Healthcare Performance Marketing in the USA
Performance marketing for healthcare practices in the US: Google, Meta and local search managed against goals you agree, with Performance-Linked Payout Models available.
- Dallas, Texas LLC
- 10-person US client team · Central Time (CST)
- 25+ US healthcare clients
- BAA signed with every client
- HIPAA compliance training across client and delivery teams
- Contracts and invoices in USD
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“They were able to get all my ideas and work with me over a period of three to four months and create this amazing website. It's super customized, very modern, and it incorporates all the elements that I had wanted — the patient portal, nice pictures, a very interactive website, patient reviews. I would highly recommend their company to anyone who wants to make an excellent website.”
- Ichelon Consulting US is a Dallas-headquartered, healthcare-only marketing agency offering performance marketing for practices in the US.
- Best fit: Practices that want Google, Meta and local search managed against agreed goals, with part of the fee linked to results.
- Live US clients in Texas, California and Virginia, plus a nationwide telehealth practice. See the case studies.
- Compliance built in: HIPAA-aware tracking, TCPA, ADA (WCAG 2.2 AA), FTC endorsement rules and state medical and dental board rules.
- Every practice welcome — retainers from $499/mo. Goals-Driven engagements, with Performance-Linked Payout Models available.
Who this service is for
Performance marketing is a commercial model as much as a set of channels. For a practice in the US we agree monthly goals for calls, bookings and qualified leads from your last 90 days of data, then move budget between Google, Meta and local search toward whatever books at the lowest cost. Performance-Linked Payout Models tie part of our fee to those goals. If you only want Google Ads managed, see the PPC page linked below.
Looking for something else?
- Need booked appointments from Google search this month? See Google Ads (PPC) for practices (US).
- Selling cash-pay services such as aesthetics or wellness? See Facebook and Instagram ads for practices (US).
Every practice welcome — Goals-Driven engagements from $499/mo
We benchmark your last 90 days, agree monthly goals with you, and track them live on Ichelon Agency OS with a report every Monday. Performance-Linked Payout Models are available.
What is managed against your goals in the US
Goals agreed up front
Monthly goals for calls, bookings and qualified leads, set jointly from your last 90 days of data.
Channel mix by cost per booking
Budget shifted between Google, Meta and local search based on what books, not what clicks.
Landing pages and offers
Specific pages and offers for each campaign, tested monthly.
Lead handling
Fast response and qualification so leads become appointments.
Live reporting
Ichelon Agency OS shows every goal pacing in real time, with a report every Monday.
Performance-Linked Payout Models
Part of our fee can be tied to hitting the goals, scoped at benchmarking.
Searches we build practices around
What a qualified lead typically costs in the US
Planning ranges for US Google and Meta campaigns, where a qualified lead is a contactable enquiry that matches the practice's criteria. These are estimates for planning, not guaranteed results. We set your actual targets from your own data during benchmarking.
| Specialty | Typical cost per qualified lead (USD) |
|---|---|
| Primary care & family medicine | $40 – $120 |
| Pediatrics | $35 – $100 |
| General & family dentistry | $60 – $180 |
| Dental implants & cosmetic | $150 – $450 |
| Pediatric dentistry | $45 – $130 |
| Med spa & injectables | $50 – $150 |
| Dermatology | $70 – $200 |
| Plastic surgery | $150 – $500 |
| Fertility & IVF | $150 – $450 |
| Functional & integrative (telehealth) | $60 – $180 |
| Behavioral & mental health | $70 – $200 |
Planning estimates for US campaigns (2026). Actual cost varies with market, offer, season, landing page and how quickly leads are followed up.
How goals and fees are set
- Baseline from your data. Ninety days of calls, forms and bookings tied to their source, so goals start from fact.
- Agree goals and the fee model. Monthly targets per service, and which part of the fee is linked to them, written into the scope.
- Shift budget monthly. Spend moved between channels on cost per booked visit, with live pacing on Ichelon Agency OS.
What US practices need from performance marketing
US healthcare marketing is local even when the agency is national: patients choose providers close to home, state medical and dental boards set advertising rules, and insurance networks shape who can book. We work with practices in any state from our Dallas office, with live clients in Texas, California and Virginia and a telehealth practice that sees patients nationwide.
States we work in
Who you would be working with
US healthcare clients
Practices across Texas, Virginia, California and telehealth, served from our Dallas office.
US client team
Your account team works Central Time (CST) hours, with HIPAA compliance training certificates.
With every client
A Business Associate Agreement is signed before any work that touches patient data. Contracts and invoices in USD.
Part of Ichelon Consulting Group: 100+ people, healthcare only. See US case studies →
Compliant performance marketing across the US
| Area | What applies |
|---|---|
| Licensing board | The medical and dental board in each state where you practice: advertising claims, credentials, specialty terms and testimonials. |
| Patient privacy | HIPAA, including HHS guidance on tracking technologies. No patient information to ad or analytics platforms. |
| Calls and texts | TCPA consent for reminders and follow-up; opt-outs honored across every system. |
| Reviews and endorsements | FTC endorsement guides and the FTC rule on consumer reviews: no fake or incentivized reviews. |
| Website accessibility | ADA, built to WCAG 2.2 AA. |
Healthcare Performance Marketing in the USA: common questions
How much does performance marketing cost in the US?
Every practice is welcome. Ichelon Consulting US retainers start from $499/mo for a website SEO base package. Larger programs are scoped after a benchmarking call, with Goals-Driven engagements and Performance-Linked Payout Models available. Ad spend is paid directly to Google or Meta and never marked up.
What does a qualified lead cost for a practice in the US?
It depends on specialty, offer and competition. As a planning guide, US campaigns typically run from about $35–$120 per qualified lead for primary care and pediatrics up to $150–$500 for plastic surgery and fertility. We set real targets from your own data during benchmarking.
Do you work with practices in the US from Dallas?
Yes. Websites, search, ads and reporting are delivered remotely, strategy calls run in US business hours, and our US leadership is based in Dallas. We work with live clients in Texas, California and Virginia and a telehealth practice that sees patients nationwide.
Is your marketing HIPAA-compliant?
Engagements are HIPAA-aware by design: forms, booking and tracking are configured so protected health information is not sent to ad or analytics platforms, and we sign a Business Associate Agreement with every US client before work starts. Our client-facing and delivery teams hold HIPAA compliance training certificates. We also work within TCPA, CAN-SPAM, ADA (WCAG 2.2 AA) and FTC endorsement rules.
Do you offer pay-for-performance?
We offer Performance-Linked Payout Models: a fixed retainer plus a variable part tied to the monthly goals we agree with you. The structure is scoped during benchmarking.
Related
Healthcare Performance Marketing in other US cities
Guides and research
See where your practice's biggest gains are
A free 30-minute benchmarking call with our US team. We review your website, Google Business Profile and search visibility and tell you what we'd fix first.
