New patients for every provider, without a healthcare agency retainer or a HIPAA headache
Medical clicks cost $25 to $40 and healthcare agencies price their retainers to match. Brainito runs the marketing loop for a practice of one to twenty providers: a weekly audit of your site, a monthly strategy, a page per provider and per condition, reviews answered without confirming anyone is a patient, newsletters that carry no PHI, and one report the practice administrator can read in five minutes.
Free to start. Paid actions use credits; most businesses spend $20 to $500 a month.
- Built for independent practices, specialty groups and clinics
- Patient privacy rules in every draft
- No retainer, cancel any time
- Plans from $20 a month, most practices spend $20 to $500 a month
What marketing costs a medical practice now
Typical US figures for an independent practice or small specialty group. Ad spend is on top of every row. Medical keywords cost $25 to $40 a click, and elective procedures more.
| Option | Typical monthly cost | What you get |
|---|---|---|
| Healthcare marketing agency | $2,500 to $7,000 | SEO, content and ads for one specialty and location, a website on the agency's platform, compliance review, a monthly report, a twelve month contract. |
| PPC management | 15% to 20% of spend | A manager for Google Ads only. At $5,000 a month of spend that is $750 to $1,000 before a single click, and HIPAA-safe conversion tracking is a project of its own. |
| In-house marketing coordinator | $4,500 to $6,500 | One salary fully loaded, plus $800 to $1,500 of tools, often the practice administrator doing marketing between payer calls. |
| Brainito AI marketing manager | $20 to $500 | Weekly audit, monthly strategy, website builder, SEO, social, email, analytics, tasks and a mini CRM, paid in credits for what you run. Dashboards are free. |
Agency ranges are what practices report paying in 2026 and change by specialty and market. The Brainito figure is what practices on the platform typically spend.
What fails on medical practice websites
The audit checks 77 factors. These are the ones that fail most often when we scan a medical practice, and each one costs new patients, not just rankings.
- 1Internal linking and headings
One "Our Services" page and a provider directory with no pages behind it
Patients search the condition, the procedure or the doctor's name. A practice with one services page and a list of providers competes with practices that have a page per condition and per provider. The fix is a page for each.
- 2Title tags and meta descriptions
Every page is titled with the practice name
"Dermatologist in Raleigh accepting new patients" wins the click that "Triangle Dermatology Associates" loses. Each page needs the specialty or condition, the city and, where true, the insurers accepted.
- 3Schema markup
No MedicalOrganization or Physician structured data
Structured data tells Google and AI assistants the specialty, the providers, the locations, the hours and the reviews. Most practice sites have none, so the listing shows a bare link while a competitor shows a star rating and "accepting new patients".
- 4Meta Pixel and conversion tracking
A Meta Pixel fires on the appointment request page
Federal guidance treats tracking pixels on pages where patients request care as a potential disclosure of PHI. The audit flags the trackers it detects, including Meta Pixel, Tag Manager and heatmap scripts, so the practice can keep measurement off the pages that need it off.
- 5Testimonials and reviews
Reviews on Google and Healthgrades, none on the site, and three replies that name a diagnosis
Recent reviews on the condition page close the appointment. Replies that confirm a reviewer is a patient or mention their visit are a HIPAA violation that has drawn federal settlements. The audit flags both.
- 6Phone contact and lead capture
The phone number is in the footer and the request form asks for a diagnosis
A tap-to-call number above the fold on mobile and a three-field appointment request, name, phone, preferred time, convert better and collect less PHI than a long intake before the first visit.
- 7Page speed and Core Web Vitals
A patient portal script on every page and a video of the lobby
Practice sites carry portal embeds, chat widgets and stock video. They fail Core Web Vitals on mobile, where most "urgent care near me" and "dermatologist near me" searches happen.
- 8AI crawler access and llms.txt
ChatGPT cannot read the site, so it recommends the practice it can
A growing share of "best pediatrician near me" questions are asked to an AI assistant. If the site blocks AI crawlers or has no llms.txt, the practice is absent from those answers.
Factor names match the Brainito audit report, so a practice can run the free audit and see which of these apply to its own site.
The channels that bring new patients, in order
Ranked for an independent practice, with the reason. Elective specialties shift toward paid, primary care toward payer directories and referrals.
Google Business Profile per location and per provider
Most patient searches are local and most clicks go to the three map results. A profile for each location and each provider, with categories, hours, insurers, photos and review replies, decides who is in the pack.
