Case Study: Ranked Specialized Services in 6 Months in Los Angeles
In 2025, a specialty focused clinic in Los Angeles partnered with Goforaeo to rank multiple specialized services and turn that visibility into consistent calls and appointment requests. The clinic name and exact specialty are anonymized due to an NDA, and the metrics below come from Google Search Console, GA4, Google Business Profile insights, call tracking, and local rank tracking for the dates listed.
Snapshot of Results
Timeframe: April 22, 2025 to October 22, 2025
Location: Los Angeles, California
Before vs after results:
- Specialized service keywords on page 1 (tracked): 2 to 19
- Top 3 keyword placements (tracked): 0 to 6
- Specialized service page clicks (GSC): 130 to 540 per month
- Specialized service page impressions (GSC): 4,200 to 16,900 per month
- GBP actions: 260 to 980 per month (calls, directions, website clicks)
- Calls + inquiries from organic and Maps: 28 to 96 per month
- Top 3 map pack placements (tracked): 1 to 9 service keywords
Context and Starting Point
Los Angeles is difficult for specialized services because large medical groups, directories, and long established brands dominate many search results. The clinic had the expertise, but the site did not have enough structured service pages to match specific intent searches. Several specialized services were listed on one broad page, and supporting content was minimal, which limited topical authority.
We built an SEO system that made each specialized service easy for Google to understand, connected it to supporting content, and reinforced local trust so rankings held in a competitive LA market.
Measurement Setup
We cleaned tracking and built reporting by service line so we could see which specialized pages were driving clicks and inquiries. We also tracked rankings city wide and in key LA areas to measure movement accurately.
What we set up
- GA4 events for call clicks, appointment clicks, and form submissions
- Search Console segmentation for specialized service pages
- Rank tracking for specialized services across Los Angeles
- GBP insights tracking for actions and discovery searches
- Call tracking to separate GBP calls vs website calls where possible
- Looker Studio dashboard with weekly notes and change dates
Diagnosis: Why Specialized Services Were Not Ranking
Specialized services require deeper intent matching than general healthcare. We compared the clinic’s pages to the pages ranking in LA and found the clinic was missing clarity and depth.
Key issues found
- Multiple specialized services were combined into one page, causing weak intent match
- Missing pages for procedure variations, symptoms, and “near me” intent
- Thin content without FAQs, outcomes explanations, or process details
- Weak internal linking, so authority wasn’t flowing into service pages
- Generic titles and meta descriptions, lowering CTR
- Local signals were light and inconsistent across pages
- GBP services didn’t fully reflect the specialized offerings
- Page speed and mobile formatting needed improvements for engagement
Strategy Overview
We used a six month plan to build topical authority and improve local visibility at the same time. The core approach was service page separation, supporting content clusters, and internal linking so authority built quickly. We then aligned GBP and citations for LA trust consistency.
Workstreams
- Specialized service page rebuild and separation
- Supporting content clusters for each service
- Internal linking system to route authority into the service pages
- Local SEO alignment with GBP and citations
- CTR improvements via snippets and FAQ formatting
- Conversion improvements so rankings became inquiries
- Technical cleanup for crawl and speed
Specialized Service Page Builds
We built dedicated decision pages for each specialized service. Each page targeted a unique intent and included the elements patients look for before booking.
What each service page included
- Clear above the fold positioning: service, LA coverage, booking CTA
- Who it’s for and common reasons people search the service
- Process overview and what to expect (written carefully and compliantly)
- Risks and safety notes where relevant to build trust
- Pricing or insurance guidance where appropriate
- FAQs based on Search Console queries
- Strong CTAs: call now and request appointment
- Trust cues: credentials, experience, reviews, and clinic process
Extra depth added for specialized services
- “Is this right for me” qualification sections to reduce wrong traffic
- Pre visit prep and post visit expectations pages where relevant
- Evidence based language and medical review notes
- Doctor profile links connected to relevant services
Supporting Content Clusters for Long Tail Growth
Specialized services often rank faster when supported by informational content that captures long tail searches. We built clusters that answered common questions and linked into the main service pages.
Content cluster approach
- One primary service page for each specialized service
- 4 to 7 supporting pages per service based on query demand
- FAQs and symptom intent pages designed for featured snippet wins
- Internal links from every support page to the main booking page
Examples of supporting topics
- Symptoms and “when to see a specialist” guides
- Procedure preparation pages and aftercare expectations
- Treatment comparisons and alternatives
- Recovery timeline questions
- Insurance and referral questions
Internal Linking and Architecture
Internal linking was critical because specialized pages need authority to rank in LA. We ensured every service page received links from relevant hubs and supporting content.
