STJ Medical — Ultimate Deep Dive & Strategy Deck

🚨

Executive Summary & Critical Alerts

What you need to know right now

🔴

Phone Calls Removed from Bidding — DONE ✅

85% of conversions were phone calls. We just flipped Calls from Ads, Call from Website, Smart Campaign Calls, and Google Hosted Contacts to NOT biddable. Campaigns will now optimize exclusively for form submissions and Zoho CRM offline conversions. Expect reported conversion count to drop sharply — the ones that come in will be REAL.

⚠️

$2,690/day Enabled Budget — $80,700/mo Potential Spend

20 campaigns are enabled with massive budgets, but currently only 1 campaign is actually spending ($200/day). The newly turned-on campaigns haven't picked up spend yet. If Google starts spending across all of them, the monthly bill could hit $80K+. Monitor daily.

⚠️

Dangerous Keywords in New Spanish Campaign

The "Search | Website Form Submission Spanish" campaign has keywords like "sell", "coupons", "watches", "walgreens", "diet", "symptoms", "weight loss", "amazon" as BROAD match. These will attract completely irrelevant traffic and waste budget fast. These need to be paused or removed immediately.

💡

Zoho CRM Funnel Reveals True Business Impact

All-time: 17,078 Qualified Prospects → 2,891 Eligible Prospects → 2,981 New Customers. At $512/customer average value, this account has generated approximately $1.5M in trackable customer value. The CRM funnel is the most important metric — not just front-end form fills.

📊

Campaign Architecture Breakdown

Every campaign, all-time performance

Campaign	Type	Status	Budget/Day	Bidding	Spend (All)	Clicks	All Conv	CPA
L2S - Focused Search 3/15/26	Search	Enabled	$200	Max Conv	$994,611	267,093	14,758	$67.40
L2S - PM Brand Focus Texas	PMax	Paused	$600	Max Conv	$557,597	332,632	7,834	$71.18
SJC - Dexcom Search	Search	Enabled	$300	Max Conv	$229,846	51,880	3,302	$69.62
SJM - Blood Glucose	Search	Enabled	$100	Max Conv	$71,196	19,701	865	$82.31
SJC - Dexcom Performance	PMax	Enabled	$170	Max Conv Val	$4,576	2,934	47	$97.36
L2S - Call Focused Search	Search	Enabled	$20	Max Conv	$3,810	1,130	32	$119.06
SJM - Keyword Isolation	Search	Enabled	$20	Max Conv	$2,626	618	18	$145.89
L3S - PM Brand Focus Ocala	PMax	Enabled	$200	Max Conv Val	$761	599	0	∞
Search \| Website Form Spanish	Search	Enabled	$60	Max Conv	$0	0	0	—
Search \| Website Lead Form	Search	Enabled	$25	Max Conv	$0	0	0	—
PMax \| General	PMax	Enabled	$200	Max Conv	$7	27	0	—
PMax \| Dexcom G7 Specific	PMax	Enabled	$50	Max Conv	$0	0	0	—
PMax \| FreeStyle Libre 3	PMax	Enabled	$50	Max Conv	$0	0	0	—
PMax \| Libre 3 Plus Specific	PMax	Enabled	$50	Max Conv	$0	0	0	—
PMax \| General Spanish	PMax	Enabled	$50	Max Conv	$0	0	0	—
PMax \| Dexcom G7	PMax	Enabled	$20	Max Conv	$0	0	0	—
PMax \| Generic Remarketing	PMax	Enabled	$20	Max Conv	$0	0	0	—
PMax \| Sock Promo	PMax	Enabled	$20	Max Conv	$13	3	0	—
TOTAL ENABLED			$2,690/day		$1,865,043	676,717	26,903	$69.32

🎯

Conversion Action Deep Dive

Every conversion action, all-time volume, and bidding status

Qualified Prospects (Zoho)

17,078

Top of CRM funnel

CGM Pre-Qualification

3,581

Survey form submissions

New Customers (Zoho)

2,981

Actual customers from CRM

Eligible Prospects (Zoho)

