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?

  • fathom53

    Guest
    October 11, 2025 at 5:50 am

    Most start bidding will struggle a little if you have low amount of conversion per month to train Google. You should always optimize towards your main conversions. It may make sense to use a portfolio bid strategy if you have a handful of campaigns that get a few conversion each. That way Google can treat them as one campaign. Assuming your CPA goal is the same or similar across all the campaigns.