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Evolve Healthcare Marketing

Increasingly, medical practices are welcoming a new reality: patients are using digital platforms to choose providers instead of doctor referrals. Google Ads offer the fastest, most reliable way to place your practice directly in front of these potential patients.

About 7 percent of Google’s daily searches are health-related, according to Google Health Vice President David Feinberg. With over 70,000 search queries every minute, this translates into over 1B healthcare searches every day.

As healthcare marketers, our role is to help you capitalize on this unprecedented access to patients. In this guide, we provide a step-by-step approach to creating a high-performing healthcare PPC campaign, including best practices and policy considerations.

Step 1. Prepare for Your New Leads

Before embarking on a paid search campaign, remember that the patient conversion journey is long and winding, so you should plan accordingly. Set yourself up for success in three key ways:

Optimize digital presence:

Even if your ad captures attention, patients may hesitate to book if their further research disappoints. Combat this by:

Managing your online reputation

According to Tebra’s 5th Annual Patient Perspectives report, nearly 60% of patients said they Google to look for reviews, and 62% said positive online reviews were a very important factor in their decision. Collect and showcase positive patient reviews on your website and Google Business Profile.

Ensuring your website is informative and easy to use

Website design and user experience are crucial. If competitors’ sites offer more relevant information or appear more trustworthy, you risk losing patients. Some key components are:

  1. Professional Design: A clean, modern, and trustworthy design.
  2. Relevant Content: Informative, accurate, and relevant content.
  3. User Experience (UX): Fast load times, intuitive navigation, and mobile responsiveness.

Streamline your intake process

A good intake process is essential for turning leads into patients, especially since those seeking physical or mental care are particularly vulnerable when reaching out. Care Sherpa found that 79% of leads never convert, partly because 23% of providers fail to respond to digital inquiries at all.

To maximize lead conversion:

  • Train your intake team to respond promptly and with compassion
  • Implement a call tracking system to monitor performance
  • Use frictionless online forms and dedicated landing pages to simplify lead capture

Set your budget for your growth goals

If you’re a mid-market medical organization aiming for growth, you should plan to invest 8-14% of your total revenue into marketing. How much of that budget should go to Google Ads depends on several factors. Your digital advertising team should research your market, which keywords you should target, and your competitors’ ad strategies to outline your anticipated costs.

It’s understandable that, as a physician practice leader, you need to save money. But we should warn you against skimping on ad spend. Healthcare PPC keywords are highly competitive and often have high cost-per-click (CPC) rates. If your bids are too low compared to competitors, Google will rarely show your ads, meaning you’ll spend for basically nothing.

Status Update – Limited by Budget – This means your ads aren’t showing as often as they could due to insufficient daily budget.

Before undertaking your digital marketing journey, it’s essential to update and align your digital presence to your patient expectations, ensure your intake process is built to convert, and set aside a proper budget to meet your growth goals.

Step 2. Familiarize Yourself With Google’s Healthcare Advertising Policies

Google’s healthcare-specific policies are a big part of what makes healthcare advertising so complex. Google maintains strict guidelines for medical advertisers to protect users from misleading information that could impact public health.

Required Certifications

Online pharmacies, telemedicine providers, and addiction treatment services require LegitScript certification and Google certification to serve ads.

Specialty-Specific Restrictions

Prescription drug terms: Google limits the use of prescription drug terms in ad text, landing pages, and keywords. Online pharmacies and pharmaceutical manufacturers may use these terms if they have proper certification and adhere to location-specific regulations.

Experimental medicine: Google does not allow ads that promote speculative or experimental medical treatments regardless of regulatory approval status. This includes regenerative medicine, stem cell therapy, ketamine & more.

Non-adherence to Google’s healthcare policies can result in hidden ad extensions, ad groups and keywords marked as low quality, or reduced ad visibility. Policy violations may also lead to account-level restrictions or suspension.

HIPAA Compliance Considerations

HIPAA compliance presents unique challenges for medical advertisers. Google Ads is not covered by Google’s Business Associate Agreement (BAA), meaning healthcare marketers must carefully avoid including any Protected Health Information (PHI) in campaigns.

This requires strict governance of:

  • Form submissions and lead capture – Ensure that contact forms do not collect sensitive health details unless submitted through a HIPAA-compliant platform.
  • Ad copy and creative elements – Avoid language that implies knowledge of an individual’s health status or condition.
  • Tracking implementations – Use only HIPAA-compliant tools for analytics and call tracking, and avoid retargeting that could infer health-related data.

For more information, read our blog on HIPAA-complaint marketing.

Step 3. Set-Up Optimized Campaign Settings

In order to start running ads, you’ll need to create a Google Ads account and set up conversion tracking.

