Industry Guide · 16 of 16 chapters published
A podiatry practice sells routine Medicare nail care, custom orthotics and bunion surgery from the same phone line, on a search page shared with orthopedic groups, hospital systems and booking sites. These sixteen chapters build a Google Ads account in the order that works, using real searches, websites and patient reviews from one example market, Los Angeles. The method works for podiatry practices anywhere in the US.
Five steps in the order we build a podiatry account. Local numbers come from our example market, Los Angeles; yours will differ, but the method holds.
The form saves Google's click ID, so the booked appointment can go back to the ad that earned it. The account counts only:
Then price each service line apart: at benchmark rates a booked patient costs about $77, a loss on a $45 Medicare nail visit and a bargain against custom orthotics or a bunion surgery.
So the first dollar goes to ready-to-book searches, in what we call the Isolation campaign: exact match, one ad group and one condition page per foot problem. Eleven of the 12 practices we checked had a heel pain page, yet two in three of the 82 ads we read never named a foot problem.
Bids are set by hand, foot problem by foot problem: searches asking for a doctor averaged about $6.81 at the high end, against 89 cents for searches that only describe the problem. The ads use patients' words: 186 of 685 reviews praised or faulted the doctor for listening or explaining, and none of the 82 ads said so.
Search partners and AI Max go off, every keyword gets exact-match brackets, and the location setting moves to Presence, the option Google points health care toward. The call button shows only while the front desk answers, so after-hours voicemails don't pose as leads, while the ad keeps running for forms.
An Exploration campaign (also our name) adds broad match at about 30 quality conversions a month, usually in months two or three and sooner for bigger accounts. Performance Max follows around the half-year mark, with every doctor's name and its misspellings on a negative list, since Google's brand library rarely holds a doctor. Demand Gen needs about $380 a day at a $38 lead, Local Services Ads are an optional late test with no automatic lead credits in health care, and AI Max comes last, after “cure,” “permanent” and “painless” are cleaned off the site.
“We accept Medicare” is safe; “Medicare covers your nail care” isn't, because coverage depends on the patient's health. A “podiatrist or orthopedist?” page answers the comparison searches, while “orthopedic surgeon near me” goes on the negative list. Toenail lasers are FDA-cleared for a temporary increase of clear nail, so “cure” and “FDA-approved” stay out of the ads, and PRP can't be advertised at all, so the ad sells the heel instead.
New account? Start with Chapter 1. Every chapter builds on the ones before it.
Count the booked appointment, and price a nail visit, orthotics and surgery separately
One page and ad group per foot problem, ready-to-book searches first
Settings that keep a new account local and in your control
More reach once the account knows what a booked patient looks like
Medicare foot care, the orthopedist question and cash-service claims
The order matters as much as the campaigns. Each step waits until the one before it has taught Google something.
Exact match on "podiatrist near me" and ready-to-book searches like ingrown toenail removal, plus the practice name and every doctor's name.
Broad match and a target CPA, once exact match has shown which searches book.
With clean booking data behind it, and the doctors' names kept out of it.
Video for people living with heel pain, an optional pay-per-lead test, and Google's newest automation last.
Go in order. Booking tracking and the budget math come before any keyword.
Chapter 01 →Check what your ads and pages promise about Medicare and what your laser pages claim. Coverage promises and "cure" wording are two common problems.
Chapter 14 →Examples come from Los Angeles-area podiatry practices, described as we found them. Run the same steps where you are.
Chapter 05 →Running more than one specialty under one roof? Google Ads for Healthcare shows how to run them as one account without one service line starving the rest.
Google Ads for Podiatrists
We've run paid ads for 25+ years and seen just about every way a budget goes sideways. Get on the phone with someone who does this every day. Bring your questions, your numbers and your skepticism. You'll hang up knowing what we'd do, whether you hire us or not.
Or see how our Google Ads management works.