Marketing results from real behavioral health practices
Four practices, their actual numbers and where each number came from. Everything here is either pulled straight out of the ad account or counted by the practice itself. Where we've had to estimate a dollar figure, we say so.
Every practice named here gave permission to be named
Across the accounts on this page
The part that isn't an estimate
These four figures come out of Google Ads directly, with no modeling in between. They cover the three accounts where we report at the inquiry level.
1,040
Client inquiries produced
$46,032
Ad spend managed
$44
Blended cost per inquiry
7.6%
Of ad views became clicks
Summed from Google Ads for Counseling Services for Wellbeing through August 9, Golden Roots Therapy through April 26 and Janz Family Therapy through September 20 2026. Prosperity sits outside these totals because we report it on booked revenue rather than at the inquiry level. Its figures are in the case study below.
Case studies
Pick a practice, and check our work
Each one lists what was happening before, what we built, what it produced and which source every figure came from.
Seattle, WA and statewide telehealthAbout 100 clinicians, 20 of them psychiatric providersThe Search-to-Intake SystemWorking together since November 2025
Counseling Services for Wellbeing could feel the problem before anyone could measure it. Psychiatric intakes fell from about 35 a week to 5. Calls from new patients dropped from roughly 800 a month to about 400. Calls from people searching the practice by name fell from 42 to 2. They had around 20 psychiatric providers on staff and not enough people coming through the door to keep them busy. Their clinical director described it as plumbing, something upstream had clogged and nobody could see where.
The result
A rebuilt account brought client inquiries in at about a third of the Seattle market rate.
Psychiatric intakes had dropped from about 35 a week to 5. In the first eight weeks the practice booked 36 new appointments, 12 of them psychiatry.
Cost per client inquiry
Seattle market$150
CSW$54
About a third
Return on ad spend
First eight weeks5.9×
Estimated
220 inquiries on $11,941 of ad spend in the first eight weeks. The market rate is modeled at roughly $150. Appointments counted from the practice’s booking sheet, May 11 to July 1.
What it produced
36
Booked appointments
24 therapy and 12 psychiatry, counted from the practice’s own booking sheet, May 11 to July 1.
$25
Cost per psychiatry inquiry
261 psychiatry inquiries since launch. The single most efficient thing in the account.
501
Client inquiries since launch
$22,737 of spend through August 9, averaging $45 each.
Money in, appointments booked
Daily ad spend in grey, with the value of appointments booked each week as the darker line. Weeks one and two carry almost nothing because the account was still learning. Value estimated at $1,300 per therapy appointment and $3,000 per psychiatry appointment.
What we built
The account
Rebuilt from scratch, split by service line rather than one campaign for everything
General psychiatry, ADHD psychiatry, therapy, trauma, couples and kids each run separately
LegitScript certification filed so psychiatry ads could run at all
Anxiety and depression campaigns paused once they proved expensive
The pages
A separate landing page for every service line, so the page matches what was searched
A screener that asks about insurance before it asks for a phone number
Statewide repositioning, since most of the business sits outside Seattle
The main website rebuilt and moved off WordPress
The measurement
Call tracking that ties a phone call back to the ad that produced it
Booked appointments reconciled against the practice’s own sheet, not just platform counts
A weekly report showing spend against inquiries
No Google Analytics on any page we build
Sources: Google Ads account 1632442078, weekly reports May 7 to Aug 9 2026. Booked appointments from the practice’s booking sheet, May 11 to Jul 1 2026. Published with the practice’s permission.
Therapy practice
Janz Family Therapy
Fresno, Clovis and Madera, CAAbout 19 clinicians, child and adult teamsThe Search-to-Intake SystemWorking together since April 2026
Janz Family Therapy wasn’t short on people reaching out. The inquiries were arriving and then sitting. Some came through a form, some through a phone call, some got forwarded by hand. By the time somebody circled back, the person had often already found care somewhere else. Even after every inquiry landed in one place, a form still meant waiting for a callback. Anyone who reached out in the evening waited until the next morning. The practice also takes all three Medi-Cal plans in their area, which is genuinely hard to find locally, and none of their advertising said so.
The result
Letting people book their own intake cut the cost of each inquiry nearly in half.
