Quality Score is Google's rating of the relevance and quality of your keywords, ads, and landing pages. It directly affects your Ad Rank and how much you pay per click. A higher Quality Score means you pay less per click and appear in higher positions than competitors with lower scores. For medical practices, improving Quality Score is often more cost-effective than increasing bids.
Quality Score is composed of expected click-through rate (how likely your ad is to get clicked for a given query), ad relevance (how closely your ad matches the intent of the keyword), and landing page experience (how relevant and useful the landing page is for someone who clicks the ad). Each is rated Expected, Average, or Above Average. Improving the below-average components produces the highest Quality Score gains.
For medical and cosmetic practices, landing page experience is usually the Quality Score component with the most room for improvement. A landing page that is procedure-specific, loads fast, and has clear calls to action consistently earns Above Average landing page experience ratings. A homepage used as a universal landing page earns Below Average almost without exception.
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