How PrimaryMD generated $648,000 in AI-sourced pipeline in 90 days

PrimaryMD offered the physician-led care, advanced diagnostics, and continuity patients expect from concierge medicine. But Google and AI systems were not surfacing it when patients were comparing providers.

Within 90 days, PrimaryMD’s inbound report recorded 36 leads from LLMs. At an annual membership value of $18,000 per patient, that represented $648,000 in AI-sourced annual membership pipeline. Organic Typeform submissions increased 216.7%, and waitlist signups increased 177.5%.

Daniel Yuabov

CEO, PrimaryMD

“Since working with Windgrove, we’ve seen a clear increase in bookings for our practice, with many of those new patients going on to become clients. Their team has also been a strong partner in our broader growth efforts, helping us improve our visibility and create more opportunities to reach the right people. We’ve been very happy with the results and I’d absolutely recommend Spencer, Mitko, and the Windgrove team.”

#1.5

Average AI position, up from #6

+216.7%

Organic Typeform submissions

+177.5%

Organic waitlist signups

+56.8%

Google Search clicks

The Starting Point

PrimaryMD was stronger than its digital presence suggested.

At baseline, the practice ranked around #6 when it appeared in tracked AI answers, held 5.9% share of voice, and had 0% purchase-stage AI visibility. In other words, it was rarely appearing when prospective patients were actively choosing a provider.

A technical audit also uncovered 1,733 website issues, including 195 critical and 299 high-priority issues. The site had valuable clinical information, but search engines and AI systems could not reliably access, understand, or verify it.

Our Strategy

We ran three workstreams in parallel: patient-led content, physician authority, and technical foundations.

Patient-led content

We built content around high-intent patient questions, including concierge medicine costs, care models, executive health, and diagnostic testing.

We published or substantially improved 32 articles, optimised 32+ location pages, created four service pages, and built a 50-entry glossary, all structured for AI systems to understand and cite.

Physician authority

We made PrimaryMD’s physician-led model easier for AI systems to verify through physician schema, stronger biographies, author attribution, and links between physician profiles, services, and educational content.

We also connected those profiles to sources including Google Scholar, Doximity, and LinkedIn, reinforcing PrimaryMD’s clinical authority in AI answers.

Technical foundation

We improved crawlability, structured data, internal linking, publication metadata, and entity consistency, then expanded PrimaryMD’s presence across medical, local, and business platforms to give AI systems more independent sources to verify the practice.

The Results

The commercial result was clear: PrimaryMD generated 36 LLM-sourced leads worth $648,000 in annual membership pipeline.

At the same time, the practice became far more visible when prospective patients were researching and choosing concierge care.

PrimaryMD’s average AI recommendation position improved from approximately #6 to #1.5. By the end of the engagement, 73% of appearances were in position #1 and 99% appeared in the top two positions. PrimaryMD ranked #1 in its tracked competitive set.

PrimaryMD ranked #1 in its tracked competitive set

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Tracked AI mentions increased from 672 to 3,804, while citations increased from 273 to 913. AI systems cited 162 separate PrimaryMD URLs across monitored answers.

AI mentions increased to 3,804

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AI citations increased to 913

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Across Microsoft Copilot, PrimaryMD generated 25,200 citations over three months. On high-intent patient queries, the practice captured a 27.7% citation share for “DEXA scan for body fat” and a 39.5% share for “bone density scan cost.”

Traditional search improved alongside AI visibility. Google Search clicks increased 56.8%, organic sessions grew from 30,027 to 47,041, and location page clicks increased 122.2%. More than 96% of query clicks came from non-branded searches, meaning prospective patients were finding PrimaryMD before they knew the practice by name.