Google Ads · Healthcare & high-ticket services
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.
The problem
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.
Platform-modeled conversions reward whatever the algorithm can claim credit for. Admitted patients are the only number that pays your staff. When bidding optimizes toward the first and ignores the second, you scale spend on motion, not medicine.
What I actually do
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.
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.
Intent-exact Search carries the highest-value terms; negative keyword sculpting keeps PMax off the queries that waste spend and mislead the model.
Healthcare and addiction-treatment accounts built inside Google’s restricted-content rules, so growth doesn’t end in a policy suspension.
Target ROAS set against CRM-confirmed revenue — the algorithm optimizes toward closed patients, which is the whole point.
Proof
Relative results for a luxury US healthcare clinic, verified against the client’s Salesforce. Full context on the flagship case.
How we work
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.
Ongoing management as a monthly engagement — prepaid, no long lock-ins, working straight with you or your founder. No account managers in between.
Budget increases only after the CRM confirms the system converts. Growth is a consequence of verified performance, never a bet placed ahead of it.
Questions owners ask
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.
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.
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.
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.
Related
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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.
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