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AI Systems · Full Build · Growth

From Zero to $10,782
in 90 Days

A complete, turnkey patient acquisition system — built from scratch — that transformed a practice with no digital infrastructure into a profitable, scalable revenue channel.

$0
Revenue Generated
0x
Return on Ad Spend
0
Patients Acquired
$0
Net Profit
The Challenge

Starting From Absolute Zero

No website. No online booking. No advertising. No digital presence of any kind.

The medical practice had a steady in-person referral flow, but was leaving significant revenue on the table. With no digital infrastructure, they had no way to capture the thousands of patients actively searching online for immigration medical exams.

They needed a complete system — one that could be built, deployed, and managed externally with zero operational burden on the practice. No staff training. No technology management. No additional hiring.

The assignment was clear: build a turnkey patient acquisition engine from scratch and prove it could generate profitable returns within 90 days.

🚫
No Website
📵
No Online Booking
📉
No Advertising
🔇
No After-Hours Coverage
The Solution

A Turnkey Patient Acquisition System

Six integrated components — built, deployed, and managed end-to-end — with zero operational burden on the practice.

🌐
High-Converting Branded Website
Custom-built, SEO-optimized website engineered specifically for immigration medical exam searches. Designed to convert searchers into booked patients.
📅
24/7 Online Self-Scheduling
Fully integrated appointment booking system allowing patients to schedule and pay for their exam online — anytime, without calling the office.
🤖
AI-Powered Phone System
Intelligent virtual receptionist that handles inbound calls 24/7 — answering patient questions, providing pricing and exam details, and routing to office staff.
🎯
Targeted Paid Search Campaigns
Precision Google Ads campaigns targeting high-intent searches like "immigration medical exam," "I-693 exam," and "civil surgeon near me."
📊
Full-Funnel Conversion Analytics
End-to-end tracking from ad impression through confirmed booking — enabling real-time optimization and transparent performance reporting.
📞
Dedicated Call Tracking & Attribution
Dedicated phone number with call tracking and full attribution — knowing exactly which campaigns drive phone inquiries and booked appointments.
Results

The Numbers Speak for Themselves

Performance data from Nov 1, 2025 – Jan 31, 2026 (90-day optimization window). Industry benchmarks sourced from WordStream, FirstPageSage, and Google Ads 2025 Healthcare reports.

$0
Gross Revenue
0x
Return on Ad Spend
▲ Industry avg: 2.0x +99% above
0%
Blended CTR
▲ Industry avg: 3.27% +93% above
$0
Avg Cost per Click
▼ Industry avg: $3.13 43% lower
$0
Cost per Patient
▼ Industry avg: $286 48% lower
$0
Cost per Conversion
▼ Industry avg: $78 Higher — but $599 per exam
0%
Booking Completion Rate
▲ Industry avg: ~50% +64% above
0%
Search Campaign CTR
▲ Industry avg: 3.27% +88% above
Paid Search

Google Ads Performance

Dual-campaign strategy combining high-intent Search with broad-reach Performance Max.

Campaign Impressions Clicks CTR Healthcare Avg CTR Avg CPC Healthcare Avg CPC Conversions
Search 22,181 1,364 6.15% 3.27% $1.95 $3.13 24
Performance Max 1,793 147 8.20% 3.27% $0.32 $3.13 3
Total / Blended 23,974 1,511 6.30% 3.27% $1.79 $3.13 27

Source: Google Ads Dashboard — Nov 1, 2025 – Jan 31, 2026  ·  Industry benchmarks: WordStream / Google Ads 2025 Healthcare Report

Google Ads Overview
Google Ads Overview — Account-level performance, Nov–Jan 2026
Google Ads Campaigns
Campaign Breakdown — Search + Performance Max results
Conversion Funnel

From Ad Click to Booked Patient

Full-funnel tracking captures every step of the patient journey — from first impression to confirmed appointment.

Channel Sessions Share Engaged Engagement Rate Avg Duration
Paid Search 1,276 63.5% 585 45.85% 22s
Direct 371 18.5% 198 53.37% 19s
Organic Search 184 9.2% 71 38.59% 28s
Total 2,010 100% 940 46.77% 25s

Source: Google Analytics 4 — Traffic Acquisition, Nov 1, 2025 – Jan 31, 2026

Booking Funnel Breakdown

Viewed Booking Page 199 100%
Selected a Day 77 38.7%
Selected a Time 30 15.1%
Completed Booking 17 8.5%
Click-to-Call 51 25.6%
GA4 Traffic Acquisition
Traffic Acquisition — GA4 channel breakdown, Nov–Jan 2026
GA4 Booking Funnel Events
Booking Funnel Events — Step-by-step conversion tracking
Booking System Analytics
Online Booking Analytics — 81.8% completion rate on scheduled exams
Google Ads Overview
Ad Account Overview — High-level campaign performance snapshot
Return on Investment

Profitable from Day One

Every $150 in ad spend generates a $599 patient appointment — a clear, repeatable model.