In August the pages stopped asking people to wait for a callback. Now they pick an intake time on the spot, day or night.
Cost per client inquiry
Before$50
After$27
46% lower
Return on ad spend
Before4 to 1
After7 to 1
Estimated
158 inquiries on $4,296 of ad spend, August 10 to September 20, against 124 on $6,172 in the seven weeks before. Weekly ad spend went down over the same stretch.
What it produced
41
Intakes booked by the client
Picked straight from the intake calendar with no callback in between. About $105 of ad spend for each one.
4 in 10
Booked before 9am or after 6pm
17 of the 41 came in during the evening or early morning, the hours when a form used to sit until somebody was back in the office.
415
Client inquiries since launch
$15,269 of ad spend from April 1 to September 20, averaging $37 each. 10.7% of ad views became clicks, high for the category because the ads name the insurance.
Cost per inquiry, week by week
Each bar is one week. The dashed lines show the average on each side of August 10, when people could start booking their own intake. No ads ran in the weeks of June 29 and July 6. The week of June 8 ran at $145 and is cut off to keep the scale readable.
What we built
The account
Two campaigns, one for the child and adolescent team and one for adults
Medi-Cal named directly in the ads, since that’s the thing competitors can’t match
Negative keyword lists to keep out searches for insurance they don’t take
Started at $1,500 a month, now steady at around $3,000
The pages
Self-booking straight into the intake calendar, so nobody waits on a callback to get a time
A landing page each for adults and for children and teens
A screener that checks insurance early, so wrong-fit inquiries never reach the team
Anyone with commercial insurance gets a superbill explanation and can still book
The follow-up
Every inquiry lands in one place instead of three
Text confirmations and reminders for every booked intake
Booked appointments sent back to Google, so the account learns from real outcomes
Being added now: a voice and text assistant that answers when the front desk is tied up or the office is closed
Therapy practice
Golden Roots Therapy
Mahtomedi, MN, east Twin Cities10 clinicians, adding psychiatryThe Search-to-Intake SystemWorking together since May 2025
Golden Roots ran Google Ads on its own from October 2024 to May 2025 and spent $5,218 with no way to tell what it bought. Google reported more conversions than clicks, so the numbers meant nothing, and its bidding was learning from the wrong signal. All 220 keywords were broad match. They mixed people looking for a therapist with people reading about depression, therapists shopping for liability insurance and job seekers. The single word “therapy” took 63% of the keyword spend, and no campaign had a single negative keyword. Nearly nine in ten clicks landed on the homepage or a general contact page. Hiring ads ran in the same account as the ads for new clients.
The result
Client inquiries more than doubled in four months, from 22 a month to 55.
Month one is January 2026, when the rebuilt account went live with a page for each specialty. By month four the ads had stopped paying for searches that were never going to turn into clients.
Client inquiries a month
Month one22
Month four55
2.5× more
Return on ad spend
Four months8.4×
Estimated
136 inquiries on $10,302 of ad spend, January 14 to May 13 2026, counting both form fills and phone calls.
What it produced
$75.75
Blended cost per inquiry
136 inquiries on $10,302 across four months, counting both form fills and phone calls.
About 2×
The inquiries on the same spend
Month four against month three. The budget barely moved. The targeting and the pages did.
84
Inquiries in July alone
The practice’s own count, against only seven open slots on the schedule.
Four months of inquiries against spend
Client inquiries by month with ad spend underneath. Month three to month four is the part worth looking at. Spend rose about 16 percent and inquiries rose 77 percent, because the ads stopped paying for searches that were never going to convert.
What we built
The account
Google Ads rebuilt from scratch, starting with two ad groups and growing to four
Trauma and EMDR split away from child and teen work, since they behave differently
Budget grew from about $1,500 a month as the numbers held up
A negative keyword list of about 200 searches the practice should never pay for
The pages
Four landing pages, one each for anxiety, depression, trauma and child and adolescent work
A tappable phone number, which the old pages did not have
A proper headline on every page so search engines can read them
A screener that filters for fit before anyone is asked to call
The clean-up
Tracking rebuilt so one visitor counts once, after Google had reported more conversions than clicks
Google Analytics removed from pages that ask about symptoms
Call tracking added with a signed business associate agreement
Notification routing fixed after inquiry emails were reaching the wrong inbox
I’ve experienced clients who are real, who want to come work with me. He’s helped me get more foot traffic not only for myself but also for all of the clinicians in my office.
