←

Google Ads · Campaign Compose

City compare · top metrics

Category
Campaigns Tier
Weeks →

T1 Google Ads — Change · Impact · Track

6-week avg to Jul 14, 2026 · Refreshed 2026-08-01

Scope: Tier 1 · SH + STI · Exact-Local match type only · Per-clinic organic from 76-clinic GMB data + auction insights
Filter by weakness:
Bangalore
T1_Bangalore_SH_Exact_Local SH ↔ STANDARD BID
IS%
52%
goal 70%
Util
79%
6wk avg
Rank Lost
48%
of eligible
AR%
46%
🔴 critical
LP%
27%
ok
loc%
53%
below target
LOC/wk
596
avg loc clicks
LOC→Lead
19.4%
no goog web, cat-filtered
Bid
₹20
Diagnosis
AR=46% 🔴Nearly half of impressions flagged for poor ad relevance. Primary rank driver — fix before raising bid.
Rank loss:Rank-driven (RL=48%, BL≈0%). Budget is fine at 79% util.
Paid rivals:The Men's Care Clinic IS=17%, posAbove=77%, absTop=51% — SH treatment clinic, no nearby map pack threat (see below). Milann IS=18%, posAbove=70% — IVF. Practo IS=30%, posAbove=38% — aggregator.GMB: "Medi Life Health Care – Sexologist Clinic" (The Men's Care Clinic GMB) — 11.9km from our Yelahanka clinic (23 map appearances). Distance too large to be a local map threat — paid-channel-only pressure. Milann (IVF) and Practo (aggregator) not in map pack for SH.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1Rewrite SH ad headlines — clinic + city + symptom-specific. Remove generic headlines Google flags as irrelevant. AR% 45→<25%. IS% rises ~65%. RL% narrows 47→~30%. AR%, QS, IS% weekly.
Priority 2+100% call modifier + remove site links + location intent keyword cleanup (loc% 53→70%). locclick↑ (call modifier + site link removal directs clicks to main CTA) · loc% 53→70% (keyword cleanup). locclick, loc% weekly.
Priority 3 — Location bid adj (after AR fix)↑ +40% RT Nagar (paid rival nearby, zero organic)  ·  ↓ −20% Vijayanagar · Electronic City · Kengeri (organic self-sufficient, no rivals) Paid impr + clicks shift to weaker zones; CTR↑ locally where rivals are present. Saves wasted spend at organic-dominant clinics. Per-location impr/clicks/CTR in Campaign Compose.
Per-clinic organic strength (SH)
STRONGJayanagar (841 vs Dr Khokar 528, 7.6km), Indiranagar (747 vs Dr Khokar 528, 5.2km), Electronic City (658), HSR Layout (683 vs PassionFruit 273, 4.5km), Whitefield (608, 17km), Bellandur (388, 13km), Kengeri (198 vs Dr Ravindra Parashetty 31, 1.3km)
WEAKRajajinagar (26 vs Dr Lohit 1,400, 2.3km), Mahalakshmi Layout (26 vs Dr Lohit 1,396, 1.7km), Vijayanagar (481 vs Dr Lohit 1,400, 2.7km), Bilekahalli (341 vs Ristar Wellness Clinic 534, 3.4km), Sahakara Nagar (628 vs Dr Lohit 1,400, 9.7km)
LOW REVBrookefield (9 — new), RT Nagar (42), KR Puram (384 vs Dr Khokar 528, 11km)
↔ Standard: The Men's Care Clinic (absTop=51%) is a real SH treatment rival but holds that slot via QS, not just bid — AR=46% fix closes that gap more efficiently than a bid raise now.
T1_Bangalore_STI_Exact_Local STI ↑ INCREASE BID (after budget fix)
IS%
52%
goal 70%
Util
106%
🔴 over cap
Rank Lost
46%
of eligible
AR%
29%
moderate
LP%
38%
moderate
loc%
45%
below target
LOC/wk
106
avg loc clicks
LOC→Lead
47.7%
no goog web, cat-filtered
Bid
₹20
Diagnosis
Budget:6% over cap. Fix first — bid changes are ineffective while over cap.
Paid rivals:DrSafeHands IS=64%, posAbove=90%, absTop=71% — holds #1 paid slot in 71% of all auctions; 2 GMB profiles near our clinics (see below). OrangeHealth IS=38%, posAbove=81% — diagnostic labs, not treatment (see below).GMB: 2 DrSafeHands clinics active in Bangalore. Profile "FF-30" (Whitefield area) — 1.2km from our Whitefield (50 map appearances); 4.8km from our Brookefield (19 appearances). Profile "S-410, 4th floor" (Koramangala/Indiranagar area) — 3.7km from our Indiranagar (80 appearances); 4.7km from our Koramangala (36 appearances). Both profiles sponsored. Whitefield + Indiranagar face compound paid + map pressure from the same brand.🔬 Diagnostic competitor — OrangeHealth IS=38%, posAbove=81%: captures STI testing intent in paid. GMB "Orange Health Labs" (Kumaraswamy Layout, Sharoff Square) — 0.9km from our Jayanagar (76 map app); GMB (Banashankari, 21st Main Rd) — 0.6km from our Jayanagar (17 app). Not a treatment rival but captures the diagnostic-intent slice of STI searches before patients reach a clinic.
