AI SEO | Healthcare SEO and AI search
Stop renting your patients. Become the practice AI recommends.
Right now your new patients reach you through gatekeepers: ad slots, booking directories, insurance panels, and AI answers that name three practices and skip the rest. We build the presence that sends patients to you directly, on Google and in AI answers, and you own every piece of it.
Book a strategy call →“I've been able to put myself on a waiting list.”
Dr. Diane Mueller: New patient calls up about 10x. Two doctors hired to keep up.
How the system is rigged
Search doesn't reward the best practitioner.
None of these gatekeepers measures clinical skill. They measure what a machine can read, check and repeat. That's the rigging, and it's also why it can be beaten.
01
Health search belongs to the giants.
What you notice
Your best article sits on page three, under WebMD, Healthline and a hospital system.
Why it happens
Google holds health content to a stricter standard than almost any other topic. It trusts sites with years of links and named medical authors. A practice site with no author pages and a handful of links loses the general health questions, however good the writing is.
02
Directories stand between you and your patients.
What you notice
Patients find you through a booking platform, and the platform owns the relationship.
Why it happens
Booking directories decide who shows up first, and some charge you for every new patient they send. A patient won that way is rented. Stop paying and the flow stops.
03
AI names three practices, not ten.
What you notice
A patient asks ChatGPT who to see for their condition in your city. It gives three names. Yours isn't one.
Why it happens
AI assistants recommend the practices they can confirm across many independent sources: listings, directories, reviews, articles and video. If your name, specialty and services read differently in each place, the model can't confirm you, so it names someone it can.
04
Agencies get paid for activity.
What you notice
You get a monthly report full of traffic and impressions, and the schedule looks the same.
Why it happens
Agencies report what is easy to count. Tying a booked first visit back to the search that produced it takes real tracking work, so most never do it, and nobody is accountable for patients.
The way out
What changes when you own it.
Stuck in the system
Out of it
Patients rented from directories and ad slots
→Patients who find you by name, on Google Maps and in AI answers
Listings that contradict each other across the web
→One consistent description of your practice everywhere AI looks
Content written for an algorithm
→Answers to the questions your patients actually ask, in your clinical voice
Reports full of traffic
→Booked first visits and cost per patient, every month
A schedule that rises and falls with referrals
→A full schedule, then a waitlist
What we build
Every piece, and what you get from it.
Mike Kohl spent 20 years engineering software and took his last platform from $0 to $500M. We run search the same way: as a system you can measure.
01
Healthcare entity build
Your practice set up identically everywhere Google and AI check: Google Business Profile, Bing Places, Apple Business Connect, Healthgrades, Vitals, WebMD, Zocdoc, Doximity, the NPI registry, the major data aggregators, and the directories for your specialty.
You get: A listing report: every profile, its status and its link.
02
Google Maps, every location
We measure your real map position from 49 points across each market, then fix what holds you back: categories, services, photos, reviews and location pages. Groups get every location ranked in its own market.
You get: A map grid for each location, before and after.
03
AI search visibility
We write down the questions your patients ask AI, run each one repeatedly in ChatGPT and Google AI, and record which sources the answers come from. That map shows exactly where your practice needs to appear.
You get: A citation map, then the same questions re-run every month.
04
Medical content that answers patients
Condition, treatment, cost and what-to-expect pages built from your protocols, written in your voice, with a named clinical author. Each page answers one question clearly enough for Google and AI to quote.
You get: Published pages, each tied to a real patient question.
05
Technical foundation
Fast pages, clean indexing, correct structured data, and access for the crawlers that feed ChatGPT search. The unglamorous fixes that decide whether anything else gets read.
You get: A technical audit, and the fixes done.
06
Reviews and reputation
A steady system that asks happy patients for reviews and answers every review in your voice. Reviews move map rank and give AI something true to repeat about you.
You get: Review requests running automatically, every review answered.
The investment
Why it pays for itself.
The price depends on your locations and scope, so we set it on the call. Here's how the practices we work with decide it's worth it.
Built for
- ✓Cash-pay or hybrid, with a patient worth $6,000 or more
- ✓Multi-provider, multi-location, or close to it
- ✓Already paying for marketing and ready to consolidate it
We take one practice per specialty per city. When your market is taken, it's taken.