Setting Your Campaigns for Conversion

Below are the recommended settings when Google prompts you during campaign creation. These will help set your campaign up for maximum conversion. Don’t worry—you can adjust these later as your strategy evolves.

  • Marketing Objective: Choose “Leads” to optimize your campaign for patient inquiries and form submissions.
  • Ad Rotation: Set to “Optimize: Prefer best-performing ads” so Google can automatically prioritize the best-performing creatives.
  • Customer Acquisition: Select the option to “bid equally for new and existing” customers, especially when starting out. This helps you target both new patients and returning site visitors.
  • Campaign Type: Choose “Search” to reach users who are actively looking for your services. This is the most effective campaign type for lead generation.
  • Bidding Strategy: Start with “Maximize Conversions” (if conversion tracking is set up). Once you have enough performance data, switch to “Target CPA” for more cost-efficient results.

How to Structure Campaigns

The foundation of effective medical Google Ads campaigns lies in proper structure and organization. Below is a visual example of a well-organized campaign structure:

Account
Unique email and password
Billing information
Campaign
Campaign
Budget
Settings
Budget
Settings
Ad Group
Ad Group
Ad Group
Ad Group
Ads
Keywords
Ads
Keywords
Ads
Keywords
Ads
Keywords
Source: Google

In case you’re not familiar, here’s a quick overview of each segment:

  • Account: Your main Google Ads profile tied to billing and settings.
  • Campaign: Highest-level overview of your marketing goals. Here, you set your goal, budget, and audience.
  • Ad Group: Organizes ads by service or theme, keeping them focused and relevant.
    • Ads: The messages shown to users. Includes headlines, descriptions, URLs, etc.
    • Keywords: Search terms that trigger your ads. These should be incorporated in ad and landing page text.

Why Segment Campaigns?

You need to separate different ad groups because it’s very easy for Google Ads to spend budget on very general terms that may not convert well. The point of segmenting beyond the campaign level is to control spend and improve targeting precision. Without this breakdown, service-specific converting keywords can get lost in a broad mix, which reduces efficiency.

The goal in healthcare marketing is to start broad (e.g., “depression and anxiety”) but then narrow down based on performance data. For example, if “depression” keywords are performing well, it makes sense to break them out into their own dedicated ad groups or even campaigns.

Another example: In a sinus treatment campaign, if keywords related to “relief sinus procedure” or “ENT” start outperforming, creating a separate campaign for those terms helps optimize budget and results. Markets and patient search behaviors are always shifting, so continuous segmentation and refinement are key for maximizing ROI.

Example:

Account 

└── Campaign: “Mental Health Services” 

    ├── Ad Group: “Anxiety Therapy” 

    │   └── Ads + Keywords: “anxiety treatment near me” 

    ├── Ad Group: “Teen Depression” 

    │   └── Ads + Keywords: “teen depression help” 

    └── Ad Group: “Trauma Counseling” 

        └── Ads + Keywords: “PTSD therapy near me”

This kind of structure allows for:

  • More relevant ad messaging
  • Better budget control for high-priority services
  • Clearer performance analysis by service line

Step 4: Set Up Proper Reporting and Analytics

Data is the foundation of any successful healthcare campaign. Marketing is all about analyzing and optimizing campaigns, so having clean, reliable data is essential. Once your Google Analytics account is set up, your main priority will be implementing accurate conversion tracking. Valuable conversion actions include:

  • Phone calls (using Google’s call tracking feature)
  • Appointment request form submissions
  • Virtual consultation bookings

The biggest misstep is not setting up clear and reliable conversion triggers. A common example of a trigger is a thank-you page—your system should only count a conversion once that page loads, confirming the action was completed. This helps cut down on the possibility of double-tracking and ensures your data is clean and actionable. Proper trigger setup allows for precise and accurate measurement of campaign performance.

HIPAA Compliance Consideration

To make Google Tag Manager HIPAA-compliant, you should avoid passing any Protected Health Information (PHI) through tags, variables, or triggers. Use anonymized data wherever possible and configure GTM in a way that strictly limits what gets sent to third-party tools. Ensure that only essential information needed for performance tracking is collected and stored in accordance with HIPAA guidelines.

Step 5. Conduct Keyword Strategy for Medical Practices

Keywords are the words or phrases people type into search engines like Google when they’re looking for something. Keyword selection is a critical element of your Google Ads strategy. While it depends, we typically recommend having 10-20 keywords per ad group.

