Molitaris Consulting

Weekly Sync, July 7

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Ambrosia · July 7 post-call sync

The rebuilt campaigns showed up this week

Google Ads performance through July 7, reviewed on today's call · all lead counts below are Google-attributed (click-verified in Salesforce)
The week in one line: spend stepped up to the planned July level and qualified opportunities more than doubled, 8 to 19 week over week, while the cost of each one came down. The budget-follows-performance plan from the July 1 call is doing what it was designed to do.
From today's call: the adolescent campaign gets switched on this week ahead of the school-year referral season, accepting learning-phase costs on purpose. Two additions to this weekly report start now, both below: what people searched (section 3) and call volume with answer rates (section 6). We also join the website and landing page call Thursday at 10am.

1. June, week by week

Jun 2 to 8
prior setup
Jun 9 to 15
rebuild launch
Jun 16 to 22Jun 23 to 29Jun 30 to Jul 6
Google Ads spend$18,332$18,380$22,447$8,853$17,169
Google-attributed leads (calls + forms)6419233969
Cost per Google-attributed lead$286$967$976$227$249
Google-attributed qualified opportunities844819
Cost per Google-attributed qualified$2,291$4,595$5,612$1,107$904

The highlighted first column is the prior setup's final week, before we took over the account: spend was still flowing to the old campaigns and website through the transition. The two middle weeks are the rebuild finding its footing. From there the curve is the story: this week's $904 per Google-attributed qualified is less than half of any week in June, and it happened while spend nearly doubled week over week.

The lead rows are context; the qualified rows are the ones we manage to. Compare the first and last columns: nearly identical lead volume (64 vs 69) at similar cost per lead, but 8 became qualified then versus 19 now. One lead in eight turned qualified under the old mix; this week it is better than one in four. Same phone ringing, much more of the right people. Form leads are also growing fast as the new pages do their job: 1, 2, 4, 10, 18 across these five weeks.

For longer-range scale: in the 90 days before the takeover (March through May), the non-brand campaigns spent $310,878 and produced 185 Google-attributed qualified opportunities on paper. Once brand is separated out, we estimate the true cost per genuinely non-brand qualified was likely $3,000 or more. July's non-brand campaigns (Mental Health plus General Rehab) are at roughly $1,100 so far, with brand fully separated so nothing flatters the number.

How we get to that estimate: of the 185, we can see that 36 came through branded keywords that were running inside the non-brand campaigns (searches like "ambrosia rehab"). Another 19 have no keyword data at all. The remaining 130 matched non-brand keywords, but the actual search behind them is mostly invisible, and our earlier search-term audit found roughly 1,100 "Ambrosia" searches in 2025 matching non-brand keywords exactly this way ("ambrosia florida rehab" landing on a Florida rehab keyword). Branded searches also convert to qualified at a higher rate than non-brand, so brand's share of qualified runs above its share of clicks. Applying the brand rate we could directly measure to the invisible portion puts genuinely non-brand qualified at roughly 100 to 115 of the 185, or about $2,700 to $3,100 each.

2. July so far, in depth (July 1 to 7)

$16,927 spend, 18 Google-attributed qualified opportunities, $940 each. June as a whole ran $2,668 per Google-attributed qualified, so July is opening at roughly a third of June's cost per qualified. The first-week detail:

CampaignSpendQualifiedCost / qualifiedReferred out
Mental Health$10,38010$1,0380
Branded$1,3014$3251
General Rehab$5,2464$1,3110
Total$16,92718$9401

Every lead's campaign is resolved from Google's own click record, so nothing is unattributed. Mental Health is carrying the growth exactly as planned, and Monday July 6 alone produced 6 qualified. General Rehab's month so far includes the week's one admission (below); its scheduled efficiency read stays on for around July 15. One more number worth holding onto: both non-brand campaigns sit under 10% search impression share, so this efficiency is happening at small scale, with substantial room to add budget before the auction gets expensive.

Every Google-attributed qualified lead this month (July 1 to 7)