LP=38%:Moderate — secondary rank driver. Fix alongside budget.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1Raise daily budget ₹533→₹700. BL%→0. IS% ~55%. util normalizes ~85%. util% daily. BL%, IS% weekly.
Priority 2Fix LP=38% — STI LP: privacy, same-day, clinic-local. LP% →<25%. IS% gains further after budget fix. LP%, QS weekly.
Priority 2Raise bid ₹20→₹30 (after budget stable). IS% ~63%. posAbove vs DrSafeHands from ~0 to ~40%. IS%, RL%, auction insights vs drsafehands.com weekly.
Priority 3+100% call modifier + remove site links + location intent keyword cleanup (loc% 58→70%). locclick↑ (call modifier + site link removal) · loc% 58→70% (keyword cleanup). locclick, loc% weekly.
Per-clinic organic strength (STI)
STRONG*14 of 16 zones — top rivals are diagnostic labs. DrSafeHands has only 131 reviews vs our Jayanagar (841), Indiranagar (747).
STRONGKengeri (198 vs STI treatment clinic 133, 5.9km — we outreview)
WEAKMahalakshmi Layout (26 vs Dr Lohit 1,396, 1.7km)
↑ Increase (after budget fix): DrSafeHands posAbove=90% through bidding — we massively outreview them organically. After budget fix: raise ₹20→₹30 to reclaim paid top slot.
Chennai
T1_Chennai_SH_Exact_Local SH ↑ INCREASE BID (after LP fix)
IS%
55%
goal 70%
Util
69%
6wk avg
Rank Lost
45%
of eligible
AR%
21%
ok
LP%
78%
🔴 highest T1
loc%
50%
below target
LOC/wk
261
avg loc clicks
LOC→Lead
20.7%
no goog web, cat-filtered
Bid
₹20
Diagnosis
LP=78% 🔴Highest LP score in T1 — 4 in 5 impressions get below-avg page score. Fix before raising bid.
Paid rivals:Dr Kamaraj Hospital IS=46%, posAbove=70%, absTop=47% — holds #1 paid slot in nearly 1 of 2 auctions; GMB (Vadapalani) active near 3 of our clinics (see below). Apollo Hospitals IS=<10%, absTop=40% — high absTop despite low IS; sparse map pack presence (see below).GMB: "Dr.Kamaraj Hospital for Men's Health" (Vadapalani) — 2.2km from our Nungambakkam clinic (236 map appearances); 4.8km from our Mogappair clinic (300 appearances — highest in CHN SH); 6.6km from our Manapakkam (185 appearances). Their Vadapalani GMB is the most active SH competitor in the map pack across 3 of our clinics simultaneously. Apollo Hospitals not in SH map pack (only 5 appearances near Nungambakkam — negligible).
Organic:WEAK in 4 of 7 zones — Dr Shah (791) and Dr Kamaraj (923) are established nearby.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1Fix CHN SH LP (78%) — speed, content match, mobile. LP% 78→<40%. IS% rises ~62%. RL% 44→~32%. LP%, QS, IS% weekly.
Priority 2Raise bid ₹20→₹30 (after LP fix). IS% ~68%. posAbove vs Dr Kamaraj from ~30% to ~50%. IS%, auction insights vs drkamarajhospital.com weekly.
Priority 2+100% call modifier + remove site links + location intent keyword cleanup (loc%=67%, near goal). locclick↑ (call modifier + site link removal) · loc% 67→70% (keyword cleanup). locclick, loc% weekly.
Priority 3 — Location bid adj (after LP fix)↑ +40% Nungambakkam (rank 1.7, paid rival nearby) · Mogappair (rank 1.9, worst in Chennai)  ·  = Hold others (rank 1.0–1.1, holding) Paid map presence in 2 displaced clinics; rivals capturing top slot. Others holding — no bid change needed. Per-location impr/clicks/CTR in Campaign Compose.
Per-clinic organic strength (SH)
STRONGNavalur (vs Dr Shah 789, 21km far), Thoraipakkam (45 vs Dr Shah 789, 13km), Tambaram (148 vs Dr Shah 789, 17km)
WEAKMogappair (42 vs Dr Kamaraj 923, 4.8km), Nungambakkam (326 vs Dr Shah 791, 1.6km), Velachery (597 vs Dr Shah 791, 7.6km), Manapakkam (3 — new)
↑ Increase (after LP fix): Weak organic in 4/7 zones + Dr Kamaraj posAbove=70%. Fix LP first — bid before LP fix is wasted spend.
