Combined performance across two Google Ads accounts and Meta Ads for the period January 1 — April 20, 2026. All numbers pulled directly from the Google Ads API and Meta Graph API.
Total Ad Spend
$90,192
All platforms combined
Total Conversions
2,934
Form submissions + Zoho CRM
Avg Cost Per Conversion
$30.74
Across all campaigns
Total Clicks
30,447
Across all platforms
Total Impressions
1.01M
Across all platforms
Meta Purchases
74
$4,931 Meta spend
Key Highlight: The Melleka-managed Google Ads account (V2) generated 2,764 conversions at $30.56 CPA, with PMax General being the workhorse at 2,039 conversions. Meta Ads generated 74 tracked purchases from retargeting and lookalike audiences.
02
Google Ads — Melleka Managed Account
Account ID: 514-349-3594 · Managed by Melleka Marketing · Jan 1 – Apr 20, 2026
Total Spend
$84,470
Conversions
2,764
Cost / Conversion
$30.56
Clicks
24,796
Impressions
808K
CTR
3.07%
Monthly Spend & Conversions — Melleka Account
Campaign Breakdown (Jan 1 – Apr 20)
Campaign
Status
Type
Spend
Clicks
Conv
CPA
PMax | General
Enabled
PMax
$56,821
16,597
2,039
$27.87
Search | Website Form Submission
Enabled
Search
$18,822
5,001
492
$38.26
PMax | General | NEW SITE
Enabled
PMax
$3,635
1,803
27
$134.63
PMax | Sock Promo
Paused
PMax
$1,583
489
45
$34.86
PMax | General Spanish
Paused
PMax
$1,247
505
11
$113.38
Search | Form Spanish
Paused
Search
$823
229
14
$58.78
PMax | Libre 3 Plus Specific
Paused
PMax
$457
261
15
$30.44
PMax | General - UPDATED SITE
Paused
PMax
$272
496
0
—
PMax | Dexcom G7 Specific
Paused
PMax
$120
80
3
$39.93
PMax | UPDATED SITE (Home)
Paused
PMax
$81
103
0
—
TOTAL
$84,470
24,796
2,764
$30.56
Note: PMax | General is the clear workhorse — 73.8% of all conversions at $27.87 CPA. The "UPDATED SITE" PMax campaigns were paused after spending $353 with zero conversions due to conversion tracking issues on the new site.
03
Google Ads — L2S Managed Account
Account ID: 213-209-6417 · Managed by Leads to Sales (L2S) · We have read-only access · Jan 1 – Apr 20, 2026
Total Spend
$2,828
Conversions
96
Cost / Conversion
$29.46
Clicks
2,822
Impressions
103K
All Conversions
110
Includes Zoho CRM offline
Campaign Breakdown
Campaign
Status
Type
Spend
Clicks
Conv
CPA
L2S - Focused Search Campaign
Paused
Search
$1,637
927
96
$17.05
SJC - Dexcom Search
Paused
Search
$271
512
0
—
SJM - Blood Glucose
Paused
Search
$185
388
0
—
PMax Campaign | FreeStyle Libre 3
Paused
PMax
$125
508
0
—
PMax | Dexcom G7 Specific
Paused
PMax
$98
482
0
—
+ 12 more paused campaigns
$512
1,005
0
—
TOTAL
$2,828
2,822
96
$29.46
Context: The L2S account historically spent $200+/day on the Focused Search Campaign. This period shows significantly reduced activity with most campaigns paused. The L2S campaign generated all 96 conversions at an excellent $17.05 CPA when it was running.
04
Monthly Breakdown — Melleka Account
Month
Spend
Clicks
Impressions
Conversions
CPA
CTR
January
$51,811
14,043
487,186
1,375
$37.68
2.88%
February
$16,476
3,862
47,197
432
$38.14
8.18%
March
$9,741
3,984
163,735
595
$16.37
2.43%
April (1-20)
$6,442
2,907
110,294
362
$17.80
2.64%
TOTAL
$84,470
24,796
808,412
2,764
$30.56
3.07%
CPA Trend — Getting More Efficient
CPA improved 53% from January ($37.68) to April ($17.80). Budget was strategically reallocated from underperforming campaigns to the high-converting PMax General campaign, driving cost per conversion down significantly.
05
Device Performance — Melleka Account
Spend by Device
Conversions by Device
Device
Spend
% of Spend
Conversions
% of Conv
CPA
Mobile
$65,263
77.3%
2,194
79.4%
$29.74
Desktop
$14,296
16.9%
439
15.9%
$32.57
Tablet
$4,901
5.8%
131
4.7%
$37.41
TOTAL
$84,470
100%
2,764
100%
$30.56
Mobile dominates: 77% of spend generates 79% of conversions at the best CPA ($29.74). Mobile is the most efficient device. Tablet has the highest CPA at $37.41.
