By
Austin Coker
Reading time: 15 min
Google PPC is the fastest way to test demand, validate pricing, and learn what buyers actually click on. For healthtech companies, that speed-to-signal is the whole point. Whether the brand is testing new product categories, evaluating new audiences, or proving a positioning shift, PPC is where you learn the truth fastest.
But running Google PPC on its own caps the upside. The brands compounding ROI run Google PPC as one channel in an integrated SEO + PPC + GEO program, not as a siloed media spend.
Google PPC matters for healthtech companies specifically because:
This guide is built for healthtech companies in the $1M to $50M annual revenue range that want Google PPC running alongside SEO and GEO, with revenue accountability instead of impression reporting.
We evaluated agencies against four criteria specific to healthtech and healthcare technology.
The most common PPC agency failure mode is staffing a junior account manager across 8 to 12 accounts, with senior leadership handling sales. The result is template-driven campaign management that misses category-specific opportunities. We weighted agencies that staff senior strategists per account and limit account loads.
PPC produces the best ROI when its insights flow into SEO and GEO programs. Agencies that run PPC in a silo miss the compounding effect across channels. We weighted agencies with integrated multi-channel methodologies over single-channel specialists.
Buyer intent, keyword psychology, and creative testing all behave differently per vertical. Generalist PPC agencies bring transferable mechanics; vertical-specialist agencies bring category-specific intuition. We weighted agencies with documented client outcomes in healthtech companies.
Most PPC reports lead with ROAS, CPA, and impression metrics. None of those are revenue. We weighted agencies that report against attributable contribution to revenue, qualified pipeline, or LTV, even when attribution models are imperfect.
95 Projects is a search marketing agency built specifically for brands in the $1M to $50M revenue range that want Google PPC, SEO, and GEO running as one integrated practice instead of three siloed line items on a media plan. The agency is Google-PPC-pure (no Meta, TikTok, or LinkedIn paid), with senior-level account ownership and revenue-attribution reporting instead of ROAS theater.
The pattern across these accounts is the same. Run PPC for fast signal and revenue, then route the converting-but-unprofitable queries into SEO and GEO where ROI compounds without ad spend.
95 Projects runs PPC as the front of a three-channel system designed to compound ROI over 6 to 18 months.
Phase 1: PPC as discovery channel. Senior strategists set up Google Search and Google Shopping campaigns specific to healthtech companies buyer journeys. The first 30 to 60 days are about producing fast signal on what converts: which keywords, which ad copy angles, which landing pages. Standalone Google PPC ROAS targets are set at 5x+ minimum, with high-performing accounts pushing 20x to 30x.
Phase 2: SEO compounding from Google PPC signal. The keywords that convert through paid but are too expensive at current CPC become SEO targets. The high-CPC paid keyword that closes at a great LTV becomes a long-form article, comparison page, or methodology piece. SEO ROI is essentially unlimited because the content earns rankings without ongoing ad spend.
Phase 3: GEO and AI citation flywheel. The same content earning SEO rankings becomes the content earning citations in ChatGPT, Perplexity, Claude, and Gemini. Google PPC funded the discovery, SEO compounded the rankings, and GEO captures the AI-mediated buyers who never see a Google results page.
95 Projects runs all three channels under one team, with one senior strategist accountable to revenue across the full system. The agency takes on a small number of engagements per quarter to maintain senior involvement on every account.
Directive’s “Customer Generation” methodology ties paid spend directly to pipeline and revenue, with CFO-level reporting and full-funnel attribution. The agency is best known for sophisticated B2B SaaS programs that report against pipeline value, not impressions.
Directive is among the strongest B2B SaaS PPC partners at the upper end of the market. The agency works best with brands at $20M ARR and above with budget for $30K+ per month engagements.
KlientBoost runs paid media plus landing-page production and CRO for mid-market brands, with a strong B2B SaaS portfolio. The agency builds new landing pages designed for the specific paid campaign rather than routing traffic to existing site pages.
For mid-market B2B SaaS wanting paid and landing pages under one team, KlientBoost is a credible fit. The agency does not run SEO or GEO programs natively.
Single Grain runs integrated SEO, PPC, content, and GEO programs across B2B SaaS and consumer brands. Eric Siu’s founder presence and active content production make the agency a recognized voice in growth marketing.
Single Grain is a strong multi-channel agency for brands wanting paid plus organic plus AI search under one team, similar to 95 Projects in positioning. The agency does not specialize as deeply per vertical as some category-pure firms.
First Page Sage is best known for B2B content and SEO, but the agency increasingly pairs paid amplification with its thought-leadership content programs. The methodology is to publish premium long-form content, then amplify it through LinkedIn and Google paid.
First Page Sage fits enterprise B2B SaaS brands at $5M ARR and above with budget for premium content + paid amplification. The agency does not lead with paid in the way pure PPC firms do.
