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Vascular and pain-management practice · Long Island, NY

1,498 patient enquiries in 60 days at $3.61 each

Two service lines, knee pain and vein treatment, a 2024 ad attempt that had stopped at $16 a lead, and a front desk that could not chase leads the same day.

1,498
Patient enquiries in 60 days
$3.61
Cost per lead
831
Enquiries in the best month

The situation

The practice had no way to tell an ad-driven enquiry from a referral, and the standard Meta pixel is restricted for medical advertisers, so any campaign was optimising on nothing.

Delivered through a partner sub-agency on our medical ads playbook.

What we built

  • Two screener lead campaigns, one per service line, each fronted by a short symptom questionnaire inside the Meta lead form: pain location, duration, insurance.
  • Pixel and Conversions API rebuilt for a health advertiser, with a custom “lead to scheduled” event so booked screenings feed optimisation, not just form fills.
  • Every lead into a GoHighLevel pipeline with SMS and email follow-up inside minutes and appointment booking.

What was recorded

MonthSpendLeadsCost per leadCTR
August 2025$2,402667$3.602.41%
September 2025$3,001831$3.611.92%
October 2025$3,300387$8.532.02%
November 2025$3,311344$9.632.01%
August to September$5,4031,498$3.61

Meta Ads Manager, August to November 2025.

The screenshots

Taken from the account itself. The client’s name, domain and account are pixelated; nothing else is edited. Open any one at full size.

Ads Manager, 1 August to 30 September 2025: 1,498 leads at $3.61. Account and campaign names blurred.
Ads Manager, 1 August to 30 September 2025: 1,498 leads at $3.61. Account and campaign names blurred.
Ads Manager, September 2025: 831 leads.
Ads Manager, September 2025: 831 leads.
Ads Manager, the two screener campaigns side by side.
Ads Manager, the two screener campaigns side by side.
Ads Manager, August to November 2025: the four-month run, including the decay.
Ads Manager, August to November 2025: the four-month run, including the decay.

How to read it

Qualified form submissions, not patients or appointments. The October and November rows are shown on purpose: every medical account on our book converts at $3–4 for about two months, then cost per lead roughly doubles as the local audience saturates. The answer is a creative refresh at month three, planned in advance.

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