Redefine Web

Healthcare marketing retainer plans that book patients across every provider

One healthcare marketing retainer that runs HIPAA-safe content, local SEO, Google Ads, per-provider GBP, review automation, and specialty referral funnels. Medical marketing retainer plans from $1,499 per month with quarterly reviews built in, on a six-month initial term that rolls on 30 days notice.

$1,499+
per month · published
30 days
brief to launch
90+
mobile Lighthouse · launch gate
+38% booked calls after rebuild
EHR-VERIFIED BOOKINGS
Healthcare marketing retainer workstreams chart and a Friday report on a phone, verified, one owner
Trustpilot4.7/5★★★★★
Clutch5.0/5★★★★★
Google5.0/5★★★★★
DesignRush4.9/5★★★★★
GoodFirms5.0/5★★★★★
F6S5/5★★★★★
4.9 WEIGHTED AVERAGE, VERIFIED BY PRACTICES THAT PAID FOR THE WORK

Three numbers every healthcare owner can hold us to

If any of these looks familiar, the free SEO audit names the fix and what it's worth before you spend a dollar.

Healthcare marketing retainer list where four fields cross the line beside a phone with one plain marker
PROBLEM 01 · HIPAA TRACKING

Meta and Google pixels on scheduling pages trip the OCR December 2022 pixel guidance

A pixel on any appointment or portal page sends PHI to Meta with no BAA. OCR fines run 7 figures. Server-side tagging with a BAA-covered pipeline keeps the ad platforms optimizing without PHI ever leaving your walled network.

✓THE FIX · SERVER-SIDE BAA-SAFE TAGGING
Healthcare marketing retainer phones comparing calls that stop in the vault with booked rows, three came back
PROBLEM 02 · EHR ATTRIBUTION

Ad reports die at the form fill because Epic, Cerner, Athenahealth, and DrChrono never talk to Google Ads

Marketing shows 400 leads. Billing books 60. The other 340 vanish into the EHR with no CPT attached. EHR-to-Ads closed loop pushes booked encounters back into Google Ads so bidding optimizes against real revenue, not form fills.

✓THE FIX · EHR-TO-ADS CLOSED LOOP
Healthcare marketing retainer falling out chart where rows fall out, with trigger fires first on a phone
PROBLEM 03 · RECALL LAPSE

Established patients quietly lapse because recall runs off a spreadsheet, not a cadence

30 to 47% of active patients lapse over 24 months when recall lives on a spreadsheet, not a cadence. EMR-triggered recall cadences pull the next appointment window off the last visit and drop the reminder into SMS or portal before the patient forgets.

✓THE FIX · EMR-TRIGGERED RECALL CADENCE

Three outcomes every healthcare retainer produces

Three numbers we sign against on every retainer. Each one is a launch criterion, not a hope.

Healthcare marketing retainer list of search, ads, email and location rows, four sources, one list

A booked new-patient pipeline you can actually see

HIPAA-safe content, local SEO, per-provider GBP, and paid media all run from one plan. New appointments trace back to source in a shared dashboard.

Healthcare marketing retainer rising line chart with a marked point, labeled crosses the threshold

Higher lifetime patients, not one-visit bookings

Post-visit nurture, portal-tied recall cadences, and specialty referral funnels push recall attendance past 45% of active patients inside 90 days.

Healthcare marketing retainer one page report card with three line items, five grammars, one page

One healthcare retainer lead, one monthly report

You stop paying five vendors and getting one confused report. One named lead owns the roadmap, pushes work live, and reports monthly on EHR data.

Four stages, every step ends in a sign-off

Fixed scope, fixed cadence, fixed accountability. Nothing moves to the next stage until your leadership signs off on the phase deliverable.

WEEK 1

Full practice audit + EHR baseline

Site, per-provider GBP, ad accounts, EHR data flow, and review funnel all audited against appointment-booked revenue. Written report with the top 3 revenue-moving fixes signed off by owner + practice admin before we spend a dollar.

✓SIGN-OFF · TOP 3 FIXES
WEEKS 2 TO 3

12-month roadmap tied to service line profitability

Quarterly roadmap sized against service line profitability. Preventive, specialty, and elective visits get priority based on real reimbursement. Every quarter has a written revenue projection so you know what should hit the pipeline.

