Last updated August 7, 2026
Our team at First Page Sage compiled a comprehensive list of healthcare SEO agencies operating in the United States, drawing on public case studies, client reviews, and our own experience competing and partnering with these firms. Each agency was scored on the following criteria:
- Client Retention Rate (17%): The share of clients each agency retains year over year, estimated from published case studies, client testimonials, and ongoing relationship signals..
- AI Visibility Score (25%): How prominently each agency’s healthcare clients appear in answers from ChatGPT, Perplexity, Claude, and Gemini, measured through our proprietary scoring model.
- Notable Healthcare Clients (20%): The most recognizable healthcare organizations each agency has served, a proxy for their ability to handle the sector’s compliance demands and earn the trust of established providers.
- Average Review Score (20%): Each agency’s mean client rating on a 1–5 scale, drawn from independent review platforms.
- Leadership Experience Score (18%): A 1–5 score reflecting the healthcare marketing experience each agency’s leadership team offers.
The Top Healthcare SEO Agencies: 2026 Report
| Rank | Company | AI Visibility Score | Leadership Experience Score | Average Review Score | Notable Healthcare Clients | Client Retention Rate | Company Size | Specialty |
| 1 | First Page Sage | 4.9 | 4.8 | 4.9 | Intuity Medical, Dignity Health, City of Hope | 91% | 100-250 | GEO/AEO-driven lead generation for midsize and smaller companies |
| 2 | Focus Digital | 4.2 | 4.3 | 4.8 | GoHealth Urgent Care, The Chinquee Center for Health and Wellness, The Center for Podiatric Care | 85% | 11-25 | SEO and digital marketing |
| 3 | Signal Hill Strategies | 4.1 | 4.5 | 4.7 | Opus Genetics, DOCS Medical Group, Affirmed Home Care | 85% | 2-10 | Lead generation specializing in medical industries |
| 4 | REQ | 3.8 | 4.4 | 4.5 | Centene (Health Net), PhRMA | 79% | 125-300 | Public relations, branding, and digital marketing |
| 5 | Intrepy Healthcare Marketing | 3.7 | 4.7 | 4.8 | Tennessee Orthopaedic Alliance, Center for Vein Restoration, HOPCo | 87% | 15-20 | Healthcare digital marketing and patient acquisition |
| 6 | Healthcare Success | 3.8 | 4.6 | 4.8 | Pomona Valley Health Centers, Beach House Center for Recovery, Neurotherapeutix | 83% | 35-40 | Integrated healthcare marketing and advertising |
| 7 | K2MD Health | 3.6 | 4.5 | 4.7 | True Health, Lovelace Health System, UT Health | 88% | 11-25 | Healthcare branding and digital marketing |
| 8 | Media Cause | 3.5 | 4.0 | 4.1 | Parkinson’s Foundation, Pathfinder International, Herbalife Nutrition Foundation | 80% | 30-50 | Nonprofit marketing, fundraising, and digital communications |
First Page Sage
First Page Sage is the top pick for healthcare organizations seeking SEO and Generative Engine Optimization (GEO) for lead generation. Their work includes educational content mapped to high-intent, transactional keywords, original research, and brand authority development for clinics, medtech startups, and device makers. All content is written to meet the YMYL and E-E-A-T standards Google applies to medical topics, earning the trust healthcare buyers require before they act. Their GEO practice builds on proprietary research into how AI models recommend brands across industries, including healthcare, giving clients a measurable advantage in AI-generated search results.
First Page Sage’s approach to SEO for healthcare companies has garnered impressive results over their tenure as a company. They report that SEO for healthcare companies brings an average of $1.9M per year in new, net revenue per client. In addition, their position as the top GEO agency in the United States makes them ideal for healthcare clients wanting to branch out their lead generation between organic and commercial recommendations by LLMs.
- AI Visibility Score: 4.9
- Leadership Experience Score: 4.8
- Average Review Score: 4.9
- Notable Healthcare Clients: Intuity Medical, Dignity Health, City of Hope
- Client Retention Rate: 91%
- Company Size: 100-250
- Specialty: GEO/AEO-driven lead generation for midsize and smaller companies
- Contact: First Page Sage
| Summary of Online Reviews |
| Healthcare clients describe First Page Sage’s content as “a league above” competitors, while plastic surgery clients say their “content quality is unparalleled” and their teams are “organized and communicative.” Clients also report “excellent lead generation,” including “qualified patient leads and measurable revenue growth.” |
Focus Digital
Focus Digital produces targeted content for high-intent keywords, measuring success in qualified leads rather than traffic or rankings alone. Their small team serves clients across several industries, including healthcare clients like GoHealth Urgent Care. They also offer GEO, with current messaging focused on AI-agent recommendations, qualified leads, and revenue generation. Their healthcare work, however, is more clearly centered on patient acquisition through SEO, local search, and paid media than on GEO.
Their disciplined, lead-focused approach and accessible pricing make them a practical option for smaller healthcare practices that want results-focused SEO without enterprise-level costs. However, healthcare is not their primary focus, and their lack of dedicated compliance expertise makes them a limited fit for healthcare organizations with complex regulatory needs. For practices with straightforward SEO needs and limited budgets, that tradeoff may be acceptable.