CreatedNameStage todayInsuranceProgramCampaign
Jul 1Jessica GoodwinMissing InfoPending VOBTBDMental Health
Jul 1Amanda LawrensonMissing InfoBCBS - FLTBDBranded
Jul 1Gabriella LopezAdolescent Follow UpsAetna - FLTBDMental Health
Jul 2Penny CampbellAdmittedPending VOBDetoxGeneral Rehab
Jul 2Karla Marie MclaughlinMissing InfoPending VOBMH ResidentialMental Health
Jul 2Daniel OwensFollow UpsBCBS - FLSUD ResidentialBranded
Jul 2Jocelyn MennieFollow UpsAetna - FLTBDGeneral Rehab
Jul 3Christopher GauseRefer OutAmbetterDetoxBranded
Jul 3Kira IannielloMissing InfoUnited HealthcareMH ResidentialGeneral Rehab
Jul 4Linda PartneyFollow UpsPending VOBTBDMental Health
Jul 4David MiamiMissing InfoPending VOBTBDGeneral Rehab
Jul 6Nicole AudetFollow UpsBCBS - FLMH ResidentialMental Health
Jul 6Orli RossFollow UpsUnited HealthcareMH ResidentialMental Health
Jul 6Laura MartinezMissing InfoPending VOBTBDMental Health
Jul 6Logan KamerMissing InfoPending VOBTBDMental Health
Jul 6Louis BreedenMissing InfoPending VOBTBDBranded
Jul 6Andres SorianoMissing InfoAetna - FLNIA SUD ResidentialMental Health
Jul 7Mitchell HechtVOB In ProgressBCBS - SCTBDMental Health

3. What people searched (last 30 days)

New standing section, requested on today's call. Top searches by clicks per campaign, plus the searches sitting behind this period's qualified leads. These double as raw material for blog posts and site copy.

Mental Health (5,934 distinct searches)

SearchClicksImpr.Cost
mental health facility near me875$291
mental health facility orlando741$119
mental health facilities gainesville fl419$23
mental health facilities near me448$47
mental health facility tampa442$130
women's mental health facility near me37$89

High-impression searches still on the table: "mental institution" (70 impressions; dated language, but it is how many families still search), "psychiatrist near me" (47), "inpatient mental health facilities near me" (28). The geography is statewide: Orlando, Tampa, Gainesville, Jacksonville all show up, not just the coast.

General Rehab (3,270 distinct searches)

SearchClicksImpr.Cost
best rehab centers near me39$180
detox centers near me323$165
detox facility near me32$377
rehabilitation center near me356$79
inpatient rehab near me29$261
alcohol detox near me218$18

Cleanup found here: a handful of expensive competitor-name clicks (one "recovery first" click cost $264, an "edgewater rehab" click $222) and some off-intent searches ("pet friendly rehab"). We are adding negatives for these this week; that is spend that moves back into real demand.

Branded (59 distinct searches)

SearchClicksImpr.Cost
ambrosia treatment center161700$2,296
ambrosia behavioral health54215$767
ambrosia treatment center west palm beach27106$384
ambrosia mental health1331$171
ambrosia rehab1375$187
the academy at ambrosia732$92

The searches behind qualified leads (June 15 onward, where captured)

SearchCampaignQualified leadsOf note
mental health treatment centerMental Health9 
mental health treatmentMental Health2 
behavioral health centerMental Health1 
rehab centersGeneral Rehab2 
substance abuse disorder treatmentGeneral Rehab1 
ambrosia variants (8 different searches)Branded8"ambrosia mental health" produced an admission

Call tracking captures the matched term on a subset of leads, so this list is the visible portion, not the whole picture. The concentration is still informative: Mental Health's qualified leads come overwhelmingly through treatment-center phrasing rather than symptom or diagnosis searches.

4. The insurance picture on Google Ads leads

July's verified payers so far: BCBS (Florida and South Carolina), Aetna, United Healthcare, and one Ambetter, with 8 leads still in verification. Widening to the rebuilt campaigns' full run (June 15 onward, 33 Google-attributed qualified): Aetna - FL (4), BCBS - FL (3), Oscar (2), United Healthcare (2), Ambetter (2), and one each of Cigna, ChampVA, BCBS - GA, BCBS - NC, BCBS - Federal, BCBS - SC, and California Blue Shield, with 13 pending verification.

Worth being precise about payer quality within that mix, because not all commercial plans behave the same in your own book. Ambetter and Oscar are ACA marketplace plans rather than employer-group coverage, and your Salesforce history since January shows how differently they resolve:

PayerLeads (Jan 1 to Jul 7)AdmittedReferred out
BCBS (all plans)57338%2%
United Healthcare / UMR16034%6%
Cigna10930%4%
Oscar26422%6%
Aetna7321%8%
Ambetter225%64%

Ambetter effectively does not admit: 1 of 22 since January, with 64% referred out. This week's Ambetter lead (Jul 3) was referred out, consistent with that history. Oscar sits in the middle: it is your second-largest payer by lead volume and admits at 22%, which converts, but at the bottom of the commercial pack. We checked whether paid search is what pulls Ambetter leads in: over the last 30 days, Ambetter-related searches appeared 14 times with zero clicks and zero spend, so these leads arrive through generic searches and there is no meaningful spend to cut there.

