Which Google Ads agencies should a clinic shortlist?
Start with the four highest scores on our rubric; tap a card for the full entry.
- #175/100Intrepy Healthcare MarketingBest for a specialty practice (orthopedics, fertility, dermatology, plastic surgery) that wants Google Ads from a medical-only firm with a named resultRead the entry →
- #270/100SagapixelBest for a med spa, plastic surgery or telehealth practice that wants a Google Premier Partner it can verify in one clickRead the entry →
- #368/100Cardinal Digital MarketingBest for a multi-location group (physical therapy, dental, behavioral health) that wants paid search from a healthcare-only firmRead the entry →
- #467/100WebFXBest for a practice that wants to read the fee before the call and lean on a very large review baseRead the entry →
How do the thirteen Google Ads agencies compare?
Intrepy Healthcare Marketing leads with 75 of 100, and the table shows every grade, with PELORA’s row shaded.
| # | Agency and base | Scoreof 100 | Best for | Starting priceas published | Nicheweight 25, of 5 | Resultsweight 20, of 5 | Badgeweight 15, of 5 | Reviewsweight 15, of 5 | Priceweight 10, of 5 | Health rulesweight 15, of 5 | Read on |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Intrepy Healthcare MarketingOrlando, FL area | 75 | Specialty practices | No fee published; Clutch minimum $10,000+ | 5 | 5 | 3 | 3 | 3 | 2 | Oct 10 / 11 |
| 2 | SagapixelCherry Hill, NJ | 70 | Med spa, plastic surgery and telehealth practices | No fee published; works month to month | 5 | 3 | 5 | 1 | 3 | 3 | Oct 10 / 11 |
| 3 | Cardinal Digital MarketingChamblee, GA | 68 | Multi-location groups | Not published; Clutch minimum $5,000+ | 5 | 4 | 1 | 2 | 3 | 4 | Oct 10 / 11 |
| 4 | WebFXHarrisburg, PA | 67 | Practices that want the fee before the call | Paid search from $650 a month, as published | 3 | 3 | 3 | 5 | 5 | 2 | Oct 10 / 11 |
| 5 | Firegang Dental MarketingSpokane, WA | 56 | Dental practices | Not on its site; Clutch minimum $1,000+ | 4 | 3 | 3 | 1 | 3 | 2 | Oct 10 / 11 |
| 6 | PELORA Marketing This is usNewport Beach, CA | 56 | Licensed clinics | Published on our pricing page | 4 | 2 | 1 | 1 | 5 | 4 | Oct 11 |
| 7 | KlientBoostCosta Mesa, CA | 54 | Practices that value a big review base | No figures shown; Clutch minimum $1,000+ | 2 | 2 | 4 | 5 | 3 | 1 | Oct 10 / 11 |
| 8 | Etna InteractiveSan Luis Obispo, CA | 53 | Plastic surgery and aesthetic practices | Not published | 5 | 2 | 4 | 1 | 1 | 1 | Oct 10 / 11 |
| 9 | Ignite VisibilitySan Diego, CA | 52 | Larger healthcare brands | Not published; Clutch minimum $1,000+ | 3 | 1 | 3 | 5 | 3 | 1 | Oct 10 / 11 |
| 10 | Disruptive AdvertisingPleasant Grove, UT | 51 | Practices wanting month-to-month terms | No figures; Clutch minimum $5,000+ | 2 | 2 | 3 | 5 | 3 | 1 | Oct 10 / 11 |
| 11 | Healthcare SuccessIrvine, CA | 50 | Hospitals, multi-location practices, behavioral health groups | Not on its site; Clutch minimum $25,000+ | 5 | 1 | 1 | 1 | 3 | 3 | Oct 10 / 11 |
| 12 | ScorpionDraper, UT | 49 | Health systems wanting one vendor | Terms only, no figures | 4 | 1 | 3 | 3 | 2 | 1 | Oct 10 / 11 |
| 13 | Logical PositionLake Oswego, OR | 41 | Practices that sell products online | Pricing pages not read; Clutch minimum $1,000+ | 1 | 3 | 3 | 2 | 3 | 1 | Oct 10 / 11 |
Scores are 1 to 5 per criterion (weights in the header). Read on: agency site 10 Oct, Clutch and Google Partners 11 Oct. The shaded row is PELORA, scored by PELORA with the same rubric. Tap a column heading to sort; tap it again to reverse.
