Refractive economics are not routine-exam economics
The patient journey for LASIK and cataract runs on weeks, not minutes. A patient clicks an ad, researches for weeks, and then books a consult. A last-click model misattributes the eventual case to whatever ran the day they called, and a first-touch model credits the wrong campaign entirely. We run gclid-verified attribution that credits the channels actually driving qualified surgical consults, so budget moves toward the campaigns producing booked consults rather than the ones producing cheap clicks.
Because every case is large, the cost of optimizing blind is large too. We report in the language a surgical practice acts on: cost per booked consult by channel and marketing-attributable consult volume, not impressions or a generic traffic percentage. We do not publish a per-procedure cost-per-lead table, because the public benchmarks for it are unreliable; we report your real numbers from your real campaigns instead.