A Roanoke healthcare practice was spending $7K/month on Google Ads. The agency reported strong numbers. We looked — geographic targeting included the entire state of Virginia. People in Norfolk and Virginia Beach clicking ads for a Roanoke practice they would never visit. 30% of budget wasted on impossible geography.

Regional businesses need regional targeting. It sounds obvious, but most ad accounts have geographic settings that were configured at setup and never revised. A Roanoke business does not need clicks from Richmond, Norfolk, or DC suburbs. That is wasted money with zero conversion potential.

We tightened geographic targeting to the actual service area. Added negative keywords for regions outside the Valley. Excluded audiences who had already converted. Same budget. Conversions doubled because every dollar went to people who could actually become customers.

GOSH Digital manages paid media for Roanoke businesses with precision. 150+ clients. Serving the Blue Ridge remotely.