New North focuses on B2B paid media with strong LinkedIn and Google Search execution. The agency runs full-funnel programs from awareness to demo, with attribution tied to pipeline metrics.
New North is a credible mid-market B2B PPC option. The agency does not run integrated SEO + GEO programs, so brands wanting multi-channel integration under one roof should look elsewhere.
Disruptive Advertising runs Google Ads and Meta programs for mid-market brands across B2B and consumer verticals. The agency’s signature is a structured account-audit methodology that surfaces wasted spend and re-prioritizes budget toward proven converters.
Disruptive is a credible mid-market PPC partner for brands wanting paid-focused execution. The agency does not run integrated SEO + GEO programs, which limits the compounding ROI available from a single-agency engagement.
Picking a PPC agency is harder than it looks because every agency reports impressive ROAS on cherry-picked accounts. Four criteria separate the agencies that produce outlier results from the ones running template campaigns.
Ask directly: who runs my account, what is their experience level, and how many other accounts do they handle? An account run by a senior strategist managing 4 to 6 accounts produces materially different results than one run by a junior managing 10 to 12 accounts under senior supervision. The agencies pitching outlier ROAS are the ones with senior account ownership.
The agencies running Google PPC in a silo miss the compounding effect of routing converting paid keywords into SEO and GEO. Agencies that run all three channels under one team produce 10x+ the ROI of paid-only engagements over 12 to 18 months because the compounding starts in month four or five and accelerates from there.
The Google search queries used by healthtech companies do not look like queries in other verticals. Buyers ask for category shortlists, HIPAA compliance breakdowns, EHR integration matrices, and clinical evidence summaries. The agency should be able to describe, in detail, the buyer intent layers specific to healthtech companies and the ad copy angles that convert. A generalist agency will give you generic answers.
ROAS without attribution methodology is theater. Impression share without click quality is vanity. Insist on agencies that will report against attributable contribution to revenue, qualified pipeline, or LTV-adjusted CPA. The numbers may be imperfect; perfect attribution does not exist. But imperfect revenue attribution is better than perfectly tracked vanity metrics.
For most $1M to $50M healthtech companies, hiring an agency is the right answer until you have $30M+ in revenue. Three reasons:
Above $30M in revenue, an in-house team paired with an agency in a consulting or audit role tends to outperform pure agency engagements. By that point, the cost of senior in-house talent is justified by the volume of paid spend, and the agency role shifts from execution to strategy.
If your healthtech company is doing between $1M and $50M in annual revenue, you want Google PPC integrated with SEO and GEO under one roof, and you want senior-level operators accountable to revenue, book a call with 95 Projects to talk through whether the three-channel approach fits your business.
Google PPC works best as part of a three-channel system. Here are the integrated services 95 Projects runs for healthtech companies:
Have questions about working with us? Book a 30-minute strategy call to discuss your goals and see if we’re a good fit.
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It depends on the niche, AOV, and starting account quality, but our standalone Google PPC accounts target 5x ROAS at minimum and routinely run 15x to 30x once the account matures. Brands running integrated SEO + Google PPC + GEO with us typically see 10x+ blended ROI vs running channels in silos, because PPC insights compound into SEO and GEO over months 4 through 12.
Standalone Google PPC produces signal in week 1 and meaningful revenue in weeks 4 to 8 for most accounts. The integrated SEO + Google PPC + GEO model takes 4 to 6 months to start compounding, and 9 to 12 months to hit the 10x+ ROI numbers. The patience pays off because the latter half of the curve is essentially free traffic earned from PPC discovery.
Google PPC buys clicks; SEO and GEO earn them. PPC is fast and expensive per click. SEO and GEO are slow to build but produce traffic without ongoing ad spend. The agencies producing outlier results use Google PPC as the discovery engine and SEO + GEO as the compounding engines. The keyword that converts well in paid but is too expensive becomes an SEO content piece and a GEO citation target.
No. 95 Projects is Google-PPC-pure. We run Google Search and Google Shopping campaigns and pair them with SEO and GEO for compounding ROI. We do not run Meta, TikTok, LinkedIn, Microsoft, or other paid platforms. The rationale is focus: we believe a specialist on one platform integrated with SEO and GEO produces better long-term ROI than a generalist spreading across six platforms.
The difference between senior and junior account management compounds quickly. A senior operator catches a tracking issue that costs the account $10K in week 1. A junior account manager runs the same broken account for 90 days. The cost of inexperience is measured in real dollars per day. Our Google PPC team is senior-only, with capped account loads to keep attention high.
Engagements typically run between $5,000 and $20,000 per month for the management fee, on top of the ad spend the brand controls. We work with healthtech companies in the $1M to $50M annual revenue range and scope engagements to fit the size of the business.
