Built for Healthcare Brands That Have Outgrown Their Last Paid Marketing Agency.
Your competitors rank higher on Google Maps and search. We redirect that traffic—and budget—to your practice with precision paid marketing.
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.
Portland healthcare is a different game.
We’ve run Paid Marketing here. We know what it takes.
Portland healthcare practices missing 40% of search traffic
Portland's healthcare SMBs spend $3,500/month on digital marketing, but 68% lack a systematic paid strategy. Most rely on organic reach alone, ceding Google Maps visibility to better-funded competitors. The outdoor and tech industries here have normalized sophisticated paid acquisition; healthcare is 18 months behind. Your practice faces a two-front battle: outdated digital presence and no review generation engine.
The 3 places Portland 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.
Lost 35% of new patient volume to a larger competitor 2 blocks away who dominated Google Maps. Website was not mobile-friendly; no review system. Paid spend was unmeasured and inefficient.
Launched Google Local Services Ads with geo-targeting to 1-mile radius; allocated 60% of budget here based on competitor analysis
— Sarah M.
Practice Owner
Read the full case study →BEFORE → AFTER
Monthly new patients via paid + organic · BEFORE
5–7
Monthly new patients via paid + organic · AFTER
22–26
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
By month 3, your practice appears first on Google Maps in your neighborhood, captures 40–60% more high-intent patient searches, and generates 8–12 new patient appointments per month via paid channels—each one vetted and appointment-ready. Your review count becomes a competitive advantage, lowering acquisition cost across all channels and fueling organic referrals.
Audit & Competitive Map
We analyze your current digital footprint, review volume, and paid presence against 5–7 competitors in your Portland neighborhood. We identify gaps in Google Maps optimization, website mobile UX, and review velocity. This uncovers exactly why competitors appear first and where your $3,500/month is leaking.
Strategy & Budget Allocation
Based on your practice type, patient lifetime value, and local competition, we design a paid media roadmap. We determine optimal spend split across Google Local Services Ads (highest ROI for healthcare), Search, and Facebook. We also embed a review-generation system into your workflow—via email, SMS, or in-app prompts at peak satisfaction moments.
Website & Funnel Fix
We optimize your website for mobile conversion: faster load times, streamlined appointment booking, trust signals (credentials, patient testimonials), and click-to-call CTAs. We install retargeting pixels to recapture ad-driven visitors who bounce. Every dollar of paid traffic now lands on a sales-ready page.
Paid Campaigns & Review Engine Launch
We launch Google Local Services Ads, optimized Search campaigns (brand + high-intent keywords like 'dentist near me Portland'), and Facebook retargeting. We activate your review system: automated post-visit emails requesting Google/Facebook reviews, with SMS reminders. We monitor daily performance and adjust bids and messaging in real time.
Monthly Optimization & Scaling
We analyze cost-per-acquisition, conversion rates, and review growth weekly. We shift budget toward best-performing channels and keywords. We A/B test ad creative, landing page headlines, and CTAs. Your review count climbs, Google Maps ranking improves, and paid acquisition cost drops 20–35% by month 3. We scale winning campaigns aggressively.
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 Portland healthcare brand
The median healthcare client after 6 months
Discover why your competitors rank higher on Google Maps, how much revenue you're losing to inefficient ad spend, and the exact 90-day roadmap to recapture that traffic.
Median result across 12 healthcare Paid Marketing case studies. Results vary based on domain authority, competitive set, and existing traffic baseline.
“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
“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
The questions founders actually ask us
Not the FAQ we wrote. The questions from real first calls.
How much does paid marketing cost? Is it more than what we're already spending?
Most Portland healthcare practices spend $3,500–$9,000/month on digital marketing. Our retainer starts at $2,500/month and includes strategy, ad management, website optimization, and review system setup. Within 3 months, new patient revenue typically exceeds the retainer by 2–4x. You're not spending more; you're redirecting inefficient spend into a measured, ROI-positive system.
We've tried Google Ads before and didn't see results. Why would this be different?
Most practices run ads in isolation: no mobile-optimized landing page, no review system, no retargeting, no funnel optimization. Ads fail because the funnel leaks. We audit your entire digital experience, fix the website and booking flow first, then layer in paid campaigns. The difference is measurable—most clients see 3–4x better ROAS than their previous attempts.
How long until we see new patient appointments?
Google Local Services Ads and Search campaigns generate appointments within 2–4 weeks. The first 4–6 weeks are a learning phase; costs-per-acquisition are higher. By week 8–12, as your Google Maps ranking improves and reviews accumulate, acquisition costs drop 25–35% and volume stabilizes at 15–25 new patients per month.
What if we don't have time to manage reviews? Can you handle that?
Yes. We build an automated review request system into your workflow—email and SMS prompts go out 24 hours post-visit or after key care moments. Your staff doesn't need to do anything manually. We monitor review velocity and respond to negative reviews on your behalf. It's fully hands-off.
How do you measure ROI? What metrics should we track?
We track: cost-per-new-patient-acquired, patient lifetime value, Google Maps ranking and review count, website conversion rate, and ad spend ROI (return in new revenue ÷ ad spend). You'll receive a live dashboard updated daily and monthly strategy reports. Most clients see ROI of 2.4–3.8x within 90 days.
FREE · NO COMMITMENT · 48HR TURNAROUND