FAQ
40 questions about Viterium, what advertising should cost you, and the rules that apply to clinics and contractors — each answered in the first sentence, with a link to the full explanation.
Answered by Abraham Viteri · Updated
Viterium Digital Marketing is a marketing agency in Chino, California that runs Facebook and Instagram ads for local businesses — mainly medical clinics, med spas and home service contractors — and includes SEO and a custom website with ad management. Clients pay for the ad management; the website and SEO come with it.
What's includedViterium is run by its founder, Abraham Viteri, who manages client ad accounts, websites and tracking himself. He studied data science and economics at UC Berkeley, has been a top-0.01% creator in TikTok's Creative Challenge program, and has managed more than $500,000 in ad spend and worked with over 40 businesses.
Abraham's profileViterium is based in Chino, California, and takes on clients in California, Florida, New York, Arizona and Nevada. Inland Empire clients get in-person kickoffs and filming; everywhere else is run remotely, with kickoffs and reviews on video.
Every area we serveFor Padgett Medical Center, a weight loss clinic group in Ocala and Tampa, Florida, Viterium's relaunch produced 150 leads, 54 booked appointments and 36 new patients in the first 30 days — after six months that had produced 20 leads and no new patients. First Call Plumbing & Restoration in the Inland Empire made $13,000 in its first month.
The full funnel dataAnywhere in the US, and the work suits businesses selling something high-ticket — weight loss clinics, med spas, plumbing, HVAC, roofing, dental. The math is simply easier when one customer is worth hundreds or thousands. We'll try a lower-ticket business, but we'll be honest with you about the odds. We also don't take everyone: we look at your business before we agree it's a fit, which is what the questions on the application are for.
IndustriesViterium's Standard plan is $797 a month, down from $1,497 while the current intake is open, and that rate holds for as long as you stay on it. The Guaranteed plan is $2,000 a month paid up front, with a full refund of the management fee after the first month if you're not happy. There's no setup fee, and ad spend is paid separately to Meta on your own card.
PricingOn the Guaranteed plan, if you're not happy at the end of your first month for any reason, Viterium returns your full management fee — no conditions and nothing to prove. Ad spend isn't refunded, because it goes straight to Meta from your own card and never passes through Viterium.
Both plansThere isn't one, but there is a reason. Ads sent to a slow or confusing site waste your budget and make us look bad, and we're measured on cost per booked job. Building the site ourselves is the cheapest way to protect our own numbers. You pay for ad management; the site is part of doing that job properly.
Between $1,500 and $3,000 a month, and it's your choice where in that range you sit. We'll take you below $1,500 if you insist, but we'll tell you first that there isn't enough spend there for the algorithm to learn properly, and the results will show it. Below about $3,000 all in — management plus spend — we'd usually point you at the website-only option until the numbers work.
How to set an ad budgetYes. Viterium's website-only option is $500 once and then $50 a month, which covers hosting, updates and fixes. It's meant for businesses where ads don't make sense yet, and you can move up to full management whenever the numbers work.
No. Month to month, seven days' notice to cancel. If you want to commit to several months up front we'll discount it, but nothing obliges you to. The reason to stay should be that the marketing is working, not that a contract says you have to.
Yes. If you already have an ad account we work inside it — we just need access. If you don't, we set one up in your name. Either way the account, the pixel, the audiences and the conversion data are yours and stay yours.
Your domain is yours either way — and if you don't have one, we buy it and put it in your name. The site itself stays with us while you're a client; that's what lets us build it at no cost. If you leave and want to take it, we'll agree a buyout — either a one-off price or a small monthly fee that keeps updates and fixes included. What we won't do is switch it off to make a point.
Set your budget from capacity and acquisition cost, not a percentage of revenue: the number of extra customers you can serve next month, multiplied by what you can afford to pay for each one. Below roughly $1,500 to $2,000 a month, most local campaigns can't generate enough conversions for Meta's delivery to learn, and results stay erratic.
The full methodA contractor's ceiling cost per lead is the share of gross margin you'll spend to win a job, divided by the number of leads it takes to book one. For example, a $900 job with $360 of margin, spending 20% to win it, at one booking per three leads, supports about $24 per lead.
Work out yoursA clinic should price acquisition against 12-month margin rather than the first visit, adjusted for how many booked patients actually show up. In a worked example — $350 first-visit margin, about 2.5 visits a year, spending 25% of that margin to acquire, with half of leads booking and 70% attending — the clinic can afford roughly $75 per lead.
The clinic mathFacebook and Instagram ads are usually the better starting point for aesthetic, wellness and weight loss clinics, because they reach people before they search; Google Ads are better for urgent, search-driven services, because they capture people already looking. For high-consideration treatments, running both works best.
The comparisonFacebook ads usually produce leads within the first couple of weeks, and the first month is largely Meta's delivery learning who converts. Performance typically stabilizes after that, provided the budget is large enough and the campaign isn't being edited constantly.
Clinic ads are most often rejected under Meta's Personal Attributes policy, which bans ads that imply knowledge of the viewer's health — usually second-person copy like "Struggling with your weight?". The other common causes are before-and-after images, naming prescription drugs, and claims on the landing page the ad links to.
The five causesMostly not: Meta prohibits side-by-side before-and-after images for weight loss and anti-aging treatments in health and wellness ads. The workable approach is to sell the consultation in the ad and show genuine, consented, unaltered results on your own landing page.
