433

tracked patient inquiries for Dr. Justin Houman in August 2026, every one tied to its source.

The work, with names and numbers.

Two practices, what we run for each, and what the numbers say, including what we don't claim.

Case study

Dr. Justin Houman, Tower Urology, Los Angeles.

Cash-pay men's sexual health and fertility. Engagement since January 2026.

Dr. Justin Houman on set during the August 2026 shoot
August 2026 shoot. Shot, graded, and cut in house.

The challenge

Dr. Houman is a fellowship-trained male fertility and sexual medicine specialist with more than 800 penile implants. His patients are sophisticated and private. They research a condition for weeks before they call, and they choose on reputation and outcomes, not on which office is in network.

The usual medical-marketing playbook doesn't reach a patient quietly comparing subspecialists at midnight. The practice needed trust built before the first call, and a system that could capture and route demand by condition.

What we run

Weekly video and carousels across eight platforms, shot and graded in house. Meta and Google ads built from the best organic pieces. A private patient assessment that sorts inquiries by condition. Follow-up sequences by condition on a HIPAA-compliant CRM, with an AI assistant answering first questions in DMs. A voice agent that answers overflow calls. A link-in-bio hub the practice owns.

Underneath it, tracking that ties every form, call, and assessment to what produced it, a live dashboard, and a monthly report where every recorded call is read and classified by hand. How a month works

The weekly review surface, anonymized, with covers blurred. Clients approve every post from their phone or computer before it publishes.

The results

Over nine months the content built the reach. By August 2026 that reach was producing 433 tracked inquiries a month, two thirds through channels we run, at half the paid cost per inquiry of a month earlier.

August 2026inquiries and cost
433
Tracked inquiries
66%
Through channels we run
$24.52
Paid cost per inquiry
$49.43
July paid cost per inquiry
46
Assessments, funnel week one
$4.40
Cost per assessment
Nine-month reachDecember 2025 to August 2026
7.44M
Social impressions
+353%
Interactions vs. prior
34,930
Website visits
+34%
Following growth
363K
Top single post
1,406
Posts published
Inquiries by sourceAugust 2026 · 433 contacts
Organic social (Facebook, Instagram, TikTok)
188
43%
Google profile (calls and clicks)
82
19%
Paid Meta
67
15%
Direct
37
9%
Paid Google
27
6%
Search, email, AI, other
32
7%

Figures from the practice's CallRail, form, assessment-funnel, and CRM records for August 2026, and Metricool for the nine-month reach. These are inquiry, attention, and traffic figures, not booked patients, and not a claim about patient volume or revenue.

What we learned

Organic outproduces paid. The videos shot in month one are still producing inquiries in month nine. That is the long play, proven.

Reading every August call showed the live-answer rate slipping in the same month inquiries got cheaper. So we built the voice agent that now answers overflow.

That is what "we read the calls" means in practice.

Case study

A Los Angeles injury and tenant-rights firm.

Plaintiff and contingency. Engagement since June 2026. Anonymized at the firm's request.

What we run

Quarterly shoots with the firm's attorneys, cut into weekly reels. Carousels and case-result cards in a design system built for the firm. A review page the founding attorney opens on his phone to approve the week's posts. Meta ads with creative made here, pointed at a case-review funnel that sorts inquiries by case type and timing before intake picks up.

Every inquiry lands with the firm's intake team tagged with its source, and the spam never reaches the ad platform, so the platform learns from real inquiries only.

The results

July to September 2026inquiries and quality
14 to 28
Verified inquiries, Jul to Aug
341
August calls read
78
Qualified inquiries, Sep 1 to 10
65
Of those via the funnel
under $10
Per funnel inquiry
3.4 to 5.8
Ad match quality, Jul to Aug

Figures from the firm's call tracking, form intake, and CRM. Inquiries, not signed cases.

The founding attorney's part is a ten-minute approval pass each week. Last week he approved ten posts with zero flags.

His only edits in nine weeks: one cover photo and two legal wording fixes.

Build

Dr. Mike Mah, psychiatry, Century City.

We built and launched mahmd.com for Dr. Mike Mah's out-of-network psychiatry practice in August 2026, and designed the two-brand architecture that keeps his personal brand and his insurance-based group practice from cannibalizing each other. Reviews, podcast, and booking path in one place, on infrastructure the practice owns.

What we count, and what we don't claim.

Numbers are only proof if you say what they aren't. Everything on this page comes straight from the tracking data, reconciled across channels, and held to a standard we'd defend on a sales call.

Inquiries, not patients

These are tracked calls, forms, assessments, and social conversations. Not booked patients or signed cases, and not revenue. We put no patient or case count on this page, because we can't tie a specific inquiry to a specific patient with permission to share it.

We read every recorded call

A greeting-only pickup is not an answered call. A call under a minute is not an inquiry. A pitch from a vendor is not a lead. The numbers here are after that filter, not before it.

Matched to bookings where we can

Where a practice shares its booking data, we match inquiries to new patients monthly. In July 2026, 20 of Dr. Houman's 82 new patients matched a tracked inquiry and 7 were confirmed ours. We publish that number because the honest one is the useful one.

Named with permission

Dr. Houman and Dr. Mah are named with their permission. The firm is anonymized at its request. No client is ever named, and no audit is ever used as a case study, without written permission.

Your practice could be next.

One practice per subspecialty per metro. Cash-pay men's health urology in Los Angeles is committed. Plastic surgery, psychiatry, dermatology, dentistry, and plaintiff firms are open in most markets. If your seat is open, we'll say so on the first call.

Start with the audit.

Twenty minutes with your intake numbers: how many people reach out, where they come from, and what happens next.

(714) 912-1459