Ichelon Consulting US runs Google Ads and Bing Ads spend management for buyers across nine industries and every part of the United States. Search, Performance Max, Shopping, Display and Discovery all sit under one delivery spine — measured against margin-adjusted CPA and profit-per-click, not vanity impressions. Every account is architected against the correct compliance frame from the first campaign draft, because a well-optimised keyword list matters nothing if the landing page is inadmissible in the client's regulatory environment.
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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.”
Paid search in 2026 is not simple keyword bidding. Signal quality feeds bidding quality, landing-page architecture feeds Quality Score, and audience layering feeds Performance Max reach. Our six-service delivery spine covers the signal-to-spend chain end-to-end, on both major platforms.
Keyword architecture built to margin-per-click economics, ad-group structure tuned to Quality Score, RSA asset libraries with pin discipline, negative-keyword hygiene against the search terms report, and cross-platform bid parity between Google Ads and Bing Ads.
PMax structured by margin band and inventory depth, with asset groups per audience signal, brand-exclusion lists, negative-keyword protection where the platform permits, and campaign-level bid strategy tuned to the client's actual profit picture, not a vanity ROAS number.
Product-feed engineering for both platforms, feed rule discipline for out-of-stock and low-margin SKUs, GTIN and MPN correctness, custom-label strategy for margin-tier bidding, and daily feed hygiene monitoring so disapprovals do not compound.
Server-side tag deployment, enhanced conversions, offline conversion imports from the CRM, revenue-value pass-through, cross-domain and cross-device stitching, and consent-mode integration for CCPA opt-outs. Signal quality is the bidding model's oxygen.
First-party audience uploads, similar-audience refresh cadence, funnel-stage list construction, remarketing exclusion discipline, and consent-scoped audience list hygiene. First-party data is the durable moat in a signal-loss world.
Landing-page architecture tuned to Quality Score, Core Web Vitals remediation for the pages ads actually land on, message-match discipline between ad and page, form-completion friction audit, and A/B testing of headline and hero variants against the campaign-level goal.
Delivered from a Dallas-Fort Worth base, the paid search practice serves buyers headquartered across the DFW metroplex and accounts running nationally across the United States and neighbouring US markets.
Paid search economics improve when organic, local and video capture reduces the intent load on the paid layer. The Trifecta strips away the queries you should never have to bid on — brand terms with defensible SERP presence, high-intent local queries covered by strong Google Business Profile presence, and video-first queries that YouTube already owns.
Strong local pack presence reduces the branded and near-me bidding load on Google Ads. Angryturtle at Rs 999/- for solo, bundled into managed retainers for fleet accounts.
Organic pillar-and-hub content captures the top-funnel intent that would otherwise burn paid budget. Every organic ranking earned on a comparison query is a paid impression you no longer need to buy.
YouTube ranking on the review-and-comparison surface reduces bidding pressure on those SERP terms. Paid budget then gets concentrated on the bottom-funnel intent where paid actually converts.
Paid search runs on a documented weekly and monthly cadence. Weekly ships cover bid adjustments, search-terms review, negative-keyword additions, and asset-refresh cycles. Monthly ships cover strategic review, competitor auction insights, landing-page A/B rotation, and the full profit-adjusted performance report.
Account audit across Google Ads and Bing Ads, conversion tracking audit, feed audit for Shopping-eligible accounts, compliance frame confirmation, keyword and audience baseline, and the wasted-spend inventory that anchors the first optimisation sprint.
Account restructure against the margin-per-click economics, ad-group tightening, RSA asset library rebuild, negative-keyword sweep, feed rules for Shopping, and server-side conversion deployment where the client stack supports it.
Weekly optimisation cadence, monthly strategic review, quarterly landing-page overhaul against Quality Score data, and rolling A/B testing of headline and hero variants. Reporting into the wider growth stack where the client also runs organic.
Every US paid search engagement has direct line-of-sight to the ICG Leadership Team and to a senior performance reviewer who has scaled paid accounts across the consent-mode transition, iOS signal loss and Performance Max rollouts.
ICG's results are reproducible because they are built on proprietary infrastructure — not agency intuition or generic tools. These nine HealthApex OS platforms are what power every ICG engagement.
WhatsApp AI Lead Qualifier
An AI assistant that holds a short WhatsApp conversation with every enquiry, decides whether it fits your criteria, and posts qualified leads to your CRM labelled Qualified. Team inbox, campaigns and consent handling included. $40/mo for US practices.
CRM Intelligence & Lead-Ops MIS
Sits as the business intelligence layer above your CRM — AtomCRM or any other CRM you run, including custom builds. Shows where leads are leaking, which effort is wasted, and which good leads were quietly downgraded by automation — not by a human decision.
