The Riegel Center — 88% Impressions Growth and 79% Click Growth in 55 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 60-day daily trend chart above. It shows 5 days of pre-launch data and 55 days of post-launch data, and the growth pattern — impressions roughly doubling, clicks trending upward, average position dropping from the low 20s into the low 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 first 55 days after launch (March 5 - April 28), Google Search Console tells a consistent growth story that has held up well past the initial month.

Search Visibility

Traffic Totals

The Growth Held — and Position Kept Dropping

When we first published this case study at the 35-day mark, we were cautious about whether the early growth would hold. With another three weeks of data in hand, the answer is yes — impressions stayed roughly 2x the pre-launch baseline through the entire post-launch window, and average search position kept improving.

The cleanest signal is in the position data. In the first month post-launch, average position dropped from 19.6 into the high teens. By weeks 5-8 it had settled into the 10-13 range — and the most recent week of data (April 22-28) averaged position 11.9. That is a 39% improvement over the pre-launch baseline, and it represents the clinic moving from page 2 of Google into the top half of page 2 with a real path to page 1 for several core queries.

This matters because position improvement compounds. A site at position 12 gets roughly 3x the click-through rate of a site at position 20 for the same query, and a site at position 8 gets roughly 2x the CTR of position 12. The early-week position drops are still translating into the click and impression growth visible in weeks 5-8, and there is no reason to expect that pattern to stop.

Impressions Stayed High Across Every Slice

One of the clearest signals in this dataset is that impressions held above the pre-launch baseline at every weekly slice of the 55-day post-launch window:

• Week 1 (Mar 5-11): ~1,665 impressions/day — already 17% above the 1,427 baseline
• Week 2 (Mar 12-18): ~1,915/day — 34% above baseline
• Week 3 (Mar 19-25): ~2,800/day — nearly 2x baseline
• Week 4 (Mar 26-Apr 1): ~3,010/day — over 2x baseline
• Weeks 5-6 (Apr 2-15): ~3,200/day — peaking at over 2x baseline
• Weeks 7-8 (Apr 16-28): ~2,880/day — holding at ~2x baseline

This rules out the 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 — most by a wide margin — which means the improvement is real, sustained growth rather than noise.

Top Search Queries (post-launch, first 35 days)

The early query mix (captured at the 35-day mark) showed two important patterns that have continued through the full 56-day window:

Two things stand out:

1. Local intent is finally being captured. "Anti aging clinic richardson" and "anxiety treatment plano" 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 — multiple top-10 placements on informational HGH queries. That is authority being built in real time, and informational rankings are the leading indicator of commercial rankings.

Key Takeaways

1. Impressions up 88% — Google is now showing The Riegel Center for nearly twice as many searches, with daily impressions climbing from ~1,400 to an average of 2,690 across the full 55-day post-launch window.
2. Clicks up 79% — the click growth is roughly proportional to the impression growth, which means the site is not just getting more visibility but actually converting that visibility into traffic. Total post-launch clicks: 672 in 55 days versus 34 in the 5-day baseline.
3. Position improving steadily — average position dropped from 19.6 to 15.4 over the full 55-day window, and to 11.9 in the most recent week, a 39% improvement. The site is moving toward page 1 for its core queries.
4. Local intent is landing — the clinic is now 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, the leading indicator of future commercial ranking wins.
6. Real GA4 traffic — 1,937 sessions and 1,803 unique users in the first 55 days, all from a site with effectively zero GA4 baseline.

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. An 88% impressions increase, a 79% click increase, and a 39% improvement in average position over 55 days are meaningful for a healthcare clinic, and the daily trend chart shows the kind of steady compounding growth that tends to keep compounding. 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 55 days of data is enough to see the growth curve compound from "early signals" into a sustained, durable lift.