Vein clinic · Houston, TX

Five months at a fixed budget: 285 to 396 patient enquiries every month

The scale example: the largest sustained spend on our book, and the steadiest. A single lead campaign inside an $8–12 cost-per-lead band, month after month.

1,665

Patient enquiries in five months

$8.64

Cost per lead

863

Went on to schedule a screening

The situation

A vein clinic on a new domain with no booking flow, and a sister clinic whose automations could be reused.

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

What we built

Site and booking flow on the new domain, with a symptom survey feeding the appointment calendar.
Automations and workflows imported from the sister clinic’s account and trimmed to the vein use case.
One lead campaign built on a lookalike of early converters, with retargeting and broad variants tested alongside and paused.

What was recorded

Month	Spend	Leads	Cost per lead	CTR
May 2025	$2,888	248	$11.64	1.43%
June 2025	$3,044	364	$8.36	2.06%
July 2025	$3,072	372	$8.26	1.92%
August 2025	$3,020	396	$7.63	1.89%
September 2025	$2,354	285	$8.26	1.73%
May to September	$14,377	1,665	$8.64

Meta Ads Manager, May to September 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 May to 30 September 2025: 1,665 leads at $8.64. Account and campaign names blurred.

Ads Manager, August 2025: 396 leads at $7.63.

How to read it

The 863 scheduled screenings are custom conversion events recorded against the campaign, the closest thing to a downstream number on our book. From October the cost per lead rose to around $21 on the same audience, which is the saturation curve every clinic shows and the reason to plan creative refreshes at month three.