T1_Chennai_STI_Exact_Local STI ⚙ FIX BUDGET + LP FIRST
IS%
52%
goal 70%
Util
102%
🔴 over cap
Rank Lost
46%
of eligible
AR%
17%
good
LP%
65%
🔴 fix needed
loc%
36%
🔴 low
LOC/wk
48
avg loc clicks
LOC→Lead
42.3%
no goog web, cat-filtered
Bid
₹20
Diagnosis
Budget:2% over cap. Fix first.
LP=65% 🔴Major rank driver. Fix alongside budget.
Paid rivals:DrSafeHands IS=57.73%, posAbove=88.06%, absTop=66.21% — holds #1 paid slot in 2 of 3 auctions; GMB near Velachery, Thoraipakkam, Manapakkam (see below). Metromale Clinic IS=16%, posAbove=41% — treatment rival, GMB near Thoraipakkam + Nungambakkam (see below). Dr Kamaraj IS=10%, posAbove=54% — also in map pack (see CHN SH card). Budget fix unlocks IS; LP fix closes the absTop gap (our 9% vs their 66%).GMB: DrSafeHands (Velachery, "1st Floor, Plot No.191, 100 Feet Road") — 1.4km from our Velachery (208 map app, sponsored); 5.4km from our Thoraipakkam (65 app); 6.4km from our Manapakkam (78 app). Nungambakkam profile at 9.5km — too far to matter. Metromale Clinic & Fertility Center (Thoraipakkam) — 1.0km from our Thoraipakkam (32 app); T. Nagar profile — 1.7km from our Nungambakkam (7 app). Thoraipakkam faces compound pressure: DrSafeHands 1.4km + Metromale 1.0km both in map pack simultaneously. We lead DrSafeHands 584 vs 37 reviews at Velachery — organically strong, but paid IS is the gap.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1Raise budget ₹333→₹450. BL%→0. IS% ~53%. util normalizes ~80%. util% daily. IS% weekly.
Priority 1Fix CHN STI LP (68%) — privacy, STI content, mobile. LP% →<35%. IS% reaches ~58% with both fixes combined. LP%, QS, IS% weekly.
Priority 2+100% call modifier + remove site links + location intent keyword cleanup (loc% 51→65%). locclick↑ (call modifier + site link removal) · loc% 51→65% (keyword cleanup). Biggest loc% gain in T1. locclick, loc% weekly.
Priority 3GMB reviews: Manapakkam (3 — new clinic). Manapakkam organic builds over 3-6 months. GMB count: Manapakkam monthly.
Per-clinic organic strength (STI)
STRONG*Velachery (597 vs DrSafeHands 37, 1.4km), Navalur, Mogappair, Thoraipakkam, Tambaram — other rivals are labs
EVENManapakkam (3 reviews vs DrSafeHands 37, 6km — both low, new clinic)
WEAKNungambakkam (326 vs Dr Shah 791, 1.6km)
⚙ Standard after fixes: Organic strong vs treatment (Velachery 597 vs DrSafeHands 37). Budget + LP are the blockers — not bid.
Hyderabad
T1_Hyderabad_SH_Exact_Local SH ↑ INCREASE BID (after LP fix)
IS%
55%
goal 70%
Util
79%
6wk avg
Rank Lost
45%
of eligible
AR%
20%
ok
LP%
76%
🔴 critical
loc%
49%
below target
LOC/wk
418
avg loc clicks
LOC→Lead
17.6%
no goog web, cat-filtered
Bid
₹20
Diagnosis
LP=75% 🔴3 in 4 impressions get below-avg page score — primary rank driver.
Paid rivals:Mens Clinic Group IS=37%, posAbove=65%, absTop=39% — 2 GMB profiles near Dilsukhnagar and Kukatpally (see below). Oasis India IS=12%, posAbove=86%, absTop=61% — holds #1 slot in 61% of auctions despite low IS (high bid/QS — paid-channel-only, no map pack). LP fix attacks both.GMB: 2 Mens Clinic Group profiles in Hyderabad. Profile "Mens Clinic – Kothapet" (Dilsukhnagar) — 1.3km from our Dilsukhnagar clinic (103 map appearances); 5.1km from our Uppal clinic (47 appearances). Profile "Mens Clinic" (Kukatpally Housing Board Colony) — 2.0km from our Kukatpally clinic (139 appearances, 468 reviews — edges us organically). Dilsukhnagar is their closest clinic to any of ours. Dilsukhnagar, Kukatpally and Uppal all face the same brand in paid ads + map pack simultaneously. Oasis India: not found in HYD SH map pack — paid-only presence.
Organic:Mixed — Kondapur (994) and Ameerpet (951) very strong; Uppal (10) and Vanasthalipuram (11) almost no presence.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1Fix HYD SH LP (75%) — speed, content match, mobile. LP% 75→<40%. IS% rises ~63%. RL% 44→~30%. LP%, QS, IS% weekly.
Priority 2Raise bid ₹20→₹28 (after LP fix). IS% ~67%. posAbove vs mensclinicgroup improves. IS%, auction insights vs mensclinicgroup.com weekly.
