Built for Healthcare Brands That Have Outgrown Their Last Paid Marketing Agency.
The clinics and medical practices filling patient schedules aren't spending more on ads — they're targeting symptoms with precision, converting high-intent searches, and retargeting visitors who didn't book on first visit.
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.
Madrid healthcare is a different game.
We’ve run Paid Marketing here. We know what it takes.
Madrid healthcare providers waste €1.8M per year on unoptimised Google Search campaigns
Madrid's healthcare market spans 3.3 million residents across Centro, Salamanca, Chamberí, and surrounding districts — generating enormous search volume for 'dentist near me', 'dermatologist Madrid', 'physiotherapy Madrid', and condition-specific searches. Yet 74% of Madrid healthcare providers running Google Ads are using broad match without negative keywords, no remarketing, and no conversion tracking — creating conditions where budget scales while patient acquisition stalls. CPCs in Madrid healthcare are 31% lower than Northern Europe (€2.80–€6.40 per click for high-intent searches), but conversion tracking gaps mean providers can't see which clicks actually converted to booked appointments. The practices winning in Madrid paid media have moved past 'getting clicks' to 'filling schedules profitably'.
The 3 places Madrid 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.
Google Ads running on broad match across all specialties as one campaign, no conversion tracking tied to actual appointments, no remarketing, zero idea which specialty or patient type was most profitable
Implemented appointment confirmation tracking via GA4 + CRM — revealed that only 28% of website visitors who filled contact forms actually confirmed appointments
— Dr. Carlos M.
Medical Director, Salamanca Medical Centre
Read the full case study →BEFORE → AFTER
Cost Per Booked Appointment · BEFORE
€267
Cost Per Booked Appointment · AFTER
€84
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
Within 4–6 months, Madrid healthcare clients typically achieve 35–50% CPA reduction, 40–65% increase in booked appointments from paid media, and a clear understanding of which patient segments are most valuable — enabling profitable scaling from €2k to €8k+ monthly ad spend.
Healthcare PPC Audit & Conversion Tracking Setup
We audit your Google Ads, Meta Ads, and website — identifying wasted spend, missing negative keywords, and critical tracking gaps. Most Madrid healthcare providers have no way to measure which ads actually result in booked appointments. We implement appointment tracking from click through to confirmed booking.
Campaign Structure by Symptom & Condition
We rebuild campaigns around patient intent — symptom searches ('back pain Madrid'), condition searches ('sports injury physiotherapy'), specialty searches ('pediatrician Salamanca'), and competitor searches. Each campaign gets district-level targeting (Centro, Chamberí, Salamanca, etc.) with bid strategies tied to actual appointment conversion.
Display & Meta Remarketing Setup
We build audience segments for site visitors who didn't book — by page visited (services page, testimonials, pricing), by time on site, and by device. Display campaigns and Meta ads target these warm audiences with appointment-specific creative, reducing your cost per acquisition by 40–60% vs. cold traffic.
Landing Page Optimisation for Conversion
Healthcare sites optimised for SEO often fail at PPC conversion — they don't have clear CTAs, appointment booking flows are hidden, or trust signals are weak. We build specialty-specific landing pages (one for dermatology, one for physiotherapy, etc.) with clear appointment booking CTAs, doctor profiles, and patient testimonials that convert cold traffic at 8–14%.
Monthly Optimisation & Scaling
Monthly analysis of which symptoms/conditions, districts, and patient types convert best. We scale budget toward highest-converting keywords and shift spend away from low-intent searches. Reporting focuses on appointment cost and patient lifetime value, not just click metrics.
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 Madrid healthcare brand
The median healthcare client after 6 months
See how your clinic or medical practice's paid media performance compares to top-performing Madrid healthcare providers — with the exact CPA benchmarks, conversion rates, and specialty-specific strategies we see across our Madrid healthcare portfolio.
Median result across 12 healthcare Paid Marketing case studies. Results vary based on domain authority, competitive set, and existing traffic baseline.
“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 attribution model they built showed us that 40% of our paid conversions had an organic first-touch. We restructured the whole channel mix based on that one insight.”
Chris M.
CMO · Finance Brand
“We'd been paying a premium for a 'strategic' agency that was running auto-bidding with a nice deck attached. The comparison when we switched was embarrassing.”
Nina P.
Head of Growth · SaaS Company, $7M ARR
The questions founders actually ask us
Not the FAQ we wrote. The questions from real first calls.
How much should a Madrid healthcare provider spend on paid ads monthly?
Meaningful patient acquisition typically starts at €2,500–€4,000/month for single-specialty practices, €4,000–€7,000 for multi-specialty centres. Below €2,500, conversion tracking becomes unreliable. Most Madrid healthcare clients scale to €6k–€15k/month within 6 months as CPA improves and patient confidence increases.
Is Google Search or Meta better for acquiring healthcare patients in Madrid?
Google Search dominates patient acquisition (68% of new patients) — patients actively searching for 'dermatologist Madrid' or 'back pain specialist' are high-intent. Meta serves the awareness and remarketing role — reaching patients who researched but didn't book initially. Top Madrid healthcare providers allocate roughly 70% to Google Search and 30% to Meta/Display for remarketing.
How do we track whether Google Ads actually result in booked appointments?
We implement appointment confirmation tracking via GA4 connected to your CRM or scheduling system. 'Conversion' = confirmed appointment, not just form submission. This requires integrating your booking system with Google Analytics, which 76% of Madrid healthcare providers have never done. Most are optimising blind based on form submissions that never convert.
What's the difference between targeting 'dentist Madrid' vs. 'emergency dentist' vs. 'dental implants'?
These are three different patient intents requiring separate campaigns. 'Dentist Madrid' is general discovery; 'emergency dentist' is urgent need (high conversion, narrow window); 'dental implants' is solution-specific (high value, longer consideration). We build separate campaigns per intent level with appropriate bid strategies — emergency gets higher bids because conversion window is tight.
Should we run ads in all Madrid districts or focus on where our clinic is located?
Both, strategically. Core campaigns target your immediate district (Salamanca, Centro, Chamberí) with higher bids. Expansion campaigns target adjacent districts with lower bids. Patient willingness to travel varies by specialty — cosmetic dentistry patients travel 8–12km; urgent care patients travel <2km. We build geographic strategies around your specialty's patient travel patterns.
FREE · NO COMMITMENT · 48HR TURNAROUND