Web Development Portfolio — USA

Challenge

Acquisition costs on Google Ads were spiraling out of control due to aggressive US bidding wars, making the patient acquisition model unprofitable.

Approach

Pivoted to a heavily segmented Performance Max strategy with strict ROAS targets, augmented by first-party patient LTV data fed back into Google via Offline Conversions.

Results

• Patient Acquisition Cost (PAC) reduced by 38%
• Scaled campaign spend by 2x while maintaining target ROAS through Q2 2026
• Increased patient LTV by targeting higher-quality segments