Priority 2+100% call modifier + remove site links + location intent keyword cleanup (loc%=69%, near goal). Urgently build GMB reviews: Uppal (10 reviews), Vanasthalipuram (11 reviews). locclick↑ (call modifier + site link removal) · loc% 69→70% (keyword cleanup). GMB builds organic in 2 critical weak zones over 3-6 months. locclick, loc% weekly. GMB count: Uppal, Vanasthalipuram monthly.
Priority 3 — Location bid adj (after LP fix)↑ +40% Kondapur (paid rival nearby, LOC-CTR 5.2% = rival taking clicks) · Dilsukhnagar (rank 1.7, paid rival nearby)  ·  ↓ −20% Nallagandla · Narsingi · Sainikpuri (no rivals, organic self-sufficient) Paid presence where rivals are winning map pack. Budget freed from organic-dominant clinics (Nallagandla/Narsingi/Sainikpuri) reallocated to contested zones. Per-location impr/clicks/CTR in Campaign Compose.
Per-clinic organic strength (SH)
STRONGKondapur (994 vs Dr Bala's Hospital 277, 6.1km), Ameerpet (951 vs Dr Ali's SH Clinic 94, 6km), Kukatpally (442 vs Mens Clinic Group 468, 1.9km — narrow gap), Sainikpuri (330 vs Dr Ali's SH Clinic 94, 7km), Narsingi (357 vs Vasanth Poly 1,466, 22km far)
STRONGSecunderabad (330 — nearest map-pack entry is Allo Sainikpuri 354, 5.5km. No external SH rival; internal SERP overlap between our two clinics.), Borabanda (18 vs Dr Narasimha 58, 7.2km)
WEAKUppal (10 reviews — critical; Mens Clinic Group 185 reviews, 5.1km; Vasanth Poly 1,500, 6.2km), Vanasthalipuram (11 vs Vasanth Poly 1,466, 2.3km), Nallagandla (66 vs Dr Bala's 277, 11km)
↑ Increase (after LP fix): 4 clinics have very few reviews vs nearby competitors. LP fix first, then ₹20→₹28 for paid visibility while reviews build.
T1_Hyderabad_STI_Exact_Local STI ⚙ FIX BUDGET + LP FIRST
IS%
55%
goal 70%
Util
119%
🔴 over cap
Rank Lost
42%
of eligible
AR%
22%
ok
LP%
75%
🔴 critical
loc%
37%
🔴 low
LOC/wk
63
avg loc clicks
LOC→Lead
31.9%
no goog web, cat-filtered
Bid
₹20
Diagnosis
Budget:19% over cap — bid dropped ₹30→₹20 mid-period which helped, but still over cap. Fix first.
LP=75% 🔴Critical rank driver. Fix alongside budget.
Paid rivals:DrSafeHands IS=53%, posAbove=88%, absTop=63% — holds #1 paid slot in 63% of auctions; 2 GMB profiles across HYD (see below). OrangeHealth IS=32%, posAbove=73% — diagnostic labs (see below). Budget fix is the only lever at 119% util.GMB: 2 DrSafeHands profiles in Hyderabad. Profile "opp. Indian Bank, Hegde Hospital" (Madhapur area) — 1.4km from our Borabanda (16 appearances); 2.3km from our Madhapur (87 appearances); 4.2km from our Kondapur (91 appearances); 7.4km from our Narsingi (150 appearances — highest in city); 9.3km from our Nallagandla (117 appearances). Profile "near Ashish Garden" (east side) — 3.4km from our Ameerpet (32 appearances); 8.0km from our Sainikpuri (26 appearances). All sponsored. Secondary: Mens Clinic Group (IS<10% in STI) also in map pack — 1.3km from Dilsukhnagar (103 appearances), 2.0km from Kukatpally (139 appearances) — same brand that dominates HYD SH paid.🔬 Diagnostic competitor — OrangeHealth IS=32%, posAbove=73%: captures STI testing intent in paid. GMB "Orange Health Labs" (Bright Square, Dharam Karan Rd, Ameerpet) — 0.9km from our Ameerpet (25 map app); GMB (Pragathi Nagar Rd) — 1.0km from our Kukatpally (50 app). Not a treatment rival but holds paid position above us 73% of the time in STI searches.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1Raise daily budget ₹500→₹700. BL%→0. IS% rises ~65%. util normalizes ~95%. util% daily. IS% — target ~65% in 2 weeks.
Priority 1Fix HYD STI LP (76%) — privacy, STI content, mobile. LP% →<35%. RL% narrows. LP%, QS weekly.
Priority 3+100% call modifier + remove site links + location intent keyword cleanup (loc% 54→65%). GMB reviews: Uppal (10), Vanasthalipuram (11). locclick↑ (call modifier + site link removal) · loc% 54→65% (keyword cleanup). GMB builds long-term organic in weak zones. locclick, loc% weekly. GMB count: Uppal, Vanasthalipuram monthly.