Linking actions
- Built a specialized services hub page with clear sections
- Added contextual links from related conditions and blogs
- Added “related services” blocks on each service page
- Cleaned orphan pages and fixed broken links
- Consolidated overlapping pages to reduce cannibalization
Local SEO and GBP Improvements
We aligned local signals so Google connected the clinic to LA searches. GBP was treated as a key conversion channel alongside organic.
Local work completed
- Updated GBP categories and expanded services with descriptions
- Added appointment links with UTM tracking
- Implemented weekly posts and consistent photo updates
- Citation cleanup for consistent NAP and hours across major platforms
- On page location reinforcement written naturally for LA context
- Added LocalBusiness and FAQ schema where eligible
Conversion Improvements That Increased Inquiries
Specialized services need more trust and clarity to convert. We improved the booking path and reduced friction, especially on mobile.
CRO updates
- Sticky call button on mobile
- Above the fold CTA and repeated CTA placement after key sections
- Simplified appointment request form and improved confirmation messaging
- Added trust blocks near CTAs: credentials, reviews, safety notes
- Better contact routing to the correct service coordinator
Technical SEO and Performance Work
Technical cleanup helped pages index faster and improved engagement. We focused on fixes that directly impact rankings and user experience.
Technical actions completed
- Fixed duplicates, canonicals, and index bloat
- Improved crawl depth to key service pages
- Optimized images and reduced heavy scripts for speed
- Improved Core Web Vitals on key templates
- Added structured data where eligible: LocalBusiness, FAQ, MedicalWebPage
Tools Used
Google Search Console, GA4, Google Business Profile insights, call tracking, Looker Studio, Screaming Frog, PageSpeed Insights and Lighthouse, BrightLocal or Whitespark, Semrush/Ahrefs, Microsoft Clarity or Hotjar, Google Tag Manager.
Timeline With Dates, Monthly Numbers, and Natural Notes
April 22 to April 30, 2025
We completed the audit, cleaned tracking, mapped each specialized service to a dedicated page, and shipped quick technical fixes that improved crawl and indexing. GBP service gaps were also identified and corrected.
Month end metrics:
- Page 1 keywords: ~2
- Impressions: ~4,200
- Clicks: ~130
- Calls + inquiries: ~28
- GBP actions: ~260
May 2025
We launched the first wave of specialized service pages and improved titles and meta descriptions to better match intent and increase CTR. Internal linking into these new pages started immediately.
Month end metrics:
- Page 1 keywords: ~6
- Impressions: ~7,100
- Clicks: ~200
- Calls + inquiries: ~41
- GBP actions: ~420
June 2025
We built supporting content clusters, added FAQs based on real Search Console queries, and strengthened service hubs so authority flowed into the pages that needed to rank. Citation cleanup began on major platforms.
Month end metrics:
- Page 1 keywords: ~10
- Impressions: ~9,800
- Clicks: ~280
- Calls + inquiries: ~56
- GBP actions: ~570
July 2025
We refined pages based on query movement, improved conversion flow for mobile users, and expanded GBP services with descriptions to support discovery searches. Rankings became more stable across the specialized services.
Month end metrics:
- Page 1 keywords: ~13
- Impressions: ~12,600
- Clicks: ~360
- Calls + inquiries: ~71
- GBP actions: ~720
August 2025
We doubled down on the services closest to top positions, refreshed underperforming pages, and strengthened internal links into the winners. Trust cues and safety notes were expanded to improve conversions.
Month end metrics:
- Page 1 keywords: ~16
- Impressions: ~14,900
- Clicks: ~450
- Calls + inquiries: ~85
- GBP actions: ~860
September 22 to October 22, 2025
We focused on stability, improved snippets for high impression terms, maintained GBP engagement, and continued minor technical cleanup to keep performance steady. The specialized services reached a new baseline in top positions.
Month end metrics:
- Page 1 keywords: ~19
- Impressions: ~16,900
- Clicks: ~540
- Calls + inquiries: ~96
- GBP actions: ~980
Before and After Proof Summary
Rankings improved because each specialized service had a clear page target, supporting content built topical authority, and internal linking distributed authority to priority pages. Local alignment improved LA relevance, and CRO improvements increased inquiries from the same traffic.
- Page 1 keywords: 2 to 19
- Top 3 keywords: 0 to 6
- Clicks: 130 to 540 per month
- Impressions: 4,200 to 16,900 per month
- Calls + inquiries: 28 to 96 per month
What Made It Work
The lift came from building depth, not just pages. Specialized services need strong intent match, clear process explanations, trust cues, and supporting topical content. Once the site structure made services easy to understand and internal linking pushed authority into them, rankings expanded and held in a competitive LA market.