Google Ads management
Google Ads Management for Med Spas, Clinics and High-Ticket Services
Results · Oct 2025 – Oct 2026
Last 12 months of results
From client accounts I've managed (in-house and freelance). Combined figures, client names withheld.
$544K
Conversion value
+$220K
2.49K
Conversions
+1.04K
$32.27
Cost per conversion
–$2.74
$80.5K
Ad spend
~6.8x
ROAS
Conversions rose about 72% (from roughly 1.45K) and each one got cheaper. More case studies →
Google Ads client industries
- Real estate law firms, USA (ongoing)
- Med spas, USA
- High-ticket local and B2C services
Case study · Dec 1, 2025 – Jun 17, 2026 · Ongoing
Real estate law firm: 496 conversions at $128.57 each
12 Search campaigns across city-level California and Nevada markets (including Sacramento, Riverside, Los Angeles and Nevada) with a combined daily budget of $967/day. Client name withheld.
4.84K
Clicks
7.45%
CTR on 64,956 impressions
10.26%
Conversion rate
$63.6K
Spend · $13.19 avg CPC
Common problems
Where accounts usually waste money
- Broad and phrase match with no negatives. “Free botox”, “botox training” and “jobs” all eat budget. A starter negative keyword list stops most of it on day one.
- Counting the wrong conversions. Page views, calls under 10 seconds and spam forms tell Smart Bidding to find more junk.
- One campaign for every service. A $3,000 treatment and a $99 offer shouldn't share a budget.
- Weak landing pages. Sending traffic to the homepage instead of a page built for that one search.
What I do
Everything that moves cost per lead
Search campaigns
Performance Max, done carefully
Conversion tracking
Landing page feedback
Process
My process
- 01
Free audit
Wasted spend, tracking gaps, structure.
- 02
Restructure
Campaigns split by service, value and location.
- 03
Tracking
Primary conversions set to what actually matters to your business.
- 04
Optimise and report
Weekly search terms, negatives, bids and ads. Monthly report in plain numbers.
Every week
What my weekly account review covers
In a mature account, most of the gains come from small, regular decisions, not big rebuilds. This is what I go through every week.
- Search terms report: new negatives added, new exact-match keywords promoted
- Budget pacing by campaign and market, with money moved toward the best cost per conversion
- Conversion tracking health: any sudden drop or spike checked before bidding reacts to it
- Ad and asset performance, with weak ads replaced
- Location and device reports, for markets or devices quietly wasting spend
What I actually do inside your Google Ads account
Hiring a Google Ads consultant should mean someone is in your account every week, reading the data and making decisions. That is the job. In practice it breaks down like this:
Search terms
I read the search terms report line by line. Irrelevant searches become negatives; searches that convert become their own keywords with their own ads.
Structure
Campaigns split by service, value and location, so a cheap, popular service can't spend the money meant for your most profitable one.
Bidding
I choose the bid strategy based on how much reliable conversion data the account has. Automated bidding is only as good as the conversions it learns from, so I don't switch it on until tracking is right.
Ads and assets
Headlines that say what you do, where, and what the next step is. Weak ads get replaced, not left running for months.
Landing pages
I review the page each ad sends people to. If it doesn't match the search, I tell you exactly what to change, or build it if that's part of the scope.
Tracking
Calls, forms and bookings measured through Google Tag Manager and GA4, and where your CRM allows it, offline conversion imports so bidding learns which leads became customers.
The first 90 days with a new account
Days 1 to 30: audit and repair
I start with read-only access and a written audit: wasted spend, tracking gaps, structure problems and quick wins. Then I fix conversion tracking before touching bids. Changing campaigns while the data is wrong just teaches Google the wrong lesson faster.
Days 31 to 60: restructure
Campaigns are rebuilt or reorganised by service and market, negative keyword lists are built from the search terms history, and new ads go live. I make changes in stages so we can see what each one did.
Days 61 to 90: steady optimisation
Weekly reviews take over. Budget moves toward the campaigns with the best cost per conversion, and I start testing new ads and landing page changes. I don't promise a cost per lead in this period. Every market is different, and anyone who quotes a number before seeing your account is guessing.
Mistakes I fix most often
- Search Partners and Display left switched on in a Search campaign, quietly spending on placements that rarely convert for service businesses.
- Location set to "presence or interest", so ads show to people outside your service area who are only researching it.
- Several conversion actions counted as primary, so one enquiry is counted two or three times and the reported cost per lead looks better than it is.
- No brand campaign separation, which hides how much of your "performance" is really people who already knew your name.
- Ads that never change. The same three headlines running for a year, while competitors test and improve.
Who this suits, and who it doesn't
My Google Ads management suits US service businesses where a single client is worth enough to justify careful work: law firms, med spas and other high-ticket local and B2C services. It also suits businesses in the UK, Saudi Arabia and the UAE that want a hands-on consultant rather than an agency. It suits you less if you mainly sell low-priced products through Shopping campaigns, or if you want daily creative production. A specialist e-commerce team will serve you better there.
Results from accounts I manage
Across client Google Ads accounts I managed over Oct 2025 – Oct 2026, conversion value reached $544K on $80.5K of spend, about ~6.8x return, with 2.49K conversions at $32.27 each. In a single real estate law firm account, 12 city-level Search campaigns produced 496 conversions at $128.57 with a 10.26% conversion rate. The campaign-by-campaign breakdown of that law firm account shows how it's built, and the case studies page has the context for every figure.
Reporting you can read in two minutes
Each month you get spend, conversions, cost per conversion and, where conversion values are tracked, return on ad spend, compared with the previous month. Under that: what I changed, why, and what I'm testing next. If something goes wrong mid-month, such as tracking breaking or costs spiking, I tell you when I see it, not at the end of the month.
How I price Google Ads management
The fee depends on scope: how many campaigns and markets you run, how much tracking work is needed, and whether landing pages are part of the job. I quote after the free audit, in writing. The ad budget is paid by you directly to Google and the account stays in your name. If you're still working out a starting budget, my budget calculator gives a rough range using industry benchmarks.
Tools
Google Ads itself, Google Tag Manager, GA4, call tracking, and your CRM for offline conversions. For businesses that also run social ads, I connect this to Meta Ads and full-funnel tracking. If your organic traffic is weak, technical SEO is the long-term way to lower what you pay per lead. Industry examples: med spa Google Ads in the USA, real estate attorney PPC, and search for limo and chauffeur companies, where ads and SEO work together.
Free tools for planning your Google Ads
Rough out a budget, work out what a click is worth, group keywords into ad groups, block wasted searches, draft responsive search ad copy, tag landing pages, or check whether the ads you already run are profitable after costs.
FAQ
Google Ads questions
What ad spend do you work with?
Best fit is roughly $3K/month and up, but I'll review smaller accounts too.
Do I keep ownership of the account?
Always. It stays under your Google Ads account, and I work with access you grant.
Do you also do Meta Ads?
Yes. Meta Ads are part of my B2C performance marketing service.
Can SEO lower my ad costs?
Over time, yes. Organic leads lower your blended cost per acquisition.
Should I hire a Google Ads consultant or an agency?
A consultant suits you if Google Ads is your main paid channel and you want one experienced person working in the account. An agency suits programmes that need several channels and a creative team. With me, the person on the sales call is the person doing the work.
Do you work with US businesses from outside the USA?
Yes. Most of my current Google Ads work is for US accounts. I work remotely, schedule calls in your time zone and report monthly.
How do you know if my Google Ads account is wasting money?
Look at the search terms report for the last 30 days. If you see searches you would never want to pay for, or if one enquiry is being counted as several conversions, money is being wasted. The free audit checks both.