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Orange County California
/Case Study
Google AdsBing AdsMeta AdsLanding PagesGeographic Targeting

Rize OC.
$10K to $300K/Month.

How Sweet Media helped Rize OC scale paid advertising from $10,000 to $300,000 per month in 4 months — while cutting cost per acquisition from $350 to $115.

30×
Ad Spend Scaled
↓67%
CPA Reduction
$115
Avg CPA at Scale
4 Mo.
Time to Results
Client
Rize OC
Location
Orange County, CA
Industry
Behavioral Health
Services
Addiction Treatment · Detox · Mental Health
Overview

A behavioral health provider needed to scale paid advertising without losing efficiency.

Rize OC is a behavioral health treatment provider in Orange County, California, offering addiction treatment, detox, outpatient care, and mental health services. At the start of the engagement, Rize OC was spending approximately $10,000 per month on Google Ads with a cost per acquisition of around $350.

The goal was straightforward but demanding: scale spend aggressively while simultaneously improving efficiency. In behavioral health advertising — one of the most competitive and expensive verticals in paid search — that combination requires more than just increasing budgets. It requires a fundamentally different campaign architecture.

Sweet Media partnered with Rize OC to rebuild the paid media system from the ground up — creating intent-based campaign structures, dedicated landing pages for every campaign, geographic segmentation, and a multi-channel expansion strategy that ultimately scaled the account to $300,000/month in 4 months while reducing CPA by 67%.

Services Provided

Google Ads Campaign Architecture
Bing Ads Management
Meta Ads Strategy
Landing Page Strategy
Geographic Targeting
Keyword Match Type Testing
Conversion Tracking & Attribution
CPA & VOB Optimization

Industry

Behavioral Health · Addiction Treatment · Detox · Mental Health

The Challenge

Scaling spend in one of the most competitive verticals in paid search.

Behavioral health keywords carry high CPCs, strict compliance requirements, and intense competition. Scaling without a disciplined structure means wasted spend, poor lead quality, and rising CPAs.

High Cost Per Acquisition

At campaign start, Rize OC was averaging ~$350 CPA — leaving significant room to improve efficiency before scaling spend.

Generic Campaign Structure

Campaigns were too broad, sending all traffic to general pages regardless of what the user was searching for, hurting relevance and conversion rates.

No Geographic Segmentation

In-state and out-of-state traffic was mixed together, making it impossible to optimize budget allocation by market performance.

Single-Channel Dependency

The account relied solely on Google Ads with no Bing or Meta presence, limiting reach and leaving high-intent audiences untapped.

The Strategy

Build a scalable acquisition system — not just bigger campaigns.

Sweet Media rebuilt the paid media architecture around six core pillars — each designed to improve efficiency at scale rather than just increase spend.

Campaign Architecture01

Intent-Based Campaign Segmentation

Instead of broad campaigns for generic terms, Sweet Media built highly specific campaigns around service line, substance type, diagnosis, and program level — benzo detox, fentanyl detox, alcohol detox, PHP, IOP, mental health, and dual diagnosis each got their own campaign structure.

Keyword Strategy02

Match Type Testing by Campaign Category

Exact and phrase match for high-intent detox campaigns where traffic quality was critical. Selective broad match for outpatient and mental health campaigns where conversion data supported it. Exact match test campaigns to measure true keyword-level quality scores.

Geographic Targeting03

In-State vs. Out-of-State Campaign Separation

Separate campaigns for California-based searches and out-of-state searches, with ZIP code targeting across the US to identify and scale into the highest-performing geographic markets for VOBs and admissions.

Landing Pages04

Dedicated Landing Pages for Every Campaign

Every campaign received at least 5 dedicated landing pages built around message match. Benzo detox traffic went to a benzo detox page. Fentanyl detox traffic went to a fentanyl detox page. The more specific the search, the more specific the landing page.

Ad Creative05

Ad Headline Testing with Keyword & Location Modifiers

Headline variations tested across treatment type, substance, program level, location, insurance language, and urgency. Aligning ad copy more closely with user search intent improved click-through rates and lead quality.

Multi-Channel06

Multi-Channel Expansion

As Google Ads performance stabilized, Sweet Media expanded the acquisition system to Bing Ads and Meta Ads — creating a full multi-channel paid media engine that captured demand across all major platforms.

Strategic Priority Weighting
Intent-based campaign segmentation98%
Dedicated landing pages per campaign95%
Geographic in-state / out-of-state separation88%
Keyword match type testing85%
Ad headline & copy testing80%
Multi-channel expansion (Bing + Meta)75%
The Results

30× scale. 67% lower CPA. In 4 months.

Scale

$10K to $300K/Month in Ad Spend

Within 4 months, Rize OC scaled from approximately $10,000/month to $300,000/month in total ad spend across Google, Bing, and Meta — a 30× increase in scale without sacrificing lead quality or efficiency.

Efficiency

CPA Reduced from $350 to $115

By restructuring campaigns around search intent, improving landing page relevance, and building a data-driven optimization system, average CPA dropped from ~$350 to ~$115 — a 67% reduction achieved while simultaneously scaling spend 30×.

VOB Tracking

$1,500 Average Cost Per VOB

Full-funnel tracking allowed Sweet Media to optimize not just for leads, but for verified insurance benefits — a critical downstream metric in behavioral health. The account now averages $1,500 per VOB at scale.

Admissions

$8,000 Average Cost Per Admit

With VOB and admission data feeding back into campaign optimization, the account achieved a predictable $8,000 average cost per admit — giving Rize OC a clear, scalable acquisition cost model for continued growth.

Multi-Channel

Full Multi-Channel Acquisition System

Google Ads, Bing Ads, and Meta Ads now operate as a coordinated multi-channel system — each platform serving a distinct role in the acquisition funnel and contributing to a more resilient, diversified lead pipeline.

Before vs. After
MetricMonth 1Month 4
Monthly Ad Spend$10,000$300,000
Average CPA$350$115
Cost Per VOBN/A$1,500
Cost Per AdmitN/A$8,000
Active ChannelsGoogle Ads onlyGoogle, Bing, Meta
TimelineMonth 1Month 4
Growth Trajectory
Ad Spend Growth Trajectory — 4 Months
$300K$204K$109K$10KMo 1Mo 2Mo 3Mo 4
Month 1
$10K
CPA ~$350
Month 2
$52K
CPA ~$280
Month 3
$148K
CPA ~$190
Month 4
$300K
CPA ~$115
Key Outcomes

A paid media system built to scale
without losing efficiency.

$300K/month in total ad spend across 3 channels
67% reduction in cost per acquisition
$115 average CPA at full scale
$1,500 average cost per VOB
$8,000 average cost per admit
Intent-based campaign segmentation by service line
Dedicated landing pages for every campaign
In-state and out-of-state campaign separation
ZIP code targeting across the United States
Exact match campaigns for keyword quality data
Multi-channel expansion: Google, Bing, Meta
Full-funnel tracking from click to admission
"Scaling from $10K to $300K/month isn't just a budget decision — it's a systems decision. The campaign structure, landing pages, geographic segmentation, and full-funnel tracking all had to be in place before the spend could scale efficiently."
Ethan Sweet · Founder, Sweet Media
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