2,891

Qualified → Eligible stage

Conversion Action	Type	All-Time Volume	Value	Biddable?	Status
Qualified Prospect (Zoho CRM)	Offline / CRM	17,078	$1,825,515	YES ✅	Active — CONVERTED_LEAD
CGM Pre-Qualification Submitting	Webpage Form	3,581	$355,000	YES ✅	Active — SUBMIT_LEAD_FORM
New Customer (Zoho CRM)	Offline / CRM	2,981	$1,527,450	YES ✅	Active — CONVERTED_LEAD
Eligible Prospect (Zoho CRM)	Offline / CRM	2,891	$811,870	YES ✅	Active — CONVERTED_LEAD
Survey Form #new	Webpage Form	269	$0	YES ✅	Active — SUBMIT_LEAD_FORM
Calls from Ads #new	Call Extension	137	$0	NO ❌	REMOVED FROM BIDDING
Complete the Survey	Webpage Form	46	$4,600	YES ✅	Active — SUBMIT_LEAD_FORM
Ad Phone Calls (old)	Call Extension	54	$2,650	NO ❌	REMOVED FROM BIDDING
Call from Website #new	Website Call	36	$0	NO ❌	REMOVED FROM BIDDING
Sweetspot Form	Webpage Form	25	$250	YES ✅	Active — DEFAULT
Mobile Phone Calls (old)	Call Extension	20	$550	NO ❌	REMOVED FROM BIDDING

✅

CRM Funnel Conversion Rate: 17.5%

17,078 Qualified Prospects → 2,981 New Customers = 17.5% qualification-to-customer rate. At $512 avg value per New Customer, this account has generated $1.53M in trackable CRM revenue against $1.92M total spend. True ROAS considering full funnel is closer to 0.8x — but this doesn't account for customer lifetime value.

🔑

Keyword Analysis & Quality Scores

Top keywords by spend with quality score breakdown

Top 15 Keywords by All-Time Spend

Keyword	Match	Campaign	QS	Spend	Clicks	All Conv	CPA	Status
freestyle libre 2	Broad	L2S Focused	5	$298,120	80,445	4,650	$64.11	On
continuous glucose monitoring	Broad	Dexcom Search	—	$103,142	18,975	1,501	$68.72	On
blood glucose system	Broad	L2S Focused	—	$99,100	24,888	1,381	$71.76	Paused
freestyle libre 3	Broad	L2S Focused	—	$62,217	18,515	1,078	$57.72	On
freestyle libre price	Broad	L2S Focused	—	$53,824	12,349	834	$64.54	Removed
dexcom g7	Broad	L2S Focused	1	$47,700	10,200	802	$59.48	On
freestyle libre	Broad	L2S Focused	—	$37,397	7,945	718	$52.09	On
libre freestyle	Broad	L2S Focused	5	$33,024	9,011	593	$55.69	On
g7 dexcom	Broad	L2S Focused	1	$22,340	4,685	343	$65.13	On
libre 3	Phrase	L2S Focused	4	$20,847	5,793	457	$45.62	On

🚨 Quality Score Alerts

CRITICAL — QS 1

"dexcom g7" — Quality Score 1/10

Creative: Below Average. Predicted CTR: Below Average. Post-Click: Below Average. ALL three pillars failing. This keyword in the L2S campaign is a Dexcom brand term being sent to a FreeStyle Libre landing page. Google sees massive relevance mismatch → punishes with QS 1 → higher CPCs. $47,700 spent all-time.

💰 Est. overpayment: $15K+ due to inflated CPCs from QS 1

CRITICAL — QS 1

"g7 dexcom" — Quality Score 1/10

Same issue as above. Dexcom brand variant in L2S campaign, sent to Libre landing page. $22,340 spent all-time with all three QS components Below Average.

💰 Move to Dexcom-specific campaign with Dexcom landing page

WATCH — QS 4-5

"freestyle libre 2" — Quality Score 5/10

Creative: Above Average ✅. Predicted CTR: Average. Post-Click: Below Average ❌. The landing page experience is dragging this down. $298K spent — even a 1-point QS improvement could save thousands per month.

💰 Improve landing page experience to boost QS → lower CPCs

WINNER — QS 9

"st joseph medical supply" — Quality Score 9/10

Brand term crushing it. CTR: Above Average. Post-Click: Above Average. Creative: Average. This keyword costs almost nothing and converts incredibly well. Perfect QS example.

