# Multi-location vascular care practice (under NDA)

One Growth Engine Across Every Vascular Care Market

# Multi-location vascular care practice (under NDA)

One Growth Engine Across Every Vascular Care Market

## Who They Are / What We Were Dealing With

### The Setup

A multi-market footprint, one brand, and a service line (GAE) that's still defining its category. The growth opportunity wasn't more channels. It was getting the existing ones pointed at the same thing.

What we were dealing with:

- Multi-market local presence to coordinate, not just maintain
- Paid acquisition for an emerging procedure category (GAE) that buyers are still searching by symptom, not by name
- On-site SEO debt accumulated across the site: title-tag and schema cleanup, builder hygiene, legacy redirect repair
- AI-driven discovery (AEO) showing up as a real channel, with no current strategy for it
- Reputation and review signals running per-location with no roll-up

### The Brief

The brief was simple to say and hard to do: one engine, every market. Paid, organic, AEO, and reputation moving together, with a website clean enough to convert what they delivered.

We were engaged to deliver:

- Multi-location SEO across every market in the footprint
- Paid acquisition with a dedicated GAE program plus broader vascular intent
- AEO and AI-visibility coverage (Brand Radar) for emerging discovery channels
- Reputation systems that work at scale across the footprint
- Website content + technical cleanup to remove conversion friction

### The Engagement

Scope at a glance

Multi-Location SEO  Paid Media (GAE + Vein)  Website + Schema  AEO + AI Visibility  Reputation Systems  Analytics + Attribution

Key engagement facts

Ongoing retainer with monthly delivery across paid, search, AEO, reputation, and website. Cross-functional ML team: account lead, technical SEO, WordPress engineer, paid media, and AEO.

### How We Did It

01

### Audit the foundation first

Before adding anything, we mapped the site, the GBP footprint, the ad accounts, and the analytics stack. The goal was a single picture of what was already running, where it was leaking, and what to keep.

02

### Fix the website so the channels have somewhere to land

Title-tag and schema cleanup across pages and posts. Builder dead-code removal at scale. Responsive YouTube embeds. Legacy URLs upgraded to true 308 redirects so link equity stops bleeding.

03

### Multi-location SEO as one program, not many disconnected efforts

Local pages, internal linking, and review signals operated as a coordinated system across markets so each location strengthens the others rather than competing with them.

04

### Paid media built around the procedure, not the keyword

GAE search demand is still small and symptom-led. We built a dedicated GAE acquisition program alongside broader vascular paid, with the funnel measured end to end (call, consult, procedure) instead of click-through alone.

05

### AEO + AI visibility as a real channel

Content and on-page structure tuned for AI-driven discovery. Brand Radar tracking how the practice shows up across AI surfaces for procedure and condition queries.

06

### Reputation that scales with the footprint

Review acquisition and response operating consistently across every market. One playbook, location-aware execution.

### The Results

What Changed After We Shipped

- One growth engine across the full footprint instead of disconnected efforts
- Cleaner technical foundation (clean title and schema state, no builder dead code, honest redirects)
- GAE paid program operating with funnel-level measurement, not click metrics
- AEO coverage live for an emerging discovery channel most competitors aren't tracking yet
- Reputation signals working consistently across the footprint

**KPIs tracked**

Cost per consult and cost per procedure (by market and by channel)  Organic visibility across location and procedure queries  AI-surface visibility (Brand Radar)  Review velocity and rating across every market  Site technical health (Core Web Vitals, redirect integrity, schema validity)

### Key Takeaway

Multi-location healthcare growth doesn't break because any one channel is bad. It breaks because the channels aren't pointed at the same thing. Fix that first.