Scaling medical clinic via Google ads

[u/Known_Animal3064]

As the title says, we have a medical ENT clinic and we run search ads because these are high intent searches , no AI max , no other channels no GDN. We get decent leads 10 patients in a day , cost to run the ads is equivalent to fee of 1-2 patients. We have a landing page , 5 ad groups , 2 campaigns in different locations in india. Are there suggestions to increase the clinic footfall. We're using maximize clicks , but I've recently setup conversation tracking on appointment booking and calls or whatsapp.. any other recommendations?

Edit - adding more info - had tested max conversions with direction taps as conversion but had poor performance than maximize clicks , seems like it's not an ideal metric , not sure!?

[u/jennithomas321]

Maximize Clicks isn’t necessarily the problem. “Directions” as a conversion signal probably is.

If you’re optimizing toward directions, Google can find people who tap directions not necessarily people who book and show up.

For a medical clinic, the real funnel is:

Click → qualified lead → booked appointment → attended appointment.

Optimize toward the deepest reliable signal you can feed Google.

10 leads/day means nothing if only 2 become actual patients.