What rules decide a clinic's Google Ads account?
Google’s Healthcare and medicines policy decides what a clinic can advertise, and its personalized advertising policy limits remarketing.
- PrescriptionsOnline prescribing services, including telemedicine providers, must apply before their ads can serve.Google Healthcare and medicines policy, read 11 Oct 2026
- Drug termsPrescription drug terms are restricted in ads, landing pages and keywords.Google Healthcare and medicines policy, read 11 Oct 2026
- Unapproved substancesSome products can’t be promoted at all, regardless of any claims of legality, including hCG for weight loss.Google Healthcare and medicines policy, read 11 Oct 2026
- Cell and gene therapyNot allowed, except FDA licensed or approved therapies promoted by the license holder, or purely educational ads.Google Healthcare and medicines policy, read 11 Oct 2026
- Addiction treatmentRecovery services can advertise in some locations only if certified by Google.Google Healthcare and medicines policy, read 11 Oct 2026
- RemarketingHealth is a sensitive interest category with targeting restrictions.Google personalized advertising policy, read 11 Oct 2026
Read the rules word for word, with the sources and read dates
Google Ads is the channel where a healthcare account most often stops for a reason the agency should have seen coming. Google’s Healthcare and medicines policy, read 11 October 2026, opens: “Some types of healthcare-related content can’t be advertised at all, while others can only be advertised in certain locations by advertisers who have applied and been approved to advertise those products or services using Google Ads.” The parts a clinic meets most:
Prescription drugs and telehealth. “Google restricts the promotion of services related to the online prescribing, dispensing, and sale of prescription drugs. Businesses subject to this policy include but aren’t limited to online pharmacies and telemedicine providers. Advertisers must apply to serve ads for prescription drug services.” Online pharmacies are allowed “if they are verified by LegitScript’s Healthcare Merchant Certification Program” or meet the listed local requirements.
Restricted drug terms. “Google restricts the use of prescription drug terms in ads, landing pages, and keywords.” This is the rule that quietly disapproves a weight loss or hormone clinic’s keywords. We measured how it plays out across health keywords in our Google Ads health keyword study.
Unapproved substances. “Google doesn’t allow the promotion of certain products, regardless of any claims of legality”, including “Products containing human chorionic gonadotropin (hCG) in relation to weight loss or weight control” and “Products that imply they’re as effective as prescription drugs or controlled substances”.
Cell and gene therapies. Not allowed: “Promotion of cell or gene therapies, subject to the exception below.” The exceptions are FDA licensed or approved therapies promoted by the license holder, and ads “that are exclusively educational or informational in nature, regardless of regulatory approval status.”
Addiction treatment. “Advertisers targeting certain locations are able to promote recovery-oriented drug and alcohol addiction services if certified by Google.”
Remarketing. Google’s personalized advertising policy lists Health among its sensitive interest categories, with targeting restrictions. An agency that promises to “retarget everyone who visited your treatment page” has not read it. Our Health Ad Policy Tracker keeps the dated wording, and our suspension guide covers what happens when an account trips one of these.
How many of these agencies' Google badges could we verify?
We could check three Google badges in Google’s own directory. Two matched and one did not: Sagapixel is a 2026 Premier Partner as it says, KlientBoost is a Google Partner as it says, and Etna Interactive, whose homepage says Premier Partner and top 3%, is listed as a Google Partner (a second badge on its homepage says Partner, which matches). Seven other agencies show a Google badge we could not open. Six of thirteen say nothing about healthcare rules on the pages we read, including Etna Interactive, which sells only to aesthetic and plastic surgery practices. Two publish a full rate card, WebFX and PELORA; the others publish a Clutch minimum, budget bands, terms or nothing.