Priority 3 — Location bid adj (after budget fix)+50% Uppal, +50% Vanasthalipuram (10-11 reviews vs Vasanth Poly 1,466 at 2-3km). −10% Ameerpet, Kondapur. Paid impr + clicks shift to Uppal/Vanasthalipuram; CTR↑ in weak zones. Verify per-location impr/clicks/CTR in Campaign Compose. Campaign Compose: impr, clicks, CTR per location.
Per-clinic organic strength (STI)
STRONG*Ameerpet (951 vs lab 15), Kondapur (994 vs OrangeHealth 305), Kukatpally (442 vs lab 405), Narsingi (357 vs lab), Secunderabad (330 vs Vijaya Diag 9,056), Sainikpuri (330 vs DrSafeHands 72 — 18km far)
EVENNallagandla (66 vs DrSafeHands 72 reviews, 9.3km), Borabanda (18 vs DrSafeHands 72, 1.4km)
WEAKUppal (10 — critical), Vanasthalipuram (11 vs Vasanth Poly 1,466, 2.3km), Dilsukhnagar (low reviews — DrSafeHands nearest location 13km)
⚙ Standard after fixes: Organic strong in 6/10 zones. At 119% util, bid changes do nothing — fix budget first.
Mumbai
T1_Mumbai_SH_Exact_Local SH ↔ STANDARD BID
IS%
64%
near goal
Util
95%
6wk avg
Rank Lost
36%
of eligible
AR%
18%
good
LP%
46%
moderate
loc%
41%
below target
LOC/wk
303
avg loc clicks
LOC→Lead
21.1%
no goog web, cat-filtered
Bid
₹20
Diagnosis
IS%=64%:Best SH IS% in T1. Near budget cap (93%) — little room to raise bid.
LP=46%:Moderate — fixing alone will push IS% to 70% without bid change.
Paid rivals:Dr SK Jain IS=40%, posAbove=58%, absTop=23% — GMB near Dadar only (see below). Asha Kiran IS=32%, posAbove=57%, absTop=30% — not in Mumbai SH map pack (paid-channel-only). LP fix (46%) pushes IS% to 70% without bid change.GMB: "Dr SK Jains Burlington Clinic" (opp. Matunga Railway Station) — 1.2km from our Dadar clinic (106 map appearances); 8.5km from our Kemps Corner (10 appearances); 9.2km from our Ghatkopar (11 appearances). Dadar is the specific clinic facing compound paid + map pressure from SK Jain. Asha Kiran not found in Mumbai SH map pack — paid-channel-only.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1Fix LP=46% for Mumbai SH. LP% 46→<25%. IS% 64→68%+ (goal without bid change). LP%, QS, IS% weekly.
Priority 2+100% call modifier + remove site links + location intent keyword cleanup (loc%=68%). locclick↑ (call modifier + site link removal) · loc% 68→70% (keyword cleanup). locclick, loc% weekly.
Priority 3GMB reviews: Mulund (12), Chembur (379 vs Aslam Khan 494, 2.6km). Organic strengthens in 2 WEAK zones over 3 months. GMB count: Mulund, Chembur monthly.
Priority 3 — Location bid adj↑ +40% Andheri East (rank 2.3, rivals nearby) · Borivali (rank 2.2) · Thane (rank 1.9) · Kalyan West (rank 2.0) · Dadar (rank 1.6, 3 rivals) · Kemps Corner (zero GMB + rivals)  ·  = Hold Ghatkopar · Malad Most-contested city: 6 clinics with paid rivals in map pack consistently ranking above us. Bid increase defends/wins map-pack position where rivals are actively bidding nearby. Per-location impr/clicks/CTR in Campaign Compose. map-pack rank after 2–4 weeks.
Per-clinic organic strength (SH)
STRONGAndheri East (712 vs Dr Fayyaz 563, 1.3km — we lead), Borivali (379 vs Dr Fayyaz 563, 13km far), Kalyan West (391 vs Dr Fayyaz 563, 32.8km far)
EVENGhatkopar (496 vs Dr Fayyaz 563, 6.8km), Thane (517 vs Dr Maratha 488, 3.1km), Malad (550 vs Dr Fayyaz 563, 7.8km), Dadar (386 vs Dr Fayyaz 563, 10.7km)
WEAKMulund (12 — new clinic, vs Dr Maratha 530, 3.4km), Chembur (379 vs Aslam Khan 494, 2.6km)
↔ Standard: Best SH IS% in T1. LP fix alone reaches 70% goal. Util at 93% — raising bid risks exceeding cap.
T1_Mumbai_STI_Exact_Local STI ↑ INCREASE BID — AFTER LP FIX FIRST
IS%
43%
🔴 lowest T1
Util
87%
6wk avg
Rank Lost
55%
🔴 highest T1
AR%
10%
✓ good
LP%
60%
🔴 fix first
loc%
39%
below target
LOC/wk
40
avg loc clicks
LOC→Lead
38.4%
no goog web, cat-filtered
Bid
₹20
Diagnosis
IS=43%, RL=55%:Lowest IS in T1. AR=10% is excellent — QS on the ad side is fine. But LP=60% drags QS on the page side. Raising bid now pays more per click for the same bad LP → wasteful. Fix LP first.
