Real clinics. Documented results. Shared with permission.

The vein clinic that outranked a giant

Solon sits in the shadow of Cleveland, home to some of the most famous hospital systems in the world. When patients asked AI assistants about vein care, the big names dominated by default. The clinic's actual excellence, a vascular surgeon practice with a 4.9 star rating across 91 reviews, was invisible in the answers that now decide where patients go.

Why does this matter so much? Because AI answers are winner-take-most. A traditional search page gives ten businesses a chance; an AI assistant recommends one or two with confidence, and most patients never look further. Whoever owns that answer in a given area effectively owns the demand.

We rebuilt its presence the way AI engines read trust: service content the engines can cite across the full vein care cluster, from sclerotherapy to endovenous ablation, surgeon-level credentials made machine-readable, schema, and review curation. Then we measured the answers themselves, engine by engine.

• ChatGPT's first pick for vein care in Solon, named above Cleveland Clinic
• Perplexity calls it "the strongest local option", citing its 4.9 stars and 91 reviews
• Named first in the Google AI Overview for "best vein clinic near Solon Ohio"
• Five AI engines at once: ChatGPT, Perplexity, Google AI, Claude and Kimi citing the clinic simultaneously, our first documented five-for-five
• Knowledge Panel dominating the brand search page, and visibility in the Cleveland local pack among the large hospital networks

+240% new patients per month

A neighborhood dental practice competing in a city full of them. The work was intensive local visibility: an optimized Google Business Profile, review growth, service content, and on-page work for the near-me searches that bring patients through the door.

• Number one on Google Maps for its neighborhood dental terms in Hamilton
• Top organic results across Hamilton dental keywords, with a double presence: local pack and organic at once
• 240 percent more new patients per month
• Recommended by Gemini: first for "family dentist Hamilton", second for "best dentist in Hamilton"
• Google's AI Mode presents the practice as the option on its street, citing the practice's own site as the source

The practitioner AI recommends by name

We built this practice's authority around its people, because in wellness, patients choose a practitioner before they choose a business. Credentials, condition-level content and reviews were structured so both search engines and AI assistants could read exactly who they would be recommending.

• The lead practitioner is named in Google's AI Overview as a top osteopath in her city
• Cited by ChatGPT for condition questions like osteopathy for headaches and sciatica in Burlington, and included in AI comparison tables of the city's top osteopaths
• Number one organic on its signature service, Indian head massage in Burlington
• 195 percent more new consultations from its campaigns, at a sustained 3.6 times return on ad spend

The sports health clinic that owns its numbers

A clinic with 21 services, from sports chiropractic to physiotherapy, needed each one visible on its own merits, because a patient searching for pelvic health never types the name of the clinic that also does bike fitting. Every service got its own structured presence, and the numbers compound across all of them.

• 494 active keywords in search results
• 42 keywords in the organic top three
• 47 keywords appearing inside Google AI Overviews
• A perfect 5.0 star rating across 185 reviews
• Acquisition cost down 55 percent