Google Ads Case Study: How We Increased Conversions and Cut the Cost per Conversion by 49% for a Chiropractor with Multiple Locations in the US

Conversion rate increased from 14.06% to 16.97%

Top 5 Primary Keywords;

The Challenge We Faced:

Client had a cancelled Google Ads account, causing complete loss of search visibility. Low conversion volume despite high spend. Poor-quality and inconsistent leads. Search terms not reviewed for 90+ days, causing wasted budget. Broad match keywords running without proper control. Conversion tracking incomplete, capturing only partial leads. Needed urgent relaunch with a trial budget of $2,500 without reducing lead volume.

What We Have Done:

Reactivated and rebuilt the Google Ads account from scratch.Restructured campaigns based on multiple locations (Federal Way, Auburn, Kent, Maple Valley, Spanaway). Implemented keyword optimization:(Broad match refined to phrase match, Paused underperforming keywords, Added strong negative keyword list, Regular search term review to remove irrelevant queries). Fixed and expanded conversion tracking: (Website call tracking, Appointment/contact form tracking, Accurate attribution for all qualified leads). Performed ongoing optimization: (Location-based budget adjustments, Bid optimization based on performance, Created new ad variations to improve CTR, Device bid optimization – mobile prioritized, desktop reduced).

What We Achieved:

Here’s what changed in just one month:

Ad spend reduced from $4,313 to $2,498 (-42%)
Conversions increased from 193 to 220 (+14%)
CPA reduced from $22.35 to $11.36 (-49%)
Conv rate improved from 14.06% to 16.97% (+21%)

Account Manager: Kolappan Nagarajan – Senior Paid Ads Specialist
Client Dedicated Manager: Aravind
Support Staff: Aravinthan, Reegan Charles, and Jenisha
Expert Audit: Afexena
Quality Check: Justin
Tools Used:
- Google Ads Campaign Manager
- Keyword Planner
- GA4
- Spy fU
- EzyPMS Account Management Tool
- SIM CRM
- Ads Editor
- Google Ads API (Internal Search Term Analysis & Bid Management Tool).

Google Ads Campaign Manager
Keyword Planner
GA4
Spy fU
EzyPMS Account Management Tool
SIM CRM
Ads Editor
Google Ads API (Internal Search Term Analysis & Bid Management Tool).