East Tennessee Medical Practice | Core 4 Digital Marketing Case Study

Objectives

This East Tennessee medical practice includes 4 practitioners across rheumatology, neurology, pediatrics, and general practice. The practice had been open for 15 years and had worked through 5 previous digital marketing agencies over that time, with little to show for it. Organic growth sat at 2-4% a year, year after year. The only thing consistently working was a heavy Google Ads budget of $5,000 to $7,000 a month, spend that produced clicks but never built anything lasting. The practice wanted real, compounding growth, not another agency promising results and delivering a report full of vanity metrics. Imagine the position Arcane Marketing was in coming in as the 6th agency and convincing this medical center to give us a chance with the strategy we proposed. It was a little intimidating.

Key Results

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How the objectives were achieved

We started by rebuilding their website from the ground up, then launched the full Core 4 strategy: SEO, GEO, social media, and video, all running at once starting in October 2025. We wrote and published SEO content daily. Social Media content went out daily across 7 platforms: YouTube, TikTok, Facebook, LinkedIn, Instagram, X, and Pinterest. We produced and posted video daily as well. At the same time, we cut their Google Ads spend to $0 and moved that entire budget into building the Core 4 instead of renting visibility one click at a time.

Results

Over 10 months, the practice saw a 792% increase in revenue, and it’s still climbing. Organic search performance backs that up directly: 24.8K clicks and 1.15M impressions in the tracked period, with visibility taking off almost immediately after the Core 4 digital marketing strategy launched. Beyond the traffic and revenue numbers, the practice also saw its average lifetime value per patient increase. The growth wasn’t just more people finding them, it was better patients staying longer. All of this happened with $0 in paid ad spend, proof that a properly run Core 4 strategy replaces paid traffic instead of just supplementing it.

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