Three charts: swipe sideways to see each one.
Source: the scorecard above; agency sites read 10 Oct 2026, Clutch re-read 11 Oct 2026. PELORA in purple. Download this chart (PNG).
Source: the Badge grades on this page; Google Partners entries opened 11 Oct 2026. Download this chart (PNG).
Source: the Health rules grades on this page; 5 means an explicit HIPAA, FDA, FTC or platform health-policy process. Pages read 10 Oct 2026. Download this chart (PNG).
How did we choose and score these agencies?
We read each agency’s own site on 10 October 2026, re-read Clutch and Google’s Partners directory on 11 October, and scored all thirteen on six weighted criteria.
What each score means, and how ties are broken
Six criteria, each scored 1 to 5 and weighted; the total is the weighted sum divided by five, out of 100. Each score has a reason in the agency’s card.
| Criterion | Weight | 5 means | 1 means |
|---|---|---|---|
| Niche: Google Ads for clinics and healthcare practices is the core business | 25 | Medical or healthcare only | No healthcare focus |
| Results: published and attributable | 20 | Named clients with numbers, channel stated | No numbers (agency-wide totals score 2) |
| Badge: Google Partners status | 15 | Premier Partner, verified in Google’s directory | None shown (verified Partner scores 4; claimed and unverified scores 3) |
| Reviews: Clutch | 15 | 100+ reviews at 4.7 or better | None, or under 3.5 (20 to 99 at 4.5+ scores 4; 5 to 19 reviews, or a 3.5 to 4.4 rating, scores 3; 1 to 4 reviews scores 2) |
| Price: transparency | 10 | Full public rate card | Nothing anywhere (a Clutch minimum or budget bands scores 3; terms only score 2) |
| Health rules: compliance know-how, published | 15 | An explicit HIPAA, FDA, FTC or platform health-policy process on its own site | Not mentioned |
Ties go to the agency with more independent reviews; if that ties too, PELORA sits below. Google ratings were not used for anyone, ourselves included.
How we built this list, in full, with the read log
We started from the agencies named on the three competing lists (two by Silverback Strategies, one by Web Tonic; Clutch’s healthcare PPC directory blocked our reader), kept the firms that run Google Ads for clinics or recur across those lists, and read each one’s homepage and its most relevant healthcare, pricing or case-study pages on 10 October 2026 (Pacific). On 11 October we re-read every Clutch profile and opened Google’s Partners directory in a headless browser for every agency whose site links its entry: Sagapixel, KlientBoost and Etna Interactive. Every other badge on this page is marked “as claimed”, because the directory cannot be searched by name without a browser session and we did not guess IDs. Agencies we did not shortlist were not read; their absence is not a judgment.
Every result is the agency’s own published claim, labeled “per agency”. Where a page does not say which channel produced a number, we say that too.
Read log: every page, every date
- 10 October 2026 (Pacific): each agency’s homepage plus the pages named in its card’s sources.
- 11 October 2026: all thirteen Clutch profiles re-read; Google Partners entries for Sagapixel (id 1115618496), KlientBoost (6264287249) and Etna Interactive (8503088500) opened in a headless browser; Google’s Healthcare and medicines and personalized advertising policies read.
- Not read: Logical Position’s pricing pages; any agency’s Google Partners entry not linked from its own site.
What does each agency do well, and where may it not fit?
Each entry shows the rank, who it suits, the grades and a one-line verdict; open it for pricing, what we verified, where it may not fit and our sources.
1. Intrepy Healthcare Marketing · Orlando, FL area
Best for a specialty practice (orthopedics, fertility, dermatology, plastic surgery) that wants Google Ads from a medical-only firm with a named result
Price No fee published; Clutch minimum $10,000+Highest grade: niche focus 5/5, published results 5/5. Lowest grade: published health rules 2/5.
