SEO Case Study: How a Telemedicine Company Increased Online Consultations by 270%
In March 2025, a Raleigh based telemedicine company partnered with Goforaeo because their organic bookings were not consistent. They had strong doctors and fast service, but most new patients still came through paid ads. Organic traffic existed, yet it was not turning into enough booked online consultations. We focused on building stable search visibility and making the booking path easier on mobile.
This case study covers the work done from March 2025 to November 2025 in Raleigh, North Carolina. You will see monthly actions, monthly numbers, and clear proof of growth. The writing is kept simple, and the process is shared as it happened.
Project snapshot: dates, timeframe, and what we tracked
This campaign started on March 4, 2025 and ran in structured monthly phases until November 28, 2025. The main location focus was Raleigh, North Carolina, because many searches included the city name even though the care was virtual. We tracked both website and local listing actions to see the full picture.
Key definitions we used from day one:
- Online consultations: completed bookings inside the scheduling system
- Organic consultations: bookings that started from organic search sessions
- Local actions: Google Business Profile calls, website clicks, and direction requests
- Ranking progress: count of top 3 keywords for Raleigh intent searches
Where things stood in March 2025
In early March 2025, the site looked professional, but it was not built around how people actually search. Many pages were broad, so Google could not connect them to urgent intent queries. The booking flow also had small friction points that caused drop offs on phones.
Baseline numbers: March 2025
We locked these numbers before making major changes, so the before vs after would be fair:
- Online consultations from organic: 70
- Organic sessions: 9,400
- Organic booking conversion rate: 0.74%
- Top 3 rankings for Raleigh intent keywords: 9
- Google Business Profile actions: 620
What was not working: quick symptoms we saw
The baseline data showed clear patterns that explained the low booking volume:
- Many visitors landed on service pages, then left without clicking book
- Pages were not matching symptom based searches like same day online doctor Raleigh
- Important pages were buried in the site structure, so Google treated them as low priority
- Mobile load felt heavy, especially on key booking pages
Audit and planning: what we found and why it mattered
We began with a full audit because telemedicine SEO needs both trust and clarity. It is not enough to rank, the pages must feel safe and easy to use. We reviewed tracking, technical health, content intent, and the booking journey.
Tracking issues: fixing measurement first
We found that bookings were not being tracked cleanly, which made reporting unreliable. Some booking steps were counted as page views, and some button clicks were not captured. We fixed this before content work so every month would show the real story.
Tracking fixes implemented:
- Set up proper booking conversion events in Google Analytics 4
- Tracked appointment button clicks and key booking funnel steps
- Tracked click to call actions for mobile users
- Verified reporting in Google Tag Manager and tested it across devices
Technical issues: small problems that blocked growth
The technical crawl showed common issues that reduce ranking strength over time. These issues do not always look serious, but they quietly slow performance. We focused on fixes that improve crawl, speed, and page importance signals.
Technical fixes planned:
- Cleaned duplicate titles and meta descriptions on core pages
- Improved internal links so key pages were easier to discover
- Fixed broken links and redirect chains that wasted crawl budget
- Reduced mobile page weight by trimming heavy assets
Content gaps: the site was not matching real intent
The brand had good medical content, but it was too general for search. People usually search by symptom, urgency, and city name. Without pages that match those needs, the site misses high intent traffic.
Content gaps we identified:
- Not enough symptom and condition pages
- Limited Raleigh intent coverage for urgent and same day queries
- Weak FAQ coverage for common concerns like privacy, prescriptions, and wait time
- Multiple pages trying to rank for similar terms, causing keyword overlap
Booking friction: why users hesitated
Even when visitors were interested, the booking flow made some users pause. Telemedicine bookings are sensitive because users want quick reassurance. Small design and wording changes can remove doubt and increase completions.
Friction points we fixed later in the plan:
- Too many form fields early in the flow
- Booking prompts placed too low on pages
- Lack of simple “how it works” explanation near the booking button
- Limited trust cues near the point of decision
Strategy overview: what Goforaeo implemented
We used a practical strategy built for local service demand and medical trust. We did not chase random keywords or publish content without purpose. Every change was tied to either better visibility or better booking completion.
Strategy pillars we followed:
- Measurement cleanup: so results were real, not guessed
- Technical foundation: so Google could crawl and rank key pages properly
- Raleigh local SEO support: so city based searches triggered visibility
- Intent based content: so symptom and urgency searches had the right page
- Conversion improvements: so visitors booked with less hesitation
Tools used during the campaign
We kept the tool stack simple and focused on decisions. We also respected privacy and avoided collecting sensitive health details. Tools were used to measure performance and improve the patient journey.
