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The Account
Case Studies
Process
Math & FAQ
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Paid advertising for wellness & telehealth clinics

Your ideal patient saw an ad today. It wasn't yours. Let's fix that this month.

CRMXO runs Meta and Google campaigns engineered for one metric: cost per booked consult. Compliance-safe targeting, creative tested weekly, landing pages built to convert, and tracking wired all the way to your calendar — not to a click.

20 minutes. Free. You'll leave knowing your real cost per consult — and where your budget is quietly burning.

$85average cost per booked consult 5.9×modeled first-year ROAS $2.1Mpatient revenue attributed
S
summit.wellnessSponsored
Tired of being
tired? Your labs
know why.
Physician-led hormone & metabolic care · covered by most PPO plans
Book your free consultBook Now
Ads Manager — performanceBooked consults · last 90 days
▲ 212%
112 consults / mo $85 each 5.9× ROAS
Patients booked, not impressions bought
Creative tested every single week
Targeting that never gambles with compliance
Tracked to the booked consult, not the click
Budgets that follow the winners daily
The Account

This is what your Meta account should look like.

Straight from Ads Manager, name hidden: every campaign judged on booked consults and cost per consult — not clicks, not "engagement." The screenshot on the left is the account; the phone on the right is the ad your patient actually sees.

Ads ManagerClient #217 — name hiddenLast 30 days ▾
CampaignsAd setsAds
CampaignDeliveryConsultsCost / resultSpentROAS*
— Prospecting · Metabolic
● Active
46
$82.00
$3,772
5.5×
— Prospecting · Hormone
● Active
26
$91.00
$2,366
4.9×
— Retargeting · Site + IG
● Active
26
$38.00
$988
11.3×
— Search · Brand
● Active
14
$61.00
$854
7.8×
— Rotated out this month
○ Off
$1,540
Totals — 4 active112$85.00$9,5205.9×
Blended $85 includes the $1,540 spent finding what to cut — losers pay rent here too, briefly.
Instagram⌂ ⌕ ▷
S
summit.wellnessSponsored
···
Tired of being tired?
Your labs know why.
Physician-led hormone & metabolic care
Covered by most PPO plans
summit-wellness.com
Book your free consultBook Now
♡  💬  ↗🔖
2,148 likes · this creative: $38 per consult

The winning ad, exactly as a patient sees it — scroll-stopping, compliant, and pointed at a booking page, not a homepage.

*ROAS modeled on first-year patient value. Representative account view and creative with sample data — every clinic gets its own strategy, creative, and numbers.

Everything your ad budget needs. Done for you.

Six deliverables inside every engagement — run weekly, reported plainly. Core spend goes to Meta and Google; TikTok and YouTube join where they earn it:

Meta Ads — Facebook & Instagram

Broad, compliance-safe audiences with creative doing the targeting — the strategy that survives every privacy update because it never depended on spying.

Google Ads — Search & Brand

Owning the searches that matter — "hormone clinic near me," your own name, competitor overflow — where intent is highest and CPCs are earned back fastest.

Retargeting & Lookalikes

Site visitors, video viewers, and IG engagers brought back with proof — reviews, results, FAQ-answering creative — at the cheapest consults in the account.

Ad Creative — done for you

Twelve new ads a month — hooks, angles, statics, and UGC-style scripts — tested in structured sprints, because on Meta, the creative is the targeting.

Landing Pages & Tracking

Dedicated pages built to book, with pixel + server-side events and call tracking wired to your calendar — so "conversion" means a consult, never a click.

Health-Ad Compliance

No sensitive-condition targeting, no before/after violations, claims kept inside platform health policies — accounts that scale because they never get flagged.

The funnel, measured at every step.

One month, one clinic, $9,520 in — every stage tracked, so every drop-off has a name and a fix:

Impressions812,400
compliance-safe, broad
Clicks19,498
2.4% CTR — creative working
Landing page views14,820
sub-2s pages, 76% arrive
Leads307
$31 per lead
Booked consults112
$85 each — the only number we worship

Illustrative month with rounded data. When a stage underperforms, we fix that stage — not the budget.

One week of creative testing.

Four ads enter. The data decides. Budget follows the winner — every single week, forever:

Tired of being tired?
Your labs know why.
CTR 2.9%$74 / consult
Winner — budget +$120/day
Skip the waiting room.
15-min telehealth visits.
CTR 2.1%$88 / consult
Kept — testing hook 2
Covered by most
PPO plans.
CTR 1.4%$129 / consult
Paused — watching
IV therapy
near you.
CTR 0.8%$190 / consult
Rotated out — fatigued

Illustrative sprint — your creative is written for your clinic, your patients, and your offers, and approved by you before it runs.

Your competitors aren't out-targeting you. They're out-testing you.

Want to know your real cost per booked consult?

Book the free ads audit

We open your ad account live on the call and find the number — plus the wasted spend hiding around it.

