Darya mark(it)er
Case Study — Paid Media
a hormone clinic that needed

Qualified patients,
not just leads.

How I rebuilt a US hormone-therapy clinic's paid media into a compliant, fully-tracked system that turns clicks into real, high-value patients.

$148,000+
Monthly patient revenue
435%
First-purchase ROAS
74
New patients / mo
Darya
Darya
Growth & Paid Media
Scroll to see the full system
The Premise

Paid ads only work when the whole system works.

For medical clinics, traffic is not enough. Search intent, ad compliance, landing pages, call flow, CRM, reminders and follow-up all have to move together — or the spend leaks straight out of the funnel.

The Client

The Business

A US-based medical clinic specializing in hormone replacement therapy and personalized hormone care — a high-consideration, compliance-heavy category where trust decides everything.

Consultations offered for
Menopause
Perimenopause
Low testosterone
Fatigue & metabolic
Hormone planning
Provider-led care
Client landing page — Renew Vitality
Average patient value
$2,000+
High lifetime value means every unqualified lead is expensive — and every qualified patient compounds.
HIPAA
Compliant
4.9
Local rating
Multi
State
The Problem

Cheap leads were not enough.

A cheap form submission is worthless if the person is outside the service area, not ready to book, unqualified, or doesn't understand the treatment. The clinic needed qualified patients — not just more inquiries.

Optimized for form fills, not outcomes
Search intent was not separated
Landing pages were too generic
Tracking was disconnected from appointments
Healthcare compliance risk everywhere
Monthly Performance

The numbers behind the system

$34,000
Monthly ad spend
1,120
Monthly leads
392
Qualified inquiries
286
Booked consultations
212
Completed consultations
74
New patient starts
$148,000+
Attributed patient revenue
435%
First-purchase ROAS
The Diagnosis

One funnel, many real drop-offs

The funnel wasn't built for healthcare decision-making. So we rebuilt it stage by stage — and started measuring the drop-off that actually matters: not clicks, but patients.

6.6%
Lead → new patient
73%
Qualified → booked
1,120
Leads
392
Qualified · 35%
286
Booked · 73%
212
Completed · 74%
74
New patients · 35%
The System

A patient-acquisition engine, end to end

Every stage was rebuilt to move a person from a cold search to a booked, qualified, showing patient.

01
Search & ads
Google & Bing restructured by intent; Meta & YouTube for compliant education.
02
Landing pages
28 service- and intent-specific pages, tested continuously for booking clarity.
03
Qualify & call
A warm qualification form plus call tracking that scored real appointment intent.
04
CRM & follow-up
Lifecycle tracking, nurture flows and no-show recovery tied to patient revenue.
The Channels

Built & managed across six channels

Google Ads
High-intent patient demand — the strongest direct-response channel.
Bing Ads
Lower volume, but consistently high-quality search traffic.
Meta Ads
Education & awareness — compliant, never symptom-targeting.
YouTube Ads
Provider-led trust content that built confidence before booking.
Landing Pages
Service-specific conversion paths matched to each search intent.
CRM + Calls
From lead to new-patient revenue — every step tracked to outcome.
Google Ads

We captured high-intent patient demand

Campaigns were split by intent so each keyword got the right page and the right CTA — not treated as equally ready to book.

42.6K
Total clicks
7.3%
Conversion rate
3.1K
Conversions
$58.19
Cost / conversion
Monthly search volume by intent
hormone replacement · near me
8.3K
hormone therapy clinic
6.1K
hormone doctor near me
5.2K
hormone therapy consultation
4.6K
HRT clinic
3.7K
menopause therapy doctor
2.9K
testosterone therapy clinic
2.4K
The Work

40+ compliant creatives, tested every month

Provider trust, education, FAQ, testimonial and cost-clarity angles — each balancing performance with healthcare compliance. These are the real creatives, pages and flows we shipped.