Tools we used:
- Google Analytics 4: organic bookings, funnels, landing page performance
- Google Tag Manager: tracking for clicks, booking steps, and call actions
- Google Search Console: queries, indexing, click trends, page level growth
- Screaming Frog SEO Spider: technical audits, metadata checks, internal link review
- Ahrefs: keyword research, competitor gaps, backlink reviews
- PageSpeed Insights: mobile performance checks and fix priorities
- Looker Studio: clean monthly reporting for leadership review
- Hotjar: scroll maps, click behavior, drop off insights on key pages
- Google Business Profile: listing actions, call trends, post performance
Month by month execution and results: March 2025 to November 2025
We followed a monthly rollout so the site improved in a stable way. Each month had a clear focus and a clear set of deliverables. This helped rankings and bookings climb steadily instead of jumping randomly.
March 2025: measurement cleanup and quick technical wins
March was about getting the data right and removing the biggest technical blockers. We set up proper tracking for bookings, clicks, and calls. Then we cleaned duplicates and improved internal linking for core pages.
March work completed:
- Fixed GA4 booking conversion events and tested them on mobile
- Removed duplicate metadata from priority pages
- Improved internal links to booking and service pages
- Identified booking funnel drop off steps for later fixes
March 2025 results:
- Online consultations from organic: 70
- Organic sessions: 9,400
- Top 3 keyword count: 9
- Google Business Profile actions: 620
April 2025: mobile speed and clearer booking prompts
April focused on mobile experience because most telemedicine users arrive on phones. We reduced page weight, cleaned layout clutter, and improved the clarity of the booking prompts. This improved engagement even before big ranking gains showed up.
April work completed:
- Improved mobile load speed on top landing pages
- Made the main booking button visible earlier on key pages
- Reworked headings so users understood service steps faster
- Fixed leftover redirect chains from older site changes
April 2025 results:
- Online consultations from organic: 89
- Organic sessions: 10,600
- Top 3 keyword count: 12
- Google Business Profile actions: 690
May 2025: Raleigh relevance and Google Business Profile upgrade
May was about winning Raleigh intent searches and local visibility. Even virtual care searches often trigger local results, so the listing mattered. We improved the Google Business Profile and strengthened local signals on the site.
May work completed:
- Optimized Google Business Profile categories, services, photos, and description
- Cleaned local citations for NAP consistency
- Added local schema and stronger Raleigh references on core pages
- Published locally focused FAQs to support trust and clicks
May 2025 results:
- Online consultations from organic: 112
- Organic sessions: 12,100
- Top 3 keyword count: 16
- Google Business Profile actions: 770
June 2025: symptom pages and urgent intent coverage
June was the turning point for organic growth. We built symptom and condition pages based on real search queries and local intent. Each page explained the issue in simple words and guided users to book safely.
June work completed:
- Published symptom pages targeting high intent queries tied to Raleigh
- Added clear next steps and booking prompts on symptom pages
- Created supporting FAQs based on Search Console query data
- Improved internal links between symptoms, services, and booking pages
June 2025 results:
- Online consultations from organic: 136
- Organic sessions: 13,700
- Top 3 keyword count: 21
- Google Business Profile actions: 860
July 2025: trust building and authority improvements
July focused on trust signals because healthcare users need reassurance. We improved doctor and clinical information pages and strengthened credibility across the site. We also earned relevant mentions that supported authority without looking forced.
July work completed:
- Improved provider profile pages with clear credentials and experience info
- Added trust sections on key pages: privacy, process, and response time
- Earned a few relevant local mentions and quality backlinks
- Improved review response process on the business profile
July 2025 results:
- Online consultations from organic: 158
- Organic sessions: 15,200
- Top 3 keyword count: 25
- Google Business Profile actions: 940
August 2025: topic clusters and click improvement from search
August was about structure and better clicks. We built topic clusters so symptom pages supported each other and guided users toward booking. We also refreshed titles and descriptions to improve click through rate.
August work completed:
- Built internal linking clusters around urgent care and symptom themes
- Updated near page one pages with stronger FAQs and clearer sections
- Improved meta titles and descriptions to lift clicks
- Continued Google Business Profile posts tied to common care needs
August 2025 results:
- Online consultations from organic: 188
- Organic sessions: 17,400
- Top 3 keyword count: 30
- Google Business Profile actions: 1,060
September 2025: booking funnel clean up and conversion lift
September focused on converting the extra traffic into more completed bookings. We used Hotjar to see where people hesitated and where they stopped. Then we simplified the flow and improved reassurance near the booking button.
