Marketing Case Studies - Real Work, Real Numbers
Every case study on this page is a real engagement from the Big AL Consulting client roster. We anonymize the client - because healthcare, legal, and ecommerce clients almost always prefer confidentiality - but we never anonymize the numbers.
Every case study on this page is a real engagement from the Big AL Consulting client roster. We anonymize the client - because healthcare, legal, and ecommerce clients almost always prefer confidentiality - but we never anonymize the numbers. If a metric appears below, it came out of a Google Ads account, a Meta Ads Manager, a GA4 property, or a CRM that Big AL Consulting owned or co-managed during the engagement.
How we build these engagements
Every Big AL Consulting case study follows the same methodology, and we want you to know what that methodology is before you click into any individual write-up.
First, we run a 40-point technical audit on the account, the conversion tracking, and the landing page funnel. Most of the accounts we inherit have at least one broken conversion action, one miscategorized audience, or one landing page that is converting at a third of what it should. We fix those before we touch budget.
Second, we rebuild conversion tracking from the ground up so that Google's and Meta's bidding algorithms optimize for value, not just clicks. For clinics, we feed back booked consultations using HIPAA-safe aggregated imports. For ecommerce, we feed back purchase value with margin adjustment. For law firms, we feed back qualified intake calls scored by the firm's intake team.
Third, we rebuild the campaign structure around the specific business model - healthcare, legal, local service, ecommerce, or info product - using the playbook we have tested across that vertical. We do not apply a one-size-fits-all template.
Fourth, we iterate weekly on creative, copy, and audiences, and we report the results monthly in writing with the specific numbers that matter.
Below are seven case studies that represent the kind of work we do. Click through for the full write-up on each.
1. Mental Health Clinic - Google Ads Patient Acquisition
Client: A mental health clinic in the Northeast US offering psychiatry and therapy services across two locations.
Industry: Mental and behavioral health.
Problem: The clinic had launched Google Ads with a generalist agency and was generating expensive, unqualified form-fills. Cost per booked consultation sat above $275, and the clinic's clinicians were spending more time on no-shows than on paying patients.
Intervention: We rebuilt conversion tracking to feed booked consultations (not form-fills) back to Google using HIPAA-safe aggregated imports, restructured the campaigns around condition-specific intent keywords, and introduced a pre-qualification step between form and booking.
Outcome: Cost per booked consultation dropped by 62 percent. Qualified consultation volume doubled within 90 days. The clinic opened a third location 14 months into the engagement.
2. Aesthetic Clinic - Google Ads Growth
Client: A premium aesthetic and cosmetic clinic in a major North American metro running injectables, laser, and skin treatments.
Industry: Aesthetic medicine.
Problem: The clinic was running Google Ads on brand-heavy keywords only and capturing existing demand. They had no ability to grow beyond their current patient pool and were losing non-brand traffic to louder competitors.
Intervention: We built a non-brand search strategy around treatment-specific keywords (botox, filler, HydraFacial, laser hair removal), ran a parallel Performance Max campaign on first-party patient data, and introduced a retargeting layer across Meta.
Outcome: Non-brand consultations became 64 percent of total consultation volume within six months. Overall patient volume grew 2.3x year over year while cost per acquisition decreased 18 percent.
3. Dermatology Clinic - Patient Acquisition
Client: A multi-location dermatology clinic group in North America treating medical and cosmetic dermatology patients.
Industry: Medical dermatology and cosmetic dermatology.
Problem: The clinic had strong organic demand but had never invested in paid media at scale. They needed a paid-media engine that did not cannibalize their existing organic traffic.
Intervention: We mapped keyword intent between organic and paid to avoid cannibalization, launched paid campaigns only on commercial-intent keywords that the organic site did not yet rank for, and structured ads around the clinic's lead clinicians as E-E-A-T signals.
Outcome: Incremental patient volume grew by 41 percent within the first 120 days, and the organic traffic continued to grow alongside paid - no cannibalization.
4. Automotive Window Tinting - Local Lead Generation
Client: A specialty automotive window tinting and paint protection film shop serving a major US metro.
Industry: Automotive specialty services.
Problem: The shop relied almost entirely on walk-in traffic and Google Maps organic visibility. Leads were unpredictable and the owner could not forecast month-to-month revenue.