06
Meta Ads Performance
Account ID: act_1670998013683211 · Jan 1 – Apr 20, 2026
Total Spend
$4,931
Purchases
74
$66.64 per purchase
Impressions
101,550
Clicks
2,829
CTR
2.79%
CPC
$1.74
Active Campaigns (28 total)
General | Sales Campaign V3
Active
ObjectiveSales
Daily Budget$14.00
CreatedApr 9
Prosper List Campaign
Active
ObjectiveSales
CreatedApr 10
HMO Match | Look Alike
Active
ObjectiveSales
CreatedApr 13
P Match | Suggestion
Active
ObjectiveSales
CreatedApr 13
No Contact | Look Alike
Active
ObjectiveSales
CreatedApr 13
Denied By Patient | Suggestion
Active
ObjectiveSales
CreatedApr 13
+ 22 more active campaigns across patient match types, look-alike, and suggestion audiences
Meta Strategy: Heavy expansion in April — 28 campaigns launched using segmented patient match data (HMO, No Contact, Denied, Bad DOB, Just Turned of Age, P Match) with both lookalike and suggestion-based audiences. This is a sophisticated CRM-retargeting pipeline driving 74 tracked purchases.
07
Client Pipeline Intelligence
Weekly pipeline snapshot (Apr 10-16, 2026) — Melleka Google vs Helix competitor
Melleka Total Prospects
220
207 Google + 13 Facebook
Helix Total Prospects
185
Across 3 accounts
Melleka Lead Advantage
+19%
We outpace Helix on volume
Private HMO (Money Leads)
42 vs 26
We deliver 62% more
Lead Quality Issue Identified: 67.6% of our Google leads are currently filtered out as non-qualifying — 75 Non-Insulin (36%), 21 Ineligible State (10%), 20 Duplicates (10%), plus Bad Insurance and High Copay. Action items: add non-insulin negative keywords, audit geo targeting, investigate duplicate sources. The key metric to focus on is Private HMO count + Shipped Patients.
Shipped Patients (Week of Apr 10-16)
Source
Shipped
Helix
7
REF (Referrals)
3
STJ Website
1
Helix-2
1
STJ Old
1
Total Shipped
13
9 of 13 shipped patients were Medicare. Zero shipped from Melleka Google this week — focus area for improvement.
08
Work Completed & In Progress
Tasks from Melleka's Notion project board — Jan 1 to Apr 20, 2026
New Prosper list campaign launched on STJ Meta
Meta Ads · Completed Apr 10 · Manager: Bryan Valdez
Added coupon/discount negative keywords to the L2S Google Ads account (213-209-6417)
Google Ads · Completed Mar 10 · Manager: Anthony Melleka
Removed the words "auto ship" and "auto shipped" from the STJ Bot
CRM / Automation · Completed Mar 19 · Manager: David Akopyan
Test qualifying headline approach in STJ Search ads — pin a qualifying question like "Do You Use Insulin Daily?" to Headline 1 to pre-qualify clicks and reduce wasted spend
Google Ads · In Progress · Manager: David Akopyan
STJ University — publish as a prototype for the team presentation
Content · In Progress · Assignee: Lexie
Perfect the standalone STJ command center — fully owned by St. Joseph rather than relying on the agency instance
CRM / Automation · In Progress · Manager: Anthony Melleka
Update the final piece for STJ University content as discussed
Content · In Progress · Manager: Anthony Melleka
Additional Optimizations Completed (from AI Strategist)
Paused 2 waste keywords (glucose testing, st joseph medical supplies) and removed 2 coupon positive keywords (freestyle libre coupon, freestyle libre 3 coupon)
Google Ads · Completed Mar 8
Budget restructured: PMax General $80/day, Search Website Form $10/day, PMax Libre 3 Plus $10/day, Display Remarketing $25/day = $125/day total. Paused Sock Promo and both UPDATED SITE campaigns.
Google Ads · Completed Mar 8-9
Launched Display Remarketing campaign targeting 90-day website visitors, excluding all converters and existing patients. 2 responsive display ads.
Google Ads · Completed Mar 9
PMax Libre 3 Plus Specific — updated all 7 asset groups from mixed URLs (survey pages, libre3plustoday.com) to stjosephmedicalcorp.com homepage for consistent landing page experience
Google Ads · Completed Mar 8
Flipped "In Chase from Zoho" conversion from secondary to primary — ensuring Zoho CRM offline conversions are now counted in bidding optimization
Google Ads · Completed Mar 8
09
Data Sources & Transparency
This deck was built from live API data. Below is what was included and what could not be pulled due to access limitations.
Data Included
✓ Google Ads — Melleka Account (514-349-3594)
✓ Google Ads — L2S Account (213-209-6417)
✓ Meta Ads (act_1670998013683211)
✓ Notion Task Board (7 tasks)
✓ Pipeline Report (Apr 10-16)
✓ Device & Campaign Breakdowns
Data Not Available
✗ GoHighLevel (GHL) — OAuth not authorized for STJ location. Emails and texts could not be pulled.
✗ Google Analytics (GA4) — Service account not configured. Website traffic data unavailable.
✗ Social Media Posts — No Facebook Page or Instagram linked for STJ.
✗ TV Ads — No TV ad tracking platform connected.
✗ Slack Conversations — Bot scope needs update for channel history access.
✗ Change History — API limits to last 30 days only.
Summary
$90,192 Invested → 2,934 Conversions
CPA improved 53% over the period. Meta expanded from 2 campaigns to 28 with CRM-powered audience targeting. Google Ads restructured for efficiency.