Case Study
Overview
Client: Paramount Family Chiropractic
Location: Westlake, OH
Industry: Chiropractic Performance Clinic with Multiple Wellness Modalities
Start Date: Advertising with LVRG Media since August 2020
New Website Launch: February 2024
Paramount Family Chiropractic has worked with LVRG Media for years through an ongoing paid advertising and content program. By early 2024, Dr. Greg realized that their previous “big box” website was limiting their SEO growth and no longer matched the level of effort and performance the practice aimed for. With a strong existing ad program and five years of consistent content creation, it was time to rebuild the website and elevate their entire digital strategy.
The Challenge
Although the clinic had a solid advertising and content foundation, their previous website held them back from achieving stronger organic and local search visibility. Key challenges included:
- A restrictive site structure limiting long-term SEO growth
- Technical constraints preventing improved local search performance
- A need for a deeper evergreen content strategy
- Low Map Pack rankings compared to competitors
- A website that no longer reflected the clinic’s authority, volume of content, or patient demand
They needed a performance-driven website, a scalable SEO framework, and a unified strategy connecting content creation, local search, and paid advertising.
Impact Summary: The Wins at a Glance
Content Production
- Over 100 educational videos created and published
- Consistent multi-weekly posting schedule
- Evergreen content library strengthened patient education and long-term visibility
SEO
- Total organic keywords increased from 127 → 284
- #1 keyword rankings improved from 73 → 196
- Competition visibility score rose from 27.10% → 68.20%
- Major increases in visibility for core chiropractic and wellness search terms
Google Business Profile (GBP)
- Average Map Pack rank improved from 13.7 → 2.9
- Strong increases in calls, website visits, and direction requests
- Weekly offers and content postings increased GBP engagement and local prominence
Google & Meta Ads
- Breaking records in patient visit numbers per week
- Campaigns successfully built for multiple modalities
- Paid performance strengthened by foundation of SEO and ongoing content creation
The Strategy
1. Content Creation
- Over 100 videos of engaging educational content produced
- Focused on conditions and patient types commonly searched in the local area
- Consistent posting schedule—multiple times throughout the week
- Evergreen content library that drives long-term visibility and patient education
Key Win:
The team has maintained five years of consistent content creation, allowing Paramount to stand out as a trusted authority in their community.
Over 100+ educational videos produced and counting—repurposed across platforms to drive visibility, authority, and a steady flow of new patient leads
2. SEO
- Developed and launched a fully optimized custom website to support long-term organic growth
- Improved technical performance, crawlability, and page structure
- Enhanced content organization around conditions and services
- Significantly expanded the number of keywords the clinic now ranks for
SEO Performance Improvements
Metric
Before
After
Change
Total Organic Keywords
127
284
+157 (124% increase)
Keywords Ranking #1
73
196
+123 (168% increase)
Keywords Top 2–5
29
60
+31 (107% increase)
Competition Visibility Score
27.10%
68.20%
+41.1%
The clinic now ranks for over 100 more keywords than it did before launching its new website and has increased its visibility dominance in its market.
February 2024 (Before)
November 2025 (After)
Visibility Score Since Feb 2024
3. Google Business Profile (GBP) Optimization
- Enhanced the clinic’s Google Business Profile to strengthen accuracy, presentation, and overall local visibility
- Improved local consistency across key business directories and listings
- Implemented a structured engagement approach to increase interactions and visibility within Google Maps
- Focused on improving placement in the Google Map Pack for high-intent chiropractic searches, resulting in an increase from an average rank of 13.7 to 2.9
- Maintained consistent posting of weekly offers and educational content to keep the profile active and relevant for local patients
Feb 2024 (Before)
Oct 2025 (After)
4. Google Ads & Meta Ads
- The practice is consistently generating 300+ patient visits per week
- Campaigns developed for several modalities, including chiropractic services, decompression, and additional wellness programs
- Long-term advertising performance enhanced by new SEO foundation and consistent content production
- Dr. Greg and team have been highly collaborative and open to testing new campaign types
The Results
- 100+ educational videos created, published, and distributed
- Total organic keywords more than doubled (127 → 284)
- #1 keyword rankings jumped from 73 → 196
- Competition visibility score increased from 27.10% → 68.20%
- Average Map Pack ranking improved from 13.7 → 2.9
- 300+ patient visits per week consistently from comphrensive content creation and paid advertising strategy
- New website finally matches practice authority and fuels long-term digital growth
Client Impact
”I was just throwing darts at a dartboard, hoping something would stick… and there was no consistency. Finding Nick and LVRG Media, and all the different aspects they put together for me, have been really beneficial. It’s been crucial in my growth.
Dr. GregParamount Family Chiropractic
Summary
By rebuilding their website and unifying content, SEO, GBP optimization, and paid advertising, LVRG Media helped Paramount Family Chiropractic dramatically expand its online presence and patient acquisition.
Their five-year commitment to consistent content, combined with a modern website and powerful ad strategy, has multiplied keyword rankings, elevated Map Pack visibility, and produced reliable new patient volume—giving Dr. Greg the momentum to grow his team and expand services.