Both rulebooksNaming prescription drugs like semaglutide or tirzepatide in Facebook ads is restricted, and enforcement on GLP-1 medications has been strict and inconsistent. Clinics do better advertising the medically supervised program — labs, monitoring and the clinician — rather than the drug itself.
Copy that gets approvedWhen Facebook ads stop working, check in this order: changes in your own business (like slower lead response), broken tracking, ad frequency in a small local audience, rising competition or seasonality, an offer that's gone stale, and only then the creative. Changing one thing at a time is the only way to find the cause.
The diagnostic orderThe Meta Conversions API sends conversion events from your server to Meta instead of relying only on the browser pixel, which ad blockers and browser privacy features block for a meaningful share of visitors. Most advertisers should run both, sharing an event ID so Meta counts each conversion once.
How to set it upIn June 2024 a federal court vacated the part of HHS's guidance that applied HIPAA to tracking on public, unauthenticated webpages, though guidance for patient portals still stands. HIPAA itself, FTC authority and state privacy laws still apply, so clinics should strip the pixel back, avoid page URLs that name conditions, and send conversions server-side.
What changed in 2024The CCPA applies only to businesses with more than $26,625,000 in annual revenue, or that buy, sell or share personal information on 100,000 or more California consumers, households or devices a year, or that earn half their revenue from selling or sharing data. Most single-location clinics fall below all three — but a busy site running a pixel can cross the device threshold.
How to tellIn California, a med spa offering medical treatments must be a professional medical corporation at least 51% owned by California-licensed physicians, because Business & Professions Code § 2400 bars corporations from practicing medicine. A limited list of licensed allied professionals may hold the rest.
What it means for your adsIn New York, only physicians licensed under Education Law Article 131 may own the entity that provides medical treatments, organized as a professional corporation, PLLC or LLP — one of the strictest rules in the country. Nurses, PAs, estheticians and outside investors can't own it, which is why many New York med spas use a separate management company.
The structure and your adsIn Florida, anyone can own a med spa business, because Florida has no corporate practice of medicine statute — but a licensed physician must still serve as medical director. A practice that isn't wholly physician-owned and bills insurance generally needs a Health Care Clinic License from the Agency for Health Care Administration.
The trap inside the rulesYes. California Business & Professions Code § 651 requires any healthcare ad using a photo of a model to state clearly, in a prominent place and readable type, that it's a model, and it prohibits results images that are altered or don't show the actual outcome. A violation is a misdemeanor.
What § 651 saysA local clinic can't win on price against online GLP-1 programs, so it should compete on supervision: labs read by the clinician who adjusts the dose, the same provider every visit, and someone who answers when something feels wrong. Those are the things a subscription app can't offer.
Competing with telehealthGroupon usually isn't worth it for a med spa, because the voucher is discounted and Groupon then keeps a share of what's left — up to half, according to the American Med Spa Association — which can leave you about $100 for a $400 treatment. It can make sense for filling truly empty capacity, capped and with a plan to convert redeemers.
The full mathIn most of the states we work in, yes. California (B&P § 7030.5), Florida (§ 489.119) and Nevada (NRS 624.600) require the license number in advertising; Arizona requires the ROC number or a link to a website that shows it prominently on the home page; and New York City requires the Home Improvement Contractor license number on ads.
State-by-state tableAngi and HomeAdvisor leads can be worth it as a short-term bridge, but they're often shared with competing contractors, so your real cost is the lead price divided by how often you win. In 2023 the FTC finalized an order requiring HomeAdvisor to pay up to $7.2 million over misrepresenting the quality of its leads.
The comparisonAfter a Florida hurricane, roofers should lead with being local and licensed and offer to document damage — not promise insurance coverage, handle claims or waive deductibles, which carries legal risk and draws the wrong customers. The best margin usually comes months later, when claims settle.
Where the line isRespond to new leads within five minutes if you can. After a few hours most people have already contacted competitors, and slow follow-up also feeds worse data back to Meta, which makes the campaign itself perform worse.
Why five minutesSEO for a local business typically shows nothing visible for the first two months, long-tail movement around months three and four, local map results moving in months five to eight, and meaningful traffic from about month nine. Anyone promising page one in 30 days is either wrong or taking risks with your site.
Month by monthYes. A business that travels to customers can register on Google as a service-area business and hide its address without penalty. Rankings then depend more on reviews, categories and profile activity — and using a virtual office address instead breaks Google's guidelines and risks suspension.
How to do itYes. Review count, rating and recency all feed local map rankings, and a steady weekly rate matters more than a one-time push. Ask every patient rather than only happy ones, never pay for reviews, and reply without confirming that anyone is a patient.
How to get themAds should go to a dedicated landing page, not your homepage: one promise, one action and no navigation. A homepage offers dozens of ways for a paid click to leave, and answers "who are you?" when the visitor is asking "is this for me, and what does it cost?"
Why it mattersGoogle doesn't penalize content for being written with AI; its March 2024 spam policy targets "scaled content abuse" — producing many pages primarily to manipulate rankings — whether a person or a tool wrote them. What matters is whether each page genuinely helps a reader.
The policy, explainedQuestion not here?
Thirty minutes. We'll answer it for your business specifically, with your numbers.
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