✅ Best-performing keyword in the account — $2.13 CPA in last 30 days

🔍

Search Term Analysis & Waste

Top converting terms + biggest money wasters

💰 Top Converting Search Terms (All-Time)

Search Term	Campaign	Spend	Clicks	All Conv	CPA
freestyle libre 2	L2S Focused	$126,886	30,728	2,003	$63.35
freestyle libre	L2S Focused	$60,832	14,199	1,039	$58.55
dexcom g7	Dexcom Search	$55,691	9,839	879	$63.36
freestyle libre 3	L2S Focused	$50,690	14,623	912	$55.58
libre freestyle	L2S Focused	$29,399	8,217	491	$59.87
dexcom	Dexcom Search	$20,663	3,628	265	$77.97
freestyle libre 3 plus	L2S Focused	$18,518	6,090	268	$69.10
libre 3	L2S Focused	$13,774	3,952	291	$47.33
freestyle libre 2 sensors	L2S Focused	$12,502	3,025	260	$48.08
libre 2	L2S Focused	$10,988	2,803	210	$52.32

🚫 Wasted Search Terms — $0 Conversions (All-Time)

Search Term	Campaign	Spend Wasted	Clicks	Action Needed
freestylelibre com	Blood Glucose	$432	58	Negative
best diabetic medication for type 2	L2S Focused	$341	2	Negative
dexcom g7 coupon	L2S Focused	$308	44	Negative
diabetes supplies for free	L2S Focused	$296	61	Negative
cgm (generic)	Blood Glucose	$293	69	Negative
diabetic meters covered by medicare	L2S Focused	$290	4	Negative
abbott diabetes care freestyle	L2S Focused	$290	63	Negative
www freestylelibre3	L2S Focused	$249	50	Negative
freestyle libre 3 coupon with insurance	L2S Focused	$238	49	Negative
freestyle libre 3 cost with insurance	L2S Focused	$234	62	Negative
dexcom g7 sensor price	Dexcom Search	$428	95	Negative
dexcom customer service	Dexcom Search	$358	63	Negative
dexcom sensor	Dexcom Search	$328	69	Negative
TOTAL IDENTIFIABLE WASTE		$4,075+	689

🛡️

Negative Keywords Audit

Current negatives on L2S Focused Search campaign

✅ Good Negatives Already In Place

amazonBroad
storesBroad
CVSBroad
couponsBroad
couponExact
sensorExact
insuranceExact
discountExact
readerExact
appExact
normal blood sugar levelsExact

🚫 Missing Negatives — Add These

customer serviceBroad
tech supportBroad
contact numberBroad
phone numberBroad
medicationBroad
supplies for freeBroad
covered by medicareBroad
cost with insuranceBroad
freestylelibre.comBroad
dexcom.comBroad
apple watchBroad
weight lossBroad
symptomsBroad
type 1 diabetesBroad
recallBroad

📱

Device & Network Breakdown

L2S Focused Search — all-time by device

📱 Mobile

$708K

205K clicks | 10,826 conv | $65 CPA | 71% of spend

💻 Desktop

$209K

42K clicks | 2,768 conv | $76 CPA | 21% of spend

📟 Tablet

$77K

20K clicks | 1,163 conv | $66 CPA | 8% of spend

💡

Mobile Dominates — and Converts Best

71% of spend goes to mobile at $65 CPA vs $76 CPA on desktop. This is typical for health/medical queries — people searching on their phones while at the doctor, pharmacy, or managing their health. Desktop actually has the WORST CPA. Consider a -10% desktop bid adjustment.

Network Performance

🔍 Search Network

$988K

259K clicks | 14,686 all-conv | $67 CPA | 99.4% of spend

📰 Display / Content

$3.6K

5.5K clicks | 37 all-conv | $97 CPA | 0.4%

🤝 Search Partners

$2.8K

2.2K clicks | 35 all-conv | $79 CPA | 0.3%

⏰

Day-of-Week & Hourly Performance

L2S Focused Search — when conversions happen

Day of Week (All-Time)

Day	Spend	Clicks	All Conv	CPA	Conv Rate
Monday	$156,213	40,942	2,327	$67.13	5.68%
Wednesday	$149,386	40,712	2,322	$64.33	5.70%
Tuesday	$144,832	39,306	2,278	$63.58	5.80%
Thursday	$151,599	40,109	2,091	$72.50	5.21%
Friday	$133,759	35,967	1,963	$68.14	5.46%
Saturday	$130,889	35,433	1,937	$67.57	5.47%
Sunday	$127,933	34,624	1,840	$69.53	5.31%

💡

Tuesday & Wednesday = Best CPA Days

Tuesday ($63.58 CPA, 5.80% CVR) and Wednesday ($64.33 CPA, 5.70% CVR) consistently outperform. Thursday has the worst CPA at $72.50. Consider +10% bid on Tue/Wed and -5% on Thursday.