Condition, procedure and provider pages
One page per condition you treat and per provider, written for the question the patient has, is the asset that compounds. It is also what AI assistants quote when asked for a recommendation.
Reviews, replied to safely
Volume, recency and replies on Google and Healthgrades. Ask after the visit, by text, with a direct link. Reply to every review without confirming the reviewer is a patient.
Payer and physician directories
Healthgrades, Zocdoc, Vitals, WebMD and the insurer directories send patients who are already in network. The audit checks that name, address and phone match across all of them.
Patient newsletter, without PHI
A monthly note on flu shots, new providers, extended hours and seasonal advice to patients who have opted in. No conditions, no segmenting by diagnosis, nothing a stranger could not read.
Google Ads for elective and self-pay services
Cosmetic dermatology, LASIK, fertility, weight management and similar justify $30 clicks when the page converts and tracking stays off the request page. Primary care terms rarely do.
A sample audit: five-provider family medicine practice
A representative audit built from the factors that most often fail for practices of this size. Names and figures are illustrative. Run the free audit to see your own.
Marketing Health Score
43/100
Two-location family medicine practice, five providers, North Carolina, 16 years, $4,000 a month with a healthcare agency
Well reviewed and in network with every major payer, invisible for every condition and every provider except the practice name. The site loads in 6.1 seconds on mobile, has one services page, no structured data, a Meta Pixel on the appointment request page, and two review replies that mention a visit.
Fix 1: Build provider pages and ten condition pages
Highest impactA page for each of the five providers and for the ten conditions and services that fill the schedule, annual physicals, diabetes care, pediatric visits, women's health and the rest, each with the city, the insurers accepted and a three-field request form.
Fix 2: Remove trackers from the request page and add MedicalOrganization schema
One afternoonThe pixel and the session recorder come off the appointment and portal pages, measurement stays on the public pages. Structured data for the practice, each location and each provider, plus an llms.txt file.
Fix 3: Rewrite the two review replies and set up safe requests
Two daysReplies that thank the reviewer without confirming a visit, a review request by text after checkout that any patient can ignore, and a reply template the front desk can use within a day.
What Brainito does for a medical practice
Every module, in the language of a practice rather than a marketing department.
Weekly marketing audit
Your site re-checked every week across 77 factors, with the evidence behind each verdict and a fix list sorted by what brings new patients, including which pages carry trackers.
Monthly marketing strategy
A plan built from the audit and your specialty: which condition pages to write, which providers need profiles, when to send the newsletter, where the ad budget goes this month.
Website builder
A fast site with a page per provider and per condition, appointment request forms wired to your contacts, published to your own GitHub and Vercel so the practice owns it.
SEO management
On-page fixes, technical fixes, physician directories and citations, and a check on whether ChatGPT and Gemini recommend the practice.
Social media management
Drafts for Facebook and Instagram on seasonal health, new providers and hours, the administrator approves on the post, scheduling handles the rest. No patient stories without written authorization.
Email automation
A monthly patient newsletter to opted-in addresses, a follow-up for appointment requests, and review requests after the visit, none of it carrying PHI.
Analytics and ads reporting
Google Ads, Meta ads, organic and directory referrals on one page, with calls and appointment requests counted as the outcome.
Contacts, tasks and team chat
A mini CRM for referring physicians and prospective patient inquiries, a task board for the practice administrator, and chat for the front desk and providers.
300+ marketing tools
Review response drafts, schema generators, meta tag writers, keyword research for your specialty and more, free, for the jobs in between.
The first month
Week 1: audit and plan
Run the free audit, read the findings, generate the strategy. Decide which conditions, providers and locations you actually want more of.
Week 2: fix the site
Provider and condition pages, schema, speed, the request form, and trackers off the pages that need them off. Send the technical fixes to whoever maintains the site, or rebuild it with the builder.
Week 3: reviews and profiles
Set up review requests by text, clean every Google Business Profile and directory listing, start weekly posts.
Week 4: measure
Connect Search Console, analytics and ads, with measurement kept to the public pages. From here the weekly audit and monthly plan run on their own.
Goes with
- Medical practice SEO auditThe audit with the factors that matter for a practice.
- Local SEO auditMap pack, citations and reviews.
- Healthcare marketing strategiesThe full playbook.
- Doctor directories and citationsWhere a practice should be listed.
- Review response generatorReply drafts to thank without confirming, free.
- AI marketing agencyHow the offer works for any business.
Run the free audit on your practice's site. It takes two minutes.
You get the score, the evidence and the fix list before you decide anything. If it is useful, start free and the weekly audit and monthly plan follow.