From Zero Visibility to Top Rankings in 30 Days

Small Market Healthcare SEO Success
Burlington, Vermont
November 2025

Remarkable Results in a Small Market

30-day transformation from complete invisibility to search dominance in Burlington, Vermont

36
Keywords Ranking in Top 100 (25 newly achieved)
6.88%
Visibility Score (+5.98% growth from zero)
12
Keywords in Top 3 Positions (10 newly achieved)
27
Keywords in Top 10 Positions (23 newly achieved)
94%
Positive Keyword Movement
94%
Positive Keyword Movement
Operating in Burlington, VT (population 44,600) and serving rural Vermont, Woundara achieved extraordinary growth despite limited search volume and geographic dispersion.

The Challenges

The Solutions

Results

This graph shows the monthly clicks from November 2019 through January 2020. By testing different interests (stacked, narrowed and Lookalikes) ads refinement and placement adjustments we were able to increase clicks by 99.76% WITHOUT having to increase the client’s ad spend.

Click Through Rate

We dramatically increased the ad click-through-rate (CTR) by 55.67% in just 3 months. When we ran this campaign we made dozens of different ad variations to help single out “winning” ads based on average CTR for each ad and number of conversions it produced. We a/b tested ad variants heavily the first 30 days while the second and third month was dedicated to refining our “winning ads”.

Cost Per Conversion

Our cost per conversion went from $70.58 to $27.90, which is a 60% reduction in the cost per lead (without having to increase our ad spend), so we saved the client tons of money! Being able to identify his target market early on, we were able to find a series of winning ads early on as well. By refining our ad creative and creating a dedicated landing page to collect lead data we were able to provide some really big improvements.

Conversion Rate

Increasing the number of clicks is just one part of this campaign’s success. We were able to increase the initial conversion rate of 1.31% in November to 3.16% in December and 1.84% in January. The company’s biggest time of year is in December so naturally we would see an increase in conversion rate there. We A/B tested out campaign by sending 50% of our traffic to the clients website and the other 50% to a dedicated landing page. Our landing page converted at a better rate so we left it as the permanent landing page for the duration of the campaign which gave us a better cost per lead.

Conversions

Conversions, conversions, conversions! That’s why we run marketing campaigns for clients. To get conversions. We generated a total of 85 new leads for the client during our 3 months campaign. We started with 17 conversions in November, 25 conversions in December and 43 conversions in January with the same exact ad spend, that’s an increase of 153% in conversions, in just 3 months.

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