Case Study: How Apex Family Chiropractic Boosted Leads by 457% with Third Marble Marketing

Apex Family Chiropractic Center partnered with Third Marble Marketing at the start of the year, just as Google Ads was rolling out new Performance Max updates. Our team is committed to staying ahead of these changes and has developed strategies to make Performance Max and Search campaigns work together to deliver stronger results for local businesses.
Search Campaign Launch
In the first month, we launched a Search campaign with carefully selected keywords and ad copy designed to attract qualified leads at an efficient cost per click. Before launching, Dr. Minesh Patel opted for a landing page conversion assessment through our
Help Sessions, where we completed two landing page audits and suggested improvements, such as adding social proof, updating headlines, and refining content. He implemented those recommendations, and with the optimized landing pages in place, the campaigns got off to a strong start. The early success encouraged him to increase the budget to aim for even greater growth. This was also the second business Dr. Patel entrusted to Third Marble, further underscoring his confidence in our process.

Search Campaign Results
Our account management and optimization teams have consistently refined the campaign by testing keywords, updating ad copy, and fine-tuning targeting. After six months, this steady improvement drove a 243% increase in leads while cutting cost per lead by 62%. Dr. Patel shared, “Since starting with Third Marble, we have noticed a steady increase in our internet referral sources, but most importantly, the quality of the leads. Due to the quality of the leads, we have been able to convert a high number of patients onto appropriate treatment plans with high compliance.”

Performance Max Launch
Recognizing the potential of running Search and Performance Max together, we recommended adding a Performance Max campaign. The client agreed, allowing us to build a strategy that expanded reach across Google’s platforms at a lower overall cost per click.

Performance Max Results
Within just four months, the Performance Max campaign generated 36% more leads and reduced cost per lead by 26%. Like the Search campaign, it has been closely monitored to minimize low-quality traffic and block spam. This growth has had a direct impact on the practice. Dr. Patel explained, “As a healthcare practitioner, our main altruistic goal is to help as many people as possible. The increase in visibility allows us that privilege. With the increased visibility comes the ability to grow the business and provide more services, hire more staff with the added revenue.”

Combined Campaign Results
By running Performance Max alongside Search, the two campaigns complement each other. Performance Max captures lower-cost leads, while Search secures highly targeted, higher-value opportunities. Together, they have delivered a 46% drop in cost per click, a 457% increase in leads, and a 64% reduction in cost per lead.

Reflecting on the partnership, Dr. Patel noted, “As a past client for many years with another business that we grew to become the largest chiropractic providers in central Virginia, partnering with Third Marble again was never a question. If the recipe works, why change it? I was heartened to know that Chris was still at the helm, and as I would expect, Third Marble has added excellent staff members who are always available for questions, as well as experts in their field.”

Ready to see your leads grow like Apex Family Chiropractic Center? Partner with Third Marble Marketing today and let us optimize your Google Ads for maximum results. Schedule a call with us now to get started!
Third Marble Marketing - Google Ads & SEO Tips, Tricks and Case Studies

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, bullet points, pricing tables, etc.) are effortless for LLMs to scan. 3. Human Verification & Real Expertise To prevent misinformation or generic advice, our team interviews clients directly. Every tip, process step, or service description we publish is verified by an actual business owner to satisfy Google's E-E-A-T standards. 4. Multi-Platform Monitoring Rankings aren't just measured on Google anymore. We track your footprint using Google Search Console alongside tools that monitor how your brand appears across ChatGPT, Gemini, Grok, and Perplexity. Is Traditional SEO Dead? No, traditional SEO is alive and well. In fact, AI search engines rely almost entirely on Google's core ranking systems (domain authority, site speed, and technical health) to choose which businesses to trust and quote. If your website isn't technically sound or properly indexed, AI engines won't find or quote it. Our AI Optimization builds directly on top of traditional SEO to ensure you capture both standard search traffic and modern AI recommendations. Ready to Claim Your Share of AI Search? Search is changing fast, but getting your business in front of local customers doesn't have to be complicated or overpriced. At Third Marble Marketing, we back our process-driven AI SEO with flat-rate pricing and no long-term contracts. Schedule a quick call with our team to pick the right plan for your market.



























