You pay for clicks, but nobody can say which campaigns bring paying customers
Ad accounts show conversions, the CRM shows sales, and the two never meet.
Each campaign gets a cost per sale and a return on ad spend based on real revenue.
PPC Management Services for Clinics, Med Spas and Service Businesses
Google Ads management tied to booked appointments and paid sales in your CRM — not to clicks
I run Google Ads and Microsoft Ads for healthcare practices, dental and aesthetic clinics, online schools and high-ticket service businesses, and report every campaign in revenue.
- From $750/mo PPC management, priced by service lines and ad budget
- 344% ROMI on a 6-month paid campaign for an online sports university
- −80% cost per lead after testing lead capture formats
- 10+ companies with end-to-end analytics built from scratch
What PPC management should deliver
PPC management is the ongoing work of building, running and optimizing pay-per-click campaigns — mostly Google Ads and Microsoft Ads — so that ad spend turns into customers at a predictable cost.
Good PPC management is measured by cost per sale and return on ad spend, not by clicks or CTR. That is why every account I manage starts with tracking calls, forms and chats all the way to the booking or payment in your CRM.
When you need a PPC management service
Cost per lead keeps rising and the answer is always “more budget”
Usually the problem is structure: broad match eating spend, weak offers, landing pages that do not convert.
A cleaned-up account where spend goes to searches that sell.
Leads come in, but the front desk cannot turn them into bookings
I look past the ad account: speed to call back, missed calls, where people drop off.
More booked appointments from the same ad spend.
What is included in Google Ads management
PPC audit and account structure
Search terms, match types, negative keywords, budgets and bidding: what to keep, cut or rebuild.
Search, Performance Max, display and remarketing
Campaigns built around services and margins — high-ticket services get their own budgets and goals. Remarketing brings back visitors who did not book the first time.
Offers and landing pages
Clear offer, proof and a short path to booking. Forms, calls, quizzes and chat are tested against each other.
Conversion tracking to the CRM
Calls, forms and chats tracked to the deal stage. Offline conversions sent back to Google Ads so bidding optimizes for sales.
Healthcare policies and HIPAA
Ads checked against Google’s healthcare and medicines policies. Tracking is set up so that no protected health information is sent to Google, in line with HHS guidance on tracking technologies.
Reporting in revenue
Weekly optimization and a monthly report with cost per sale, revenue and ROMI, reconciled with your CRM.
PPC for healthcare, dental, med spas and online education
Most of my work is in niches where one customer is worth hundreds or thousands of dollars and every lead has to be handled fast.
Clinics and medical practices
Google Ads for multi-specialty clinics and private practices: service-level campaigns, call tracking and booking-rate control.
Dental clinics
Google Ads for dental offices: implants, orthodontics and other high-value treatments separated from routine visits.
Med spas and aesthetic clinics
Campaigns for injectables, laser and device treatments, with local targeting around each location.
Online schools and courses
Lead generation for webinars, consultations and enrollments, measured by paid enrollments.
High-ticket services
B2C and B2B services where a sale needs several touches and a call.
Multi-location businesses
Separate budgets and reporting for each location or service line.
How much does PPC management cost?
PPC management starts at $750 per month. The final price depends on two things:
- The number of service lines — each service with its own campaigns, budget and goals adds work: a clinic advertising implants, whitening and checkups needs more than a single-service business.
- The ad budget — larger budgets need more campaigns, tests and daily control.
For comparison, US agencies typically charge $1,000–2,500 per month or 10–20% of ad spend for PPC management. Ad spend is always paid directly to Google or Microsoft from your own account and is not included in the management fee.
PPC management pricing
A fixed monthly fee agreed in advance — no hidden percentages.
Free PPC audit
When it fits
You already run Google Ads and want to know where the budget leaks.
Account, tracking and lead-handling review with a list of what to fix first.
PPC management
When it fits
You need a specialist to run Google Ads and Microsoft Ads and answer for results.
Account build or rebuild, tracking to the CRM, weekly optimization, landing page recommendations and monthly revenue reporting.
Our Google Ads management process
-
Audit
Account, website and what happens to leads after the click.
OutcomeA list of where money is lost and what to fix first.
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Tracking
Calls, forms and chats tracked to the sale in your CRM.
OutcomeEvery campaign has a cost per sale, not only a cost per lead.
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Launch or rebuild
Campaigns rebuilt around services, margins and real search demand.
OutcomeSpend goes to searches that bring paying customers.
-
Optimize and scale
Weekly bid, query and ad changes; monthly review of offers and landing pages.
OutcomeBudget grows only where the economics work.
PPC and paid acquisition results
Online university for sports professions
ROMI 344%
6 months of paid traffic: 765 leads and 72 sales.
Revenue was about 4.4× the ad budget.
CRM integrator (AmoCRM and Bitrix24 partner)
−80% cost per lead
Cost per lead dropped from 1,200 to 236 RUB by testing lead capture formats — website forms, lead forms and quizzes.
692 leads in 4 months.
Industry conference
ROI ~506%
70 ticket sales after only 3 days of campaign preparation.
PPC management FAQ
How much does PPC management cost?
From $750 per month. The price depends on the number of service lines you advertise and on your ad budget. Ad spend is paid separately, directly to Google or Microsoft.
What is included in PPC management?
Account audit and structure, campaign setup, conversion tracking to your CRM, weekly optimization, landing page and offer recommendations, and a monthly report in revenue terms.
Do you run Google Ads for healthcare and dental practices?
Yes — clinics, dental offices, med spas and aesthetic clinics are my core niches. Ads and tracking are checked against Google’s healthcare policies, and patient data never goes into ad platforms.
Have you run Google Ads in the US?
Yes. I run campaigns for US businesses as well as in Europe and Russian-speaking markets — on Google Ads, Microsoft Ads, Meta and other platforms. Every account follows the same standard: clear structure, tracking to the sale and reporting in revenue.
What is the minimum ad budget?
I recommend at least $2,000–3,000 per month in ad spend. Below that, data accumulates too slowly to optimize for sales.
Who owns the ad accounts?
You do. Accounts, tracking and data stay in your name, and everything stays with you if we stop working together.
Is there a long-term contract?
The first 3 months are a commitment — that is how long it takes to fix tracking and reach stable results. After that, month-to-month with 30 days’ notice.
In-house or outsourced PPC management?
An in-house specialist makes sense when ad spend is large and steady. Below that, outsourced PPC management is cheaper and brings experience from many accounts — and you keep full ownership of the accounts either way.
Is PPC better than SEO?
They do different jobs. PPC brings booked appointments within weeks and lets you test offers fast; SEO builds demand you do not pay for per click but takes months. Most clinics need PPC now and SEO for the long run.
Want to know where your Google Ads budget is leaking?
Start with a free PPC audit: I will review your account, tracking and lead handling and show what to fix first.
Yaroslav Kirichenko Chief Marketing Officer