✓SIGN-OFF · ROADMAP + MRR
MONTH 1+

Every channel running under one named lead

Google Ads, Meta, Local SEO, per-provider GBP, HIPAA-safe content, email, and recall flows all run by a single accountable healthcare retainer lead. No handoffs between agencies. No cross-team blame. One number to call.

✓CADENCE · WEEKLY
EVERY 90 DAYS

Quarterly scale review

Weekly test cycles tied to EHR-verified appointments. Quarterly review with owner + practice admin showing what appointments drove, what closed revenue looks like, what next-quarter budget should be.

✓CADENCE · QUARTERLY

What you actually get from our healthcare marketing retainer plans

Five phases, every item listed. Fixed scope, defined deliverable per phase, written sign-off on the phase gate.

Healthcare marketing retainer pulled out and signed board with a highlighted card, three rows pulled
DISCOVERY

Full practice audit + EHR baseline in week one

Week one. Site, ad accounts, per-provider GBP, EHR data flow, and review funnel all audited against appointment-booked revenue. Written report with the top 3 revenue-moving fixes signed off by owner + practice admin before we spend a dollar.

PHASE DURATION
1 WEEK
SIGN-OFF
AUDIT
✓GATE · TOP 3 FIXES LOCKED
// DELIVERABLES
✓
Multi-channel auditGoogle Ads, Meta, SEO, email, and review funnel all scored against appointment-booked revenue impact for the practice.
✓
EHR baseline pulledEpic, Cerner, Athenahealth, DrChrono, or NextGen booking and encounter data captured as day-one baseline for attribution.
✓
Written auditEvery finding, every prioritized fix, every revenue projection in writing. Owner + practice admin both sign off on scope.
✓
Top 3 revenue fixes lockedWhat we do first is signed off, not sprung on you; prioritized by dollar impact and time-to-fix on the practice roadmap.
✓
Competitor local pack readGBP counts, review velocity, and pack position benchmarked against the top three practices in your specialty and zip code.
✓
HIPAA tracking gap mapWhere pixels touch PHI, where EHR data stops being pulled, where the gap between them costs booked encounters or fine risk.
Healthcare marketing retainer quarters by return table with toggles, labeled routine work as base
STRATEGY

12-month roadmap tied to service line profitability

Weeks 2 and 3 build a 12-month quarterly roadmap sized against your service line profitability. Specialty and elective visits lead where reimbursement supports it. Every quarter has a written revenue projection so you know what should hit the pipeline.

PHASE DURATION
2 WEEKS
SIGN-OFF
QUARTERLY ROADMAP
✓GATE · MRR PROJECTION
// DELIVERABLES
✓
Quarterly channel roadmapQ1 to Q4 planned by campaign, cluster, and content piece; every quarter has an explicit sign-off gate on scope.
✓
Service line profitability sortSpecialty and elective service lines lead. Preventive and routine visits layered as base load, not headline focus.
✓
Written MRR projection / quarterQ1, Q2, Q3, Q4 targets sized against real market data plus your provider capacity for the year ahead.
✓
Budget scoping per channelHow much goes to Ads, SEO, content, and GBP each month; adjusted quarterly based on what performs against booked encounters.
✓
Referral partner mapWhich primary care groups, urgent cares, and specialty peers most drive downstream referrals into your practice roster.
✓
Recall cohort planDormant patients segmented by last-visit date and CPT; recall cadence written up front for portal, SMS, and email.
Healthcare marketing retainer channel rows moving into a checked list, same owner, every block
EXECUTION

Every channel run by one named healthcare lead

From month 1, Google Ads, Meta, Local SEO, per-provider GBP, HIPAA-safe content, and recall flows are all executed by a single named healthcare lead. No handoffs between agencies. No cross-team blame. One number to call.

PHASE DURATION
MONTHLY CADENCE
SIGN-OFF
ONE NAMED LEAD
✓GATE · NO POD ROTATION
// DELIVERABLES
✓
Google Ads + Meta + retargetingEvery paid channel run by the same lead; server-side HIPAA-safe attribution built once, not fought over across two vendors.
✓
Local SEO + per-provider GBP + citationsOrganic, local pack, review funnel, and citations all coordinated as one connected healthcare program across every provider.
✓
HIPAA-safe content + condition pagesMonthly editorial calendar tied to keyword priority, condition search demand, and specialty lines your practice actually treats.
✓
Patient recall flowsDormant-patient sequences, post-visit review requests, and portal reminders wired to Epic, Cerner, Athenahealth, or DrChrono.
✓
Weekly test cycles across channelsAd copy, keywords, landing pages, GBP posts; every test measured against a booked-encounter number, not clicks.
✓
Review response managementEvery Google review answered inside 24 hours in a voice matched to your practice tone and specialty brand.
Healthcare marketing retainer booking screen and appointments chart on phones, each row, its cause
OPTIMIZATION

Weekly testing tied to EHR-verified appointments

Every week, cross-channel testing runs against EHR-verified appointments. Ad copy, landing page CVR, keyword targeting, review request timing, and recall cadence all measured against the number that pays your bills.

