Local Search
A patient in your city searches for what you do. Three practices appear in the map results. You are not one of them.
The assumption is always that the practices above you are spending money you do not have. Usually they are not. What they have is someone who set the profile up correctly once, keeps the business information identical everywhere it appears, publishes something regularly, and asks patients for reviews on purpose instead of by accident.
None of that is expensive. All of it is invisible. Which is why practices decide they cannot compete, when what they actually have is a solvable problem nobody has named for them.
What actually moves it
A search engine has to understand what you are before it can rank you for it. Most practice sites explain themselves to a human and leave the machine guessing.
Hours, categories, services, attributes, photos, service areas. Every field left empty is a ranking signal you decided not to send.
Your name, address and phone appear across dozens of directories. When they disagree, and they almost always disagree, confidence drops and rank follows it down.
Not the count. The rate. A profile earning reviews steadily outranks one that earned forty in 2023 and nothing since. This is where the Reputation Agent feeds search directly.
A hub and spoke structure across your services and locations, so every thing you do has a page that can rank for it, and those pages reinforce each other instead of competing.
Not the two obvious keywords everyone fights over. The hundred specific searches a patient types when they have a specific problem, which almost nobody is competing for.
Twelve months
Position 30 is page three. Position 10 is the bottom of page one. That is the difference between invisible and findable.
The click-through rate went down, and that is the honest part. It is what happens when you start ranking for a far wider set of searches, including broad ones where most people scrolling are not ready to book.
The rate fell. The clicks doubled. If the only number you optimise is the percentage, you keep a tidy profile that nobody finds. We would rather show you the line that moved the wrong way than let you discover it later.
How it runs
The profile work is a one-time fix. Citations drift, hours change, and competitors publish, so the rest is maintenance. That is the part practices never get to, and it is the part that compounds.
Review velocity is handled by the Reputation Agent, which is why these two are usually deployed together. One earns the reviews, the other converts them into rank.
We will pull your current profile before the call and show you what a patient in your city sees. Thirty minutes, no obligation.