Case Studies

The receipts, then the stories.

Screenshots first — pulled from client accounts with names hidden and numbers intact. Then the stories behind three of them. Data anonymized and rounded, presented as representative engagements.

Client #219 — name hiddenMeta Ads
CampaignApptsCost / resultROAS
· Injectables64$38.206.8×
· Retargeting29$22.4012.1×
· Memberships18$51.004.4×
Med spa · booked 3 weeks out · $86K attributed / mo
Client #217 — name hiddenMeta Ads
Booked consults · weekly
26 / wk▲ 212% vs prior 90d
Telehealth · same budget, rebuilt account
Client #204 — name hiddenAds Manager app
Account overview
Results — consults74
Cost per result$82.14
Amount spent$6,078.36
Reach214,906
▲ was $247 per consult before rebuild
Client #222 — name hiddenBookings
New appointment booked9:14 AM
Source: Instagram ad · first-visit consult
New appointment booked9:41 AM
Source: Facebook ad · IV membership intro
New appointment booked10:07 AM
Source: Google search · brand campaign
one Tuesday morning, unedited feed
Client #217 — name hiddenMonthly report
Consults per month — ad spend flat at $6K
21
Jan
28
Feb
39
Mar
52
Apr
63
May
74
Jun
clinic growth on the same budget — the account just got smarter

Real client outcomes, anonymized: names and identifying details hidden, numbers rounded. Full walkthroughs available on your audit call.

The stories behind three of them.

What actually changed inside those accounts:

Telehealth — metabolic

The program that cut its consult cost by two-thirds

Inherited account: condition-targeted audiences (flag risk), one tired creative, pixel firing on page views. We rebuilt broad, launched weekly creative sprints, and re-wired tracking to booked consults.

Cost per booked consult
$247$82
3× cheaper
Booked consults / month
2174
same market
Account flags
2 warnings0
compliance-safe build
★★★★★

"Same budget we were already spending. They just stopped it from evaporating."

Dr. Felicia Otieno
Pulse Wellness — Telehealth
Med spa — aesthetics

The injectors who are now booked three weeks out

Beautiful clinic, invisible online. Retargeting on IG engagers plus offer-led prospecting filled the calendar — then budgets shifted to memberships to smooth the revenue curve.

Cost per booked appointment
$38
retargeting engine
Injector calendar
40% openbooked 3 wks
waitlist running
Monthly ad-attributed revenue
$0 tracked$86K
call + form tracking
★★★★★

"We went from begging for bookings to managing a waitlist. My injectors think I hired a celebrity."

Kevin Tran
Renew Aesthetics — Founder
IV lounge — local

The lounge that owns its zip codes

A single-location IV bar competing with franchises. Tight-radius Meta + Google "near me" domination + a first-drip offer — then memberships sold to the winners.

Cost per first visit
$61$19
offer + radius tuning
New memberships / quarter
31214
7× growth
Revenue per ad dollar
1.8×6.2×
tracked to POS
★★★★★

"The franchises outspend us ten to one. We still show up first, and our lounge is still fuller."

Chris Dell
Vantage Health — Owner
You are not our experiment. You are our 101st account.

Your account has numbers like these hiding in it. Let's find them.

Book the free ads audit

Bring your ad account login to the call. Twenty minutes later you'll know your real cost per consult and your wasted spend.

Process

Six steps. The first one is free.

This is the journey from first call to an account that compounds — and as each step plays, the screen beside it shows what that phase actually produces for your clinic.

STEP 01
Book your free ads audit

We open your ad account and find your true cost per consult, your wasted spend, and your compliance risks. Free.

STEP 02
Strategy consultation

We walk through the audit and agree on budget, offer, targets, and timeline. You decide with the numbers in hand.

STEP 03
Onboarding

Pixel + server-side events installed, call tracking wired, booking events mapped to your calendar — measurement before money.

STEP 04
Creative sprint one

Twelve ads across three angles — hooks, statics, and UGC-style scripts — written for your patients and approved by you before launch.

STEP 05
Launch & learning

Campaigns structured for clean learning: broad prospecting, retargeting, brand defense — budgets protected while the algorithm finds your patients.

STEP 06
Scale what books

Weekly creative rotations, daily budget shifts to winners, monthly strategy reviews — all visible in the live dashboard below.