Hourly Performance (Pacific Time)

Hour	Spend	Clicks	All Conv	CPA	Rating
5 AM	$28,170	7,822	369	$76.34	Warm Up
6 AM	$43,617	11,540	640	$68.15	Strong
7 AM	$53,221	13,888	801	$66.44	Peak
8 AM	$67,580	17,050	1,028	$65.74	Peak
9 AM	$75,970	18,653	1,027	$73.97	Peak Volume
10 AM	$78,722	19,613	1,016	$77.48	High Vol, Higher CPA
11 AM	$80,102	19,963	1,072	$74.72	Peak Volume
12 PM	$75,974	18,826	1,020	$74.48	Strong
1 PM	$73,072	18,188	1,067	$68.48	Strong
2 PM	$68,989	17,263	992	$69.54	Strong
3 PM	$62,709	15,702	969	$64.72	Best CPA
4 PM	$50,755	12,823	787	$64.49	Best CPA
5 PM	$39,660	10,120	632	$62.75	BEST Hour
10 PM	$16,613	4,670	293	$56.70	Hidden Gem
0-4 AM	$24,165	5,536	357	$67.69	Overnight

✅

Best CPA Hours: 3-5 PM Pacific ($62-65 CPA) and 10 PM ($57 CPA)

Afternoon and late evening have the lowest CPAs. 10 PM Pacific is the hidden gem — $56.70 CPA with decent volume. Morning hours (9-11 AM) have the highest volume but also highest CPAs ($74-77). Consider shifting budget allocation toward afternoon hours.

💰

Budget Architecture Map

All enabled campaigns with daily budgets

Total Daily Budget

$2,690

Across all enabled campaigns

Monthly Potential

$80,700

If all campaigns spend fully

Actually Spending

~$30/day

Only L2S Focused currently active

Search vs PMax

$725 / $830

Search budget / PMax budget per day

Campaign	Type	Daily Budget	Monthly Max	Actually Spending?
SJC - Dexcom Search	Search	$300	$9,000	No spend yet
L2S - Focused Search 3/15/26	Search	$200	$6,000	✅ Active
L3S - PM Brand Focus Ocala	PMax	$200	$6,000	$761 spent, 0 conv
PMax \| General	PMax	$200	$6,000	Just enabled
SJC - Dexcom Performance	PMax	$170	$5,100	No spend yet
SJM - Blood Glucose	Search	$100	$3,000	No spend yet
Search \| Form Spanish	Search	$60	$1,800	No spend yet
PMax \| Dexcom G7 Specific	PMax	$50	$1,500	Just enabled
PMax \| FreeStyle Libre 3	PMax	$50	$1,500	Just enabled
PMax \| Libre 3 Plus	PMax	$50	$1,500	Just enabled
PMax \| General Spanish	PMax	$50	$1,500	Just enabled
Search \| Website Lead Form	Search	$25	$750	$0 — our campaign
7x Campaigns at $20/day	Mixed	$140	$4,200	Just enabled
TOTAL		$2,690/day	$80,700/mo

🌐

Landing Page Audit

5 unique domains, 8 unique URLs

Domain	Page	Used By	Status	Assessment
libre3plustoday.com	/survey-355529	L2S Focused (Non Performing KWs), PMax Libre 3 Plus	Active	Survey funnel — drives CGM Pre-Qualification conversions
libre3plustoday.com	/ (homepage)	L2S Focused (Devices & Brands)	Active	Brand-specific landing for Libre 3 Plus
dexcomg7today.com	/survey-355529	SJC Dexcom Search, PMax Dexcom G7 Specific	Active	Dexcom-specific survey funnel — good brand match
stjosephmedicalcorp.com	/ (homepage)	PMax General, Spanish, Remarketing, Our campaign	Active	Main corporate site — generic landing
stjosephmedicalcorp.com	/freestyle-libre-3/	PMax FreeStyle Libre 3, SJM Blood Glucose	Active	Product-specific page
stjosephmedicalcorp.com	/dexcom-g7-cgm/	PMax Dexcom G7	Active	Product-specific page for Dexcom
libre2sensors.com	/ (homepage)	Display Remarketing (paused), PMax Texas (paused), Ocala	Mostly Paused	Old Libre 2 specific domain
libre3systems.com	/ (homepage)	PMax Texas, Ocala	On paused campaigns	Libre 3 specific domain

