Built for Healthcare Brands That Have Outgrown Their Last Paid Marketing Agency.
Healthcare businesses in Bilbao spend €2,200/month on ads. Most see nothing. We make every pound and dollar work.
8 of our last 10 healthcare clients saw measurable organic growth within 6 months
We do our best work for one kind of client.
Not every brand is the right fit for how we work. Here’s how to tell if you are.
That’s your profile. Let’s find out if we’re a fit →
EQUALLY IMPORTANT
We are probably not the right fit if...
You need results in 30 days. Paid Marketing doesn't work that way, and anyone who says it does is lying to you.
You want to own the strategy internally and outsource only execution. We work as strategic partners, not vendors.
Your budget is under $2,000/month. We can't do our best work at that level.
The brands we work best with are past the “let’s try Paid Marketing” phase. They know it works. They want it done properly.
Bilbao healthcare is a different game.
We’ve run Paid Marketing here. We know what it takes.
Your competitors own Google Ads. Take it back.
Bilbao's healthcare sector competes fiercely on digital channels—patients research before they call. The Abandoibarra waterfront and Casco Viejo districts house clinics, hospitals, and private practices all bidding on identical keywords. Ad budgets are wasted on poorly targeted campaigns, review generation, and websites that don't convert traffic. What separates thriving practices from struggling ones isn't spending more; it's spending smarter.
The 3 places Bilbao healthcare brands leave revenue on the table
Every engagement starts with a structured audit. These patterns show up in 9 out of 10 healthcare brands we assess — regardless of size or previous agency history.
Don’t take our word for it.Here’s what we actually delivered.
Spending €1,800/month on Google Ads with zero tracking. Cost per inquiry was €240; competitor clinics paid €65. Google Maps ranking was page 3. No reviews strategy.
Rebuilt campaigns with intent-based keyword targeting (emergency dentistry, implants, cosmetic). Reduced keyword list by 60%; added negative keywords aggressively.
— Marta G.
Clinic Director
Read the full case study →BEFORE → AFTER
Monthly New Patient Inquiries · BEFORE
8–10
Monthly New Patient Inquiries · AFTER
20–24
You shouldn’t have to wonder what your agency is doing with your money.
Every Friday, you get a Loom from your strategist. Not a report — a walkthrough. What changed, what we’re doing about it, what to expect next week. Several clients have told us it’s the first time Paid Marketing has ever made sense to them.
From audit to measurable growth, step by step
After 90 days, you'll see 40–60% lower cost per lead, 3–5x higher booking conversion, and a Google presence that patients trust. After 6 months, you'll own local search in your speciality and have a system that turns ads into consistent patient flow.
Audit & Competitive Blueprint
We analyse your current spend, keywords, landing pages, and review profile. We benchmark against top performers in Bilbao's healthcare space—clinics, hospitals, private practices. We uncover where budget leaks, which competitors dominate, and why patients choose them.
Strategy & Funnel Design
We map your ideal patient journey: awareness → consideration → appointment. We define high-intent keywords for your speciality, segment audiences by intent, and design landing pages that convert. Every ad dollar targets a specific decision stage.
Campaign Build & Launch
We set up Google Ads (Search, Local Services, Display), Facebook/Instagram campaigns, and LinkedIn if relevant. Ad copy is tested, bids are optimised, and tracking is installed. Campaigns go live with daily monitoring.
Review Generation & Local Optimisation
We implement a system to request patient reviews post-appointment. We optimise your Google Business Profile, local citations, and schema markup. Positive reviews feed into ad copy and increase local search visibility.
Testing, Optimisation & Scaling
We run A/B tests on ad creative, landing pages, and audience segments. We shift budget to top performers and pause underperformers. Monthly strategy calls keep you aligned on results and next moves.
The honest difference
We’re not going to call other agencies bad. We’ll just be clear about how we’re structured differently — and let you decide what matters.
| Omakaase | What we hear from most agencies | |
|---|---|---|
| Contracts | ✓ Month-to-month. Walk away any time. | 12-month minimum (standard) |
| Who's on your account | ✓ Senior strategist. Doesn't rotate. | Account manager, often junior, rotates 6–12 months |
| Reporting cadence | ✓ Weekly Loom video + live dashboard | Monthly PDF report |
| Attribution model | ✓ Revenue-connected from Day 1 | Rankings + traffic only |
| Cost transparency | ✓ You see where every dollar goes | Black-box retainer |
What this typically looks like for a Bilbao healthcare brand
The median healthcare client after 6 months
Get a custom analysis of your current Google Ads, Facebook campaigns, and spend efficiency. See exactly where budget is leaking and which competitors are outbidding you.
Median result across 12 healthcare Paid Marketing case studies. Results vary based on domain authority, competitive set, and existing traffic baseline.
“They rebuilt our entire campaign architecture from scratch. The old setup was wasting about a third of our spend on audiences that hadn't converted in two years.”
Rachel N.
CMO · B2B Tech
“Finally, an agency that talks about margin, not clicks. They restructured our bids around profit contribution and our actual numbers improved within six weeks.”
Tom B.
Founder · E-commerce, $5M revenue
“Google Ads was our biggest cost centre. It's now our highest-margin acquisition channel. That shift took about four months and a complete rethink of how we attributed value.”
Lisa W.
CEO · Retail Brand, $9M revenue
The questions founders actually ask us
Not the FAQ we wrote. The questions from real first calls.
How much should a healthcare business in Bilbao spend on paid ads?
Industry average is €1,800–€2,600/month. But spend depends on speciality, competition, and patient lifetime value. A high-margin surgical practice might spend €3,500/month and see 3:1 ROI. A general clinic might spend €900/month. We help you find the right spend based on your target patient volume and margins.
Why is my Google Ads cost per lead so high?
Usually three reasons: (1) Broad keywords attracting low-intent traffic. (2) Poor landing page experience—mobile isn't optimised, no appointment button, slow load. (3) Competitors with higher Quality Scores bidding smarter. We fix all three. Average client sees 45–60% CPL reduction in Month 1.
How long before we see results?
Week 1: campaigns live, tracking installed. Week 2–3: early performance data and optimisation clues. Week 4–6: statistically significant results (CPL, conversion trends). Month 3: full 90-day benchmark and scaling recommendations. Some clients see wins in 2 weeks; patience through Month 1 is key.
What if we already have a Google Ads account?
We audit it first. Most existing accounts have structural problems—poor keyword grouping, irrelevant ad copy, untracked conversions, high negative keyword gaps. We keep what works and rebuild what doesn't. Usually takes 2–3 weeks of parallel running before we fully migrate you.
Do you manage our Google Business Profile and local SEO?
Yes. Local SEO (GBP optimisation, citations, schema) is part of the service. Paid ads work 2–3x better when your local presence is strong. We handle photo updates, review encouragement, citation cleanup, and ranking tracking.
FREE · NO COMMITMENT · 48HR TURNAROUND