
What Healthcare Practices Should Look for in an SEO Partner
A dermatology group in Phoenix hired an agency that promised them page-one rankings in 90 days.
Expert guides on choosing the right SEO agency, what to look for in an SEO audit, and how to evaluate proposals.
117 articles published

A dermatology group in Phoenix hired an agency that promised them page-one rankings in 90 days.

A Shopify store owner I consulted for paid $14,000 per month to an ecommerce SEO agency that couldn't explain what they did with the money.

TechBullion published a ranking of 10 enterprise SEO agencies for 2026 on April 18, identifying firms the publication considers equipped to handle large-scale optimization challenges, according to an article on the TechBullion website.

A Fortune 500 retail brand I consulted for spent $340,000 on an enterprise SEO engagement that produced exactly zero measurable revenue impact over nine months. The agency had a gorgeous pitch deck, an impressive client logo wall, and a team of smooth talkers who knew every buzzword in the book.

A SaaS client walked into my office with a 47-page SEO report from their previous agency. Gorgeous charts. Color-coded dashboards. Rankings tracked for 600 keywords. And every single competitor in the report was wrong.

A Fortune 500 client of mine fired their agency two weeks ago. Not because organic traffic dropped. Traffic was actually up 4% quarter-over-quarter. The problem? Their brand had vanished from every AI-generated answer in their vertical. ChatGPT recommended three competitors by name.

A $14,000/month enterprise client once told my team that their dev team would "get to the technical fixes next sprint." That was in February.

A client of mine fired their SEO agency in February after discovering something alarming: their site ranked #2 for a competitive B2B keyword, but their organic click-through rate on that term had collapsed by over 50% in eight months. The agency kept sending cheerful ranking reports.

A mid-size ecommerce agency I consulted for fired their entire content team in January. Not because the writers were bad. The team was producing 40 blog posts a month, hitting every keyword target, earning decent rankings.

A client of mine fired their previous agency after discovering that the team billed 14 hours per month for "reporting and data analysis" that amounted to copying numbers from Google Search Console into a spreadsheet, adding conditional formatting, and emailing a PDF. Fourteen hours. Every month.

A client fired their agency over a 40% drop in "organic visibility" that never actually happened.

On April 14, 2026, advertisers across the platform reported mass ad disapprovals triggered by phantom DNS failures and HTTP 500 errors. Ryan Berry, Managing Director at Cornerhouse Media, reported over 1,500 ads disapproved in a single account around 1:30 p.m. UTC. The sites were live.