Case Study · Healthcare / Service Business NDA

$894K in Sales from $0 Marketing Spend — A Pure Organic SEO Win

3,377 leads delivered (2,763 calls + 600 forms), 2,561 quotable, 76% conversion rate, $1.95M total quote value — at zero ad spend.

Client
US Multi-Location Healthcare Practice
Timeframe
Jan 2026 – May 2026
Starting baseline
0 marketing spend
$894.57K sales attributed to organic SEO (4 months)
The trend

Before vs. after

015304560 Daily leads · Jan 1 – May 6, 2026
The numbers

Every metric, side by side

Total leads

3,377

4-month total

Quote value

$1.95M

4-month total

Sales value

$894.57K

4-month total

Marketing spend

$0

100% organic

Conversion rate

76%

industry-leading

Methodology

What I did, step by step

  1. 01

    Local SEO audit

    Audited GMB profiles for all locations, identified citation gaps across 80+ industry directories, and mapped service-area + category alignment.

  2. 02

    GMB + LocalBusiness schema

    Optimized Google Business Profiles (categories, services, photos, posts cadence). Implemented LocalBusiness JSON-LD with departmentOf relations across multi-location architecture.

  3. 03

    Service-page architecture

    Built location × service matrix pages with hreflang-style targeting, internal linking, and answer-first content structured for Map Pack + AI Overviews.

  4. 04

    Citation building

    Cleaned + standardized NAP across 80+ citation sources; targeted DA-50+ healthcare directories for trust signals.

  5. 05

    Review velocity

    Set up automated review-request workflow that lifted Google review velocity 3× — directly visible in Map Pack rankings.

Evidence

Real dashboards, not stock charts

Direct screenshots from Google Search Console and GA4 — exactly what I see when I log in to the client's account.

Performance dashboard for US Multi-Location Healthcare Practice — $894.57K sales attributed to organic SEO (4 months)
Source: Lead Manager — Jan 2026 – May 2026.
Supporting metric dashboard — US Multi-Location Healthcare Practice
Supporting view — Jan 2026 – May 2026.

Client identifying details obscured per NDA. Full unredacted dashboards available on a verification call.

The challenge: 3,377 leads delivered (2,763 calls + 600 forms), 2,561 quotable, 76% conversion rate, $1.95M total quote value — at zero ad spend.

What I did

Local SEO audit

Audited GMB profiles for all locations, identified citation gaps across 80+ industry directories, and mapped service-area + category alignment.

GMB + LocalBusiness schema

Optimized Google Business Profiles (categories, services, photos, posts cadence). Implemented LocalBusiness JSON-LD with departmentOf relations across multi-location architecture.

Service-page architecture

Built location × service matrix pages with hreflang-style targeting, internal linking, and answer-first content structured for Map Pack + AI Overviews.

Citation building

Cleaned + standardized NAP across 80+ citation sources; targeted DA-50+ healthcare directories for trust signals.

Review velocity

Set up automated review-request workflow that lifted Google review velocity 3× — directly visible in Map Pack rankings.

The outcome

3,377 leads delivered (2,763 calls + 600 forms), 2,561 quotable, 76% conversion rate, $1.95M total quote value — at zero ad spend.

  • Total leads: 3,377 (4-month total)
  • Quote value: $1.95M (4-month total)
  • Sales value: $894.57K (4-month total)
  • Marketing spend: $0 (100% organic)
  • Conversion rate: 76% (industry-leading)

Client name available on request — currently under NDA.

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