These are not twelve products. They are one system with twelve access points, and the difference governs how every proposal gets built. A practice that buys only social media will not grow. A practice that buys only SEO will grow slowly. The dependency order is the whole argument.
Engagements start at $2,000 per month. That floor is published. What a specific practice pays is set on the first call, not after three meetings.
865 is the entry tier's 500-page foundation plus 365+ indexed pages from seven posts a week. It is arithmetic, not a projection. Individual results vary by market, specialty and starting position.
Not because the service is weak, but because each one depends on something. Here is what happens when the dependency is missing — stated plainly, because it is the part a proposal usually leaves out.
Social media does not produce patient acquisition without a site that converts and a search presence that captures intent. You build an audience, and the audience searches your name, lands on twelve pages that answer twelve questions, and leaves. The posts were not the problem.
Search visibility without review velocity loses the Map Pack, which for most local practices is the first thing a patient sees. And search visibility without conversion architecture produces traffic that leaves. Ranking is not the outcome; a booked appointment is.
This is the single most common way marketing money is wasted in healthcare, and naming it on a discovery call is worth more than any case study. Paid media has one legitimate job in this sequence: carrying the shortfall while the infrastructure builds. It is not a substitute for it.
One system with twelve access points. Not twelve products.
Which is why the register below gives you both views. When you want to know what to build first, read the pillar. When you want the working standard we hold ourselves to on that service, read the row. Nobody here sells an individual service without knowing what it depends on, and you should not buy one that way either.
Infrastructure, then Authority, then Visibility, then Growth. Each card carries the three services that sit inside it and the reason the pillar sits where it does.
The assets you own and the systems that measure them. Everything downstream fails without it, which is why nothing in Visibility gets sold before this is in place or in flight.
The published evidence that you know your field. It is what a search engine reads as expertise and what a patient reads as competence, and it is the slowest of the four to build.
The surfaces where a patient actually decides: the result, the map and the AI answer. Bought before Infrastructure exists, it sends traffic to a destination that cannot receive it.
Turning visibility into a booked appointment and a returning patient. This is where practice economics are settled, and it is the pillar most agencies leave to the practice.
Four pillars, twelve lines, three services to a line. Every standard below is one you can check against our own site before you hire us.
Infrastructure three lines, nine services
Authority three lines, nine services
Visibility three lines, nine services
Growth three lines, nine services
Two groupings run through this page and they are not the same thing. The pillars group all thirty-six by dependency — what has to exist before the next thing works. The three headings above group them by where they sit in a patient's decision. A service can be first by dependency and last in the patient's path without contradiction: Branding is sequenced first because every other asset inherits it, and it is the thing a patient notices last.
Every other service either feeds the site or harvests from it. It is the only asset the practice owns outright, the only one that appreciates, and the only one that cannot be taken away by an algorithm change, a platform policy or a lapsed subscription.
A twelve-page site can answer twelve questions. A five-hundred-page site can answer five hundred, which means it can rank for five hundred, which means it can be cited five hundred times — and each new page strengthens the topical authority of every page already there.
Google's guidance on helpful content and the way retrieval systems assemble AI answers both reward the same thing: comprehensive, well-organised, attributable coverage of a topic. Depth is not a volume play. It is a topical authority play that happens to produce volume.
Because we watched a 100-page site stop working and measured the fix. A psychiatry practice spent the first half of 2026 on a 100-page site: traffic grew through the winter, then went flat and fell in April and again in June. The rebuild to more than 500 pages went live in July, and July and August were the two strongest months on the chart.
That is why the older 100-page figure was retired rather than softened. The measured detail is on the results page, with the baseline and the timeframe attached.
| Tier | Pages | Typical fit |
|---|---|---|
| Entry | 500+ | A single-location practice in one or two service lines. This is the smallest build we do — there is no tier below it, which is the point. |
| Second | 1,000 | A practice with real specialty breadth, or two locations. |
| Third | 2,500 | Multi-location groups, or a single specialty pursued to full depth across a metro. |
| Fourth | 5,000 | Regional groups, multi-market ambitions, several specialties at once. |
| Fifth | 10,000 | Statewide or national reach, or a category play in a specialty with deep query space. |
The tier is a floor, not a cap. The site keeps growing after launch, because the content engine never stops. Seven posts a week produces more than 365 indexed pages in a year on top of the foundation, so a practice on the entry tier owns roughly 865 pages of indexed, sourced, medically accurate content in its specialty and its market by the end of year one.
Every page on every tier meets the same standard. A tier is a size, never a licence to thin out. A practice that cannot support 500 pages of genuine, non-duplicative coverage is a practice that should not yet be buying a build — and we will say so.
Seven posts a week is what we sell and what our own blog does. 500-plus pages is what we sell and what our own site carries. Open both and count, then ask anyone you are comparing us to for the same two numbers.