PHASE DURATION
WEEKLY CYCLES
SIGN-OFF
EHR-VERIFIED
✓GATE · SIGNED-OFF SHIFTS
// DELIVERABLES
✓
Cross-channel attributionEvery appointment booked tagged to the click, keyword, or recall trigger that drove the patient in.
✓
Weekly written test notesWhat we tested last week, what won, what went live this week; three-line summary, no dashboard hunt.
✓
Landing + booking CVR testsA/B tests on hero, offer, form, and time-slot picker; measured against booked appointments only, not clicks.
✓
Budget shifting between channelsIf SEO is compounding faster than PPC, budget moves; every shift signed off in the monthly retainer report.
✓
Ad copy + creative rotationTwo new ad copy variants per campaign per month; losing creative rotated off within 14 days of first read.
✓
Bid + audience refinementNegatives, geo caps, and audience layering tuned weekly to the searches that book higher-value specialty encounters.
Healthcare marketing retainer spend and capacity chart beside a phone inbox, labeled stops flush
GROWTH

Quarterly scale reviews tied to real revenue

Every 90 days, owner and practice admin review what appointments drove, what closed revenue looks like, what next-quarter budget should be. Scale decisions grounded in your EHR and provider capacity, not agency spend targets.

PHASE DURATION
QUARTERLY REVIEWS
SIGN-OFF
SCALE-TO-CAPACITY
✓GATE · YOY GROWTH REPORT
// DELIVERABLES
✓
Quarterly revenue attributionAppointments booked by channel, revenue from marketing, cost per appointment; all EHR-verified numbers.
✓
Scale-to-capacity modelAd spend and content velocity sized against your provider capacity and exam room bandwidth; no overspend.
✓
Next-quarter budget lockedExplicit sign-off on next quarter allocation across channels; no surprise invoices, no hidden shifts.
✓
Year-over-year growth reportRolling 12-month view of MRR growth, CAC trend, LTV trend, and encounter growth; owner-first metrics.
✓
Second-location scopingWhen a group is ready for site two, prep runs in parallel with current retainer, no re-onboarding tax.
✓
Specialty line mix shiftRoadmap for pushing higher-reimbursement specialty visits up in the mix as provider capacity opens each quarter.
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Four medical marketing retainer plans for every practice size

Pick the tier that matches your practice stage. Move up or down a tier with 30 days notice. Ad spend billed separately at pass-through. Hover any feature for a plain-English explanation.

Foundation
$1,499MONTHLY
THE FOUNDATION:

Solo operators starting structured marketing

✓Blog posts / month: 1 ✓Service pages / quarter: 1 ✓On-page SEO + technical fixes ✓Google Business Profile management, for local markets ✓Automated review requests, where reviews drive the category ✓Booked-lead pipeline report: Monthly ✓Strategy calls: Quarterly
Get a Foundation quote →
MOST POPULAR
Growth
$2,499MONTHLY
EVERYTHING IN FOUNDATION, PLUS:

Established operators wanting steady new-customer flow

✓Blog posts / month: 2 ✓Service pages / quarter: 2 ✓On-page SEO + technical fixes ✓Google Business Profile management, for local markets ✓Google Ads management: Up to $3K ✓Automated review requests, where reviews drive the category ✓Review response management
Get a Growth quote →
Scale
$3,999MONTHLY
EVERYTHING IN GROWTH, PLUS:

High-growth businesses; adds paid media management

✓Blog posts / month: 4 ✓Service pages / quarter: 4 ✓On-page SEO + technical fixes ✓Google Business Profile management, for local markets ✓Programmatic service-line SEO ✓Google Ads management: Up to $8K ✓Meta ads management
Get a Scale quote →
Enterprise
Starts at $6,000MONTHLY
EVERYTHING IN SCALE, PLUS:

Multi-location, multi-brand or group operators

✓Blog posts / month: Custom ✓Service pages / quarter: Custom ✓On-page SEO + technical fixes ✓Google Business Profile management, for local markets ✓Programmatic service-line SEO ✓Google Ads management: Unlimited ✓Meta ads management
Request an Enterprise proposal →

6-month initial term. Rolls on 30 days written notice after. Ad spend billed separately.

