Healthcare PPC agency for US practices
We run Google Ads and paid search for US medical, dental and wellness practices in any state, built around booked appointments rather than clicks. Campaigns follow Google's healthcare ad policies, and our Dallas-based team signs a BAA before any tracking goes live.
- 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 PPC for practices in the US.
- Best fit: Practices that want booked appointments from Google search ads, measured by cost per booked visit.
- 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.
What a qualified lead from paid ads 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.
Who this service is for
Paid search is the fastest way to appear for high-intent searches in the US, such as an emergency dentist on a Saturday or a dermatologist who takes a specific plan. It is also easy to waste. We split campaigns by intent, keep ads and landing pages within Google's healthcare policies, schedule ads for the hours your phones are answered, and judge every keyword by booked visits rather than clicks. For Facebook and Instagram ads, or fees tied to agreed goals, see the pages linked below.
Looking for something else?
- Want part of the fee tied to goals you agree with us? See performance marketing with goal-linked fees (US).
- Selling cash-pay services such as aesthetics or wellness? See Facebook and Instagram ads for practices (US).
- Need your whole website to rank for every service you offer? See healthcare SEO (US).
Google Ads management for the US practices
Campaign structure by intent
Separate campaigns for new patients, specific treatments and emergencies, so budget follows the searches that book.
Call and booking tracking
Every call and online booking tied to the keyword and ad that produced it.
Policy-safe ads
Ads and landing pages built within Google's healthcare and personalized-advertising rules.
Landing pages that convert
Fast, specific pages with insurance, availability and one clear next step.
Negative keywords and waste control
Weekly search-term reviews to stop spend on searches that never book.
HIPAA-aware conversion tracking
Conversion data sent to Google without patient health information.
Searches we build practices around
How we take over a Google Ads account
- Account audit. Search terms, wasted spend, conversion tracking and landing pages reviewed against the bookings they actually produced.
- Rebuild by intent. Separate campaigns for new patients, specific treatments and urgent needs, each with its own landing page and call tracking.
- Weekly waste control. Search-term reviews, negative keywords and ad-schedule changes every week, reported as cost per booked visit.
Compliant PPC 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. |
What US practices need from PPC
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 →
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.
Healthcare PPC Agency in the USA: common questions
How much does PPC 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.
How much should a practice spend on Google Ads?
Enough to reach the searches that book in your area, which varies by specialty and city. We size the budget from your goals and the local search volume, and ad spend is paid directly to Google, never marked up.
Related
Healthcare PPC Agency 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.
