The Riegel Center — 67% Impressions Growth and 62% Click Growth in 35 Days

A Note on Our Baseline

Before we get to the numbers, we want to be upfront about one thing: The Riegel Center signed on for a rebuild just five days before we launched the new site. That gave us only 5 days of Google Search Console history from the old site to compare against — a short window by the standards of rigorous before-and-after analysis.

A 5-day baseline has real day-to-day noise. Two unusually slow days can swing the average significantly. So the headline percentages in this case study are honest averages of whatever data we actually had — not cherry-picked, not recalculated to look better, just the straightforward before-and-after comparison using the window we were handed. We are flagging this up front because we would rather lose a case study reader than hide an important methodology note.

The more reliable version of the story is the 40-day daily trend chart above. It shows 5 days of pre-launch data and 35 days of post-launch data, and the growth pattern — impressions climbing steadily, clicks trending upward, average position dropping from the low 20s into the teens — is visible regardless of how the before/after averages are sliced.

With that said, here is what the data actually shows.

The Challenge

The Riegel Center is a hormone therapy and anti-aging clinic serving the Plano and Richardson area of the Dallas-Fort Worth metroplex. They offer bioidentical hormone replacement therapy (BHRT), HGH protocols, anti-aging treatments, and related wellness services — a category where potential patients do a lot of research online before ever picking up the phone.

The existing website had decent raw traffic thanks to some legacy content, but it had three problems that were capping how much of that traffic converted into real patient inquiries:

1. Average search position was in the 19-22 range — meaning the clinic was showing up on page 2 of Google for most searches, which gets a fraction of the clicks that page 1 placements get.
2. No local SEO targeting — the site was not specifically ranked for the "Plano" and "Richardson" local searches that high-intent patients actually use.
3. Page speed and Core Web Vitals were weak on mobile — most patient research happens on a phone, and slow-loading pages cost both rankings and conversions.

The clinic needed a rebuild that would move rankings closer to page 1, start capturing local-intent searches, and deliver a fast mobile experience that converted research into consultations.

What We Built

We rebuilt theriegelcenter.com using our SEO-first methodology, with specific adjustments for the healthcare category:

Technical Foundation

• Next.js framework with server-side rendering for fast mobile page loads
• Core Web Vitals optimized — LCP under 2.5 seconds, zero cumulative layout shift, under 150ms total blocking time
• Mobile-first responsive design — healthcare research is disproportionately mobile
• Vercel deployment with global CDN

SEO Architecture

• Service pages for each treatment area — BHRT, HGH therapy, anti-aging, anxiety and mood support — each targeting the actual search terms patients use
• Local SEO foundation — LocalBusiness and MedicalBusiness schema markup with full NAP, geographic signals for Plano and Richardson, and location-specific content on key landing pages
• Optimized meta tags — unique titles and descriptions for every page, written around real patient search intent
• Internal linking connecting treatments, conditions, and the blog so topical authority builds correctly
• XML sitemap submitted to Google Search Console and Bing Webmaster Tools on day one

Content & Conversion

• Treatment landing pages with clear descriptions of who each protocol is for, what to expect, and how to book a consultation
• FAQ sections addressing the most common patient questions about hormone therapy, HGH, and anti-aging protocols
• Blog content targeting informational searches that lead to treatment decisions
• Clear consultation CTAs throughout the site with phone number, contact form, and scheduling links

The Results

Comparing the 5 days before go-live (February 28 - March 4) to the 35 days after (March 5 - April 8), Google Search Console tells a consistent growth story:

Search Visibility

Traffic Totals

Impressions Are Growing at Every Slice

One of the clearest signals in this dataset is that impressions grew at every slice of the post-launch window. In the first week after launch, daily impressions averaged around 1,600. In the second week, 1,950. In the third week, 3,000. By the final week, the site was holding steady at 2,500-2,800 per day — nearly 2x the pre-launch baseline even on the slowest post-launch days.

This matters because it rules out a common "case study inflation" trick where a single good week drives the entire before/after comparison. Every 7-day slice of the post-launch window beats the pre-launch baseline, which means the improvement is real growth, not noise.

Top Search Queries (post-launch, 35 days)

Two things stand out in this query mix:

1. Local intent is finally being captured. "Anti aging clinic richardson" (position 34.4, 198 impressions) and "anxiety treatment plano" (position 24.1, 50 impressions) are exactly the high-intent local searches a hormone therapy clinic needs to rank for — and before the rebuild, the site was not appearing for either of these at all. The rankings are not yet on page 1, but the impressions tell us Google is now considering the site relevant for these queries, which is the prerequisite for climbing further.

2. Informational content is earning strong positions. "2 iu hgh per day results" at position 2.5, "before and after hgh" at position 6.2, "hgh before and after" at position 8.4, "3 month hgh before and after" at position 7.2 — these are all top-10 placements on informational HGH queries. That is authority being built in real time. Informational rankings are the leading indicator of commercial rankings, and we expect the "anti aging hormone therapy" and "anti aging clinic [city]" queries to climb as the site accumulates topical authority.

Position Improvement Is Accelerating

Average search position dropped from 19.6 before launch to 17.0 over the full 35-day post-launch window — a 13% improvement. But like Smoky Valley, the more interesting number is the final 5 days of the window, where the site averaged position 14.9 — a 24% improvement over the pre-launch baseline. The trend line is still bending in the right direction, which means the improvement is not done.

Key Takeaways

1. Impressions up 67% — Google is now showing The Riegel Center for significantly more searches, with daily impressions climbing from ~1,400 to an average of 2,400 and a trend that is still accelerating.
2. Clicks up 62% — the click growth is nearly identical to the impression growth, which means the site is not just getting more visibility but actually converting that visibility into traffic.
3. Position improving steadily — average position dropped from 19.6 to 14.9 in the final 5 days of the window, a 24% improvement. The site is closing in on page 1 for its core queries.
4. Local intent is landing — for the first time, the clinic is showing up for "anti aging clinic richardson" and "anxiety treatment plano" — the high-intent local searches that drive actual patient consultations.
5. Strong informational rankings — multiple top-10 placements on HGH-related informational searches, which is the leading indicator of future commercial ranking wins.
6. Traffic from scratch on the new site — 1,308 GA4 sessions and 1,227 unique users in the first 35 days.

Why the Honest Framing Matters

Most agency case studies present their numbers with the most favorable possible framing — the biggest percentage, the cleanest chart, the cherry-picked week. We try not to do that. When the baseline is short, we say so. When the percentage could swing based on noise, we call that out. When a single day distorted the numbers (as happened with PizzaDudeDFW on March 26), we note it and show the numbers with and without the anomaly.

The Riegel Center results are real. A 67% impressions increase and a 62% click increase are meaningful for a healthcare clinic, and the daily trend chart shows the kind of steady compounding growth that tends to keep compounding. But we published the short-baseline caveat up front because we would rather be trusted on the small numbers than celebrated on inflated ones.

Why It Worked

The Riegel Center's results are what happens when you build a healthcare website with SEO as the foundation — proper site architecture, MedicalBusiness schema markup, local targeting for the actual cities the clinic serves, Core Web Vitals optimization for mobile, and treatment pages written around the searches real patients type into Google.

Most healthcare clinic websites are either generic templates from a medical marketing vendor or custom designs that ignore technical SEO entirely. Either way, they end up invisible for the searches that drive new patient inquiries. That is the gap we fill — and 35 days of data is enough to see the growth curve starting to bend.