Jenna Hertaus, LPCC, owner, Golden Roots Therapy
Sources: Google Ads account 8013356435 and the practice’s form and call exports, Jan 14 to May 13 2026. Figures from before the rebuild come from the same account, October 2024 to May 2025. July inquiry count from the practice. Testimonial given June 12 2026 and published with permission, shortened from a longer statement without changing its meaning.
Treatment center
Prosperity Eating Disorders and Wellness Center
Reston and Norfolk, VADay treatment and intensive outpatient, 40 beds per programThe Search-to-Intake SystemWorking together since November 2025
Prosperity runs day treatment and intensive outpatient programs for eating disorders across two Virginia locations. They were already spending on Google Ads and it wasn’t turning into admissions. The account looked like a budget problem and wasn’t one. Most of the missed opportunity came down to ad rank rather than spend, and a large share of the keywords carrying real cost sat at a quality score of 3 or below. More money behind that would have bought more of the same. The harder problem sat further down. Someone filled out a form, the team tried a call within a day, sent one email if that failed and then usually nothing. Intake had to happen in person. Medical clearance from an outside provider could take six weeks. Most people never reached the other end.
The result
Three months of ads produced $719,000 in booked revenue.
That’s on $40,254 of ad spend, counted from the practice’s own records rather than estimated from admissions.
Booked revenue
Three months$719,000
Practice records
Return on ad spend
Three months18×
13× with our fees
Results window: three months, winter 2025 to 2026. Month two dipped to 12× before month three came back to 21×.
What it produced
13×
Return on total marketing cost
The same revenue measured against ad spend plus our fees, not the media alone. It’s the number that matters to the practice.
$146K to $363K
Booked revenue by month
Month two dipped to 12 times ad spend before month three came back to 21. Treatment-center admissions are lumpy and the middle month shows it.
Three months of booked revenue
Revenue the practice booked and attributed to the ads, by month, with the return on ad spend for each. Month two is the honest part of this chart: spend rose while revenue grew more slowly, which is what a treatment center looks like when admissions cluster rather than arrive evenly.
What we built
The account
Full audit before any spending changes, which is what surfaced the rank problem
Negative keyword lists built out across roughly 205 terms
Brand searches excluded from the catch-all campaign so it stopped taking credit
Account time zone corrected, which had been reporting against the wrong day
The pages
Six landing pages, one each for eating disorder treatment, teens, anorexia, bulimia, binge eating and ARFID
Day treatment led on every page, since the fear parents bring is being sent away
Written around the phrase families actually use, that you don’t have to look sick to be sick
Complete brand rebuild behind it: logo, color, type and a brand book
The follow-up
Every inquiry routed into one system instead of dying between a call and an email
Text messaging registered and approved so follow-up can happen where people answer
Call tracking wired to the same record as the form fills
Reporting set up to run from the first full quarter
Results window: three months, winter 2025 to 2026. Revenue is the practice’s own booked revenue attributed to the ads, taken from their records and not estimated from an admissions count. Ad spend of $40,254 is actual. The 18× figure is revenue against ad spend; the 13× figure is revenue against ad spend plus our fees. The six condition pages and the brand rebuild listed above shipped later, between August 19 and August 27 2026, and are not what produced the figures in this window. Published with the practice’s permission.
How the counting works
Why you can check any of this
Most marketing numbers fall apart when you ask what they're counting. Here's what ours count and where the line sits between measured and estimated.
What counts as a client inquiry
Someone filled out a form or someone called and stayed on the phone long enough for it to be a real conversation. A click isn't an inquiry. Neither is a page view or a form that got abandoned halfway. When a practice counts its own inquiries and we count ours, the two should reconcile, and we check that they do.
How phone calls get tied back
Most people in this category call rather than fill out a form. Every landing page carries a tracking number, so a call can be traced to the ad and the search that produced it. The tracking runs through a vendor that signs a business associate agreement, because the call is about somebody's health.