1
About one patient a month
For a practice where a patient is worth $6,000 or more, roughly one new patient a month covers the whole engagement. Everything after that is profit. We run your exact numbers on the call.
2
The first 30 days are a full build
We measure what Google and AI say about you on 25 real patient questions, rebuild your Google profile, put you on the health directories AI actually reads, build your practice fact page and five practice documents, rebuild your main page, and switch on review requests.
3
Then, every month
Eight new pages, updates to the pages closest to page one, three pitches to get you into the best-of lists AI quotes, social posts, a short provider video, and a report call with Mike.
4
It replaces three or four vendors
AI visibility, SEO, reviews and social, run by one team and pointed at one goal, instead of separate bills that each report their own success.
The guarantee
Recommended by AI in 90 days, or you pay nothing more until you are.
When a patient in your city asks ChatGPT who to see for your focus, we make the answer your practice within 90 days. We agree the questions with you in writing before we start. If we miss, you pay nothing more until we hit it, or you can walk away.
What the research says
This is measurable, not mystical.
129,000 domains
SE Ranking studied 129,000 domains and found the number of independent sites linking to a domain was the strongest predictor of ChatGPT citations.
Source: Search Engine Journal75,000 brands
Ahrefs compared 75,000 brands. Mentions on YouTube and across the web tracked AI visibility far more closely than backlinks did.
Source: The Next Web, reporting AhrefsDoctor questions
For doctor recommendations, ChatGPT draws on Google Business Profiles, Healthgrades and Vitals listings, hospital affiliation pages, practice websites and medical journalism.
Source: MGMA“It has been one of the best investments we have made. People can now easily find us.”
“I definitely saw my new patient inquiries go up. There’s more consistency now.”
Why work with us
The people who fixed my family weren't in the system.
Every time Mike's family needed real help, it came from a practitioner working outside the conventional system. Health Biz Scale exists to make those practitioners the easiest ones to find.
Read the story →We build it ourselves
Mike is an engineer, not a reseller. The person scoping your system can build it, and does.
You own everything
Every listing, page, account and dataset is built in your name. If we part ways, it all stays with you.
One team, one number
Search, ads and AI run as one system with one owner, instead of three vendors pointing at each other.
We give the method away
Every step is written up free in our guides. Practices hire us to get it done right, not to learn the secret.
How we measure
Patients, not pageviews.
- ✓Booked first visits, by source
- ✓Cost per new patient
- ✓Google Maps position for every location
- ✓How often AI names you on your agreed questions
- ✓Visits from ChatGPT, tracked separately in your analytics
Built for healthcare rules
Visible without getting you in trouble.
Health claims
Content is checked against FTC rules on health claims and your state board's advertising rules before it goes live.
Reviews and testimonials
Used only with patient consent, and never with health information in a public reply.
Patient privacy
Tracking is set up so patient information never flows to ad or analytics platforms.
Questions
What practices ask us.
How long until AI recommends us?+
Listings go live over two to eight weeks as each site approves them. New pages are usually picked up within one to four weeks. We re-run your agreed questions every month, so you see movement as it happens. Search keeps compounding over six to nine months.
How much does it cost?+
It depends on locations and scope. We work with practices where a patient is worth $3,000 or more over their lifetime. You get a real number on the strategy call.
Do we have to write the content?+
No. We interview your providers, work from your protocols and write in your voice. Your providers can review anything that carries their name.
Who owns the listings, pages and accounts?+
You do. Everything is built in your name and your accounts, and it stays with you if we ever part ways.
Do you work with multi-location groups?+
Yes. Every location is measured and ranked in its own market, and you get one report across all of them.
We're not functional medicine. Is this for us?+
Specialty doesn't decide it. Patient value does. Chiropractic, med spa, integrative, dental and other cash-pay practices run on the same system.
This is one part of the SMART Practice System. It works best with the other two.
Get out of the rented model.
On the call we'll show you where you stand on Google Maps and in AI answers today, who is taking the spots you should hold, and what it would take to be the practice that gets named.
Book a strategy call →