Health rules published: It ties leads back to EHR records for attribution, which is a real healthcare process, but the pages we read state no HIPAA practice and say nothing about Google’s healthcare policy.
Pricing: One unit price on its site ($6.80 per urgent care visit, per agency) but no fee. Clutch lists a $10,000+ minimum and $150 to $199 an hour.
Services: Medical SEO, Google Ads, social ads, programmatic and medical web design, with analytics that link leads to EHR records; verticals include orthopedics, med spa, plastic surgery, fertility, dermatology, ophthalmology, ENT, urology and home health.
What we verified: Founded in 2014 (Clutch; its site says “since 2014”). Clutch places it in Union Park, Orlando, with 10 to 49 staff. Results, per agency: Orthopedic Health of Kansas City, a 575% increase in ad conversions; Tennessee Orthopaedic Alliance, 94% more organic traffic; NORE Women’s Health, 375+ new patient leads. The Kansas City result is the clearest named Google Ads result on this page, though the period is not stated on the page we read.
Google badge: A Google Partner badge (not Premier) on its site, as claimed; its homepage does not link the directory entry.
Independent reviews: 5.0 from 5 reviews.
Where it may not fit: A $10,000+ Clutch minimum, and no published HIPAA or Google policy statement; ask how it handles restricted drug terms before it writes a keyword list.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch.
2. Sagapixel · Cherry Hill, NJ
Best for a med spa, plastic surgery or telehealth practice that wants a Google Premier Partner it can verify in one click
Price No fee published; works month to monthHighest grade: niche focus 5/5, partner badge 5/5. Lowest grade: Clutch reviews 1/5.
Health rules published: Published guides on HIPAA-compliant websites, SEO and Facebook ads. They explain the rules well; they do not say Sagapixel itself signs a business associate agreement, so it scores 3.
Pricing: No fee published. Its contact form offers budget bands from under $1,000 to $15,000+ a month, and it works month to month.
Services: Healthcare SEO, Google and Meta ads and web design for med spas, plastic surgeons, dentists, dermatology, home care and telemedicine.
What we verified: Founded in 2015 (Clutch). Clutch gives both 2 to 9 and 10 to 15 staff. Results, per agency: a liposuction campaign at “$51 cost per conversion” (client unnamed) and a telemedicine site from 150 to 34,000 monthly visitors in six months (SEO, not ads). Named clients without figures: Visiting Angels and Nurse Next Door.
Google badge: Verified. Its site says “Sagapixel is a Google Premier Partner” and links its directory entry, which on 11 October 2026 read “Sagapixel is a 2026 Premier Partner.” That is the strongest checkable badge on this page.
Independent reviews: 0 reviews, so it scores the floor.
Where it may not fit: No independent reviews, and a small team by Clutch’s count. The one Google Ads figure is for an unnamed client.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Google Partners directory read 11 October 2026. Sources: homepage, Clutch, Google Partners entry.
3. Cardinal Digital Marketing · Chamblee, GA (Atlanta area)
Best for a multi-location group (physical therapy, dental, behavioral health) that wants paid search from a healthcare-only firm
Price Not published; Clutch minimum $5,000+Highest grade: niche focus 5/5. Lowest grade: partner badge 1/5.
Health rules published: Sells a “HIPAA-compliant” marketing strategy and help building a HIPAA-compliant tech stack on its homepage. No specifics, and nothing on Google’s healthcare policy, so 4 rather than 5.
Pricing: Not published. Clutch lists a $5,000+ minimum and $100 to $149 an hour.
Services: Paid search management, paid social and display for health systems, dental groups, behavioral health, primary care, dermatology and veterinary networks.
What we verified: Founded in 2009 (Clutch). Acquired by Power Digital as its healthcare division, announced January 2026 (Business Wire). Results, per agency: ATI physical therapy, a 77% increase in conversion rate; a dental group, 116% more leads; a 400+ location veterinary network, 54% more leads year over year. The pages we read do not always say which channel produced which number.
