Healthcare clinics, fire safety companies, pest control, rehab centers. I wire the tracking first: calls, forms, booked jobs. Then I train Google's bidding on real revenue. Below are the actual dashboards.
These are screenshots from the accounts themselves, not slides. Date ranges and account names visible. I'll walk you through any of them live on a call.
Procedure-specific campaigns for high-ticket surgery (BBL, Mommy Makeover, hair transplant). Booked appointments were fed back from the booking system, so bidding optimized toward consultations, not page views, delivering 533 booked appointments and 10,300+ tracked calls.
Two overlapping campaigns were bidding against each other. I merged them into one, rebuilt the conversion tracking, and pruned search terms. CPL dropped 49%, £82.49 to £42.15, while conversion rate climbed from 6.87% to 17.5%. At a £3,000 average job value, that's £75K in pipeline from £1.3K monthly spend.
Behavioral health is a brutal market: $9.20 average CPC. The fix wasn't cheaper clicks, it was better signals: VOBs and confirmed admits imported back into Google with dollar values per pipeline stage, so bidding optimized toward admissions revenue. Result: 1.47x ROAS on $49.7K spend.
Patients searching "emergency dentist near me" at 2am don't fill out forms. They call. Campaigns built around call conversions delivered 384 phone call leads and 74 forms from $6.3K spend, at a 17.73% conversion rate.
An 18-month engagement. GA4 form submissions and CallTrackingMetrics calls as primary signals; map clicks and email clicks demoted to secondary. 2,817 form submissions and 2,790+ tracked calls at $36.14 per conversion on $224.5K total spend.
Two years of steady parent inquiries: contact form submissions and calls from ads both set as primary conversions. 2,000+ conversions at $27.09 with a 12.55% conversion rate: 1,467 forms and 533 tracked calls.
Early in my career I watched a pest control campaign scale the wrong thing: call tracking wasn't available, button taps were used as proxy conversions, and Google happily optimized for taps. I never made that mistake again. Every account now starts here:
End-to-end paid search for lead generation, from tag to booked job. Meta Ads available for high-ticket funnels.
Search and Performance Max for lead gen: strategy, keyword research, bid management, and weekly optimization toward your cost-per-job target, with reporting you can actually read.
GTM, GA4, call tracking, and GCLID-based offline conversion uploads. If your "conversions" are button clicks right now, this is the first thing I'd fix.
Fast, single-purpose landing pages with A/B variants and Microsoft Clarity session analysis, because a 17.5% conversion rate is a landing page result, not just an ads result.
Application funnels and booked discovery calls for high-ticket offers, like 52 application leads at $57.23 and 19 booked calls at $123.16 for a US coaching business:
I'm a Google Ads specialist based in Lahore, working with clients across the US, UK, UAE, KSA, and Australia. Before going independent I spent 2+ years inside agencies (Antilles Digital Media in the US, and Influx) managing rehab, dental, roofing, and pest control accounts with $5K–$15K monthly budgets each.
I specialize in healthcare, mental health, and local service businesses: industries where the real lead is a phone call or a booked appointment, and where most agencies quietly optimize toward form fills and clicks because tracking calls is hard.
No account managers, no handoffs. If you hire me, the person who built every screenshot on this page is the person in your account.
Send me your website and your market. I'll record a short video walking through what's broken in your account or your tracking, what a lead should cost you, and how I'd fix it, before you pay anything.