Every retainer feature, tier by tier

HOVER ANY FEATURE FOR A PLAIN-ENGLISH EXPLANATION TAP ANY FEATURE FOR A PLAIN-ENGLISH EXPLANATION SCROLL THE TABLE SIDEWAYS FOR EVERY TIER
Content + SEO+
FEATURE
FOUNDATION
GROWTH
SCALE
ENTERPRISE
Blog posts / month
1
2
4
Custom
Service pages / quarter
1
2
4
Custom
On-page SEO + technical fixes
✓
✓
✓
✓
Google Business Profile management, for local markets
✓
✓
✓
✓
Programmatic service-line SEO
—
—
✓
✓
Paid media+
FEATURE
FOUNDATION
GROWTH
SCALE
ENTERPRISE
Google Ads management
—
Up to $3K
Up to $8K
Unlimited
Meta ads management
—
—
✓
✓
Landing page CRO tests
—
—
Monthly
Weekly
Reviews + reputation+
FEATURE
FOUNDATION
GROWTH
SCALE
ENTERPRISE
Automated review requests, where reviews drive the category
✓
✓
✓
✓
Review response management
—
✓
✓
✓
Competitor tracking, local pack included where it applies
—
✓
✓
✓
Reporting + strategy+
FEATURE
FOUNDATION
GROWTH
SCALE
ENTERPRISE
Booked-lead pipeline report
Monthly
Monthly
Bi-weekly
Weekly
Strategy calls
Quarterly
Monthly
Monthly
On demand
Dedicated account lead
—
—
✓
✓
Case studies See all case studies

Real practices, real numbers

Each one includes where the client started, what we changed and what happened.

Homepage of Mission Pet Health, a Veterinary · 400+ Locations business, shown in a browser window
Veterinary · 400+ Locations

Grew Mission Pet Health leads 54% across 400+ veterinary clinics in the US.

Mission Pet Health, a veterinarian-owned network of 400+ animal hospitals, ran paid campaigns in silos. Its budgets ignored each clinic's capacity. We merged the ad accounts, launched Performance Max and Local Services Ads, and tied budgets to clinic capacity and financial data. Leads grew 54% year over year, ROAS beat its 12-month goal by 74% and efficiency improved 11% while spend scaled.

Read the Mission Pet Health case study →
54%
Lead growth
74%
ROAS goal beat
11%
ROAS efficiency
Homepage of ProCare Sports, a Physiotherapy · Sports Injury · Truro, Cornwall business, shown in a browser window
Physiotherapy · Sports Injury · Truro, Cornwall

Grew ProCare Sports engagement 30% with a digital revamp true to the brand.

ProCare Sports Medicine in Truro, Cornwall had a website unchanged since the early 2000s. It barely showed up in Truro physiotherapy searches. We redesigned the site with a strong SEO structure and on-brand copy, cleaned up Google and Yelp listings and ran Yelp ads. Website engagement rose 30%, listings became 100% accurate and the site now draws 20+ unique visitors a day.

Read the ProCare Sports case study →
30%
Engagement
20+
Daily visitors
100%
Listing accuracy
Homepage of Psychological Health & Wellness Care, a Mental Health · Clinic + Events · Bangladesh business, shown in a browser window
Mental Health · Clinic + Events · Bangladesh

Grew organic search 347% and conference attendance 67% for Psych Health & Wellness Care.

Psychological Health & Wellness Care (PHWC) is a social enterprise of SAJIDA Foundation in Bangladesh. It treats people in psychological distress and runs events and conferences, but relied on outdated outreach with no analytics to track results. We ran geo-targeted Facebook ads, LinkedIn ads and Twitter awareness, and set up Google Analytics. Organic search rankings grew 347%, web traffic rose 285%, leads grew 238% and conference attendance rose 67%.