Paid rivals:DrSafeHands IS=59%, posAbove=97%, absTop=58% — appears above us in 97% of shared auctions; 4 GMB profiles across Mumbai (see below). OrangeHealth IS=32%, posAbove=83% — diagnostic labs (see below). Purely bid-driven: AR=11% confirms QS is not the issue.GMB: 4 DrSafeHands profiles in Mumbai. "My Ad Centre" (Sakinaka) — 2.7km from our Ghatkopar (162 appearances — highest in city). "above SJM Diagnostic" — 1.2km from our Kemps Corner (87 appearances). "inside Sumer Nagar" (Borivali) — 2.0km from our Borivali (48 appearances); 3.3km from our Malad (27 appearances). "Saki Naka / Makwana Rd" (Andheri area) — 3.6km from our Andheri East (20 appearances); 4.0km from our Andheri East (86 appearances, separate profile). All sponsored except Saki Naka. Ghatkopar (162) and Kemps Corner (87) are the highest compound-pressure zones; Andheri East has 2 profiles overlapping from 3.6–4km.🔬 Diagnostic competitor — OrangeHealth IS=32%, posAbove=83%: captures STI testing intent in paid. GMB "Orange Health Labs" (HDFC Compound, Saki Vihar Rd, Sakinaka) — 1.4km from our Ghatkopar (3 map app — sparse map pack presence). High paid IS despite sparse map presence confirms their budget is primarily paid-only in Mumbai STI.
Organic:Strong everywhere — we outreview DrSafeHands in every zone (they have 99 reviews; Andheri East alone has 712).
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1 — This WeekFix LP=60% for Mumbai STI — privacy, STI content, mobile. Bid raise comes after this. LP% →<30%. QS improves → same ₹20 bid gets better position. IS% moves from 37% toward 50%+ before any bid change. LP%, QS weekly. IS% should move within 2 weeks of LP fix.
Priority 2 — After LP fixRaise bid ₹20→₹35. AR=11% is already excellent — once LP is fixed, QS is strong on both sides and bid raise is efficient. IS% 37→~55%. RL% 61→~40%. posAbove vs DrSafeHands improves. IS% weekly — expect +10-15pp within 2 weeks of bid raise. RL%, auction insights vs drsafehands.com.
Priority 3+100% call modifier + remove site links + location intent keyword cleanup (loc% 60→70%). locclick↑ (call modifier + site link removal) · loc% 60→70% (keyword cleanup). locclick, loc% weekly.
Per-clinic organic strength (STI)
STRONGAndheri East (712 vs DrSafeHands 99 reviews, 4km), Kalyan West (391 vs 99, ~40km far)
STRONG*8 other Mumbai zones — rivals are diagnostic labs only. DrSafeHands paid pressure is city-wide but their only map-pack presence is near Andheri East.
↑ Increase AFTER LP fix: IS=43% lowest T1, RL=55% highest T1, AR=10% excellent — but LP=60% means raising bid now pays more for the same bad QS. Fix LP first → QS improves → then raise ₹20→₹35 efficiently.
Pune
T1_Pune_SH_Exact_Local SH ↔ STANDARD BID
IS%
63%
near goal
Util
67%
6wk avg
Rank Lost
37%
of eligible
AR%
17%
good
LP%
64%
moderate
loc%
50%
below target
LOC/wk
359
avg loc clicks
LOC→Lead
20.3%
no goog web, cat-filtered
Bid
₹20
Diagnosis
IS%=63%:Near goal. LP=64% is the remaining rank lever.
Organic:4 of 7 zones STRONG. Only Hadapsar truly WEAK — Dr Swapnil Bobde (891 reviews, 1.3km, Allopathic Urologist).
Paid rivals:Ashakiran clinic (topsexologistinpune.com) IS=36%, posAbove=73%, absTop=47% — holds #1 paid slot in nearly half of auctions; GMB near Kothrud, Katraj, Baner (see below). Dr Erande's IS=12%, posAbove=31%, absTop=28% — low paid IS but dominant map presence at Wakad + Chinchwad; 2 GMB profiles (see below). LP fix (64%) closes gap without bid raise.GMB: "Ashakiran clinic" (topsexologistinpune.com GMB, above Lenskart) — 3.9km from our Kothrud (89 map appearances); 6.2km from our Katraj (36 appearances); 8.4km from our Baner (23 appearances). "Dr Erande's" (Vision 9 Mall, Kunal Icon Rd, Wakad) — 3.3km from our Wakad (266 appearances — highest in PUN SH); 3.8km from our Baner (71 appearances); 8.6km from our Chinchwad (284 appearances — second highest). "Dr Erande's" (nr. Bhosari Flyover, 2nd profile) — 8.1km from our Chinchwad (153 appearances). Dr Erande's IS=12% (low paid presence) but has dominant map pack density at Wakad and Chinchwad. Both brands active across Pune clinics simultaneously.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1Fix LP=63% for Pune SH. LP% →<30%. IS% crosses 70% goal from quality alone. LP%, IS% weekly — target >70% in 3-4 weeks.
