ChiroEnvy Health & Wellness
Scaling Patient Volume & PIP Acquisition
Client Overview
ChiroEnvy Health & Wellness opened its doors in 2022 as a new chiropractic practice in a crowded Central Florida market. Competing against long-established providers, they needed a full-funnel marketing system that would help them grow consistently year over year, increase patient volume, and attract both standard chiropractic patients and high-value PIP (Personal Injury Protection) cases.
They partnered with Buddylytics to build a long-term growth engine across Google Ads, SEO, and analytics. The goal was to increase visibility, bring in reliable monthly patient volume, and create a scalable foundation for expansion.
Challenges
Established Competition
New practice competing against long-established chiropractic offices with strong reputations
Limited Organic Visibility
Minimal initial presence in organic search results for key chiropractic terms
Dual Patient Types
Needed to attract both standard chiropractic patients and high-value PIP cases
Limited Marketing Experience
In-house marketer had limited experience with Paid Ads and SEO strategy
Tracking Accuracy
Required accurate tracking of booked appointments across all channels
Competitive PIP Market
Highly competitive personal injury advertising environment
Strategy
Buddylytics developed a comprehensive multi-channel approach leveraging Google Ads, SEO, and enhanced tracking to drive consistent patient acquisition.
Google Ads for Chiropractic + PIP Growth
✓ Built dedicated campaigns for chiropractic patients and PIP/accident-related cases
✓ Layered intent-based targeting for auto-accident and pain-related queries
✓ Optimized landing pages for clear calls to action and appointment booking
✓ Tracked Appointment Booked events to measure true patient acquisition
✓ Adjusted budgets based on performance, lead quality, and clinic capacity
SEO Growth and Local Visibility
✓ On-page optimization for core chiropractic and condition-specific keywords
✓ Local SEO improvements, including Google Business Profile optimization
✓ Content updates aligned with search intent for issues like back pain, neck pain, whiplash, and posture-related problems
✓ Internal linking and technical clean-up to support better rankings
✓ Competitor gap analysis to expand keyword coverage
This approach produced a 45% uplift in SEO visibility within six months, significantly increasing organic clicks and patient bookings.
Predictive Tracking and Data-Driven Optimization
✓ Implemented conversion tracking for booked appointments across channels
✓ Reviewed performance weekly across ads and organic search
✓ Shifted spend toward the highest-performing campaigns and keywords
✓ Measured impact on revenue and patient growth to guide future decisions
Results
Patient Volume Growth (2022–2025)
ChiroEnvy consistently grew 2x to 5x year over year in total patient volume, driven by the combined impact of paid and organic channels.
SEO Visibility Up 45%
In less than six months, SEO improvements led to:
✓ Higher keyword rankings
✓ Increased total impressions
✓ More organic clicks
✓ Additional new-patient bookings without extra ad spend
Google Ads Performance
Average monthly ad spend: $3,000 to $5,000
This generated:
✓ 2 to 5 PIP patients per month on top of regular chiropractic patients
✓ Monthly returns reaching $60,000 to $70,000
✓ Resulting ROAS of roughly 12x to 20x+, depending on case volume and case value
Booked Appointments Up 124% Year Over Year
From Jan 1 – Jun 30, 2024 to Jan 1 – Jun 30, 2025:
✓ Appointment bookings increased from 114 to 256
✓ Unique users booking appointments increased from 64 to 108
✓ Overall, booked appointments grew by 124%, with a 68% increase in unique bookers
Organic Visibility Gains
Comparing recent periods:
✓ Clicks increased from 217 to 295
✓ Impressions increased from 85.8K to 136K
✓ Visibility and consistency improved across target chiropractic and injury-related keywords
Impact on the Business
ChiroEnvy went from a brand-new chiropractic practice to one of the fastest-growing clinics in their region.
Key outcomes:
Predictable Patient Volume
Consistent, reliable patient bookings each month enabling better resource planning
Strong Local Presence
Dominant visibility across both paid and organic search channels
Steady Flow of High-Value PIP Cases
Consistent acquisition of personal injury protection patients with higher lifetime value
Revenue Growth for Expansion
Generated sufficient revenue for the owner to purchase a second practice location
Scalable Marketing System
A proven system that can be duplicated across multiple locations
The practice is now expanding and plans to increase marketing investment to accelerate growth even further.
Key Takeaways
1
A coordinated SEO and paid strategy can transform a new healthcare practice into a high-growth clinic
2
Accident and PIP campaigns can deliver exceptional ROI when paired with strong tracking and landing pages
3
Organic visibility growth reduces long-term dependency on ad spend
4
Accurate, event-based tracking makes optimization and scaling much more effective
5
A predictable acquisition system provides the confidence needed to expand locations and services
What This Means for Future Healthcare Clients
This case study demonstrates how Buddylytics helps medical and wellness practices achieve significant, sustainable growth using data-driven marketing. Whether you are a chiropractic clinic, physical therapy office, or integrated wellness center, a well-built acquisition system can help you compete with established providers and support multi-location expansion.