Read the Psychological Health & Wellness Care case study →
347%
Organic search
238%
Lead generation
285%
Web traffic

CLIENT WORDS

The team split our national spend by store catchment. Every location got its own landing page and creative. Booked eye exams up 47% inside two quarters with the same media budget.
Karen Williams
Head of Marketing, Vision Express
Verified via NPS survey
+47% booked eye exams Per-store attribution
Vision Express website homepage in a browser window, a prescription sunglasses offer above eye exam booking and eyewear
1 / 10

Selected clients we've run full marketing programs for

  • Armanino
  • BSH
  • Delicate Dental
  • Government Legal Department
  • Hightop Health
  • LifeStance Health
  • Marmalade
  • Montegra Capital Resources
  • Noelle Collins Dental Clinic
  • Oxford Capital
  • Paquin & Carroll Insurance
  • PCO Bookkeepers & M&A Specialists
  • Peaceful Mind Psychology
  • Peak Accounting Solutions
  • Pelvic Rehabilitation Medicine
  • RiverSaaS Capital
  • Rosenbaum Personal Injury Lawyers
  • Smile Design Dentistry
  • Stanhope Capital Group
  • Stella Maris
  • Tilghman Builders
  • Toyota
  • Uptime
  • VP Dental & Medical Supplies
  • Wilentz Attorneys at Law

See what one accountable program could be worth

Move the sliders to your numbers. One team across search, ads and the site, measured on the same conversion rate.

Added revenue per month
/mo

What a 20% improvement on your current conversion rate adds, at today's traffic.

Free · Written findings · Yours to keep

Asked by healthcare owners, answered

From real quote calls with healthcare practice owners. Anything else, ask on the strategy call and get an answer in the recap.

PREFER TO TALK?
hello@redefineweb.com →

A medical marketing retainer at Redefine Web runs across four published tiers, $1,499 to $3,999 per month on Foundation through Scale, with Enterprise starting at $6,000 for multi-provider groups and health systems. Foundation at $1,499/mo covers a solo-provider clinic with HIPAA-safe content, local SEO, per-provider GBP management, and automated review requests. Growth at $2,499/mo is where most single-location practices land once they add Google Ads on up to $3,000 in spend and monthly recall nurture. Scale at $3,999/mo fits two-to-four provider offices layering Meta ads, specialty referral funnels, and bi-weekly booking-funnel tests. The tier moves with practice stage and provider count, not with your ad spend. We do not skim a percentage of media buys. Ad accounts stay in your name at every tier. Every plan runs a six-month initial term, then rolls month to month with 30 days notice. Every retainer opens with a written media plan and per-provider baseline audit. See HIPAA Journal for compliance and BAA context.

Every medical marketing retainer delivers four things a solo-provider clinic cannot easily run in-house at any price point. Two-plus HIPAA-safe SEO articles per month, on-page fixes tied to service line performance, active per-provider Google Business Profile management, and automated SMS or portal review requests wired to your EHR post-visit trigger. Growth adds Google Ads on up to $3,000 in managed spend, monthly landing-page A/B tests against booked appointments, and a recall nurture email series. Scale layers Meta retargeting for elective service lines, bi-weekly booking A/B tests, one new condition page per month, and specialty referral funnels. Every tier includes one named healthcare retainer lead who owns the account end to end. No handoffs between an SEO team, an ads team, a content team, and a compliance team. Every retainer month closes with a written recap tied to appointments booked, not vanity metrics. See Google Local Services for LSA eligibility rules.

Google Ads on the Growth tier usually books its first new-patient appointment inside 14 to 21 days from launch, once server-side HIPAA-safe tracking and the landing page are live. Local SEO and per-provider GBP work compound slower than paid does. Map-pack visibility on core queries like primary care near me or specialty condition searches tends to move in weeks 6 to 10 once citations, categories, and review velocity align. Steady organic appointment flow lands by month 4 to 6 for most single-location practices doing weekly service line content. Specialty referral pipelines run on their own clock since the average referral-to-visit timeline is 15 to 60 days depending on payer, scheduling, and provider availability. We report on lead volume and completed encounter volume separately so specialty pipelines never look broken when they are just delayed by the calendar. Every healthcare monthly marketing plan includes a weekly pacing check and a monthly appointment recap so timelines never surprise the practice owner. Written 90-day expectations are set on the strategy call before the first invoice ever clears.

