Cutting cost per lead 26% on a lean budget
A Miami-based private-pay psychology practice was spending steadily on Google Ads but paying too much for every click and lead, with conversion tracking it could not trust. We restructured the account for efficiency, reducing spend and cost per lead while holding lead volume steady.
THE CHALLENGE
The account ran on an automated bid strategy that could not gather enough signal at a modest daily budget, so it stalled. Spend leaked into broad, low-intent search terms, cost per click climbed, and service searches were landing on generic Home and About pages that did not convert.
On top of that, the conversion tracking was counting duplicate and orphaned actions, so the practice could not tell how many real leads its ad spend was producing.
WHAT WE DID
- Rebuilt the biddingonto a strategy suited to a low-volume, high-value practice, giving the account control instead of a stalled algorithm.
- Tightened match typesand added a structured negative keyword list to stop budget leaking into irrelevant searches.
- Realigned keywords to intent-matched landing pagesso people searching for a service reached a page built to convert.
- Cleaned up conversion tracking, removing an orphaned call action and fixing the form and click triggers so lead counts became accurate.
THE RESULTS (JANUARY 2026 VS JUNE 2026)
| METRIC | BEFORE (JAN 2026) | AFTER (JUN 2026) | CHANGE |
|---|---|---|---|
| Monthly ad spend | $2,960 | $2,331 | -21% |
| Average cost per click | $5.07 | $4.30 | -15% |
| Click-through rate | 3.11% | 3.42% | +10% |
| Conversion rate | 2.40% | 2.77% | +15% |
| Tracked leads | 14 | 15 | Steady |
| Cost per lead | $211 | $155 | -26% |