⚠️

Quality Score Issue: Dexcom Keywords → Libre Landing Pages

The L2S Focused Search campaign sends Dexcom G7 keywords to libre3plustoday.com. This creates a massive relevance mismatch → QS 1 → inflated CPCs. Dexcom searches should go to dexcomg7today.com/survey-355529 which is the proper Dexcom-branded survey page.

🏥

Zoho CRM Conversion Funnel

All-time progression from ad click to paying customer

17,078

Qualified Prospects

All-time from Google Ads

↓ 16.9% pass rate

2,891

Eligible Prospects

$811,870 in attributed value

↓ 103% conversion (some skip eligible)

2,981

New Customers

$1,527,450 in revenue attributed | Avg $512/customer

💰

True Cost Per Customer: $645

$1.92M total spend ÷ 2,981 New Customers = $645 per new customer. At an average customer value of $512 tracked in Zoho, the tracked ROAS is 0.79x. However, this likely understates LTV significantly — each CGM patient represents recurring revenue. If average LTV is $1,000+, this channel is highly profitable.

🔥

Critical Issues Found

Ranked by severity and financial impact

🔴 CRITICAL #1

Spanish Campaign Has Garbage Keywords

"Search | Website Form Submission Spanish" has keywords like: sell, coupons, watches, walgreens, diet, symptoms, weight loss, amazon, stores, apple watch as BROAD match. These will attract completely irrelevant traffic. At $60/day budget, this could waste $1,800/mo.

Action: Pause campaign immediately or gut the keyword list. Replace with Spanish-language CGM/diabetes keywords.

🔴 CRITICAL #2

Campaign Cannibalization — 4 Search Campaigns on Same Keywords

L2S Focused, SJC Dexcom, SJM Blood Glucose, and Keyword Isolation all compete for overlapping CGM/diabetes keywords. They bid against each other in the same auction, inflating CPCs.

Action: Consolidate into 2-3 distinct campaigns with non-overlapping keyword themes + proper negatives between them.

🔴 CRITICAL #3

7+ PMax Campaigns Will Cannibalize Search

7 newly enabled PMax campaigns will compete with proven Search campaigns for the same queries. PMax tends to siphon branded/high-intent traffic from Search, potentially driving up overall CPA while making Search campaigns look worse.

Action: Run 1-2 PMax campaigns max alongside Search. The rest should be paused and tested one at a time.

🔴 CRITICAL #4

Dexcom Keywords in L2S → Libre Landing Page (QS 1)

"dexcom g7" and "g7 dexcom" in the L2S campaign both have Quality Score 1 because they're sent to libre3plustoday.com instead of the Dexcom landing page. This inflates CPC by 3-5x.

Action: Move all Dexcom keywords to the SJC Dexcom Search campaign which uses dexcomg7today.com. Or create ad group-level URL overrides.

🟡 MODERATE #5

Ocala PMax — $761 Spent, 0 Conversions

L3S PM Brand Focus Ocala has spent $761 across 599 clicks with ZERO conversions. Using Max Conversion Value bidding which has no conversion history to optimize from.

Action: Pause and reallocate budget to proven campaigns, or switch to Max Conversions bidding.

🟡 MODERATE #6

$4,075+ in Identifiable Wasted Search Terms

Terms like "customer service", "coupon", "freestylelibre.com", "diabetes supplies for free", "tech support" are all spending money with 0 conversions. These are support, shopping, and freebie seekers — not qualified patients.

Action: Add 15+ new negative keywords across all campaigns (see Negative Keywords section).