Google badge: No Google badge shown, so the floor.
Independent reviews: 5.0 from 4 reviews.
Where it may not fit: Built for groups, not a single doctor’s office, and no Google badge to check.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch, Business Wire.
4. WebFX · Harrisburg, PA
Best for a practice that wants to read the fee before the call and lean on a very large review base
Price Paid search from $650 a month, as publishedHighest grade: Clutch reviews 5/5, price transparency 5/5. Lowest grade: published health rules 2/5.
Health rules published: Mentions HIPAA in general terms on its healthcare page; no process and nothing on Google’s healthcare policy on the pages we read.
Pricing: Published, the only full paid search rate card here besides PELORA’s: on its PPC pricing page, Lite at $750 a month for $100 to $5,000 in spend ($1,200 the first month); Pro at $975 a month or 15% of spend, whichever is higher ($2,250 the first month); Enterprise at $4,500 a month or 12% of spend. Its healthcare page says paid search from $650 a month; both are as published.
Services: Full-service digital marketing, with healthcare industry pages and its own reporting platform.
What we verified: Founded in 1995 (Clutch). “750 experts on staff” and “230+” healthcare staff, per agency. Results, per agency, for unnamed clients: a dermatology center +183% paid search revenue year over year; an aesthetic center 66% lower paid search cost per lead; an addiction rehab +31% paid search revenue month over month.
Google badge: Its site shows a Google Premier Partner badge, as claimed; the directory entry is not linked from its homepage.
Independent reviews: 4.9 from 450 reviews, the largest base on this page.
Where it may not fit: A generalist at scale; health results are anonymized, and the two published starting prices ($650 and $750) disagree with each other.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, healthcare page, PPC pricing, Clutch.
5. Firegang Dental Marketing · Spokane, WA
Best for a dental practice that wants Google Ads, implant marketing and call coaching from a dental-only firm
Price Not on its site; Clutch minimum $1,000+Highest grade: niche focus 4/5. Lowest grade: Clutch reviews 1/5.
Health rules published: A HIPAA seal image on its site, with no process described on the pages we read.
Pricing: Not on its site. Clutch lists a $1,000+ minimum.
Services: Dental paid search, SEO, websites, Facebook ads, call coaching and implant marketing.
What we verified: Founded in 2010 (Clutch). Results, per agency, for named dentists: Centro Dental Las Americas $2MM+ growth in collections; Evergreen Smile Studio 2X new patients; Pier 210 Dental +50% new patients. The channel behind each figure is not stated.
Google badge: A Google Partner badge on its site, as claimed.
Independent reviews: 0 reviews, so the floor.
Where it may not fit: Dental only, by design; and no independent reviews to read.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch.
6. PELORA Marketing · Newport Beach, CA This is us
Best for a licensed clinic that wants Google Ads built around the healthcare policy, with the price on the page
Price Published on our pricing pageHighest grade: price transparency 5/5. Lowest grade: partner badge 1/5, Clutch reviews 1/5.
This is us PELORA wrote this page and scored itself with the same rubric, using only facts we already publish on our own site (our about page and homepage). Where we publish nothing a reader could check, we gave ourselves the floor score.
Health rules published: We publish our own Google Ads health keyword study, a dated policy tracker and a suspension guide, and every health client goes through an ad-compliance review before anything runs. We publish the rules and the fact of the review, not the review steps themselves, so we scored 4, not 5.
Pricing: Published, tier by tier, on our pricing page and our Google Ads page. We link to it rather than restate it.
Services: Google and Meta ads, AI search, websites, creative and CRM for licensed clinics and health brands, among others.
What we verified: From our own site, company-reported because it is us: Preston Durnford is the founder (homepage); headquartered in Newport Beach, California, working with clients nationwide, $5M+ in ad spend managed, a 5.0 Google rating and a core team that has worked together for 10 years (about page). The ad-spend figure is agency-wide, which this rubric scores 2. We name no client result here.
Google badge: None. We publish no Google Partners status, so we took the floor.