September work completed:
- Reduced form friction by removing unnecessary early fields
- Improved booking button placement and supporting copy
- Added a short “how a visit works” block to reduce doubt
- Improved internal links from blogs and FAQs to booking pages
September 2025 results:
- Online consultations from organic: 213
- Organic sessions: 19,100
- Top 3 keyword count: 34
- Google Business Profile actions: 1,170
October 2025: pushing rankings into top 3 for high intent terms
October was about moving strong rankings into top positions. We targeted keywords sitting just below the top results and strengthened those pages. This helped capture more high intent clicks from Raleigh searches.
October work completed:
- Updated pages ranking in positions 4 to 10 with stronger intent matching
- Expanded FAQ sections for urgent and same day care queries
- Improved internal links from high authority pages to growth pages
- Earned a small set of relevant links to support competitive terms
October 2025 results:
- Online consultations from organic: 238
- Organic sessions: 20,800
- Top 3 keyword count: 37
- Google Business Profile actions: 1,260
November 2025: consolidation, stability, and consistent bookings
November was about stability and avoiding page overlap. We merged thin content that competed with stronger pages and improved the best performers. We also added clearer patient expectations so booking felt easier and safer.
November work completed:
- Merged overlapping pages to reduce keyword confusion
- Improved top converting pages with clearer steps and reassurance text
- Continued local listing updates with photos and short posts
- Cleaned internal links so clusters stayed organized
November 2025 results:
- Online consultations from organic: 259
- Organic sessions: 22,300
- Top 3 keyword count: 41
- Google Business Profile actions: 1,340
Before vs after proof: the 270% growth explained
The clearest proof is the consultation number at the start and end of the timeline. In March 2025, organic consultations were 70. In November 2025, organic consultations were 259. That is a gain of 189 consultations per month compared to the baseline.
Here is the simple math behind the percentage increase:
- Increase: 259 minus 70 equals 189
- Percentage increase: 189 divided by 70 equals 2.7
- Result: 270% increase in online consultations from organic search
What changed the most: the real drivers of growth
This result did not come from one trick. It came from fixing the full journey: ranking, trust, and booking ease. When these three improved together, the monthly numbers climbed and stayed stable.
Highest impact content moves
The biggest content win was matching real search intent. Symptom pages and urgent intent pages captured searches that already existed in Raleigh. Users landed on a page that matched their problem, saw a clear answer, and had a simple next step.
Content moves that mattered most:
- Symptom pages tied to urgent intent
- Clear FAQs that answered common doubts
- Strong internal links between related topics and booking pages
Highest impact conversion moves
Once traffic increased, conversion work had a bigger effect. A small drop in friction created a big lift in completed bookings. Clear words near the booking button reduced hesitation, especially for first time telemedicine users.
Conversion moves that mattered most:
- Shorter intake steps and fewer early fields
- Booking button placed higher on key pages
- Simple “how it works” blocks near the point of decision
Local trust signals that supported both clicks and bookings
Even for virtual care, local trust helps. Many users still want to see a real presence and clear service area. The Google Business Profile improvements also increased local actions, which supported overall patient acquisition.
Local trust work that helped:
- Better Google Business Profile setup and weekly activity
- Cleaner NAP consistency across listings
- Raleigh focused wording and schema on core pages
What you can copy from this case study
If you want steady bookings from SEO, start by making the site easy for Google to understand and easy for users to trust. Do not publish random pages without clear intent. Build a clean structure, then improve conversions once traffic grows.
A practical checklist you can apply:
- Track bookings correctly before you scale content
- Fix mobile speed, because most telemedicine users come from phones
- Build symptom pages based on real searches, not guesses
- Keep Google Business Profile active with services, photos, and updates
- Reduce booking friction and add simple reassurance near the booking button
Final takeaway
From March 2025 to November 2025, this Raleigh telemedicine company moved from uneven organic bookings to a consistent monthly flow. The growth happened because SEO and conversion work were handled together, month by month. Rankings increased, clicks increased, and more of those clicks turned into booked consultations.
This case study shares marketing and website actions only, and it is not medical advice. Results can vary by competition, website quality, and how well the service supports patient experience. The process stays the same: clear intent, strong trust, and an easy booking path.