5. Google-attributed admissions since we started

17 Google-attributed admissions since June 1, and 9 of those patients are in care right now.

AdmittedNameProgramInsuranceStatus
Jun 1Amber ColwellMH PHPBCBS - NCCompleted
Jun 2Maria BellanMH ResidentialOscarCompleted
Jun 2Brendon RyderMH PHPOscarIn care
Jun 8Alexandra ManisterMH ResidentialOscarIn care
Jun 15Reagan CovoleskyNIA MH ResidentialBCBS - PA (Highmark)In care
Jun 16Chase ClayDetoxBCBS - FLCompleted
Jun 24Neil NagleeMH ResidentialBCBS - FLIn care
Jun 24Robert PettwayMH ResidentialOscarCompleted
Jun 26Jeremiah CoboDetoxBCBS - FLCompleted
Jun 26Steven WylkeSUD ResidentialBCBS - NCIn care
Jun 28Milo MobleyDetoxBCBS - FLCompleted
Jun 30Trenton ShephardNIA SUD ResidentialCalifornia Blue ShieldIn care
Jun 30Thomas SkiffingtonSUD ResidentialCalifornia Blue ShieldCompleted
Jul 1Natalie CastroMH ResidentialOscarCompleted
Jul 2Brent ZapushekMH ResidentialOscarIn care
Jul 2Penny CampbellDetoxVerification in progressIn care
Jul 6John WilliamsDetoxBCBS - FLIn care

Some of these came from leads generated earlier that matured into admissions later; that same maturation curve now works in July's favor, since this week's 18 qualified convert over the coming weeks rather than instantly.

June, now closed

With the month final: June spend was $74.7K, it produced 28 Google-attributed qualified opportunities, 13 Google-attributed admissions occurred during the month, and 4 Google-attributed leads were referred out to other facilities. June mixed the transition, the rebuild, and admissions from earlier months' leads maturing, so we read it as a whole rather than campaign by campaign. July is the first month that is entirely the rebuilt account, which is why the sections above go deeper.

July's admission count so far: 4 in the first week (3 from older leads maturing, plus a same-day detox admission from a July 2 lead). The July lead cohort's own admissions will build over the next several weeks as verifications and travel complete.

6. Call volume and answer rates (new standing section)

Second addition requested on today's call: PPC call totals for context, plus how calls get answered. This table is phone calls only, since a form can't go unanswered; form leads are already counted in the qualified tables above. "Missed" counts both no-answers and callers who hung up before pickup.

AprilMayJuneJuly 1-7
All inbound calls2,5362,2711,853417
Missed, all sources291 (11.5%)293 (12.9%)226 (12.2%)47 (11.3%)
Calls on Google Ads tracking numbers48238225997
Missed, Google Ads48 (10.0%)40 (10.5%)25 (9.7%)8 (8.2%)
Google-attributed form leads541819

Three reads. First, Google Ads calls get answered at a better rate than the account overall, and July is the best month yet. Second, the overall miss rate has held around 12% for four straight months, roughly 290 calls a month, which is the number the call-handling review is worth measuring against. Third, part of the call decline is a channel shift, not a demand decline: the new landing pages produce form leads at several times the old rate. July's first seven days already produced 19 Google-attributed form leads, more than April and May combined, on top of the ~420/month call pace. April and May also ran roughly $105K in monthly spend versus July's $75K, so the raw call counts aren't apples to apples either way.

Method note: the Google Ads rows use the call tracker's number-pool attribution, applied identically across all four months. We cross-checked it against click IDs for July and the two approaches agree within a handful of calls (85 of the 98 tracking-number calls carry a Google click ID, and only 10 click-ID calls sat under any other source), so the trend is measuring the same thing month to month.

7. What we're watching this week

Efficiency in generalWatching whether the cost-per-qualified trend holds as spend stays at the July level, and letting conversion volume build toward eventually optimizing bidding to qualified. There is less pressure to rush that move now: the last couple of weeks improved a lot on their own, and General Rehab is performing well, so the account is more balanced than it was two weeks ago.
Mental Health admitsWatching whether Mental Health's qualified opportunities start turning into admissions. It holds the largest lead cohort (10 of this week's 18) and none have admitted yet, which is a timing question we expect the next couple of weeks to answer.
Level of care, pending recordsMonitoring the qualified records that don't have a program / level-of-care value yet, and seeing where those land as they move through verification.
Negative keywordsAdding the competitor-name and off-intent exclusions surfaced in section 3 this week. We also checked Ambetter specifically: 14 impressions and zero clicks in 30 days, so nothing to cut there.
Adolescent campaignGoes live this week. Expect its cost per qualified to run high through the learning phase; that is the plan, so it is mature before school-year referrals pick up.
Missing Info progressionJosh is reviewing why a chunk of leads stall at Missing Info. Depending on what he finds, we may later move the qualified threshold from Missing Info to VOB on Queue; that wants more conversion volume first, so it is a revisit in a few weeks, not a change now.
Landing pagesWe join the website and landing page call Thursday 10am; sharper messaging on the pages is the next lever on conversion rate.