Forums Forums PPC My $130k/month Google Ads campaigns stopped performing like they used to. (Healthcare/Addiction). Need an expert’s insight. Reply To: My $130k/month Google Ads campaigns stopped performing like they used to. (Healthcare/Addiction). Need an expert’s insight.

  • TTFV

    Guest
    November 23, 2025 at 6:23 pm

    We have experience in your niche (couple of clients), somewhat smaller but still very healthy budget. I suspect what might be happening is a failure to change strategies as Google Ads has evolved.

    If you’re not expanding to broad match keywords (several benefits), using offline MQL conversions to enhance bidding, and working up the funnel with P-Max or Demand Gen you are probably just falling behind.

    I mean it could obviously be something simple like new competitors or existing ones increasing spend. But I’m sure your existing PPM would have figured that out already.

    Happy to jump on a call and set up a complimentary audit for you.

    This is my agency: [https://www.tenthousandfootview.com/](https://www.tenthousandfootview.com/)

    You can complete the request a consult form or reach out via DM here.