Start by selecting a keyword research tool that aligns with your workflow. Popular platforms include Google Keyword Planner, SEMrush, and Moz. These tools help you:

  • Discover what keywords your competitors are targeting
  • Identify relevant keywords based on your services and specialties
  • Access data on search volume, competition levels, and related terms you may not have considered

Here are some key tips for deciding on your keywords:

Think Like Your Audience

How do potential patients search when they’re ready to book an appointment?

A good way to start is to analyze your or your competitor’s website search traffic to understand the queries that bring people to your site. For campaigns that convert, you want to focus on the searches that have led users to your call-to-action (CTA) page. Likely, these will focus on finding a solution to a problem.

Instead of going after broad, competitive terms like “doctor” or “medical clinic,” here’s what you might target instead:

  • Condition-specific searches (e.g., “chronic back pain treatment”)
  • Procedure-specific searches (e.g., “minimally invasive knee replacement”)
  • Location-based searches (e.g., “dermatologist in [city name]”)

These keywords are more targeted, cost-effective, and better aligned with how patients actually search for care.

Balance Search Volume with Intent and Competition

Build a good keyword list using data on how often a term is searched, how competitive it is, and what the user actually wants to do.

Search Intent: What users are looking to do when they type a query into Google

  • Informational: Looking to learn something (e.g., “what causes chronic back pain”)
  • Navigational: Looking for a specific website or brand (e.g., “Cleveland Clinic back pain”)
  • Transactional: Looking to take action (e.g., “book back pain treatment near me”)

Search Volume: How many times a keyword is searched in a given time period (usually monthly)

Competition: How many advertisers are bidding on a keyword

Selecting the right keywords is a balancing act between those three factors. Here are some key points to help you choose the best ones:

  • If you’re aiming for campaigns that convert—i.e., fill your census and get patients through the door—prioritize keywords with transactional intent.
  • A keyword with high search volume and low competition might seem ideal, but it can signal low intent or vague interest.
  • Sometimes competition is high for a reason—because those keywords drive real results.

While tempting, don’t chase volume alone. Relevance and intent combined with decent seach traffic are what drive conversions.

Choose the Right Match Types

For all Google Ads, all keywords need a match type. Here are the three types:

  • Broad Match: Your ad can show for searches that relate to your keyword, including synonyms and related terms. This gives the widest reach but less precision.
  • Phrase Match: Your ad shows when a search includes your keyword phrase in order. This allows some flexibility while keeping relevance high.
  • Exact Match: Your ad triggers only when the search exactly matches your keyword or close variants. This gives you the most control over who sees your ad.

If you’re looking to convert patients, starting with phrase and exact match helps you target searches more precisely, improving ad relevance and reducing wasted spend. From there, you can gradually test broad match to expand reach while monitoring performance closely.

Build a Strong Negative Keyword List

In your Google Ads campaign, you can build a negative keyword list, which is a list of words or phrases that you don’t want your ads to appear for. This will prevent your ads from showing for irrelevant searches, saving your ad budget.

For healthcare ads, common negative keyword categories include:

  • Educational Searches: Terms like “how does [treatment keyword] work” or “symptoms of [condition keyword]” indicate users seeking information and not yet ready to book treatment.
  • Job-Seeking Terms: Searches such as “[specialty keyword] jobs” show people looking for work, not services.
  • Research-Oriented Queries: Phrases like “[condition keyword] clinical studies” are usually from students or professionals, not patients.

Whether you add negative keywords right away or not, as your campaign progresses, regularly review search terms and update your list. Add negatives whenever you spot irrelevant searches triggering your ads or low-performing keywords wasting your budget.

Group Keywords into Relevant Ad Groups

Organize your keywords into small, focused groups based on what your patients are actually searching for—like a specific service, condition, or type of patient. This makes your ads more relevant, improves performance, and helps you get more out of your budget.

For example:

  • A group for people searching for a specific service (“knee replacement surgery”)
  • A group for people with a specific condition (“sports injury rehab”)
  • A group for a specific audience (“pediatric urgent care”)

Each group should either have its own landing page that matches what the person is looking for or a single landing page that still speaks to all groups effectively.

This structure ensures that patients see ads that speak directly to their concerns, which Google rewards your ads with better placement and lower CPC.

Step 6. Create Action-Focused Ad & Landing Page Copy

Effective healthcare Google Ads and landing page copy is about balancing compelling copy with proper keyword usage and maintaining compliance.