Independent reviews: We publish no Clutch rating, so the floor. Our Google rating is not counted, as nobody’s is.
Where it may not fit: If you want a verified Premier badge or hundreds of reviews, Sagapixel and WebFX have them and we do not. On the medical side we work with licensed clinics only, and Google will not run ads for unapproved substances, so some businesses get organic and AI search work from us instead.
What we checked: Scored 11 October 2026 from what PELORA publishes on its homepage and about page, and the pages linked in this card.
7. KlientBoost · Costa Mesa, CA
Best for a practice that values a big review base and a Google Partners listing it can open itself
Price No figures shown; Clutch minimum $1,000+Highest grade: Clutch reviews 5/5. Lowest grade: published health rules 1/5.
Health rules published: Nothing on healthcare rules on the pages we read.
Pricing: Its pricing page showed no figures. Clutch lists a $1,000+ minimum and $100 to $149 an hour.
Services: Paid search on Google, paid social, landing pages, conversion work and SEO.
What we verified: Founded in 2015 (Clutch). “We hit 83% of client goals in Q2, 2026”, per agency; the dollar figures in its Growth Grid are illustrative.
Google badge: Verified as a Google Partner (not Premier): its homepage links the directory entry, which on 11 October 2026 said KlientBoost “has met all of the requirements to be a Google Partner”. A verified Partner scores 4.
Independent reviews: 4.9 from 405 reviews.
Where it may not fit: A generalist with a B2B lean; no healthcare work or policy writing on the pages we read.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Google Partners directory read 11 October 2026. Sources: homepage, Clutch, Google Partners entry.
8. Etna Interactive · San Luis Obispo, CA (fully remote)
Best for a plastic surgery or aesthetic practice that wants a specialist search team that has done this since 2002
Price Not publishedHighest grade: niche focus 5/5. Lowest grade: Clutch reviews 1/5, price transparency 1/5, published health rules 1/5.
Health rules published: Nothing on HIPAA or Google’s healthcare policy on the pages we read.
Pricing: Nothing published, here or on Clutch.
Services: Search and social ads, SEO and websites for plastic surgery, med spa, dermatology and ophthalmology practices.
What we verified: Founded in 2002 (its about page); fully remote with a San Luis Obispo address. “10:1 average ROI for first year, based on audited lead data”, per agency, with the method not stated. Named clients without figures. It shows a 4.63 rating from 72 reviews on its own site without naming the platform, so we did not count it.
Google badge: This is the finding to read. Its site shows a Premier Partner badge and says it is among the top 3% of agencies, and the badge links to its directory entry. On 11 October 2026 that entry read “Etna Interactive has met all of the requirements to be a Google Partner”: a Google Partner, not a Premier Partner. The Premier badge image sits in Google’s 2023 badge folder. Further down the same homepage it also shows a current Google Partner badge (2024 badge set), which does match. We scored the verified Partner status, 4.
Independent reviews: 0 reviews on Clutch.
Where it may not fit: No published price and no Clutch reviews. Its homepage text and one badge say Premier Partner while Google’s directory says Partner (a second badge on the page matches); ask which is current.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Google Partners directory read 11 October 2026. Sources: homepage, about page, Clutch, Google Partners entry.
9. Ignite Visibility · San Diego, CA
Best for a larger healthcare brand that wants paid search inside a full-service program with many independent reviews
Price Not published; Clutch minimum $1,000+Highest grade: Clutch reviews 5/5. Lowest grade: published results 1/5, published health rules 1/5.
Health rules published: Healthcare is listed as an industry; nothing on Google’s healthcare policy on the pages we read.
Pricing: Not published. Its homepage says “We don’t believe in tying our clients down with long-term contracts, hidden fees, or owning your assets.” Clutch lists a $1,000+ minimum and $100 to $149 an hour.
Services: SEO, paid search, paid social and content.