Priority 2+100% call modifier + remove site links + location intent keyword cleanup (loc% 65→70%). locclick↑ (call modifier + site link removal) · loc% 65→70% (keyword cleanup). locclick, loc% weekly.
Priority 3GMB reviews: Hadapsar (451 vs Dr Bobde 891, 1.3km), Baner (83 — lowest in Pune). Organic improves in only truly WEAK zone. GMB count: Hadapsar, Baner monthly.
Priority 3 — Location bid adj↑ +40% Chinchwad (rank 1.6, 4 paid rivals — most contested in Pune) · Kothrud (rank 1.5, Allopathic rivals Ashakiran ×2) · Katraj (rank 1.7, Allopathic rivals)  ·  = Hold Hadapsar · Wakad · Kharadi · Baner (rank 1.3–1.4, holding) 3 clinics where Allopathic rivals running ads are pushing us down map pack. Bid increase reclaims position. Util at 68% — headroom absorbs positive modifiers. Per-location impr/clicks/CTR in Campaign Compose. map-pack rank weekly.
Per-clinic organic strength (SH)
STRONGWakad (306 vs Dr Erande's 168, 3.3km), Kharadi (330 vs Chaitanya Clinic 262, 8.9km), Kothrud (351 vs Dr Benade's 125, 6.3km), Chinchwad (192 vs Dr Erande's 168, 8.6km far)
EVENBaner (83 vs Dr Benade's 125, 1.9km), Katraj (130 vs Chaitanya Clinic 262, 7.4km)
WEAKHadapsar (451 vs Dr Swapnil Bobde 891, 1.3km — Allopathic Urologist)
↔ Standard: IS at 65%, LP fix alone reaches 70%. Hadapsar needs reviews + location adj — not a campaign-level bid increase.
T1_Pune_STI_Exact_Local STI ↔ STANDARD BID (fix AR + LP first)
IS%
56%
goal 70%
Util
75%
6wk avg
Rank Lost
43%
of eligible
AR%
35%
🔴 fix needed
LP%
65%
moderate
loc%
47%
below target
LOC/wk
50
avg loc clicks
LOC→Lead
34.0%
no goog web, cat-filtered
Bid
₹20
Diagnosis
AR=35% 🔴Second-worst in T1 — 1 in 3 impressions have poor ad relevance. Fix before bid.
LP=65%:Moderate — fix concurrently with AR.
Paid rival:DrSafeHands IS=59%, posAbove=91%, absTop=74% — holds #1 paid slot in 3 of 4 auctions; 2 GMB profiles across Pune (see below). AR=35% is why we're losing rank — fix AR first, then IS% recovers to outcompete.GMB: 2 DrSafeHands profiles in Pune. Profile "DrsafeHands" (Suratwala Mark Plazzo, Hinjawadi Rd) — 1.3km from our Wakad clinic (118 map appearances); 3.8km from our Baner (118 appearances). Profile "DrSafeHands" (Shivajinagar) — 6.0km from our Kothrud (121 appearances); 7.6km from our Katraj (119 appearances); 8.8km from our Baner (47 appearances). Wakad faces the closest compound pressure (Hinjawadi profile 1.3km away). Kothrud and Katraj also face the Shivajinagar profile in map pack while DrSafeHands holds the #1 paid slot city-wide.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1Rewrite Pune STI ad copy — STI-specific intent, privacy, clinic-local. AR=35% means copy is poorly matched. AR% 32→<20%. IS% rises ~60%. RL% 48→~35%. AR%, QS, IS% weekly.
Priority 2Fix LP=64% for Pune STI. LP% →<30%. IS% reaches 65%+ from quality alone. LP%, IS% weekly.
Priority 3+100% call modifier + remove site links + location intent keyword cleanup (loc% 60→68%). locclick↑ (call modifier + site link removal) · loc% 60→68% (keyword cleanup). locclick, loc% weekly.
Per-clinic organic strength (STI) — all STRONG vs treatment
STRONGHadapsar (451 vs lab), Kothrud (351 vs lab), Kharadi (330 vs lab), Wakad (306 vs DrSafeHands 69, 1.3km — we lead 4:1), Chinchwad (192 vs 62, 18km), Katraj (130 vs 62, 7.6km), Baner (83 vs lab)
↔ Standard: Organic all-STRONG. AR=35% is the rank driver — IS% should reach 65%+ from quality fixes alone.
Navi Mumbai
T1_NaviMumbai_SH_Exact_Local SH ↔ STANDARD BID — organic dominates, no nearby rival
IS%
61%
goal 70%
Util
50%
underutilized
Rank Lost
39%
of eligible
AR%
10%
✓ best T1
LP%
31%
good
loc%
48%
below target
LOC/wk
88
avg loc clicks
LOC→Lead
22.3%
no goog web, cat-filtered
Bid
₹20
Diagnosis
Best QS in T1:AR=9%, LP=30% — no quality issues anywhere.