Elements of Effective Medical Ad Copy

Google offers guidelines for creating compelling ads that can help medical advertisers improve performance. Here are some of the most important takeaways for healthcare campaigns:

  • Write as many headlines and descriptions as possible.
    Google’s Responsive Search Ads (RSAs) work best with variety. The more versions you provide, the more Google can test and serve the best combinations based on performance.
  • Recommended Formula for Headlines:
    To maximize ad strength, aim to write:
    • 5 keyword-based headlines (e.g., “Chronic Back Pain Treatment”)
    • 5 CTA headlines (e.g., “Schedule an Appointment Today”)
    • 5 benefit/differentiator headlines (e.g., “Board-Certified Specialists Near You”)
Responsive Search Ad Headline Combinations
Headline 1
Headline 2
Headline 3
Combo 1
Keyword
Benefit
Feeling CTA
Combo 2
Benefit
Call to Action
Brand Messaging
Combo 3
Feature
Price CTA
Differentiator
Source: Wordstream
  • Leverage callout extensions and other ad extensions to showcase your practice’s strengths:
    • Medical credentials: “Harvard-Trained Physicians”
    • Patient benefits: “Minimally Invasive Options”
    • Convenience: “Same-Day Appointments,” “Insurance Accepted”
  • Match ad copy to keywords.
    Incorporate search terms directly into your headlines and descriptions to improve quality scores and ad relevance.
  • Focus on benefits, not just conditions.
    Patients don’t connect with clinical jargon. Instead of “lumbar discectomy,” use “Relieve Lower Back Pain Without Major Surgery.”
  • Be clear with calls-to-action.
    Tell the patient exactly what to do: “Book Your Consultation,” “Get a Diagnosis Today,” “Call Now to Speak With a Specialist.”
  • Avoid unverified medical claims.
    Don’t guarantee outcomes or promise cures. Claims like “Guaranteed Pain Relief” or “Permanent Cure” can violate Google Ads policies and lead to disapproval or suspension.

Landing Page Optimization

Many practices link to their ads to their website, which is a common mistake. We even wrote an article on the purpose of landing pages & best practices. Essentially, landing pages are vital for conversion because they are standalone pages that are completely centered around getting patients to complete a desired action, such as booking an appointment.

Key Landing Page Elements:

  • Clear service descriptions that match search intent: Tailor the copy to match the keywords used in the ad. If someone searched “non-surgical knee pain relief,” that phrase should appear in the headline and throughout the page.
  • Keyword-rich, long-tail content: Use variations of the main search terms several times in the copy, but naturally. Avoid keyword stuffing—focus on relevance and readability.
  • Prominent contact information and easy-to-use scheduling: Include both a clickable phone number and a short appointment form near the top of the page.
  • Consistent, visible calls-to-action
    Use strong CTAs like “Schedule Your Free Evaluation” or “Book an Appointment Today”. Repeat these throughout the page—at the top, in the middle, and at the bottom.
  • Mobile-friendly design: Over 60% of health-related searches happen on mobile devices. Make sure your landing page is fast, easy to read, and thumb-friendly.
  • Insurance information: One of the top decision-making factors. If possible, include a banner or section near the top that says, “We Accept Most Major Insurance Plans” or lists specific providers.
  • Testimonials and social proof: Showcase patient reviews, awards, and trust signals (e.g., “5-Star Google Rating”). Ensure these are HIPAA-compliant—never include PHI or identifiable patient information without consent.
  • Compliance essentials: Include a privacy policy, disclaimers (as needed), and any legal footnotes relevant to your services.
  • Fast load speed: Every additional second of load time can reduce conversions by up to 20%. Compress images, minimize third-party scripts, and run performance checks with Google PageSpeed Insights.

Pro Tip: If you’re running multiple service lines (e.g., orthopedics, behavioral health, dermatology), each one should ideally have its own dedicated landing page. This ensures message-match between ad, keyword, and page—one of the biggest factors in driving conversions.

Step 7: Ongoing Optimization Strategy

Google Ads for medical practices requires continuous refinement. Implement a regular optimization schedule that includes:

  • Weekly review of search terms to identify new negative keywords
  • Bi-weekly budget adjustments based on performance by campaign
  • Monthly ad copy testing to improve click-through rates
  • Quarterly assessment of geographic performance data

Document all optimization activities and their results to build institutional knowledge about what works for your specific practice and patient demographics.

Conclusion

Launching and managing effective healthcare Google PPC campaigns requires careful planning, ongoing optimization, and a patient-centric approach. By following this step-by-step guide—from setting up properly structured campaigns and conducting thorough keyword research to crafting compelling ad copy and optimizing landing pages—you can drive higher-quality leads and maximize your marketing ROI.

Remember, the healthcare market is always evolving, so continuous data analysis and campaign refinement are essential to stay ahead and deliver the care patients are searching for. With a strategic approach, your PPC efforts can become a powerful tool for growing your practice and connecting with patients in need.

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