Why there's no Google Analytics
Google won't sign a business associate agreement for Analytics, and federal guidance treats a browser ping from a page about a specific condition as sharing health information. So it isn't on any page we build, for any practice, ever. Measurement runs through tools that will sign one.
Where the estimates start
Inquiries, spend and cost per inquiry come out of the ad platform. Booked appointments come from the practice counting them. Any dollar return is a count multiplied by an assumed value, because no ad platform knows what a client is worth over time. Those are always labeled as estimates.
What repeats
The same four things, in every account
The screener asks about insurance before it asks for a phone number. Wrong-fit inquiries are the largest single drain on an intake team's time. It's better to lose that person on the page than in a phone call two days later.
A response goes out immediately, without anyone covering the phone at night. Someone who fills out a form at 9pm is in a moment of readiness, and that window closes fast. Automated follow-up holds the conversation open until a person can pick it up.
Every service line gets its own page. Somebody searching for help with an eating disorder shouldn't land on a general page about the practice. The page should say back what they typed.
A weekly report shows spend against inquiries. Not impressions, not reach. What went out, what came back and which searches produced it. If a campaign stops earning its place, it's visible in a week rather than a quarter.
Questions
What people ask about these numbers
How long does it take before a new account starts producing client inquiries?−
Inquiries usually start in the first two weeks. Reliable inquiries take longer. Google needs a stretch of real outcomes before it stops guessing, and until then the cost per inquiry bounces around. Across the accounts on this page, the cost per inquiry settled somewhere between week four and week eight. Counseling Services for Wellbeing spent its first two weeks producing almost nothing, then produced 32 inquiries in a single week once the account had enough to learn from.
What does a client inquiry cost for a therapy practice?+
On these accounts, between $27 and $76 depending on the market and what the practice treats. Psychiatry runs cheaper than therapy, often $25 to $30, because fewer practices advertise for it. Specialised work costs more. Trauma and EMDR ran about $64 at Golden Roots and $101 at Counseling Services for Wellbeing. A wide market with lots of competition costs more than a narrow one.
Do you guarantee results?+
Not client numbers. Anyone who promises those is guessing or planning to explain it away later. What we do guarantee is the work: ads live within 21 days, and benchmarks for your ads set from real data in your market. Miss them by day 90 and we keep managing your account for free until we hit them. We also show you where every number came from, including the ones that did not work. Two of the campaigns on this page were paused for being too expensive. That’s on the page because leaving it off would make the rest less believable.
How do you measure results without Google Analytics?+
Google won’t sign a business associate agreement for Analytics, and federal guidance treats a browser ping from a page about a specific condition as sharing health information. So it isn’t on any page we build. Measurement runs through tools that will sign a business associate agreement instead: call tracking that ties a phone call back to the ad that caused it, form submissions captured in a compliant system and booked appointments sent back to Google as conversions after the fact.
Are these numbers typical?+
They’re the accounts we have, not a selection of the best ones. Two other practices we’ve run ads for sit at a higher cost per inquiry than anything shown here. Results depend on the market, the budget, what the practice treats, whether they take insurance and how fast somebody responds when an inquiry comes in. That last one moves the number more than most people expect.
Why do some of these returns say estimated?+
Because they are. Client inquiries, ad spend and cost per inquiry come straight out of the ad account. Booked appointments come from the practice counting them. But no ad platform knows what a client is worth over the time they stay, so any dollar return is a count of real inquiries or booked appointments multiplied by an assumed value per client. That’s why those figures are labeled estimated and never presented as collected revenue. Prosperity is the exception, because its figures are booked revenue from the practice’s own records.
Your account
We'll show you the same view of your own numbers
Your strategy, built around your practice: what people in your area are searching for, what an inquiry is likely to cost you and what your pages would look like.
Results shown on this page come from specific practices in specific markets and are examples, not promises. Marketing outcomes depend on budget, market, competition, what a practice treats, whether it takes insurance and how quickly inquiries get a response. Figures labeled as estimated are calculated from counted inquiries or appointments multiplied by a stated assumed value and don't represent collected revenue. Every practice named on this page gave permission to be named.