How a Miami Medical Practice Reversed a 70% Ranking Decline and Grew 4.8x in 8 Months

The challenge

When the practice came to us in February 2026, its search visibility was in free fall. In just three months, the number of keywords the site ranked for on Google had dropped from 925 to 275, a 70% decline.

For a medical practice, that means fewer patients finding them when they search for care in Miami, one of the most competitive healthcare markets in Florida. Patients are also starting to ask AI tools like ChatGPT for recommendations, and a site losing ground on Google is unlikely to show up there either.

What we did

1. Fixed the foundation on the site. We optimized the site's pages and structure so Google could clearly understand the practice, its services and where it serves patients.
2. Built authority off the site. We strengthened the practice's presence across the web, giving Google more trusted signals that the practice is established and local.
3. Made the practice visible to AI. The same work that helps Google also helps AI platforms find, understand and recommend a business, so we built with both in mind.

The results

SEO takes time to turn, and this site kept sliding for about two months before the changes took hold. By May, rankings were climbing, and by September the site ranked for 1,317 keywords: 4.8 times more than when we started, and well above its previous high before the decline.

Page one rankings grew from 54 to 83, estimated organic traffic rose 42%, and the practice now appears in AI search too, with 39 mentions and 19 pages cited across ChatGPT, Google AI Mode, AI Overviews and Gemini.