Freshpaint Ad Performance

Stop Optimizing for Form Fills. Start Optimizing for Patient Visits.

Connect ad clicks to attended appointments and revenue. With Freshpaint, you can see which campaigns actually drive attended visits, prove marketing ROI to leadership, and send lower-funnel conversion data back to ad platforms, all while staying HIPAA-compliant.
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20%+
Average customer acquisition cost (CAC) reduction when optimizing for attended appointments
10%
Increase in appointment volume when budgeting the same ad spend
True
High-value conversion signals that unlock better ad optimization
What Ad Performance Unlocks

Use Performance Data to Lower CAC and Prove ROI

Bring the Full Patient Journey Together

Unify marketing data with downstream patient actions to see the full story without disrupting your existing workflows.

  • Connect ad platforms to appointment and visit outcomes in a single HIPAA-compliant platform
  • Integrate data through secure, flexible methods like API and file-based transfers
  • Use existing systems and data as inputs, including scheduling and in-house tools
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Precise Attribution & Trusted Measurement

See which campaigns actually bring patients through the door.

  • Map the full patient journey: Ad Click → Website Visit → Booking → Attended Visit → Revenue
  • Build an attribution chain that shows which campaigns drive real patient visits
  • Match ad click IDs (GCLID, FBCLID) with appointment records and attendance status
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Optimize Using Full Funnel Metrics

Use real appointment outcomes to make confident decisions and improve how ad platforms optimize.

  • Eliminate guesswork with validated CAC and ROI metrics
  • Enable smarter targeting using lower-funnel conversion signals
  • Optimize spend based on campaigns that drive actual patient visits
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Key Features & Capabilities

Everything You Need to Connect Campaigns to Real Patient Outcomes

EHR & Scheduling System Integrations
Direct integrations with major EHRs and scheduling platforms. Freshpaint pulls appointment data, including booking status, attendance status, and appointment dates, via direct connections and secure SFTP.
Ad Platform Attribution
Match ad click IDs from Google Ads, Meta, and other platforms to downstream appointment activity. See exactly which campaigns, ad sets, and creatives influenced bookings and which ones ultimately resulted in completed visits.
Attended Appointment Tracking
Track the metrics that actually matter: did the patient show up? Measure cost per attended appointment, show rate by campaign, and no-show patterns by channel. Optimize for chair-filling, not just calendar-filling.
Revenue Attribution
Connect ad clicks all the way to billed revenue. See which campaigns drive not just appointments, but procedures, treatments, and revenue. Calculate true ROAS based on business outcomes, not web conversions.
Conversion Event Feedback to Ad Platforms
Send attended appointment and revenue conversion events back to Google Ads, Meta, and other platforms. Give ad algorithms the lower-funnel signals they need to optimize targeting, bidding, and audience selection.
Campaign Comparison Dashboards
Compare performance across campaigns using both web metrics and real outcomes. See cost per booking vs. cost per attended appointment side-by-side. Identify campaigns that look strong early but fail to deliver completed visits.
Multi-Location Performance Tracking
Track appointment and attendance performance by location, market, or region. See which clinics have the best show rates, which markets deliver the lowest CAC, and where to scale your budget.
ROI Reporting for Leadership
Show how marketing drives real business outcomes (e.g., attended appointments, patient volume, and revenue) with clear reporting dashboards. Give CFOs and CEOs the proof they need to see marketing as a growth engine, not a cost center.
Proven Results

Real Impact From Leading Healthcare Organizations

Integrations
Integrates With the Systems You Already Use

Ad Performance is designed to fit into existing workflows so teams can unify data, measure outcomes, and activate lower-funnel signals without added complexity. 

Industry Use Cases

Built for Your Type of Organization

Every healthcare vertical needs to connect ad spend to real outcomes. Ad Performance delivers the down-funnel metrics that matter most to your business model.
Service Line Performance & Revenue Attribution

When campaigns span across multiple specialties, it becomes difficult to understand which service lines are actually driving patient volume and revenue. Ad Performance links advertising to attended visits and revenue in a HIPAA-compliant way, so you can clearly see which investments deserve continued support and which ones are quietly leaking budget. 