Attribution Engine & CAPI Middleware
Sits at the centre of every ICG attribution architecture. CAPI middleware connecting Meta Ads, Google Ads, WhatsApp and IVR to your CRM. Lifts Event Match Quality from 2.5 to 6+, reducing CPM 30–40% from the same budget.
PMS with built-in revenue intelligence layer
A PMS built to track cross-sell and up-sell opportunities within your existing patient base. 12 modules covering OPD, IPD, Pharmacy, Labs, Billing, Inventory, Patient Portal, Smart Scheduling, RBAC, AES-256 encrypted storage.
Revenue intelligence built over your existing PMS
If you already have a PMS, whichever one it is, Phoenix builds the business intelligence layer on top of it without replacement. Built for single clinics and multi-centre chains alike.
YouTube analytics that measures patients, not views
A YouTube intelligence platform built for healthcare business outcomes. Connects video performance to actual consultation bookings — not views, not subscribers. Patient testimonial videos generate 6.9× more consultations per view than condition explainers.
Full transparency. Instant diagnosis. Zero surprises.
ICG's centralised governance platform — every client sees everything in real time, and ICG's team sees every problem the moment it surfaces. 30+ real-time alert systems fire the moment a metric drifts outside its performance envelope.
AI Overview + LLM citation tracking, healthcare-tuned
Knows the moment ChatGPT, Perplexity, Google AI Overviews and Gemini cite your brand in patient answers — and which content drove the citation. Bot-aware dashboard with GA4-registered custom dims (AIO source, AIO referrer) and IndexNow + GSC API integration.
Every Meta + Google ad your competitors run, watched daily
Tracks 75+ Indian healthcare brands, 2,150+ active ads, ₹50Cr+ aggregate ad spend visibility per month. Surfaces what's working, what's been killed, what offers are emerging. Powers every ICG Meta Ads brief, Performance Marketing diagnostic, and IVF / derm / dental specialty campaign with real competitive intelligence.
Every Google Business Profile scored, tracked, protected, and grown from one command centre
ICG's proprietary Google Business Profile intelligence platform. Scores every listing across 7 dimensions, tracks rank on a live geo-grid across your actual service area, audits NAP + citations, monitors 531 suspension-risk factors continuously, and drafts Google Posts on cadence. Currently managing 143 healthcare listings with 0 suspensions and 4.76★ portfolio average across 28,137 reviews.
Every ICG engagement runs on some combination of these ten HealthApex OS tools. The diagnostic determines which combination is right for your practice.
Explore HealthApex OS → See the full stack live on your account — free 30-min audit →Both, as one integrated layer. Bing Ads still carries meaningful incremental reach across older-cohort and enterprise-desktop audiences, and Microsoft Merchant Center runs alongside Google Shopping for retail catalogues. Cross-platform bid parity and negative-keyword sync keep the two accounts from cannibalising each other.
Server-side tag containers wherever the client stack supports it, with enhanced conversions on Google Ads, offline conversion imports from the CRM, revenue-value pass-through, and consent-mode integration for CCPA opt-outs. Signal quality is what the bidding model actually optimises against.
Yes. No PHI ever flows to ad platforms, server-side events strip identifiers before send, remarketing lists never contain treatment-context signals, and campaign copy is scoped to the state medical board rules for the relevant jurisdiction. Landing pages are audited for HIPAA-safe form architecture before spend begins.
Ad copy avoids protected-class language, audience-targeting rules follow the Housing special ad category, exclusion lists are engineered to avoid disparate-impact patterns, and every campaign is spot-checked against Fair Housing Act guidance before publish.
No. Retainers are flat fees, custom-scoped against the actual delivery load — number of campaigns, number of platforms, compliance overlay, reporting cadence. Percentage-of-spend fee models create the wrong incentives.
Retainers custom-scoped per engagement · from Rs 20,000/month equivalent (approx USD 250 / AUD 370) exclusive of media spend. Multi-platform, multi-country and regulated-industry accounts scale up from the floor; single-account single-country engagements sit closer to it.
Book a 30-minute benchmarking call with a member of the Leadership Team, email the US practice lead, or WhatsApp us in your time zone.
A representative slice of the 150+ healthcare brands ICG has delivered for across India. Full client list available under NDA during a Brand and Growth Diagnostic.
Our US team will reach out within one business day. For a faster reply, WhatsApp us or call +1 (724) 612-3694.
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Director, Ichelon Consulting US. Book a free 30-minute diagnostic and we'll show you what we'd fix first for your practice.
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