A HIPAA-compliant marketing agency signs a Business Associate Agreement before any PHI touches a workflow, and uses server-side tagging so pixels never see appointment or portal data at any step. Redefine Web executes a BAA on every engagement that includes tracking, EHR integration, or portal-tied recall automation. We follow OCR December 2022 pixel guidance to keep Meta and Google pixels off scheduling and patient portal pages, and route conversions through a BAA-covered server-side pipeline instead. Ad platforms still get optimization signal on booked encounters and completed visits. PHI never leaves your walled network at any point in the funnel or any point in the reporting pipeline. Every engineer, writer, and media buyer on the account signs HIPAA training annually and re-certifies each calendar year. See the OCR pixel guidance recap for the full compliance context. Retainer scope, integrations, and access levels are documented in the BAA before any onboarding step starts.

Yes, on Growth tier and above the retainer scales to specialty and multi-provider practices. Specialty practices like cardiology, orthopedics, dermatology, and OB-GYN need per-provider GBP management, condition-first content, and referral funnels that speak plainly to primary care groups. Foundation covers a solo-provider clinic but does not scale to multi-provider or multi-location work at meaningful depth or reporting quality. Scale at $3,999/mo runs per-provider GBP for up to four providers, dedicated specialty landing pages by service line, and a referral-tracking layer that separates paid appointments from referred appointments in the same dashboard view. Enterprise starts at $6,000/mo and fits health systems and DSO or MSO-style medical groups with 5-plus providers, custom EHR integration for closed-loop attribution, and BigQuery or Snowflake pipelines for practice-wide reporting rollups. Multi-location groups get a per-location scorecard so any one clinic that stalls stays visible inside 30 days. Every Enterprise onboarding maps provider capacity and referral partner relationships in week one before any spend goes live.

Yes. Epic, Cerner, Athenahealth, DrChrono, NextGen, and eClinicalWorks are all supported for review automation, appointment attribution, and offline conversion imports on every plan tier. The engineering lead maps your EHR in week one so post-visit SMS or portal review requests, GA4 booked-encounter imports, and the reporting dashboard all pull from the same source of truth. If you are on a niche or older system, we integrate through the calendar layer or an HL7 feed instead of direct database read. Google Calendar, iCal, or Acuity handle appointment attribution when direct EHR access is not available on your plan. Enterprise adds custom BigQuery or Snowflake pipelines when a multi-provider group needs to roll spend, appointments, and revenue into one view for board reporting. CallRail HIPAA edition covers phone conversions when calls carry meaningful appointment volume. GA4 with consent mode covers site-side conversion signal cleanly. Every integration is documented in the BAA with data flow diagrams before any live connection is opened.

Most established practices spend 4 to 8 percent of gross practice revenue on marketing every year. For a $120,000 per month single-location office, that is $4,800 to $9,600 in total marketing budget per month. Split it as $2,499 to $3,999 in retainer fees plus $3,000 to $7,000 in Google Ads media on Growth or Scale tiers. Startup practices under 24 months open often invest higher, closer to 10 percent of gross revenue, to accelerate new-patient flow while per-provider GBP reviews and organic ranking compound over time. Multi-provider groups on Scale or Enterprise usually run flat retainer plus per-location ad budgets in the $1,500 to $4,000 range per clinic per month. Every retainer opens with a written media plan mapping spend to keyword cluster and expected appointment CAC by month. Foundation clients under $50,000 monthly revenue can start at $1,499 retainer plus $1,500 in Google Ads and still see measurable appointment gains by month 3 or month 4. Budget always ties to service line profitability, not vanity spend numbers or agency margin.

The practical floor for healthcare Google Ads is $1,500 per month in primary care or insurance-first markets, and $3,000 per month if elective specialty lines are in the mix at all. Under those numbers, Google Smart Bidding cannot get enough conversion signal to optimize bids and CAC stays noisy month to month. Most Growth tier practices spend $2,000 to $6,000 per month in Google Ads media across search campaigns and Local Services Ads combined. Typical cost per new-patient appointment lands in the $35 to $95 range for primary care queries, and $120 to $400 per booked visit for elective specialty procedures like cosmetic dermatology or orthopedic consults. Scale tier practices layering Meta usually add another $1,000 to $3,000 in retargeting spend against warm site traffic and portal drop-offs from prior visits. Every medical marketing retainer opens with a written media plan mapping spend to keyword cluster and expected CAC by service line by month. See Google LSA verification for provider eligibility rules before budgeting the paid layer.