What we verified: Founded in 2013 (Clutch). Staff given as “over 340” on its site and “600+” in its Clutch description. Client logos, per agency: Experian, Dun & Bradstreet, Jazzercise, Batteries Plus. No results on its homepage.
Google badge: Its homepage says “top 1% Google Partner” and shows a Premier Partner badge, as claimed; the directory entry is not linked from the homepage.
Independent reviews: 4.8 from 175 reviews.
Where it may not fit: Healthcare is one industry of many and no healthcare result is published on the pages we read.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch.
10. Disruptive Advertising · Pleasant Grove, UT
Best for a practice that wants an established paid search shop on month-to-month terms
Price No figures; Clutch minimum $5,000+Highest grade: Clutch reviews 5/5. Lowest grade: published health rules 1/5.
Health rules published: Nothing on healthcare rules on the pages we read.
Pricing: No figures; “No long-term contracts” and a 90-day growth guarantee “For qualifying brands”. Clutch lists a $5,000+ minimum and $150 to $199 an hour.
Services: Paid media (Google and Meta) and conversion rate optimization.
What we verified: Founded in 2011 (Clutch); “160+” employees, per agency. Agency-wide figures only, and they conflict: “$450M+” annual ad spend managed in one place, “$1B+” in another. Named clients include My Health Teams, per agency.
Google badge: A Google Premier Partner logo on its homepage and about page, as claimed.
Independent reviews: 4.8 from 371 reviews.
Where it may not fit: No healthcare vertical, no healthcare result and no policy writing on the pages we read.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, about, Clutch.
11. Healthcare Success · Irvine, CA
Best for a hospital, multi-location practice or behavioral health group that wants a healthcare-only agency with long tenure
Price Not on its site; Clutch minimum $25,000+Highest grade: niche focus 5/5. Lowest grade: published results 1/5, partner badge 1/5, Clutch reviews 1/5.
Health rules published: Describes a “HIPAA-protected call tracking platform”, a specific tool rather than a general claim, so it scores 3.
Pricing: Not on its site. Clutch lists a $25,000+ minimum and $150 to $199 an hour.
Services: Paid search, paid social, SEO and branding for hospitals, multi-location practices, addiction and mental health providers, wellness brands and dental.
What we verified: Founded in 2006, Irvine, CA (site and Clutch). “40+” staff and “1,000+ healthcare clients”, per agency. Named clients: Feldman Orthodontics, Illinois Bone and Joint Institute and Pomona Valley Health Centers. No result figures on the pages we read.
Google badge: None shown.
Independent reviews: 0 reviews.
Where it may not fit: No published results and no independent reviews to check, at a $25,000+ minimum.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch.
12. Scorpion · Draper, UT
Best for a health system that wants websites, marketing technology and Google Ads from one vendor
Price Terms only, no figuresHighest grade: niche focus 4/5. Lowest grade: published results 1/5, published health rules 1/5.
Health rules published: No HIPAA or Google policy statement on its healthcare page.
Pricing: Terms only: SEO and marketing technology typically on a 12-month contract, ads typically month to month.
Services: Websites and marketing technology; Google Ads, Local Services Ads and Meta; a healthcare line for health systems.
What we verified: Founded in 2001 (Clutch). Its main lines are home services and legal; healthcare is one line. No result figures on its healthcare page.
Google badge: Google Partner, Meta Business Partner and Microsoft badges, as claimed.
Independent reviews: 3.5 from 12 reviews, the lowest rating here with more than a handful of reviews.
Where it may not fit: A 12-month contract on the technology side and a weak independent rating.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: healthcare page, Clutch.
13. Logical Position · Lake Oswego, OR
Best for a practice that sells products online and wants Google Shopping and search from a Premier-badged team
Price Pricing pages not read; Clutch minimum $1,000+Highest grade: published results 3/5, partner badge 3/5, price transparency 3/5. Lowest grade: niche focus 1/5, published health rules 1/5.
Health rules published: Nothing on healthcare rules on the pages we read.