Intervention: We built a local Google Ads campaign around high-intent terms (window tint near me, PPF installer, ceramic coating [metro]), wired up call tracking so that missed calls could be measured, and added a click-to-call and SMS lead path that matched how customers in this market actually shop for automotive services.
Outcome: Booked appointments from paid media became a predictable 55 to 75 per month at a cost per appointment under $24. The owner opened a second bay based on the forecast.
5. Ecommerce Brand Scale - From Early Revenue to Seven Figures
Client: A direct-to-consumer lifestyle brand on Shopify selling to customers across the US, UK, and Canada.
Industry: Ecommerce and DTC.
Problem: The brand had plateaued at roughly $8,000 in monthly revenue with an inconsistent paid strategy split across Meta and Google.
Intervention: We unified conversion tracking through a server-side GTM layer, built a full-funnel Meta strategy (cold creative, retargeting, and post-purchase), added Google Performance Max on top, and shipped 14 creative concepts in the first 60 days.
Outcome: Monthly revenue grew from $8K to $270K within 11 months on cumulative ad spend of roughly $82K - a blended return on ad spend above 3.3x on cold traffic alone.
6. Law Firm - Google Ads Lead Generation
Client: A boutique law firm practicing across corporate, commercial, and immigration law in a North American metro.
Industry: Legal services.
Problem: The firm was receiving inbound through referrals only and wanted a predictable digital-lead channel. Previous agency attempts had produced low-quality form-fills from outside the firm's service area.
Intervention: We locked geo-targeting tightly to the firm's service area (with exclusions for known low-intent clusters), rebuilt the intake form to qualify at the top of the funnel, and scored every inbound lead by practice area and likelihood to retain.
Outcome: Qualified-lead volume reached 22 to 28 per month at a cost per qualified lead of $50, and the firm's intake team reported the highest retain rate they had ever seen from a digital channel.
7. Medical Practice - Google Ads ROI
Client: A multi-service medical practice running general medicine, pediatrics, and specialty services.
Industry: Medical practice.
Problem: The practice was spending roughly $4,500 per month on Google Ads with no clear attribution back to booked consultations or revenue.
Intervention: We installed booked-consultation tracking with HIPAA-safe aggregated imports, consolidated the campaign structure from 11 messy campaigns into 4 focused ones, and tied bidding signals to consultation value by service line.
Outcome: Return on ad spend went from unmeasured to a verified 4.1x within 90 days, and the practice increased paid budget by 2.5x over the following two quarters.
Compliance and how we approach sensitive verticals
Several of these case studies come from regulated verticals - mental health, medical, legal, and aesthetics. Our approach in every case is the same. We review each campaign against the relevant advertising rules before it goes live. For US healthcare clients this means HIPAA marketing guidance, state medical and psychology board rules, and Google and Meta healthcare policies. For UK clinics, the ASA CAP Code and relevant professional body rules (GMC, HCPC, BPS). For legal clients, state bar advertising rules apply. For ecommerce and supplements, FDA labeling rules, FTC advertising rules, and the FTC Endorsement Guides for any testimonial or influencer content. For any EU-facing audience, GDPR applies to lead forms and consent capture. We treat compliance as a campaign design input, not a post-launch patch.
FAQ
Are these numbers real?
Yes. Every metric was pulled from the client's Google Ads account, Meta Ads Manager, GA4, or CRM during the engagement. We anonymize client identity for confidentiality but do not adjust figures.
Can you share references?
After an initial qualification call and mutual fit, yes. We maintain a short list of clients who have agreed to take reference calls, segmented by vertical.
Do you guarantee these outcomes?
No. Anyone who guarantees specific outcomes in paid media is either new or lying. We guarantee the process and the reporting quality, not the outcome.
Which engagements do you still take on?
We focus on operators with either proven product-market fit or a clear path to it, who can support a retainer starting at $3,000 per month and monthly ad spend that makes the engagement worthwhile. We prioritize healthcare, legal, ecommerce, info products, and high-ticket local services.
Want results like these?
If you are a clinic operator, a law firm partner, a DTC founder, or a specialty service business and you want a paid-media engine that looks like the ones above, email ahmad@bigalc.com with your website, your current monthly ad budget, and one sentence on the outcome you are trying to reach. We reply to every inbound within one business day.
Written by Ahmad Alshareefi, Founder of Big AL Consulting - Google Premier Partner.
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