Forums › Forums › PPC › tROAS or tCPA for a medical clinic that closes ~20–30 high-ticket ($20K) treatments per month? › Reply To: tROAS or tCPA for a medical clinic that closes ~20–30 high-ticket ($20K) treatments per month? freak_marketing Guest October 10, 2025 at 9:49 pm I think you should probably let the bidding algo (max conversions) optimize for qualified leads as the Primary Conversion, and manually optimize based on ROAS as Secondary Conversion.