Util=49%:Low util reflects market size (3 clinics) — not a missed opportunity. No paid rival holds absTop above 35%.
Paid rivals:Dr SK Jain IS=38%, posAbove=42%, absTop=20% — paid-channel-only, no NMB map presence (see below). Practo IS=37%, posAbove=42% — aggregator. Asha Kiran IS=26%, posAbove=55% — not in NMB map pack. All rivals are city-level keyword overlap only; standard bid is sufficient.GMB: "Dr SK Jains Burlington Clinic" (opp. Matunga Railway Station) — their clinic is in Matunga, Mumbai. Nearest of our NMB clinics is Vashi at 16.8km, Kharghar at 23.8km, Panvel at 30.6km. Paid-channel-only overlap — no local Navi Mumbai map pack presence. Asha Kiran not in NMB SH map pack either. Auction overlap is city-level keyword targeting, not geographic.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1+100% call modifier + remove site links + location intent keyword cleanup (loc% 68→70%). Verify call extensions active: Vashi, Kharghar, Panvel. locclick↑ (call modifier + site link removal) · loc% 68→70% (keyword cleanup). No bid change needed — no rival to block out. locclick, loc%, call conversion weekly.
Priority 3 — Location bid adj↑ +40% Kharghar (rank 2.0, paid rival Dr SK Jains pushing us down)  ·  = Hold Panvel · Vashi (rank 1.0–1.1, rivals present but holding top spot) Kharghar uniquely displaced; Panvel/Vashi holding top map rank despite rivals — standard bid sufficient there. Per-location impr/clicks/CTR in Campaign Compose. Kharghar map rank monthly.
Per-clinic organic strength (SH)
STRONGVashi (379 vs Dr Ajay Balki 285, 4.4km — we lead), Kharghar (263 vs Dr Fayyaz 563, 25.9km far), Panvel (66 vs Dr Fayyaz 563, 31.8km — very far)
↔ Standard: Organic dominant (nearest rival 19-32km from all clinics). 49% util reflects market size. Redirect bid attention to Mumbai STI (IS=43%).
T1_NaviMumbai_STI_Exact_Local STI ✓ BID REDUCED ₹60→₹20 THIS WEEK — OBSERVE IS%
IS%
74%
✓ at goal
Util
73%
6wk avg
Rank Lost
25%
lowest T1
AR%
28%
moderate
LP%
38%
ok
loc%
36%
below target
LOC/wk
12
avg loc clicks
LOC→Lead
39.4%
no goog web, cat-filtered
Bid
₹20
Diagnosis
IS=73%:Already at goal — best IS% of all 12 campaigns. No need to push higher.
Bid ₹60→₹20:₹60 was a mistake — highest in T1 with zero treatment rivals. Already reduced to ₹20 this week. Watch IS% for 2 weeks before further action.
loc%=46% 🔴Lowest of all 12 campaigns — every other impression is non-local. Fix geography simultaneously.
Actions — Change → Expected Impact → Track
ChangeExpected ImpactTrack
Priority 1 — ObserveBid already reduced ₹60→₹20 this week. No further change yet. IS% should hold 60%+. If IS% drops below 60% in next 2 weeks, step back to ₹30. IS% daily for first 2 weeks. Spend vs prior avg.
Priority 1Geography cleanup (loc% 46→65%+) — tighten to Vashi/Kharghar/Panvel only. Same spend reaches more NMB patients. CTR↑. loc% weekly. CTR.
Priority 2Fix AR=27% — rewrite NMB STI copy (Vashi/Kharghar/Panvel in headlines, STI intent, privacy). AR% 27→<15%. QS improves. RL% 25→~18%. AR%, QS weekly.
Priority 3+100% call modifier + remove site links. GMB reviews: Panvel (66 — lowest NMB STI clinic). locclick↑ (call modifier + site link removal). Panvel organic builds over 3 months. locclick weekly. GMB count: Panvel monthly.
Per-clinic organic strength (STI)
STRONG*Vashi (379 vs Metropolis 113 — lab), Kharghar (263 vs New Life Wellness 374 — blood test), Panvel (66 vs HealthTestToday 80 — lab). No STI treatment competitor in NMB.
✓ Reduced ₹60→₹20 (Jul 20-26): ₹60 was a mistake — highest T1 bid with zero treatment rivals. Observe IS% for 2 weeks. If IS% holds ≥60%, keep ₹20. If it drops below 60%, step to ₹30. Freed spend → Mumbai STI (IS=43%, RL=55%).
Data: 6-week avg Jun 8–Jul 14, 2026 · Sources: campaign compose cube · GMB rival data (76 clinics) · Auction insights (6 T1 cities) · Distances are straight-line (road distance ~30–40% longer)