Results/CASE STUDY · PAID MEDIA
Rize OC.
$10K to $300K.
Paid ads scaled 30× in four months while CPA fell from $350 to $115.
OUTCOME FILE
Paid media
- spend
- $10K → $300K / month
- cpa
- $350 → $115 · ↓67%
- vob
- $1,500 average
- admit
- $8,000 average
- window
- 4 months · Google, Bing, Meta
client
Rize OC
market
Orange County, CA
THE BRIEF
Scale spend without losing efficiency.
Rize OC came in at $10K/month on Google with a $350 CPA. Sweet Media rebuilt the architecture — then scaled to $300K/month across Google, Bing, and Meta without the cost curve coming with it.
30×
spend in four months
WHAT WE RAN
Google Ads architecture
Bing Ads
Meta Ads
Landing pages
Geographic targeting
Match-type testing
Conversion tracking
CPA & VOB optimization
Addiction treatment · detox · mental health
THE CHALLENGE
Scale in the most expensive vertical 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.
Starting CPA
$350
Month 1
$350
Month 4
$115
High cost per acquisition
At campaign start, Rize OC was averaging ~$350 CPA. In behavioral health that number is a ceiling — you cannot scale spend until the unit economics work. The rebuild dropped CPA to $115 while monthly spend went from $10K to $300K.
Generic campaign structure
Broad campaigns sent every search to a general page. Relevance and conversion both suffered.
No geographic segmentation
In-state and out-of-state traffic sat in the same campaigns. Budget could not follow the markets that converted.
Single-channel dependency
Google Ads only. No Bing or Meta — high-intent demand on those platforms went uncaptured.
THE STRATEGY
A scalable acquisition system — not bigger campaigns.
Eight pillars. One system. Click a line to see how it ran.
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.
- 01Benzo detoxsubstance + intent
- 02Fentanyl detoxsubstance + intent
- 03Alcohol detoxsubstance + intent
- 04PHP / IOPlevel of care
- 05Mental healthdiagnosis
- 06Dual diagnosiscombined intent
THE RESULTS
30× scale.
67% lower CPA. In 4 months.
Scale
$300K
Month 1
$10K
Month 4
$300K
$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
$115
Month 1
$350
Month 4
$115
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
$1,500
$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
$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.
Channels
3
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.
Calls
15,095
15,095 tracked inbound calls at scale
CallRail data across Rize OC's treatment lines shows 15,095 inbound calls since tracking began — with monthly call volume averaging 1,464 during the Jul–Dec 2025 peak scale period, up from 168 per month in the first six months of tracking as paid spend climbed toward $300K/month.
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.
THE LEDGER
Before vs. after.
Documented.
BEFORE / AFTER
| Metric | Month 1 | Month 4 |
|---|---|---|
| Monthly ad spend | $10,000 | $300,000 |
| Average CPA | $350 | $115 |
| Cost per VOB | N/A | $1,500 |
| Cost per admit | N/A | $8,000 |
| Active channels | Google Ads only | Google, Bing, Meta |
Monthly ad spend
Month 1
$10,000
Month 4
$300,000
Average CPA
Month 1
$350
Month 4
$115
Cost per VOB
Month 1
N/A
Month 4
$1,500
Cost per admit
Month 1
N/A
Month 4
$8,000
Active channels
Month 1
Google Ads only
Month 4
Google, Bing, Meta
Ad spend — 4 months
Month 1
$10K
CPA $350
Month 2
$52K
CPA $280
Month 3
$148K
CPA $190
Month 4
$300K
CPA $115
CALLRAIL · Nov 2024 – Jun 2026
Inbound call volume scaled with paid campaign attribution.
CallRail tracks every admissions-intent phone call back to the Google, Bing, or Meta campaign and landing page that generated it — call volume that climbed in lockstep with paid spend scaling to $300K/month.
15,095
inbound calls
168 → 1,464
monthly avg
+773%
monthly growth
Source: Reel Time Solutions (CallRail)
Ready to scale
without the CPA spike?
A senior strategist will walk your market and tell you what the Rize-style system would look like for your program.
30 minutes · free · no commitment
- 01
Market read
Where your program sits in search and ads today.
- 02
Channel mix
What we'd fund first against your census goals.
- 03
Efficiency model
CPA, VOB, and admit costs we can actually defend.
- 04
90-day path
A plan — whether we work together or not.