This is a sample. A real audit of a real practice, shown with identifying details removed.

The audit is the scorecard itself. The review is the thirty minutes we spend going through it together.

FAx

VISIBILITY
SCORECARD

Specimen XVI, a Mexican border destination clinic
specimen-xvi.example.com · July 28, 2026 · Tier 1 audit · Rubric v1.1
11
signals measured
Sample scorecard
More once we complete the manual review together.
Executive summary

Patients asking ChatGPT and Google's AI about surgery in your market hear your name often, which is real strength. But your Google map profile is thin and your visibility overall, leaving room for improvement. That gap between AI answers and everything else is what is most at stake.

What the audit found

Strengths

+You show up strongly in AI searchContent and discoverability

In AI search (the answers ChatGPT and Google's AI give patients), your practice was named in over half of test answers and your site cited as a source in most. Patients researching you are more likely to find you.

+Clear booking button on mobileWebsite and booking

On a phone, a Book Now button sits at the top of your homepage. A patient ready to act does not have to hunt for the next step, so you tend to hold interest at the moment it counts.

+Solid search-engine code labelsContent and discoverability

Your site carries the code labels that tell search engines what your business is (clinic, organization, services). This helps engines classify you correctly, though patient-review and FAQ labels are not yet present.

Costliest gaps

Your Google categories do not say what you doLocal presence and Google

Your Google profile lists only Doctor and generic types, with no plastic surgery or cosmetic category. When patients search for aesthetic work, Google is less likely to surface you, so those searches tend to reach competitors instead.

No services listed on your Google profileLocal presence and Google

Your Google profile shows no services menu, only Website and Directions. Patients comparing options on the map see nothing about what you offer, so they are more likely to pick a profile that spells it out.

Your site is slow on phonesWebsite and booking

Your mobile speed scored 20 out of 100. Most patients arrive on a phone, and a slow page tends to lose them before they read anything, sending them to a faster competitor's site.

Empty questions section on GoogleLocal presence and Google

Your Google profile Q&A section has no questions or answers. Patients asking common questions there see silence, and an unanswered profile tends to read as less active than one that responds.

Blog has gone quietContent and discoverability

Your most recent blog post is from 2025 with nothing in 2026. To a patient comparing practices, older content makes you look less active than a competitor publishing regularly.

The path forward

Discuss the findings

Let's sit down and walk through what the audit found and what it means for the patients trying to find you. The conversation turns a strong AI-search position into visibility that shows everywhere patients look.

Lazar preps before the call: your Google categories do not say what you do, and no services listed on your Google profile, both mapped in advance, plus every item marked In your review, ready to walk through together.

Book your 30-minute review →

Lazar LaLone · lazar@fractionalaesthetics.com · (412) 944-5506

Methodology

The goal: a diagnostic read of what a patient, or a referring doctor, sees from the outside, working only from what is openly on display and never from the practice's own dashboards or private analytics. It intentionally does not prescribe fixes, because effective solutions need further conversation and analysis to get right.

Rubric
Aesthetic Practice Visibility Scorecard v1.1, 100-point composite
Two kinds of number
Scores of 0 to 3 are ours, applied from this rubric. Figures such as Google's PageSpeed result, your star rating, review counts and follower counts are third-party measurements we read and report, not numbers we assign
This audit
Tier 1, the complimentary read. Every one of the 34 signals is drawn from patient-facing data. Tier 2 adds paid-media spend analysis, and only when you choose to share your ad data.
Signals
11 measured from patient-facing data so far; the rest walked through together in your review
Review items
Excluded from both earned and maximum points; they never count against the practice, and we look at them together in your review
Generated
July 28, 2026
Category breakdown
IN YOUR REVIEW = these signals need a closer look than patient-facing data alone allows, so we walk through them together in your review. They are excluded from the score entirely and never count against the practice.
1Local Search Visibility
17%
Your Google map presence is the weakest area at 17 percent. The profile is claimed, but it lists only generic categories, no services, and an empty questions section. When patients search for aesthetic work locally, Google is less likely to surface you, so those searches tend to reach competitors. Several map items need a closer look together.
1.1 GBP Claim & Completeness 2 / 3
1.2 GBP Categories 0 / 3
1.3 Service Menu on GBP 0 / 3
1.4 GBP Photo Volume & Recency In your review
1.5 GBP Posts Frequency In your review
1.6 Local Pack Presence (Primary Terms) In your review
1.7 Q&A Section Activation 0 / 3
2Website & Infrastructure
45%
Your site scored 44 percent. A clear Book Now button greets phone users at the top of the page, which holds ready patients. The drag is speed: a 20 out of 100 mobile score tends to lose patients before they read. Your booking path and treatment pages we walk through together.
2.1 Mobile Speed Score 0 / 3
2.2 Above-the-Fold Booking CTA 3 / 3
2.3 Online Scheduling Integration In your review
2.4 Branded Treatment Page Coverage In your review
2.5 Financing Surfacing 1 / 3
3Reputation, Trust & Innovation
34%
Dr. Jacome is presented as double board certified, though that credential currently sits only in a bio and is easy to miss. Most of this area, including review response, gallery depth, and patient stories, needs a closer review than public data alone allows, so we cover it in the walkthrough.
3.1 Google Review Volume (Market-Relative) In your review
3.2 Review Response Discipline In your review
3.3 Before/After Gallery Depth & Consent In your review
3.4 Board Certification & Society Visibility 1 / 3
3.5 Patient Evidence Beyond Stars In your review
3.6 Innovation Leadership & First-Mover Evidence In your review
4Content & Discoverability (incl. AEO)
60%
Your strongest area at 60 percent. In AI search, the answers ChatGPT and Google's AI give patients, you are named and cited often. Your site code labels are solid too. The blog has gone quiet since 2025, which makes you look less active to patients comparing practices.
4.1 Blog Recency & Topical Depth 0 / 3
4.2 Visibility in AI search 3 / 3
4.3 Schema Markup Completeness 2 / 3
4.4 Podcast/Video Content Indexing In your review
5Paid Media Presence
n/a
Paid media was not scored this pass. Whether you run Google or Meta ads, and how those pages align, is something we confirm together rather than guess at from public data.
5.1 Meta Ad Activity & Creative Variety In your review
5.2 Google Ads Presence (Competitive Terms) In your review
5.3 Landing Page Alignment In your review
6Social & Community
n/a
Social and community activity was not scored. Your accounts are linked from the site, but posting cadence, engagement, and content mix need direct data we gather in the review before drawing any conclusion.
6.1 Instagram Posting Cadence In your review
6.2 Engagement Rate In your review
6.3 Content Mix Diversity In your review
6.4 Link-in-Bio Strategy In your review
6.5 Story Highlights Organization In your review
7Identity & Citation Consistency
n/a
Directory and brand consistency was not scored. As a border destination clinic you appear across medical-tourism aggregators, Yelp, and Facebook, and whether your name, address, and phone number match everywhere is worth a close look together.
7.1 NAP Consistency Across Directories In your review
7.2 Aesthetic-Directory Presence In your review
7.3 One consistent identity online In your review
7.4 Cross-Channel Brand Consistency In your review
Fractional Aesthetics

That is the whole read: 11 signals measured from what a patient can see. The rest we go through together.

Prepared for Specimen XVI, a Mexican border destination clinic · July 28, 2026 · Rubric v1.1

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