Every no here comes with a useful next sentence. Referring away a bad fit is the strongest trust signal available in a first call, so we would rather publish this than discover it with you in month five.
| We do not | What we say instead |
|---|---|
| Guarantee rankings, patient volume or revenue | Ever, in any form, including implied forms like success guarantees or work-free-until pledges. We will tell you on the first call what we think is achievable and how long it takes. If we are wrong, the monthly report will show it before you have to ask. |
| Provide medical advice, diagnosis or treatment | Not in copy, not on a call, not in a blog post. A clinical claim has to come from the clinician, in their own words, with their name on it — and then we will publish it. That is also better content. |
| Serve health systems or hospital marketing departments | The entire thesis is asymmetry correction, and a system with an internal department is not the client. If you are inside a system, the agency you want specialises in enterprise media buying — and we will name one. |
| Run scale-first performance media for PE platforms | Our model is founder-led strategy on every account, which does not survive at platform scale. That work exists and other firms are good at it. |
| Buy, write, incentivise or gate reviews | Every one of those is prohibited by the FTC Rule on Consumer Reviews and Testimonials. We will get you to fifty reviews by asking every patient, systematically, which is legal and works better anyway. |
| Market against a patient list without authorisation | 45 CFR 164.508(a)(3) requires written authorisation for marketing uses of protected health information. There are two narrow exceptions and neither is a campaign. |
| Take a practice whose intake cannot handle more volume | If the phone goes unanswered at lunch, spend becomes a leak. We will say so before the contract, you fix the intake first, and the engagement starts in month two. That costs one month and saves the relationship. |
| Offer market exclusivity | An exclusivity promise is a promise to turn away a practice that needs the work, and it prices the second-best practice in a zip code out of good marketing entirely. What we do instead is build you an asset your competitor cannot copy, because it is 500 pages deep in your voice with your clinicians' names on it. Exclusivity protects you from us. Depth protects you from them. |
The FTC Rule on Consumer Reviews and Testimonials, 16 CFR Part 465, took effect 21 October 2024 and carries civil penalty authority. Marketing uses of protected health information are governed by 45 CFR 164.508(a)(3), with exceptions only for face-to-face communication and promotional gifts of nominal value. Our work is also built to the FTC Endorsement Guides at 16 CFR Part 255 and AMA Code of Medical Ethics Opinion 9.6.1.
These answers do not vary by who is in the room, which is the only reason publishing them is safe.
per month
That floor is published. The rest is not, because it cannot honestly be reduced to a band — and a band would mean underserving one practice or overcharging another.
How contested your market is, how large the practice is, and how much has to be built before anything can be amplified. A practice in a saturated metro needs more work to reach the same position than one in an open market. Pricing them identically would be dishonest to both.
On the first call, not after three meetings. And if it is more than you want to spend, we will tell you the sequence that works at your budget and what it costs you in time — which is usually the more useful answer.
Engagements start at $2,000 per month. We publish the floor and never a band above it. Scope is set after listening rather than sold off a page: the method never varies, the page count and channel mix always do.
Sometimes, and we will be straight about what it will and will not do. Content marketing on a site that converts is a reasonable standalone. Local SEO for a practice with a solid site is a reasonable standalone. Paid media pointed at a twelve-page template site is not, and we would rather refuse it than take the money. The honest version of this answer is that single services work when the thing they depend on already exists, and the first call is mostly about establishing whether it does.
Because a floor is a fact and a band is a guess. $2,000 a month is the point below which this work cannot be done to the standard on this page, so publishing it saves you a call if the budget is not there. Above it, what you pay is set by market density, practice size and how much has to be built before anything can be amplified — and those vary enough that a published band would misprice most readers. You get your number on the first call. Anyone who can quote your price from a web page is selling a package rather than scoping a practice.
It is the right question to ask, and the answer is the sitemap. Pages get built against a map of forty-eight real patient moments, each with its own question, so no two pages compete for the same query. A page generated from a master template with the city name swapped is a doorway page — Google named that pattern two decades ago and has never softened the position. Our own standard for a location page is three verifiable local facts, one local proof point and a service emphasis that changes from market to market. A page with no local fact in it does not stay published.
No, by decision, and it is worth saying why out loud because a competitor in this category does offer it and it is a genuinely strong commercial mechanic. An exclusivity promise is a promise to turn away a practice that needs the work, and it prices the second-best practice in a zip code out of good marketing entirely. What we do instead is build you an asset your competitor cannot copy, because it is 500 pages deep in your voice with your clinicians' names on it. Exclusivity protects you from us. Depth protects you from them.
You take all of it. The site, the content, the profiles, the analytics, the data. Nothing is held hostage and nothing is locked to a subscription, which is the practical difference between buying infrastructure and renting a platform. It also makes starting a much smaller decision than it feels like: the thing you are commissioning is an asset that keeps working whether or not the relationship does.
We write it against a standing research file for your specialty, held to YMYL sourcing rules — every statistic carries a primary source, and .gov, .edu and peer-reviewed sources are preferred over a competitor's blog. Clinical claims are different: those come from your clinician, in their own words, with their name on it, and then we publish them. Condition hubs carry a named clinical reviewer. We do not provide medical advice, diagnosis or treatment, and no asset we ship makes a clinical claim on your behalf.
Ask us something harder, or call (949) 628-6500 and ask it out loud.
Tell us the specialty and the market. We will tell you which of the twelve you actually need first, what it would cost, and how long before your schedule feels different — including if the honest answer is that you should wait.
Fill out the form below and we'll get back to you within 24 hours.
We've received your request and will be in touch within 24 hours.