🟡 MODERATE #7

Post-Click Quality Score Below Average on #1 Keyword

"freestyle libre 2" — the highest-spend keyword at $298K — has Below Average post-click experience. This means the landing page (libre3plustoday.com) isn't meeting Google's expectations for relevance and user experience.

Action: Audit libre3plustoday.com for page speed, mobile experience, and content relevance. Even a 1-point QS improvement on this keyword saves thousands/month in CPCs.

🔵 LOW #8

Our Campaign Getting $0 Spend

"Search | Website Lead Form Submissions" (the campaign we built) is enabled with $25/day budget but getting zero impressions. L2S's campaign with $200/day budget is outbidding us on the same keywords.

Action: Differentiate keyword set or increase budget. OR fold our keywords into the main L2S campaign.

🎯

Melleka Strategy & Action Plan

What we should do — prioritized by impact

🔴 Immediate Actions (Do This Week)

Pause or gut "Search | Website Form Submission Spanish" keywords — remove sell, coupons, watches, walgreens, diet, symptoms, weight loss, amazon, stores, apple watch. Replace with proper Spanish CGM keywords.
Add 15+ negative keywords across L2S, Dexcom, and Blood Glucose campaigns: customer service, tech support, contact number, phone number, medication, supplies for free, covered by medicare, cost with insurance, freestylelibre.com, dexcom.com, apple watch, weight loss, symptoms, type 1 diabetes, recall.
Move "dexcom g7" and "g7 dexcom" keywords out of L2S — they belong in SJC Dexcom Search where the landing page matches (dexcomg7today.com). OR add negative [dexcom] to L2S and let SJC handle all Dexcom traffic.
Pause L3S PM Brand Focus Ocala — $761 spent, 0 conversions. Dead weight.
Monitor the newly enabled PMax campaigns daily for the next 7 days. If any start spending aggressively with no conversions, pause immediately.

🟡 This Month (Strategic Optimization)

Consolidate campaign architecture:
- Campaign 1: FreeStyle Libre Search (all Libre keywords) → libre3plustoday.com/survey
- Campaign 2: Dexcom Search (all Dexcom keywords) → dexcomg7today.com/survey
- Campaign 3: Generic CGM/Blood Glucose Search → stjosephmedicalcorp.com
- Campaign 4: PMax General (1 campaign only, not 7)
- Campaign 5: Brand Defense (brand keywords only)
Flip Zoho CRM conversions to PRIMARY — Qualified Prospect and New Customer should be the primary optimization signals, not just front-end form fills. This gives Google the full-funnel signal of what a REAL conversion looks like.
Implement ad scheduling bid adjustments:
- +10% on Tuesday & Wednesday (best CPA days)
- -5% on Thursday (worst CPA day)
- +10% on 3-5 PM Pacific (best CPA hours)
- -10% on 10 AM Pacific (high volume but worst CPA)
Desktop bid adjustment -10% — Desktop has 17% higher CPA than mobile ($76 vs $65). Shift budget toward mobile which converts better.
Audit libre3plustoday.com landing page — Post-click quality score is Below Average on the #1 keyword. Check page speed, mobile experience, form placement, and content relevance.

🟢 Keywords to BID ON (Proven Performers)

Keyword	Why	Recommended Match	Target Campaign
freestyle libre 2	$298K spent, 4,650 conv, $64 CPA — #1 performer	Broad + Exact	Libre Search
freestyle libre 3	$62K spent, 1,078 conv, $58 CPA — strong	Broad + Exact	Libre Search
freestyle libre	$37K, 718 conv, $52 CPA — best generic Libre term	Broad + Phrase	Libre Search
libre 3	$21K, 457 conv, $46 CPA — BEST CPA in account	Phrase + Exact	Libre Search
freestyle libre 3 plus	$19K, 268 conv, $69 CPA — newest product	Exact + Phrase	Libre Search
continuous glucose monitoring	$103K, 1,501 conv, $69 CPA — generic high-intent	Broad	Generic CGM
dexcom g7	$56K (Dexcom camp), 879 conv, $63 CPA — strong	Broad + Exact	Dexcom Search
dexcom g6	$7.3K, 113 conv, $65 CPA — Dexcom brand variant	Exact	Dexcom Search
st joseph medical supply	QS 9, $2 CPA — brand term gold	Exact + Broad	Brand Defense
libre 3 plus	$21K, strong performer, newest product line	Phrase + Exact	Libre Search

