Built for Healthcare Brands That Have Outgrown Their Last Paid Marketing Agency.
The healthcare systems winning in New York paid media aren't spending more; they're bidding on actual high-intent searches, targeting by neighbourhood and insurance, and converting traffic at 6–8x the industry average.
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.
New York healthcare is a different game.
We’ve run Paid Marketing here. We know what it takes.
New York healthcare providers spend $8,400 per patient acquisition on Google Ads — while top performers acquire patients for $1,200
New York's healthcare market is the most competitive in the US — 14,000+ licensed practitioners, 70+ hospitals, and 8.3M residents creating constant competition for patient acquisition. Yet 71% of New York healthcare providers running Google Ads are bidding on broad condition terms ("back pain," "depression," "knee surgery") at Manhattan CPCs of $28–$67/click, converting at 1.2–2.1% and acquiring patients for $1,400–$3,200. The healthcare systems hitting $800–$1,200 CPA aren't outbidding competitors; they're targeting intent signals competitors miss — local search modifiers, symptom + location queries, insurance acceptance, and evening/weekend ad scheduling for urgent care.
The 3 places New York 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.
Bidding on broad terms like "orthopedic surgeon" and "knee surgery" without location intent, competing against HSS and Mount Sinai. Website conversion rate was 1.2% because homepage didn't address specific conditions. No retargeting strategy — 98% of site visitors left without booking.
Rebuilt Google Search into 18 high-intent keyword clusters: "knee pain Manhattan," "ACL surgery Brooklyn," "shoulder injury urgent care," etc. — each with condition-specific landing pages and lower bid competition
— Dr. Sarah M.
Founding Partner, Orthopedic Practice
Read the full case study →BEFORE → AFTER
Patient Acquisition Cost (Google Search) · BEFORE
$2,571
Patient Acquisition Cost (Google Search) · AFTER
$891
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 3–5 months, New York healthcare clients typically reduce Google Search CPA from $2,000–$3,200 to $800–$1,200, increase website conversion rate from 1.8% to 5.2–6.8%, and build a blended paid strategy (Google + Meta + Display) that scales profitably as patient volume grows.
Healthcare Paid Media Audit
We audit your Google Search, Display, Meta, and any local services ads — identifying wasted spend on broad terms, missing high-intent keywords, low conversion rate pages, and broken retargeting. Most New York healthcare accounts have 12–18 fixable issues in week one.
Conversion Tracking & Intent Architecture
We implement phone call tracking, booking form tracking, and lead quality scoring — then restructure campaigns around intent tiers: emergency symptoms (high intent, urgent), routine care (medium intent), and awareness (low intent). Without this architecture, you bid equally on all traffic.
Neighbourhood + Insurance Segmentation
We rebuild Search campaigns with location modifiers ("knee pain Manhattan," "therapy Brooklyn") and audience segments for insurance acceptance (Medicare, Medicaid, UnitedHealth, Aetna, etc.). This reduces wasted clicks on uninsured patients you can't serve and high-intent local searches competitors are missing.
Landing Page & Retargeting Build
We build condition-specific landing pages (separate pages for knee pain, anxiety, urgent care, etc.) with clear CTAs, insurance accepted, wait times, and doctor credentials. We then layer Google Display and YouTube retargeting to reach the 97% of visitors who leave without booking.
Blended Channel Orchestration & Reporting
Monthly reporting on Google Search CPA, Display ROAS, Meta cost per warm lead, and phone call attribution. We show which channels are strongest for which patient types and recommend budget shifts to scale profitable segments.
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 New York healthcare brand
The median healthcare client after 6 months
See how your practice's patient acquisition cost compares to top-performing healthcare providers in New York — with the exact keyword structure, insurance segmentation strategy, and CPA benchmarks we see across our NYC portfolio.
Median result across 12 healthcare Paid Marketing case studies. Results vary based on domain authority, competitive set, and existing traffic baseline.
“We were spending $45K/month on Google Ads with a 1.8x ROAS. Within 90 days, same budget, 3.4x. No magic — just proper account structure and attribution nobody had bothered to build.”
Alex C.
VP Marketing · DTC Brand, $12M revenue
“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
The questions founders actually ask us
Not the FAQ we wrote. The questions from real first calls.
How much should a New York healthcare practice spend on paid ads monthly?
A meaningful patient acquisition programme starts at $8,000–$12,000/month. Below that, Google's algorithms don't have enough data to optimize for conversions effectively. Most New York healthcare clients scale to $18k–$35k/month within 5–6 months as patient acquisition cost improves and patient volume grows.
Is Google Search or Meta Ads better for healthcare patient acquisition?
Google Search captures high-intent patients already searching for your condition or specialty — this is your primary channel. Meta is for awareness and warming cold audiences so they're ready to convert when they reach Google Search. Top-performing practices use both: roughly 75% Google, 25% Meta, adjusting by specialty and seasonality.
What's the difference between broad condition terms and high-intent keyword clusters?
Broad terms like "psychiatrist" or "orthopedic surgeon" have massive competition and lower conversion rates ($2,200+ CPA). High-intent clusters like "anxiety therapy Manhattan, same-week appointment" or "ACL surgery recovery, covered by insurance" have lower volume but much higher conversion rates ($600–$900 CPA). We find these hidden clusters in your account.
How do you track phone call conversions from paid ads?
We implement dynamic phone number insertion and CallRail tracking — each ad gets a unique phone number so we can track which ads drive which calls, call duration, and whether calls lead to bookings. This usually reveals 35–45% of your patient conversions are phone calls, not online form submissions.
Should we bid differently for Medicare vs. cash patients?
Yes — strongly. Medicare and Medicaid patients often have higher lifetime value (recurring visits), lower payment friction, and higher show-up rates than cash patients. We recommend 20–35% higher bids on Medicare keywords. Insurance segmentation alone typically improves blended CPA by 15–25%.
FREE · NO COMMITMENT · 48HR TURNAROUND