Google Ads Implementation Report

Your Google Ads account was actively managed throughout June, with 823 individual optimizations recorded in the account’s change log. The month’s work was deliberately focused on one high-impact area: dialing in exactly who sees your ads — and, just as importantly, who doesn’t.

The headline work was a large negative-keyword sculpting effort — 567 negative keywords added across both campaigns. In plain terms: we systematically blocked your ads from showing on hundreds of irrelevant, competitor, and out-of-area searches that were eligible to spend your budget but unlikely to bring in a new Reston-area patient. Alongside that, we expanded your brand and high-intent keyword coverage so the searches that do matter — people looking specifically for Millennium Medical Care and primary/urgent care near Reston — are firmly captured.

No changes hit the account this week — and that was entirely intentional. Week 3 was the research and engineering phase that made the 529-change push on June 26 possible. Five full days of structured analysis, categorization, and deployment planning went into building the negative keyword list and brand expansion strategy that would be executed the following week.

Negative keywords are the single most reliable cost-control tool in Google Ads. 567 were added in June — 297 to the Search campaign, 270 to Performance Max — ensuring your daily budget flows only to searches with genuine patient potential. Here’s what was identified and blocked:

Every call below came directly from mobile click-to-call ads — real people who searched, saw the ad, and called the clinic. Calls came in every single week of June, across all five business weeks, from the first day of the month through the last.