What you get every month.
Everything in the Foundation Package
GBP optimization (8–10 categories, 30+ services, 4 posts/month, 1 photo/month), 2 monthly SEO content pages, review management across all platforms, NAP consistency monitoring, technical SEO, and monthly performance reports. Founder access throughout.
Google Ads Management
Keyword research targeting new patient acquisition in your local area. We write all ad copy, build and optimize landing pages, manage bids and negative keywords monthly, and A/B test ad variations. Quarterly strategy review call included.
Ads Transparency — You Own the Account
You pay Google ad spend directly to Google. Primara never touches your ad budget and never marks it up. You own the Google Ads account; we manage it as an authorized user. Typical client ad spend: $300–$600/month directly to Google.
Ads Performance Reporting
Monthly ads performance report included alongside your standard Foundation report — impressions, clicks, cost per new-patient inquiry, and a clear budget recommendation for the following month.
Timing: Month 3+ Only
Google Ads on a weak GBP or unoptimized website is wasted spend. We introduce ads only after your GBP and website foundation are solid — typically at the start of Month 3. The first two months are foundation-building.
Founder Access Throughout
Liam Costello or Gio LaRoche runs your account end to end — strategy, ads setup, content, and reporting. No account coordinators, no handoffs after the sales call.
Best fit for.
Primary care practices in Florida with open appointment capacity who want to run paid search alongside organic SEO — and want a single team managing both rather than splitting accountability across vendors.
Best suited for Month 3+, after the GBP and website foundation are solid. Google Ads on a weak foundation is wasted spend. We’ll tell you when you’re ready.
Just need to fix the basics first? ← See the Foundation Package
Request the Visibility Package.
Tell us about your practice. A co-founder will follow up within one business day with full package details, a custom onboarding timeline, and a brief audit of your current digital presence.