads and your CRM don't match — each discrepancy named and sized.

Ads vs CRM audit →

Rebuild

Account Rebuild & Restructure

Measurement verified first, then a clean structure and a scaling path.

Rebuild the account →

PMax

Performance Max Cleanup

Open the black box: channel split, brand cannibalization, placement waste.

Stop the bleed →

Independent

Second Opinion

An independent read of your agency's report before you renew — or fire them.

Get the verdict →

Organic

Medical SEO

Durable patient acquisition, measured against CRM revenue.

SEO for clinics →

AI Search

Generative Engine Optimization

Get cited in ChatGPT, Perplexity, Gemini and AI Overviews.

GEO / AI Search →

Proof

The flagship rebuild

−78% cost per admitted patient while ~2× spend.

See the case →

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 + 90-day roadmap is the fastest way in.

Book a 30-minute call