Before anywhere else,
you rank in Google Maps.
Every practice, concierge, specialty dental, weight loss, medspa, general dental, should rank in Google Maps before it invests anywhere else. Citation management, GBP optimization, review velocity, and the schema that makes all of it readable to search.
Ground is the floor, not the ceiling. When a patient types concierge physician near me or endodontist Tampa, what returns in the three-pack and the Maps panel decides whether the practice even enters the consideration set. That is what this service is for.
- Ground defined
- Ground is a productized local-search service for healthcare practices that converts Google Business Profile, citation consistency, review velocity, and AI-ready schema into measurable map-pack rankings. Three tiers (Foundation, Growth, Dominance), monthly cadence, no setup fee, no ranking guarantee.
Priced to match where the practice actually is.
The concierge or specialty practice dipping a toe in, wants real local visibility without committing to a CMO-level engagement.
- Google Business Profile optimization and monitoring
- Citation management across 70+ directories
- NAP standardization and cleanup
- AI-ready schema on core service pages
- Review capture guidance and posting plan
- Monthly performance report (rankings, calls, directions, impressions)
- Quarterly strategy call, 30 minutes; email support, 48-hour response
The practice that's seen Foundation work for six-plus months and wants active partnership, or the practice that comes in already knowing they need more.
- Everything in Foundation, plus:
- Monthly 1:1 strategy call, 60 minutes, with Vince
- Review-request automation, setup and ongoing
- Competitor monitoring report
- GA4 and call-tracking setup with monthly insights
- Priority support: email + Slack, 24-hour response
- Quarterly business review deliverable
Multi-location groups, specialty practices with aggressive growth plans, or practices being groomed for an Architect upgrade in the next 12-24 months.
- Everything in Growth, plus:
- Bi-weekly strategy cadence, two 45-minute calls
- Two local blog posts per month on the client site, physician byline
- Four GBP posts per month, short updates, offers, events
- Review-response management, done for you
- Schema and AI-Overview deep optimization
- Multi-location coordination, up to three locations
- Dedicated Slack channel, same-day response
All Ground tiers are annual agreements. Month-to-month is not offered, local-search results compound, and the work we do in month one pays off in month six.
The healthcare focus. The Maps-first methodology.
The client relationship.
None of that is changing. What is changing with Ground is how much of the work gets productized and delivered by operators instead of by Vince directly. That is what lets us hold the price where we hold it.
We do not guarantee rankings. Any agency that does is either buying your trust or buying you a lawsuit. What we commit to is methodology, effort, transparency, and a monthly report that shows you exactly what changed and why.
Content written for one client’s site is never published to another. The shared library is outlines and scaffolding, not finished copy.
What practices ask
before they start.
- Do you guarantee Map-pack rankings?
- No. Guaranteed-ranking offers are a black-hat pattern and a liability in healthcare. We commit to methodology, effort, and transparency, not to Google's output.
- What's the minimum commitment?
- All Ground tiers are 12-month agreements. Local search compounds, and month-one work pays off in month six; shorter terms waste the budget on the part of the curve that hasn't happened yet.
- Do you require site access?
- For Growth and Dominance tiers, yes. Schema, AI-Overview optimization, and on-page work all require it. Foundation can run without site access in most cases.
Not sure which tier fits?
start with the audit.
The Practice Audit returns a real read on where the practice stands in local search, and which Ground tier actually fits.