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Case Study:
Scaling Transactions and ROI for an Ultrasound clinic with Smarter
SEO & PPC
Client: Ultrasound Clinic in Bristol
Location Focus: Bristol
Services Provided: SEO and PPC (Google Ads)
The Challenge
This company approached us with a clear mission: improve online visibility and increase transactions through paid and organic channels. Despite offering high-quality imaging and diagnostic services, their digital marketing efforts were underperforming. PPC campaigns had a high cost per acquisition and inconsistent return on ad spend (ROAS), while SEO lacked traction to drive meaningful results.
With increasing competition in the healthcare space and a growing demand for private ultrasound and diagnostic services, they needed a marketing partner to refine their strategy and deliver measurable growth.
Our Approach
We developed a dual-channel strategy that combined SEO enhancements with rigorous PPC campaign management across Google Ads and Meta Ads.
Our priorities included:
Ongoing SEO optimisation to enhance organic visibility, targeting service-specific keywords and optimising website content to align with user intent.
Restructuring PPC campaigns to improve ROAS, reduce wasted spend, and increase the number of transactions.
Launching high-conversion Google Ads campaigns to diversify lead sources and lower average cost per acquisition.
Landing page enhancements to support conversions across both paid and organic traffic sources.
The Results
Over a 20-week period, PPC alone generated 371 transactions, delivering a 531% return on investment, with a total revenue of £45,921 on just £8,642.02 of ad spend.
Key PPC highlights:
- Transactions grew from 7 per week in late September to 40 per week in mid-December.
- Average cost per acquisition dropped from £46.30 to as low as £13.30.
- Peak weekly ROI hit 829% in early December.
Combining all channels (including organic, direct, and paid social):

The Impact
By taking a more intelligent, data-led approach to digital marketing, we helped an ultrasound clinic transform its online performance. Strategic PPC and SEO efforts drove consistent growth in both transactions and revenue, with PPC delivering an ROI of over 500% and SEO adding incremental value.
Through our ongoing work, this company now benefits from:
- - A stronger digital presence across paid and organic channels
- - Reduced acquisition costs and improved conversion rates
- - A scalable model for ongoing lead generation and revenue growth
Smarter strategy. Healthier ROI. That’s the power of combining SEO and PPC with a performance-driven mindset.
Claudia
A Cleaning Service
Frequently Asked Questions
There are several aspects. Search Engine Optimisation (SEO) ensures that your page is easily visible when searched for. Pay Per Click (PPC) covers the paid ads you run online, and social media and email helps you to communicate with your leads- a vital part of inbound methodology.
We only take on businesses that we know we can help. This means that if we do work together, we’re confident you’ll start seeing the results you’re after. Feel free to contact us to learn more about how we can help you.