A named list of work, and a report that says what moved.
Medical SEO for independent and cash-pay practices. Every month delivers a published, discrete scope of technical fixes, clinical content, medical schema markup, and local citations—paired with a monthly ranking report that shows exactly what changed and what moved in search. Managed month to month with no long-term contracts.
Who the managed plan is for
Most agencies sell a monthly plan to everyone. We sell it to the practices it actually suits, and tell the rest to buy by the piece. The free audit says which you are, in writing, before you spend anything.
Your audit shows a year of pages to build, not a handful. You have more than one location or provider to keep straight. Nobody at the practice has an hour a week for this. Or you want someone watching the map and the directories so errors get caught when they appear, not a year later.
Your audit turns up a few fixes and one or two missing pages. Order the $950 Audit fix-up and be done, or add the $350 Upkeep plan if you only want the listings watched. We'll tell you plainly which way is cheaper for you, and if your panel is full, that you need neither.
Month one
Month one: the Deep Assessment
The free audit finds what's broken from the outside. This goes further, uses your own numbers, and turns every finding into a job with an owner. It is yours whether or not you stay for month two.
Related: sample audit report.
Related: the ten-question AI test.
One for your Google listings, one for your website.
Plain English, dip-in-and-out references. What's working and should be left alone comes first.
Every finding as a task, sorted by who should do it.
You from your phone, someone you supervise, or us. The free ones are marked, and the order is the order that makes each one work.
Once for you, once as a brief you could forward.
So the work is never hostage to us. Any developer or writer could pick it up.
The pages you're missing, in sequence.
Drawn from what patients actually search in your city and what your own Search Console data shows is already working.
Your first ranking report.
Taken before anything changes, so every later report has something honest to be compared with.
Every month after
What each month includes
The $750 covers the planning, the upkeep and the report. The pages themselves are ordered from the published menu each month, named in writing before the month starts, and billed only as you approve each one. A typical month with two pieces comes to $1,050 to $1,250 all in, and you set the number, including zero.
What to build next, named before the month starts.
The monthly ranking report
Two pages you can read in a few minutes. It measures three places patients find you, from more than one point in your city, and it reports the searches that went nowhere as plainly as the ones that improved.
Two searches improved. One slipped. Here is what we think that means.
| What a patient searches | Map, downtown | Map, 5 miles north | Ordinary results | Since last month |
|---|---|---|---|---|
| direct primary care Anytown | #1 | #2 | #1 | No change |
| doctor accepting new patients Anytown | #3 | Not in top 20 | #14 | Up. New membership page went live on the 4th. (Invented example.) |
| doctor without insurance Anytown | #4 | #11 | #9 | Up. Listing services rewritten last month. |
| family doctor Anytown | Not in top 20 | Not in top 20 | Not in top 50 | No change. Two hospital groups hold this. We'd stop tracking it as a goal. |
| primary care near downtown Anytown | #9 | n/a | #31 | Down two places in the map. No cause we can identify; watching. |
Five of the twelve tracked searches shown; swipe the table to see every column. Measured 1–2 of the month, signed out, from two fixed points, on a phone-sized screen. Tool and settings named in the appendix. Example Family Direct Care of Anytown does not exist.
Three places, not one
The map results, ordinary results, and whether Google's AI answers and other assistants name you for the questions your patients ask. AI answers change from one asking to the next, so we report them as direction, never as a score.
More than one point in your city
Map results change block by block. One check from your own desk flatters you. We track from fixed points so months can be compared.
What Google itself recorded
With read-only access to Search Console and your listing, the report adds what patients actually typed, which pages they landed on, and calls and direction requests from the listing.
"You're number one"
No single position exists to report. We don't forecast rankings, and we don't count a search you already owned as a win.
What the managed plan costs
| Work | Price | What you get |
|---|---|---|
Practice audit four written reports | $0 | Where every engagement starts, and how we tell you whether monthly is the right buy. Get the free audit. |
Upkeep plan | $350a month | Google Business Profile kept current, review replies drafted, name, address and phone kept consistent across the directories, and a monthly ranking report from one point in your city. No pages. Rank tracking and the directory service included. |
Managed medical SEO | $750a month | Everything in Upkeep, plus the Deep Assessment in month one, a written list of what to build each month, and the fuller report: tracking from several points across your city and what Google Search Console recorded. Pages ordered from the menu and billed per piece. |
Deep Assessment stand-alone | $750one time | The month-one assessment without the plan. Credited in full against the managed plan if you start it within 60 days. |
Related: new pages built for search.
Related: medical practice SEO pricing.
How the price works. $750 covers a practice of any size; a second location adds its own listing upkeep and tracking points, quoted in writing before you start, and the number doesn't change without your agreement. Either of us can end the plan at any time; it ends at the close of the month you're in, that month is billed, and you keep everything, including the assessment, the pages and the report history. Your website platform, domain and any booking software stay on your own accounts. We take no referral fees from scheduling or software vendors.
Where monthly SEO goes wrong
What the managed plan won't do
Bill for work that wasn't built.
The list is agreed before the month starts, and each piece is billed only when you approve it. If we miss the list, you hear it from us first, and that month's plan fee is credited.
Report only the good news.
Every tracked search appears every month, including the ones going the wrong way.
Guarantee a position.
Google says nobody can, and to beware anyone who claims to.
Lock you in.
No contract, no notice period, no assets held back if you leave.
Keep you paying after the job is done.
When the pages are built and the records are clean, we'll say so and suggest stepping down to the $350 Upkeep plan, or stopping.
Publish under your name without sign-off.
Nothing goes live on your site or listing until you've approved it.
Asked by practice owners
Common questions about medical SEO services
Now you know the questions
SEE HOW YOUR PRACTICE ANSWERS THEM.
The free audit checks all of this for your practice, from public information only, within two business days.
Initializing diagnostic terminal connection…