Google ads that show up when someone is already searching for what you sell, each pointing to its own page and measured in appointments and clients, not clicks. From Barcelona, for businesses across Spain that don't compete on price.
Google Ads is the fastest channel to fill the diary: your ad shows up the moment someone searches for what you sell. It is also the easiest one to turn into an expense. Without a page that converts and without tracking all the way to the appointment, you pay for every click and nobody knows how many clients it brings.
We run search campaigns (SEM) for businesses that sell something expensive, where what counts is not the price of a click but what each client costs against what they are worth.
What makes an account sell instead of spend.
Everything you sell gets its own campaign, with the searches of people who have already decided and a list of negative keywords so you don't pay for people who are just browsing.
Someone searching for "anxiety treatment" lands on the anxiety page, with booking at the top, not on the home page. If that page doesn't exist, we build it.
We track the booked appointment or the request, not the click, and that is the signal Google bids on. We also connect the sales from your CRM, and if you don't have one, we set up a simple one.
A campaign on your own name so a competitor doesn't take the people who were already looking for you.
Search terms, negatives, ads and budget, reviewed every month with your diary in front of us: more spend when there are gaps, less when it is full.
Two accounts with opposite starting points: one built from scratch and one inherited from a provider who never touched it.
An online women's health practice. Search campaigns on the problems she treats, every ad pointing to its page and the booked appointment as the conversion: 246 appointments from ads in 2025 and 339 from January to September 2026, with a 15x ROAS in 2026. Together with the website and SEO, the practice books five times more appointments a month than in 2024.
A psychologist in Barcelona. Her account had run for years on a single campaign nobody touched. We rebuilt it from scratch: one campaign per problem, brand protection and the appointment as the only conversion.
The difference is almost never in the ad. It's in everything around it.
| An account that spends | An account that sells | |
|---|---|---|
| What it tracks | Clicks, impressions and visits | Appointments, requests and clients |
| Where the ad leads | To the home page | To that service's page, with booking at the top |
| Which searches it pays for | Whatever Google suggests | Those of people who have decided, with negatives for the rest |
| Who reviews it | Nobody, since it was set up | Someone every month, with your diary in front of them |
| What the report says | How many clicks there were | What each appointment and each client cost |
We tell you before starting, not after spending.
If your service is new or nobody knows it by name, there are no searches to buy. Demand has to be created first: with Meta Ads or with content.
Some medicine, such as regenerative medicine, can't be advertised on Google Ads. For Clínica Albareda the only door is the organic result, which is why its channel is SEO.
More clicks on a site that doesn't convert only make every client more expensive. The page first, the budget after.
Ads bring in demand while you pay and stop the day you stop paying. SEO builds, at the same time, the channel that doesn't depend on budget.
See the SEO serviceBefore touching an account I ask what a client is worth. Without that number you don't know how much you can pay for an appointment, and Google decides for you. The accounts we inherit almost never fail because of the ads: they fail because nobody looks at what happens after the click.
Marcel Garcia, founder of HAKI.
It depends on what a click costs in your sector and how many appointments you want a month. We work it out backwards: what a client is worth to you and how well your site converts give the cost per appointment you can afford, and that gives the budget. Ad spend is separate from our management.
As a project, we quote after the first call. Within a growth partner engagement, management is part of the 1,000 to 5,000 euro monthly base. Either way, the ad budget is separate.
Ads appear as soon as the campaign is switched on, so if the site converts, requests come in from the start. What takes longer is tuning the account (learning which searches bring clients and which only spend), and that depends mostly on the budget: the more clicks the campaign gets, the sooner there's enough data to decide.
The booked appointment or the request, not the click: it's the conversion Google optimises bids for. Each month's report talks about cost per appointment and per client, not impressions.
Yes, it's the first thing we do when we take an account over: search terms, negatives, conversions and landing pages. In Nuria Marco's, the review showed the previous provider was doing next to nothing, and we rebuilt it from scratch.
Some health treatments (regenerative medicine, for example) and other categories are restricted on Google Ads. We check before starting. When it can't be advertised, the channel is SEO, as for Clínica Albareda.
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