Ads audit — where the budget goes
Step 01 output
True cost per booked consult$247
Spend on fatigued creative$4.2K / mo
Tracking fires onpage views
Policy risks found2 flags
Every number pulled from your own ad account and analytics — not estimates.
Media plan — agreed
Step 02 output
Budget: $10K/mo · target $85 / consult
Offer: free consult + insurance checker
Mix: Meta 70 · Google 30 · retargeting always-on
Targets, timeline & investment locked
Tracking — wired to the calendar
Step 03 output
Pixel + server-side events — verified firing
Call tracking numbers — live & recorded
Booked-consult event — mapped to calendar
Landing pages — built, sub-2s, booking-first
Creative sprint — approved
Step 04 output
Approved
Angle: "Your labs know why"
Approved
Angle: covered by PPO
Approved
Angle: 15-min telehealth
Approved
4 hooks × statics
Approved
2 UGC-style scripts
Scheduled
Sprint 2 — day 14
Launch — learning protected
Step 05 output
Campaign structure live: 4 campaigns, clean events
Learning phase exited — 0 resets
Exclusions live: patients, staff, converters
Compliance pass: health policies, claims, creative
Scaling — what books, wins
Step 06 output
Cost per booked consult$85▼ from $247
Booked consults / month112▲ from 21
Blended modeled ROAS5.9×first-year value
Spend scaled2.4×CPA held flat
And this is just the summary — the full live dashboard is right below. ↓

Then you watch it compound with us.

Every dollar, creative, and booked consult — in one live dashboard, managed daily and explained in plain English in your inbox every Monday morning.

ads.crmxo.com/performance — live
Campaigns
Creative
Audiences
Landing Pages
Reports
Account — live performanceTue, Sep 08 — 4 campaigns · optimizing to booked consults
30 days7 days24 hoursLive
Spend — month
$9.5K
pacing on plan
CTR / CPM
2.4%
$18 CPM · healthy
Cost / consult
$85
▼ from $247
Modeled ROAS
5.9×
first-year value
Live activity
Retargeting · consult booked from creative H3 · $38just now
Prospecting · budget +$120/day shifted to winner2 min
Creative · F1 fatigued (CTR ▼41%) → rotated out9 min
Google · negative keywords added · $9/day saved14 min
Landing · variant B +18% booking rate → promoted26 min
Active campaigns
4
prospecting · retargeting · brand
Booked consults — month
112
$85 average, tracked to calendar
Wasted spend cut
$4.2K
exclusions & rotations, monthly
Attributed revenue
$68K
modeled first-year value
Creative H3 fatiguingRotated before CPA moved
Winner found, Tue 9 AMBudget shifted +$120/day

Interface shown is a representative product view with sample data — not a live client dashboard.

Step one costs nothing. Book the audit and your ads earn their keep this month.

Let's book your free ads audit

20 minutes. Free. You'll leave with your cost-per-consult and waste report, whether or not you hire us.

The math

The math, and the questions that come with it.

Run the numbers the way a CFO would. Ads are the one growth lever with a dial on it — spend maps to consults, consults map to revenue — so the only question that matters is what a booked patient costs you, and what they're worth.

What a disciplined account returns

Modeled on a typical single-clinic deployment
Monthly ad spend$9,500
Booked consults at $85 each112 / mo
Kept after reminders (82% show rate)92 patients
Average first-year patient value$610
Modeled first-year revenue$56.1K / mo cohort
5.9× modeled ROAS
Roughly $46K in modeled monthly value above spend — from an account judged on booked patients, not clicks. When the math works at $9.5K, scaling it is a decision, not a gamble.

All figures are illustrative modeling based on stated assumptions and observed campaign behavior — not a forecast, promise, or guarantee. Your audit call produces a model built on your clinic's actual ad account.

Every platform will happily sell you clicks. We only buy patients.

Asked properly, answered plainly.

How fast will we see results?+

First consults typically arrive within the first two weeks while the algorithm is still learning; accounts stabilize at their true cost per consult around days 30–45, and the compounding — creative library, audience data, landing-page wins — shows up over 60–90 days. We report weekly from day one, so nothing is a mystery.

Is advertising a medical clinic even allowed?+

Yes — done correctly. We never target by health condition or use practices that violate platform health policies; we run broad, compliant audiences and let creative do the selecting, keep claims inside the rules, and structure accounts so they scale without flags. That discipline is precisely why our accounts last.

What budget do we need to start?+

Most clinics start around $3K–$5K per month in ad spend — enough for the algorithm to learn and for tests to reach significance — and scale once the cost per consult proves out. Below that, we'll tell you honestly on the audit call whether ads are your best next dollar or whether SEO and recalls should come first.

Who owns the ad account and the data?+

You do — always. Campaigns run in your ad accounts with our team added as partners, so every audience, creative asset, and byte of performance history stays yours. If we ever part ways, you keep everything; nothing is held hostage.

Are landing pages and creative included?+

Yes — dedicated landing pages, tracking setup, and the full creative engine (statics, copy, and UGC-style scripts) are part of the engagement, because ads pointed at a slow homepage waste money we refuse to waste. You approve everything patient-facing before it runs.

Want this math run on your clinic's real numbers?

Let's book your free ads audit
Book

Stop paying for clicks.
Start buying patients.

A 20-minute ads audit. We open your account live — cost per consult, wasted spend, compliance risks — and hand you the findings, whether or not you hire us.

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You own the ad account·Weekly plain-English reporting·Compliance-safe by design