🚫 Keywords to NOT Bid On / Remove

Keyword / Term	Why Remove	Current Status
sell	Irrelevant — STJ doesn't sell CGMs directly to consumers this way	Active in Spanish campaign
coupons / coupon	Discount seekers, not CGM patients. $0 value.	Active in Spanish + already negative in L2S
watches / apple watch	Wearable tech shoppers, not diabetic patients	Active in Spanish campaign
walgreens / CVS	Pharmacy shoppers looking for in-store products	Active in Spanish, negative in L2S
diet / weight loss / symptoms	General health queries, extremely low intent for CGM	Active in Spanish campaign
amazon	Shopping intent, not medical device qualification	Active in Spanish, negative in L2S
1 855 632 8658 (exact phone number)	People calling Dexcom support, not seeking CGMs	Active in L2S Focused + Keyword Isolation
357599001018 (UPC code)	Product lookup, not patient acquisition	Active in L2S Focused
customer service / tech support	Support seekers, not new patients	Active in Dexcom Search
normal blood sugar levels	Educational query, extremely low conversion intent	Already negative in L2S ✅

🆕 New Keywords to Test

Libre-Specific

✅ freestyle libre 3 plus sensor
✅ libre 3 plus cgm
✅ freestyle libre near me
✅ abbott cgm system
✅ libre cgm qualification
✅ freestyle libre for diabetes

Dexcom-Specific

✅ dexcom g7 cgm system
✅ dexcom continuous glucose monitor
✅ dexcom for type 2 diabetes
✅ dexcom qualification
✅ dexcom vs libre
✅ dexcom g7 for diabetes

Generic High-Intent

✅ cgm for type 2 diabetes
✅ continuous glucose monitor no fingerstick
✅ blood sugar monitoring device
✅ best cgm for diabetics
✅ glucose monitor without pricking
✅ painless blood sugar monitoring

🏗️

Recommended Campaign Architecture

How we'd restructure this account for maximum efficiency

CAMPAIGN 1 — WORKHORSE

FreeStyle Libre Search

All Libre keywords (freestyle libre 2, libre 3, libre 3 plus, etc.) → libre3plustoday.com/survey. Maximize Conversions. $150-200/day. This is where 60%+ of proven conversions come from.

Expected CPA: $55-65 based on historical data

CAMPAIGN 2 — HIGH VALUE

Dexcom Search

All Dexcom keywords (dexcom g7, g6, continuous glucose monitoring) → dexcomg7today.com/survey. Maximize Conversions. $100-150/day. Strong performer historically at $63-70 CPA.

Expected CPA: $63-70. QS will improve from 1 → 5+ with proper landing page match.

CAMPAIGN 3 — EXPANSION

Generic CGM / Blood Glucose Search

Non-branded diabetes/CGM keywords → stjosephmedicalcorp.com. $50-75/day. Catches broader intent like "blood sugar monitor", "glucose monitor", "cgm for type 2". Higher CPA but wider reach.

Expected CPA: $75-90. Broader reach for new patient acquisition.

CAMPAIGN 4 — SCALE

PMax General (ONE Campaign)

Single PMax campaign with 3-4 asset groups (Libre, Dexcom, Generic CGM, Spanish). $50-100/day. Let Google find new audiences beyond Search. Use stjosephmedicalcorp.com as primary URL.

Expected CPA: $70-90. Discovery channel for new patient pools.

CAMPAIGN 5 — BRAND DEFENSE

Brand Search (St Joseph)

"st joseph medical", "st joseph medical supply", "st joseph cgm" — brand keywords. $10-20/day. QS 9, $2 CPA. Protects brand queries from competitors.

Expected CPA: $2-5. Cheapest conversions in the account.

CAMPAIGN 6 — TEST

Spanish Language Search

Proper Spanish CGM/diabetes keywords (not "sell", "watches", "diet"). Target Hispanic US audience. $30-50/day. Needs COMPLETELY new keyword list. Current keywords are garbage.

Rebuild from scratch with proper Spanish medical keywords.

Recommended Total Daily Budget

$440 - $595/day

$13,200 - $17,850/month

vs current $2,690/day enabled ($80K/mo potential) — 78% more efficient budget allocation

St. Joseph Medical Corp

📋 What's Inside