  • Track cost per attended appointment by service line 
  • Compare show rates and CAC across specialties to optimize budget allocation
  • Prove marketing ROI to CFOs and service line leaders with revenue-based attribution
  • Send attended appointment conversions back to ad platforms to improve targeting for high-value patients
Track Real Visits Across Hundreds of Locations

Multi-location urgent care chains and outpatient providers need bottom-funnel metrics at scale. Ad Performance shows you cost per attended appointment across 50-200+ locations, so you can identify which markets deliver the best ROI, eliminate budget waste from campaigns that don’t translate to attended visits, and prove to PE firms that marketing drives real patient volume.

  • Measure cost per attended visit by location, market, and campaign
  • Track show rates and identify locations or channels with high no-show problems
  • Compare campaign performance based on chair-filling, not just calendar-filling
  • Send attended visit conversions to Google and Meta to reduce CAC by 20%+
Connect Campaigns to Completed Procedures

Dental organizations need more than consultation volume to understand the true value of their acquisition campaigns. Ad Performance shows the full patient journey (from first click to completed treatment), helping you prove marketing ROI on services like implants, Invisalign, and cosmetic procedures to CFOs and PE firms.

  • Track cost per attended consultation by procedure type (implants, ortho, cosmetic)
  • Measure show rates for high-value consultations across your DSO network
  • Compare channels based on consultation-to-procedure conversion rates
  • Prove marketing ROI with treatment completion and revenue data
Explore More From Freshpaint 

Get Even More From Your Data

Ad Performance works even better when combined with these other marketing products.
Visualize Your Ad Performance Data
Use Insights to view ad performance metrics across all channels in one unified dashboard. Compare true CAC, CPC, CTR, and ROAS across Google, Meta, Bing, DSPs, and more, all in real-time, all compliant.
Explore Insights
Build High-Converting Audiences Without Exposing Sensitive Data
Reach the right people with the right message. Retarget warm prospects, build high-performing lookalikes, and exclude current patients using a privacy-first approach.
Explore Audiences
FAQ

Common Questions About Ad Performance

How does Ad Performance connect ad clicks to attended appointments?

Freshpaint captures ad click IDs (GCLID, FBCLID) when users land on your website, then matches those IDs with appointment records from your EHR or scheduling system. When appointments are marked as "attended" in your system, Freshpaint attributes that outcome back to the originating ad campaign, giving you true down-funnel performance data.

Which EHR and scheduling systems does Ad Performance integrate with?

Freshpaint integrates with major EHR systems, plus scheduling platforms and practice management systems. Some integrations are standard, while others require custom implementation. Freshpaint’s team handles the technical setup in partnership with your IT team.

Can Ad Performance track revenue, not just appointments?

Yes. If your EHR or billing system tracks procedure completion and revenue, Ad Performance can connect ad clicks to billed amounts. This gives you true ROAS calculations based on actual revenue generated, not just appointment bookings.

How long does implementation take?

Implementation typically takes 2-4 weeks, depending on your EHR system and internal processes. Freshpaint's team works with your IT and clinical systems teams to set up integrations, test data flows, and ensure accuracy before going live.

Does Ad Performance send conversion data back to ad platforms?

Yes. Once Freshpaint knows which appointments were attended, those conversion events are sent back to Google Ads, Meta, and other platforms as lower-funnel conversion signals. This helps ad algorithms optimize for users more likely to show up, reducing your CAC by an average of 20%+.

Is appointment and patient data shared with ad platforms?

No. Freshpaint strips all sensitive health data before sending conversion events to ad platforms. Ad platforms receive a conversion signal (e.g., "User X attended an appointment") but never see patient names, appointment types, conditions, or any other health information. Everything flows through Freshpaint’s BAA-covered, HIPAA-compliant platform.

Can I track performance by location for multi-site organizations?

Yes. Ad Performance tracks appointment and attendance data by location, so you can compare cost per attended appointment across 50-200+ sites. See which locations have the best show rates and which markets deliver the best ROI.

What if I can't integrate with my EHR?

Some organizations use alternative data sources like CRM systems, appointment confirmation platforms, or manual uploads. Freshpaint supports multiple data sources for tracking appointment outcomes and works with your team to determine the best integration approach for your systems.

Ready to Measure What Really Matters?
Join 250+ healthcare organizations just like yours using Freshpaint to unify performance data, prove marketing ROI, and make budget decisions based on real marketing outcomes—all while staying HIPAA-compliant.
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