$7,575
Net profit generated in the first 90 days — from a system that was built entirely from scratch with zero existing digital infrastructure.
$10,782
Gross Revenue
$2,707
Ad Spend
3.98x
ROAS
$449
Profit per Exam
💰
$150 in ad spend generates a $599 patient appointment
🤖
AI phone system captures leads that would otherwise be lost after hours
📈
System scales linearly: more spend = more patients, consistent unit economics
The System

What I Designed & Built

Behind every metric is a purpose-built system — a complete patient acquisition engine designed from scratch, with no existing infrastructure to start from. Here's what powers it all.

🎨
Brand Identity
A new sub-brand built for trust & search visibility
🌐
Website
Conversion-optimized, mobile-first design
📅
Online Booking
Seamless scheduling with patient prep & reminders
🤖
AI Phone System
24/7 virtual receptionist for after-hours leads
Creative Package

Sub-Brand Creation

A new patient-facing identity — designed from scratch to build instant trust in a competitive immigration medical market.

United Medical Exams Shield Logo
United Medical Exams Full Brand

United Immigration Medical Exams

By Cardiacare Center

🛡️
Shield + Caduceus Mark

Custom logomark combining a heraldic shield with the caduceus medical symbol and patriotic stars & stripes — conveying authority, trust, and American identity.

🎯
Strategic Naming

"United Immigration Medical Exams" — crafted for maximum search visibility and instant clarity. Patients know exactly what service they're getting before they click.

🎨
Cohesive Color System

Bold blue paired with calming teal accents creates a palette that feels medical, modern, and trustworthy — carried across every touchpoint.

Creative Package

Website Design

A conversion-optimized, mobile-first website that turns searchers into booked appointments — designed and launched in days.

🔒 unitedmedicalexams.com
United Medical Exams — Desktop Website
United Medical Exams — Mobile Website
🚀

High-Converting Design

Every element engineered to convert searchers into booked patients — from trust signals to strategically placed CTAs.

📱

Mobile-First & Responsive

Seamless experience across all devices. Over 60% of traffic comes from mobile — and the site is optimized for every screen size.

🔍

SEO-Optimized Architecture

Built for search visibility from day one — targeting high-intent keywords like "immigration medical exam" and "I-693 civil surgeon."

⚡

Conversion-Focused UX

Streamlined booking flow, inline pricing transparency, and trust-building content that reduces friction at every step.

View Live Site →
Online Booking

Seamless Scheduling

A frictionless booking experience with integrated patient preparation and automated reminders — turning website visitors into confirmed, prepared patients.

Step 1
Booking Calendar — Select Date
Choose Your Date

Patients select from available appointment dates on an interactive calendar — powered by Calendly integration.

Step 2
Booking Time Slots — Select Time
Pick a Time

Available 30-minute time slots appear instantly. Morning and afternoon options maximize scheduling flexibility.

Step 3
Booking Details — Enter Information
Confirm & Prepare

Patients enter their details and receive automated SMS confirmation with preparation instructions and required documents.

📱
SMS Reminders

Automated text message reminders reduce no-shows and ensure patients arrive prepared with required documentation.

📋
Patient Prep Guide

Pre-appointment instructions sent automatically — covering required documents, vaccination records, and what to expect during the I-693 exam.

✅
81.8% Completion Rate

Of patients who booked, 81.8% completed their exam — well above industry averages for medical appointment systems.

AI Phone System

Never Miss a Patient Inquiry

An intelligent virtual receptionist handles after-hours calls, answers patient questions, quotes pricing, and captures lead information — fully automated.

🤖 Live AI Call Transcript — Actual Patient Interaction
AI
"Hi. This is Sandy, a virtual assistant. You've reached us outside of regular business hours. I can answer a wide range of questions about our services, including pricing and appointment process."
0:00
C
"I'd like to make an appointment to bring my husband in to see a medical doctor because he has an appointment with immigration..."
0:19
AI
"To clarify, is this for an immigration medical exam?"
0:43
C
"Yes."
0:48
AI
"Our comprehensive exam package is $599. This includes the full USCIS required medical examination, all required blood work completed on-site, laboratory analysis, and completion of all I-693 paperwork. Would you like to schedule an appointment?"
0:52
C
"You were very helpful."
2:02
AI Phone System Inbox
AI Call Inbox — Inbound call log with AI handling status
AI Call Transcript
AI Call Transcript — Real conversation with automated responses
AI Handled Calls List
AI-Handled Calls — 14 fully automated after-hours interactions
AI Phone Analytics
Phone Analytics — 3-month overview of call handling performance
The Full Picture

A Connected Ecosystem

Every component works together as a single, self-reinforcing system — from the first ad impression to a confirmed, prepared patient walking through the door.

⚙️
Patient Acquisition
Engine
🎨
Brand Identity
Trust & recognition
🌐
Website
Convert & educate
📅
Online Booking
Schedule & prepare
🤖
AI Phone
24/7 engagement
🎯
Google Ads
Drive traffic
📊
Analytics
Optimize & report
1
Patient searches for immigration medical exam on Google
→
2
Targeted ad appears with compelling brand messaging
→
3
Website converts with clear pricing & 1-click booking
⋯
→
4
Patient books online or calls and gets AI assistance
→
5
Automated prep & reminders ensure they show up ready

From zero to a complete system.

6 systems designed, built, and launched in 90 days — brand, website, booking, AI receptionist, ads, and analytics — all connected into one self-sustaining patient acquisition engine.

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