137 Patient Leads in Month 1 at ₹331 CPA. Cracked the Code on Medical Ads

About the Project

For dermatology practices, Google Ads is a minefield. Use the wrong word (like "Laser" or "Whitening"), and Google blocks your ads. Skin Laser Centre was facing a classic dilemma: they needed new patients for specific skin conditions, but the ad platforms were suppressing their reach due to sensitive "Health Policy" restrictions.

They needed a partner who understood how to navigate these blocks. Rankingeek Marketing Agency stepped in not just to "run ads," but to engineer a compliant, high-velocity campaign that focused on Cost Efficiency. We didn't want to pay ₹800 per lead (the industry standard); we wanted to cut that in half.

The Challenge

The "Diagnosis" of the market revealed two major threats to growth:

• The "Medical Policy" Wall: Google’s automated bots were flagging ads as "Disapproved" or "Limited" for using standard medical terms. This meant the clinic was missing out on 30-50% of potential impression share.
• The "Single Point of Failure": The account was dangerously reliant on one broad keyword: "skin diseases doctor". While it drove volume, it was becoming expensive (₹366 CPA). If costs spiked on this one term, the entire lead flow would collapse. The account lacked diversity and safety.

The Solution

We implemented a "Diversify & Optimize" strategy to lower costs and bypass policy blocks.

The "Efficiency Mining" Strategy: We stopped relying solely on the expensive "Workhorse" keyword. We mined the data to find "Hidden Gems" - specific conditions that competitors were ignoring.

• The "Specialist" Pivot: We moved budget to "skin specialist doctor", which converted at 14.5% (double the account average) and cost only ₹183 per lead.
• The Niche Breakout: We identified "Leucoderma treatment" as a goldmine. While generic terms cost ₹300+, this specific condition generated leads for just ₹84 with a 25% conversion rate.

Negative Keyword Firewall: To protect the budget, we built an aggressive negative keyword list. We ensured we weren't paying for irrelevant clicks like "body hair removal." As a result, wasted spend was virtually zero (only ₹231 total on non-converting terms).

The Results

The campaign didn't just launch; it exploded with efficiency. In the first sprint since onboarding, we achieved a Cost Per Acquisition (CPA) of ₹331 - far below the industry standard of ₹500–₹800.