| Jun 2 to 8 prior setup | Jun 9 to 15 rebuild launch | Jun 16 to 22 | Jun 23 to 29 | Jun 30 to Jul 6 | |
|---|---|---|---|---|---|
| Google Ads spend | $18,332 | $18,380 | $22,447 | $8,853 | $17,169 |
| Google-attributed leads (calls + forms) | 64 | 19 | 23 | 39 | 69 |
| Cost per Google-attributed lead | $286 | $967 | $976 | $227 | $249 |
| Google-attributed qualified opportunities | 8 | 4 | 4 | 8 | 19 |
| 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.
$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:
| Campaign | Spend | Qualified | Cost / qualified | Referred out |
|---|---|---|---|---|
| Mental Health | $10,380 | 10 | $1,038 | 0 |
| Branded | $1,301 | 4 | $325 | 1 |
| General Rehab | $5,246 | 4 | $1,311 | 0 |
| Total | $16,927 | 18 | $940 | 1 |
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.
| Created | Name | Stage today | Insurance | Program | Campaign |
|---|---|---|---|---|---|
| Jul 1 | Jessica Goodwin | Missing Info | Pending VOB | TBD | Mental Health |
| Jul 1 | Amanda Lawrenson | Missing Info | BCBS - FL | TBD | Branded |
| Jul 1 | Gabriella Lopez | Adolescent Follow Ups | Aetna - FL | TBD | Mental Health |
| Jul 2 | Penny Campbell | Admitted | Pending VOB | Detox | General Rehab |
| Jul 2 | Karla Marie Mclaughlin | Missing Info | Pending VOB | MH Residential | Mental Health |
| Jul 2 | Daniel Owens | Follow Ups | BCBS - FL | SUD Residential | Branded |
| Jul 2 | Jocelyn Mennie | Follow Ups | Aetna - FL | TBD | General Rehab |
| Jul 3 | Christopher Gause | Refer Out | Ambetter | Detox | Branded |
| Jul 3 | Kira Ianniello | Missing Info | United Healthcare | MH Residential | General Rehab |
| Jul 4 | Linda Partney | Follow Ups | Pending VOB | TBD | Mental Health |
| Jul 4 | David Miami | Missing Info | Pending VOB | TBD | General Rehab |
| Jul 6 | Nicole Audet | Follow Ups | BCBS - FL | MH Residential | Mental Health |
| Jul 6 | Orli Ross | Follow Ups | United Healthcare | MH Residential | Mental Health |
| Jul 6 | Laura Martinez | Missing Info | Pending VOB | TBD | Mental Health |
| Jul 6 | Logan Kamer | Missing Info | Pending VOB | TBD | Mental Health |
| Jul 6 | Louis Breeden | Missing Info | Pending VOB | TBD | Branded |
| Jul 6 | Andres Soriano | Missing Info | Aetna - FL | NIA SUD Residential | Mental Health |
| Jul 7 | Mitchell Hecht | VOB In Progress | BCBS - SC | TBD | Mental Health |
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.
| Search | Clicks | Impr. | Cost |
|---|---|---|---|
| mental health facility near me | 8 | 75 | $291 |
| mental health facility orlando | 7 | 41 | $119 |
| mental health facilities gainesville fl | 4 | 19 | $23 |
| mental health facilities near me | 4 | 48 | $47 |
| mental health facility tampa | 4 | 42 | $130 |
| women's mental health facility near me | 3 | 7 | $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.
| Search | Clicks | Impr. | Cost |
|---|---|---|---|
| best rehab centers near me | 3 | 9 | $180 |
| detox centers near me | 3 | 23 | $165 |
| detox facility near me | 3 | 2 | $377 |
| rehabilitation center near me | 3 | 56 | $79 |
| inpatient rehab near me | 2 | 9 | $261 |
| alcohol detox near me | 2 | 18 | $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.
| Search | Clicks | Impr. | Cost |
|---|---|---|---|
| ambrosia treatment center | 161 | 700 | $2,296 |
| ambrosia behavioral health | 54 | 215 | $767 |
| ambrosia treatment center west palm beach | 27 | 106 | $384 |
| ambrosia mental health | 13 | 31 | $171 |
| ambrosia rehab | 13 | 75 | $187 |
| the academy at ambrosia | 7 | 32 | $92 |
| Search | Campaign | Qualified leads | Of note |
|---|---|---|---|
| mental health treatment center | Mental Health | 9 | |
| mental health treatment | Mental Health | 2 | |
| behavioral health center | Mental Health | 1 | |
| rehab centers | General Rehab | 2 | |
| substance abuse disorder treatment | General Rehab | 1 | |
| ambrosia variants (8 different searches) | Branded | 8 | "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.
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:
| Payer | Leads (Jan 1 to Jul 7) | Admitted | Referred out |
|---|---|---|---|
| BCBS (all plans) | 573 | 38% | 2% |
| United Healthcare / UMR | 160 | 34% | 6% |
| Cigna | 109 | 30% | 4% |
| Oscar | 264 | 22% | 6% |
| Aetna | 73 | 21% | 8% |
| Ambetter | 22 | 5% | 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.
17 Google-attributed admissions since June 1, and 9 of those patients are in care right now.
| Admitted | Name | Program | Insurance | Status |
|---|---|---|---|---|
| Jun 1 | Amber Colwell | MH PHP | BCBS - NC | Completed |
| Jun 2 | Maria Bellan | MH Residential | Oscar | Completed |
| Jun 2 | Brendon Ryder | MH PHP | Oscar | In care |
| Jun 8 | Alexandra Manister | MH Residential | Oscar | In care |
| Jun 15 | Reagan Covolesky | NIA MH Residential | BCBS - PA (Highmark) | In care |
| Jun 16 | Chase Clay | Detox | BCBS - FL | Completed |
| Jun 24 | Neil Naglee | MH Residential | BCBS - FL | In care |
| Jun 24 | Robert Pettway | MH Residential | Oscar | Completed |
| Jun 26 | Jeremiah Cobo | Detox | BCBS - FL | Completed |
| Jun 26 | Steven Wylke | SUD Residential | BCBS - NC | In care |
| Jun 28 | Milo Mobley | Detox | BCBS - FL | Completed |
| Jun 30 | Trenton Shephard | NIA SUD Residential | California Blue Shield | In care |
| Jun 30 | Thomas Skiffington | SUD Residential | California Blue Shield | Completed |
| Jul 1 | Natalie Castro | MH Residential | Oscar | Completed |
| Jul 2 | Brent Zapushek | MH Residential | Oscar | In care |
| Jul 2 | Penny Campbell | Detox | Verification in progress | In care |
| Jul 6 | John Williams | Detox | BCBS - FL | In 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.
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.
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.
| April | May | June | July 1-7 | |
|---|---|---|---|---|
| All inbound calls | 2,536 | 2,271 | 1,853 | 417 |
| Missed, all sources | 291 (11.5%) | 293 (12.9%) | 226 (12.2%) | 47 (11.3%) |
| Calls on Google Ads tracking numbers | 482 | 382 | 259 | 97 |
| Missed, Google Ads | 48 (10.0%) | 40 (10.5%) | 25 (9.7%) | 8 (8.2%) |
| Google-attributed form leads | 5 | 4 | 18 | 19 |
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.
| Efficiency in general | Watching 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 admits | Watching 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 records | Monitoring 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 keywords | Adding 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 campaign | Goes 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 progression | Josh 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 pages | We join the website and landing page call Thursday 10am; sharper messaging on the pages is the next lever on conversion rate. |