Facebook ads & SEO · Manhattan, NY
The most expensive click in the country.
Manhattan attention costs more than anywhere else, and patients have more options than anywhere else. The clinics that win measure attendance, not leads.
What's costing businesses here
The problems we see in Manhattan.
Great cost per lead, terrible attendance
Campaigns optimized for form fills find people happy to fill forms. In Manhattan that's a different population from the ones who show up.
MSO ads that speak as the practice
Only Article 131 physicians may own a New York medical practice. Management companies advertising as the provider of care are creating a documented problem.
Building paperwork killing contractor jobs
Residents hesitate to start projects because of board approvals and insurance requirements. The contractor who handles it gets hired.
The market
What advertising here is actually like.
Every advertiser in the country wants the Manhattan consumer, which is why attention here is so expensive. It isn't a medical surcharge — it's the room. A clinic is bidding against finance, fashion, real estate and every other practice within a few blocks.
Manhattan patients also have more alternatives than anywhere else, which shows up as no-shows. Form fills are easy to generate and attendance is hard to earn, because a patient who booked with you has three other offers and no particular reason to keep Tuesday's appointment.
For contractors, the building is the customer before the resident is. Co-op and condo boards, alteration agreements and certificates of insurance come before any work starts, and NYC requires the Home Improvement Contractor license number on advertisements. Contractors who make that paperwork painless win the jobs.
How we'd run it here
Not the same campaign with a different ZIP code.
- 01
Optimize for attendance
Conversions sent back to Meta when someone books — not when they submit — plus a small refundable deposit, which cuts no-shows harder than any targeting change.
- 02
Ad account matched to your structure
Clinical claims run from the physician-owned practice, not the management company. Patients notice nothing; your ad library stops being evidence.
- 03
"We handle the building"
For contractors: COIs, alteration agreements and board coordination as the headline offer, with your DCWP license number in the creative.
Where we'd focus around Manhattan
Upper East Side · Upper West Side · Tribeca · West Village · Chelsea · Midtown · Financial District
Not on the list? We target by drive time, not city limits — tell us where your customers are.
We run New York accounts from Chino, California. Kickoffs and reviews are on video; the ad auction doesn't care where the agency sits.
Strongest fit
- Med spas
- Aesthetics
- Weight loss clinics
- Remodeling
- Electrical
Questions from Manhattan
- Why are Manhattan clinic ads so expensive?
- Because you're competing with every advertiser that wants the same high-income audience. The fix is measuring attended patients, not leads.
- Do contractors need their license number in NYC ads?
- Yes — NYC requires the Home Improvement Contractor license number on advertisements and contracts.
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What we run in Manhattan
Manhattan
Let's look at your numbers.
A 30-minute call, no deck and no pitch. We look at your numbers and tell you whether we can move them.
No contract to sign on the call. No obligation afterwards.