A full panel, filled on purpose. You aren't selling a visit. You're selling access, time, and a relationship that lasts years, and that takes different marketing than a clinic chasing appointment volume.
Book a 30-minute callGrowing a concierge or DPC membership is slow, local work, and the decision is rarely made by the person who inquired. Fill The Lobby builds the ads, the pages that answer the fee question before anyone speaks to you, and the follow-up that keeps running through the months a membership decision can take, then reports what each inquiry cost. Week one is an audit, not a pitch.
Nobody joins a panel on impulse. They read, compare, and often sit on it for months. Content that answers the real objection — what am I actually getting for the fee — does more than any ad.
You may only need thirty more members, ever. That makes precision worth far more than reach, and makes wasted spend far more obvious.
People who can't afford it shouldn't reach your calendar, and people who can shouldn't have to guess. Being direct about the model filters both ways. Our annotated concierge search ad puts the fee in the ad itself.
A member who stays five years is worth more than three who churn. Onboarding and follow-up carry as much weight here as acquisition.
Concierge is bought within a short drive. Your search presence needs to own that radius rather than compete nationally.
Thirty of the right members beats three hundred inquiries.
Membership inquiries and cost per member, visible weekly. BAA signed before any data moves.
We built and run our own clinical platforms — 200+ clinicians, patients in 20+ countries — and we spend our own money on these exact ads every day. Fill The Lobby is that engine, pointed at your practice.
Most agencies bill a percentage of ad spend, so nobody in that arrangement ever tells you to stop. Say you cap the panel at three hundred and the last seat goes - the campaign carries on buying inquiries you cannot take - people who get a polite waitlist email and join the practice down the road instead. Capacity is an input here, not an afterthought: the seats you have left set the spend, and when they are gone the ads go off.
The Proof Pilot is one flat fee of $2,500, with ad spend going from your own account straight to Google and Meta, so nothing on our invoice argues for spending more than the panel needs. In the meantime the waitlist gets worked by name rather than left in a spreadsheet nobody opens, so when a seat does open you are calling someone, not starting again.
Nobody shops for a membership in a vacuum. They shop in January, when the new deductible lands and the first bill of the year makes the maths real, and again at open enrollment when the plan options force them to look at what they are actually buying. Spend spread flat across twelve months burns most of itself in the quiet weeks and runs thin in the two windows where people are already doing the sums.
So the year is weighted rather than flat, and the message moves with it. In those weeks the comparison in someone's head is not your fee against a copay, it is your fee against a deductible they can see themselves paying down before the plan does much of anything - and the ad, the page and the first follow-up should all meet them there. The rest of the year funds the slower work: the searches where someone is comparing two named practices.
Membership inquiries come in late at night, on a phone, hours after your front desk has gone home, so the booking pages we build ask for the few details that hold a slot and put a named time on your calendar rather than a promise to ring back. Someone looking for a concierge doctor near them decides inside the three map results and rarely scrolls further, which is why local SEO is the unglamorous half of this work - a page per service per area, and a profile that matches the practice they will actually walk into. A membership decision can sit unmade for months between the first inquiry and the first payment, and that gap is precisely where patient follow-up either keeps the thread alive or lets it go quiet. The full eight, and how they hand off to each other, are laid out under what we do. For a membership panel, retention is renewal, and the patient retention calculator shows how many members you keep each quarter. All of it maps onto the seven leaks we look for in week one.
Searches like “concierge doctor phoenix” that name a city are spread thin: about 200 a month each in Phoenix, Atlanta, Las Vegas and Dallas, at $2.50 to $3 a click, and the most in total in California, Texas and Florida (Ahrefs, US, September 2026). Our state pages list the searches and click costs for every city where they can be measured, so you can see the demand before you choose where to advertise.
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Reviewed September 2026.