Yes. Per-provider GBP is core to every Growth tier and above on the retainer. Solo-provider clinics on Foundation get one practice GBP with monthly posts, service page optimization, Q&A management, and category audits every quarter. Multi-provider practices on Scale and Enterprise get one GBP per provider with unique posts, hours, and review responses for each individual profile unit run by the account lead. Map-pack ranking on primary care near me, orthopedic surgeon near me, or condition-plus-city queries usually starts moving in weeks 6 to 10 once citations are cleaned up, reviews start compounding, and per-provider GBP posts run weekly. Review velocity is the fastest lever we manage on the retainer month over month. Practices on our retainer average 5 to 12 new Google reviews per month within the first quarter, tied to EHR post-visit review request automation. Every review response is HIPAA-safe, never confirming a treatment or condition publicly on the platform. Every GBP profile stays in the practice ownership at all times.

An in-house marketing coordinator at a healthcare practice costs $58,000 to $85,000 fully loaded and covers one role well. Typically GBP management, social posting, and front-desk coordination on new-patient calls. What breaks in-house is the specialist stack behind that coordinator. A part-time coordinator cannot double as a Google Ads media buyer, an on-page SEO writer, a HIPAA compliance reviewer, and an EHR integration engineer at the same time. A medical marketing retainer at $1,499 to $3,999 per month replaces that specialist stack in one line item. You get a named healthcare retainer lead plus pooled access to media buyers, SEO writers, and engineers, all sharing what they learn across the agency healthcare book. The math works when you compare loaded coordinator cost against Growth tier retainer plus $3,000 in managed ad spend. Most practices see a lower blended CAC by month 4 running the retainer versus an in-house coordinator with equivalent tooling budget. Ad accounts and content library stay with you.

Every healthcare retainer reports on four core KPIs every month. Booked new-patient appointments by channel, cost per booked appointment by service line, per-provider GBP map-pack position on core queries, and review velocity across every location. Growth and Scale layer in EHR-verified completed encounters, so paid channels optimize against real revenue not form fills that never show up. Reporting runs on GA4 with consent mode, CallRail HIPAA edition for phone calls, and Google Looker Studio for the monthly dashboard the practice owner sees. A written monthly recap lands the second Tuesday every month with what moved on booked appointments, what did not, and what the plan is for the next 30 days. Quarterly reviews go deeper, tied to service line profitability and provider capacity. Weekly pacing checks catch any channel drifting off plan inside 7 days. Every KPI ties to appointment or revenue outcomes, never to vanity metrics like impressions or bounce rate. Data flows are documented in the BAA before any reporting connection goes live.

Every healthcare retainer runs a six-month initial term, then rolls month to month with 30 days written notice on either side. The initial term covers the audit, roadmap, EHR integration, HIPAA-safe tracking stack, and the first month of live execution across paid, organic, and GBP. Under six months, the account never gets past the compounding curve on local SEO or per-provider GBP, so we do not offer shorter initial terms. There are no early-termination fees stacked on top of the notice window. If the practice needs to pause for a licensure change, an M&A event, or a construction close, we can pause billing for up to 60 days with written notice. On cancellation, all Google Ads accounts, GBP profiles, content library, landing pages, and CallRail numbers stay in the practice ownership at all times. Nothing is licensed back to the agency. Full documentation of tracking scripts, EHR pipelines, and integrations transfers on the final day. See HIPAA Journal for BAA context on data handling.

Onboarding runs as a written 30-day plan the practice owner signs off on before any spend goes live. Week one covers the audit, per-provider GBP baseline, EHR mapping, BAA execution, HIPAA-safe tracking install, and a review of every existing ad account. Weeks 2 and 3 build the 12-month quarterly roadmap tied to service line profitability, and the first Google Ads campaigns get built out under HIPAA-safe tracking with server-side conversion signal. Week 4 goes live across paid, per-provider GBP posts, and content publishing. Review generation starts on day one of month one. Post-visit SMS or portal review request automation fires within 4 hours of an appointment completion, timed against your EHR post-visit trigger. Every review request stays HIPAA-safe, never referencing a specific treatment or condition in the SMS or email copy itself. Practices typically add 5 to 12 new Google reviews in the first quarter on the retainer, compounding into map-pack visibility in weeks 6 to 10. Every step in onboarding is documented and shared in a live project board the owner has read access to.
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