Ad creatives · Meta & YouTube
Ad creative — Always Tired? It Might Not Be You
Ad creative — Losing Strength Despite Training?
Ad creative — Brain Fog Holding You Back?
Ad creative — Low Drive Isn't Just Getting Older
Ad creative — TRT, Made Simple
Landing pages · service-specific
renew-hormone.com/menopause-care
Menopause & perimenopause care landing page
renew-hormone.com/testosterone-evaluation
Testosterone evaluation landing page
renew-hormone.com/hrt-process
HRT process landing page
Qualification form · rebuilt

The form had to qualify without feeling cold

Instead of a bare name-and-email capture, a short 2-minute assessment qualified every inquiry — so the clinic's team knew exactly who was ready to book.

Service interest Location / service area Consultation type Readiness to book Prior hormone therapy Lab testing needed Preferred contact Availability Urgency level Call response status
Rebuilt qualification form — 2-minute assessment
Nurture flows · email & SMS
Email flow
Subject
We're here for you
Subject
Your guide is inside — download it
Subject
Ready when you are
Subject
We missed you — let's reschedule
SMS flow
Hi! Thanks for reaching out to Renew. We're here to help. 10:32 AM
Here's your guide to getting started: renew.com/guide 10:45 AM
Friendly reminder: your appointment is tomorrow at 10:00 AM 9:00 AM
Thank you for trusting Renew. We're here anytime. 11:06 AM
Inside the Accounts

Every dollar tracked to an outcome

Prototypes of the reporting we ran across ad platforms and analytics — connected from campaign to new-patient revenue.

analytics.google.com · Renew — Patient Acquisition
Acquisition overview
Last 30 days
Users
38,400
Sessions
52,100
Conversions
1,120
Conv. rate
7.3%
Conversions over time
Conversions by channel
Paid Search612
Paid Social243
Organic168
Referral97
Meta Ads Manager
Campaigns · this month
CampaignResultsCost/resSpend
Education — Awareness418$7.10$2,970
Consideration262$13.40$3,510
Retargeting151$9.80$1,480
Total spend$7,960
Google Ads · Campaigns
By search intent
CampaignClicksConvCPA
HRT — high intent14.8K1,240$41
Hormone doctor near me11.2K820$56
Testosterone evaluation9.4K640$63
Menopause care7.2K400$72
Blended CPA$58.19
Unit Economics

Every stage priced, every rate known

$30.36
Average cost per lead
35%
Lead → qualified inquiry
73%
Qualified → booked
74%
Booked consultation show rate
$459.46
Average cost per new patient
$2,000+
Average patient value

At a $459 cost per new patient and $2,000+ patient value, each acquired patient returns more than 4× — before repeat visits and referrals.

Try It — Growth Projector

What could your spend become?

Move the slider — this models a monthly budget through this clinic's real funnel rates.

Monthly ad spend
$34,000
$5K$120K
1,120
Monthly leads
286
Booked consults
74
New patients
$149,000
Projected patient revenue / mo
438%
Projected first-purchase ROAS
Illustrative model based on $30.36 CPL and this case's conversion rates. Real results vary by market & offer.
The Edge — AI Triage

AI prioritized inquiries — without making medical decisions

An internal workflow scored non-sensitive lead signals so staff could follow up with the hottest patients first. No diagnosis. No medical data. Human review always last.

1
Collect non-sensitive lead inputs
2
AI reviews & assigns a priority score
3
Staff make the final human call
Priority dashboard
InquiryPriorityScore
#10234High92
#10235High88
#10236Medium71
#10238Low41
The Shift

From form submissions to a patient-acquisition system

Before
Campaigns optimized for form fills
Landing pages were generic
Search intent was mixed
Ad copy carried compliance risk
CRM didn't show the full journey
After
Optimized for qualified inquiries
28 landing pages matched to intent
Call tracking tied demand to appointments
Compliant, provider-led creative
CRM stages showed real progress
Darya
Behind the case

I don't sell leads. I build systems.

I'm Darya — a growth & paid-media strategist. In regulated categories like healthcare, the win isn't a cheaper click; it's a full engine that turns intent into trust, and trust into patients who show up. That's what I built here — and what I can build for you.

Darya
The Takeaway

Healthcare marketing is not just lead generation.

If your clinic gets leads but not enough booked consultations or new patients, the issue may not be traffic — it may be the system behind it.

Book a paid-media diagnostic
breath-agency.com · @darya.breath