Pricing: Product and bundle pricing pages are linked from its site; we did not read them for this edition. Clutch lists a $1,000+ minimum and $100 to $149 an hour.
Services: Paid search, paid social, SEO, Amazon, email and SMS, and websites.
What we verified: Founded in 2010 (Clutch). “Managed over $2.15 billion”, per agency. One named result, per agency: Sheffield Pottery, 62% revenue growth.
Google badge: Google Premier Partner, Meta Business Partner and Microsoft badges on its site, as claimed.
Independent reviews: 4.5 from 2 reviews.
Where it may not fit: No healthcare focus at all on the pages we read; listed because it recurs on competing healthcare lists.
What we checked: Site pages read 10 October 2026 (Pacific); Clutch profile re-read 11 October 2026. Sources: homepage, Clutch.
How should a clinic choose a Google Ads agency?
Ignore the rankings, including this one, and run four checks.
Open the badge yourself.
Ask for the Google Partners link and read the top line: Partner or Premier Partner. One agency on this page shows a badge its directory entry does not match.
Ask them to state the rule for your service.
Restricted drug terms for a weight loss or hormone clinic, the LegitScript route for telehealth, the cell therapy exceptions for regenerative medicine, the certification for addiction treatment. Six of thirteen publish nothing on healthcare rules.
Ask for the number first.
Two publish a full rate card. Ask everyone else in the first email, and ask whether ad spend is separate and never marked up.
Ask for a result in booked patients, not clicks.
Intrepy ties leads to EHR records; ask every agency what it measures after the click, and who owns the Google Ads account if you leave. Our account ownership guide shows how to check.
Questions clinic owners ask about Google Ads agencies
How much does a healthcare Google Ads agency cost? Two of the thirteen publish a full rate card.
WebFX lists paid search management from $750 a month on its PPC pricing page (and from $650 on its healthcare page), rising to $975 a month or 15% of spend on its Pro plan; PELORA’s tiers are on our Google Ads page. Most others list a Clutch minimum: $1,000+ for KlientBoost, Ignite Visibility, Logical Position and Firegang; $5,000+ for Cardinal and Disruptive; $10,000+ for Intrepy; $25,000+ for Healthcare Success. Ad spend is paid to Google on top.
Can a clinic advertise prescription treatments or telehealth on Google Ads? Only after applying.
Google’s Healthcare and medicines policy, read 11 October 2026, says advertisers “must apply to serve ads for prescription drug services”, names telemedicine providers among the businesses covered, and restricts prescription drug terms in ads, landing pages and keywords. Online pharmacies need LegitScript verification or a listed local registration.
Can a clinic use remarketing on Google? Carefully.
Google’s personalized advertising policy lists Health among the sensitive interest categories with targeting restrictions, so remarketing lists built from health condition or treatment pages are restricted. Ask an agency how it builds audiences before it builds them.
What is the difference between a Google Partner and a Premier Partner? Both are listed in Google’s Partners directory.
On 11 October 2026 Sagapixel’s entry read “2026 Premier Partner”, while KlientBoost’s and Etna Interactive’s read Google Partner. Premier is the higher tier. Neither tier says anything about healthcare policy; open the agency’s directory link yourself rather than trusting the badge image.
Why is PELORA on its own list? Because we run Google Ads for clinics, and hiding that would be worse than declaring it.
We scored ourselves with the same rubric, using only facts we already publish on our own site, and set one rule in advance: never first. The note at the top of this page says where that put us.
Should a clinic hire a healthcare-only Google Ads agency? Specialism helps with the rules, not with the bidding.
All six healthcare-only or dental-only firms here score 4 or 5 on niche, but only three of them (Cardinal, Sagapixel and Healthcare Success) score above 2 on published health rules. Ask the policy questions above whichever kind you hire.
How do I know these rankings are trustworthy? Check them.
Every fact links to its source with the date we read it, results are labeled per agency, the rubric and weights are published, and the three badges we verified link to Google’s own directory. We ranked ourselves, which is a conflict of interest, and the disclosure at the top says so.