One client per industry per county
Marketing for doctors that fills the schedule
Patient acquisition built around the real economics of your practice: lifetime value, payer mix, and a front desk that converts. Flat fee, no contracts.
Prefer to talk?(407) 279-1929
- Years experience
- 20+
- Ad spend managed
- $98M+
- Practice per county
- 1
client-reported
client-reported, career total
standing exclusivity policy
The patient acquisition problem
Referrals age. Search compounds.
Most practices are built on referral relationships that took a decade to earn and can retire with a single colleague. Meanwhile, the patient who just moved to your county picks a doctor the same way they pick a restaurant: search, reviews, website, book. If that path leads to a competitor, the referral network never even gets a vote.
The economics reward whoever fixes this first. A patient is not one visit. Depending on your specialty and payer mix, one new patient can be worth thousands of dollars over their time with the practice, and cash-pay or elective patients often more. That lifetime value is what makes patient acquisition math work when a single click can cost real money.
ROI Vault builds the whole path: visibility where patients search, a website that books instead of just brochures, and tracking that tells you what a new patient actually costs you. One team, one flat fee of $3,495 per month, and one practice per county. Your competitors cannot hire us while you are here.

Outcomes, not activity
What doctors get out of it
Every program ties back to booked appointments and the case mix you want more of.
Forecastable new-patient flow
A pipeline you can staff around, instead of hoping this month's referrals match last month's.
A better case mix
Campaigns weighted toward the service lines and payer mix you actually want, including cash-pay and elective work.
Reputation that pre-sells
Review volume and ratings that do the convincing before the patient ever calls your front desk.
Less front-desk leakage
Call tracking shows which inquiries never became appointments, so marketing dollars stop dying on hold.
Your county, exclusively
Guaranteed geo & market exclusivity. We will not run marketing for a competing practice in your county.
Terms built for skeptics
No % of ad spend. Ever. No contracts. Cancel anytime. You own the website, the accounts, and the data.
Four programs, one team
The patient acquisition system
Each program stands on its own. Together they compound. Explore the one your practice needs most.
Demand generation
Top-of-funnel awareness that puts your practice in front of patients before they ever search.
Top of funnel
ExploreLead generation
Bottom-of-funnel landing pages, offers, and tracking that turn in-market patients into booked visits.
Bottom of funnel
ExploreSEO for doctors
Map pack, service-line pages, and medical content authority for the searches patients actually make.
Organic growth
ExploreThe full digital program
Website, SEO, ads, and analytics run as one connected system under the flat fee.
Most popular
ExplorePractice website & booking
Conversion-focused builds from $5,000 that make scheduling frictionless instead of a phone-tag exercise.
Reputation & reviews
Systems that earn reviews from happy patients, because ratings decide who gets the click.
The process
How a practice engagement starts
Built to respect a clinical schedule. Your time investment is measured in minutes per week, not meetings per day.
01 /
Check your county
One call confirms whether your specialty and county are open. If a competitor holds them, we say so.
02 /
Practice audit
We map your visibility, reviews, website conversion, and where patients leak out between click and appointment.
03 /
Launch the system
Website, tracking, and campaigns go live together, built in-house and mindful of health-advertiser platform policies.
04 /
Report and scale
Weekly numbers tied to booked appointments, not impressions. We scale winners and kill losers.
What clients say
Proof from owners who track their numbers
Different industries, same system. Every metric is client-reported.
“He said he would get me some new cases and he did. We just launched the third version of our website.”
Donny MarinPartner, The Marin Law Offices≈300Inspections / year 2 / client-reported
“Alfonso and ROI Vault are the reason I am a millionaire. Our first year we did maybe 25 inspections. Second year with ROI we almost hit 300. My fleet is now 9 trucks.”
Danny NievesOwner, South Florida Inspectors2xBusiness growth / client-reported
“ROI Vault did our logo, website, everything. We doubled our business. I had to tell him to pause the ads.”
Chef Billy G.Owner, Billy G CateringCase study
An intake engine rebuilt in thirty days
Miami-Dade County Bar Association
Professional referral service, Miami FL
- Days to rebuild and relaunch
- 30
- Revenue month on record
- #1
client-reported
first month post-launch, client-reported
The problem
The Bar Association's Lawyer Referral Service, an intake-driven organization much like a busy practice, was losing revenue to an aging platform that made contacting the right professional harder than it should be.
What we did
ROI Vault rebuilt and relaunched the entire referral service in 30 days: new platform, new intake flow, and tracking on every step. The same discipline we apply to patient scheduling paths.
The outcome
The first month after relaunch generated more revenue than the rest of the year combined, as reported by the association's executive director. Intake friction was the bottleneck. Removing it was the growth plan.
FAQ
Questions doctors ask us
Because referral networks are concentrated risk. A colleague retires, a hospital system changes alignment, and the pipeline thins overnight. Search-driven patients diversify where growth comes from, and they compound: visibility earns reviews, reviews earn more patients. Referrals stay valuable; they just stop being your only engine.
Trust and compliance. Patients research harder than most buyers, reviews carry unusual weight, and ad platforms restrict health advertisers in ways that trip up generalist agencies. We build campaigns mindful of health-advertiser platform policies and lean on reputation, credentials, and clarity instead of hype.
Both. Specialty changes the math, not the system. High-ticket elective specialties can justify aggressive paid acquisition, while insurance-based primary care leans harder on local SEO and reputation. The practice audit prices out patient acquisition for your specific specialty, payer mix, and county.
One client per industry per county, and in healthcare we draw the line at specialty level. If we work with your dermatology practice, we will not take another dermatology practice in your county. A pediatric clinic across town is not your competitor, so the promise stays meaningful.
We track cost per booked appointment, not cost per click, and weigh it against patient lifetime value for your specialty and payer mix. Call tracking and form attribution connect every appointment back to its source, so you see which channel produced the patient, at what cost.
Yes. Ratings decide who gets the click before your credentials get a chance to. We build review generation into the patient journey, monitor what appears, and make your best proof visible on the website and profiles patients actually check.
There is no such thing as a HIPAA certification for marketing agencies, and anyone claiming one deserves skepticism. What we do is practical: we build campaigns and tracking mindful of health-advertiser platform policies and keep patient-sensitive data out of marketing systems by design.
Keep exploring
Go deeper
The doctors programs in detail, and the model behind them.
- View
Healthcare & Medical Marketing
The full category: doctors, dentists, chiropractors, med spas, cosmetic clinics.
- View
All Industries We Serve
Five categories, twenty-three verticals, one senior team.
- View
Pricing
$3,495 per month flat. Every number public before you ever call.
- View
Free Website Audit
100+ checks on your practice website, reviewed by a human.
- View
Fractional CMO
Executive marketing leadership for multi-provider groups.
- View
Schedule a Call
Check whether your specialty and county are still open.
One practice per specialty per county
Your county's patients are searching right now
Someone will be the practice they find and book. No % of ad spend. Ever. No contracts. Cancel anytime. The only question is whether your county is still open.
High intent? Skip the form.(407) 279-1929