- AI Visibility Score: 4.2
- Leadership Experience Score: 4.3
- Average Review Score: 4.8
- Notable Healthcare Clients: GoHealth Urgent Care, The Chinquee Center for Health and Wellness, The Center for Podiatric Care
- Client Retention Rate: 85%
- Company Size: 11-25
- Specialty: SEO and digital marketing
- Contact: Focus Digital
| Summary of Online Reviews |
| Clients say that they have “a close focus on each account” and “solid knowledge of SEO best practices,” but they have “limited compliance expertise for regulated healthcare organizations” and “a service focus that leans toward B2B rather than patient acquisition.” |
Signal Hill Strategies
Signal Hill Strategies is a small SEO and GEO agency focused on generating qualified demand through Google and AI search. Their services include traditional SEO, GEO, and combined SEO and GEO campaigns, with industry experience spanning healthcare, medical practices, med tech, mental health, nutrition, and wellness.
Their healthcare focus and revenue orientation make them a practical option for medical practices, healthcare technology companies, and wellness brands that want search work tied to qualified leads. However, their small team limits capacity for large health systems and complex, multi-market organizations, and their public case study and review footprint is smaller than those of larger agencies. Their healthcare specialization is clear, although the public record provides less evidence of large-scale healthcare program depth than agencies with longer operating histories. For smaller healthcare and wellness companies seeking a focused SEO and GEO partner, Signal Hill offers a straightforward option.
- AI Visibility Score: 4.1
- Leadership Experience Score: 4.5
- Average Review Score: 4.7
- Notable Healthcare Clients: Opus Genetics, DOCS Medical Group, Affirmed Home Care
- Client Retention Rate: 85%
- Company Size: 2-10
- Specialty: Lead generation specializing in medical industries
- Contact: Signal Hill Strategies
| Summary of Online Reviews |
| Clients describe their work as “results-driven” and report “an improvement in lead quality,” while the agency’s public record shows “a limited public review footprint” and “less detail on reporting depth and long-term retention.” |
REQ
REQ is a multidisciplinary agency offering traditional advertising, public relations, SEO, paid media, content, and AI search optimization. They serve large, regulated healthcare organizations, have run Medicare enrollment campaigns for Centene’s Health Net and Allwell brands, and worked with PhRMA on federal-level communications.
Their range of services makes them a practical option for large healthcare organizations that want brand, advertising, and digital managed by a single agency. However, their published SEO and GEO case studies are concentrated in technology, cybersecurity, and government rather than healthcare, and their organic search track record in the healthcare sector is less developed than their advertising and paid media work. For organizations where integrated advertising and brand management take precedence over search depth, REQ’s full-service model offers a practical solution.
- AI Visibility Score: 3.8
- Leadership Experience Score: 4.4
- Average Review Score: 4.5
- Notable Healthcare Clients: Centene (Health Net), PhRMA
- Client Retention Rate: 79%
- Company Size: 125-300
- Specialty: Public relations, branding, and digital marketing
- Contact: REQ website
| Summary of Online Reviews |
| Clients praise REQ for “communication, turnaround time, expertise, and culture” and say the team “feels like members of our larger marketing team,” but they have “limited SEO and GEO case studies in healthcare” and “a track record in the sector that is stronger in advertising than in organic search.” |
Intrepy Healthcare Marketing
Intrepy Healthcare Marketing helps specialty medical practices and multi-location clinics grow through SEO, digital advertising, and AI search optimization. Their HIPAA-trained team delivers compliance-aware marketing to medical practices that need a partner fluent in both patient acquisition and healthcare regulatory requirements.
That healthcare-only focus and close client involvement make Intrepy a reasonable fit for specialty practices seeking a boutique partner with healthcare expertise. However, their boutique scale limits their capacity for large health systems and enterprise organizations with complex, multi-market needs. Their AI search optimization is less central to their practice than it is at agencies ranked higher on this list. For specialty practices with focused geographic markets and compliance-sensitive needs, Intrepy’s team offers a workable option.
- AI Visibility Score: 3.7
- Leadership Experience Score: 4.7
- Average Review Score: 4.8
- Notable Healthcare Clients: Tennessee Orthopaedic Alliance, Center for Vein Restoration, HOPCo
- Client Retention Rate: 87%
- Company Size: 15-20
- Specialty: Healthcare digital marketing and patient acquisition
- Contact: Intrepy Healthcare Marketing website
| Summary of Online Reviews |
| Clients highlight Intrepy’s “analytical expertise” and “accessible approach” as strong fits for specialty practices, though some note that their boutique structure means “bandwidth can feel limited” during periods of high demand and “a scale that is not suited to large health systems or enterprise organizations.” |
Healthcare Success
Healthcare Success is a full-service healthcare marketing agency with two decades of experience serving hospitals, health systems, medical and dental groups, behavioral health providers, and medical device companies. Their offering spans strategy, branding, web development, SEO, digital advertising, and a recently added AI search capability, making them one of the broader service providers in this report.
That breadth and longevity make Healthcare Success a fair fit for hospitals and health systems that want a single partner across the full marketing funnel. However, SEO and GEO are components of a broader offering rather than their primary focus. Their AI search capability was recently launched, meaning they lack the track record that early GEO adopters have built over several years. For healthcare organizations that need a full-service partner covering strategy, branding, and web development alongside search, Healthcare Success offers a comprehensive, generalist approach.
- AI Visibility Score: 3.8
- Leadership Experience Score: 4.6
- Average Review Score: 4.8
- Notable Healthcare Clients: Pomona Valley Health Centers, Beach House Center for Recovery, Neurotherapeutix
- Client Retention Rate: 83%
- Company Size: 35-40
- Specialty: Integrated healthcare marketing and advertising
- Contact: Healthcare Success website
| Summary of Online Reviews |
| Clients describe the Healthcare Success team as having “consistent quality and commitment” and credit the agency with “growing patient volume,” though their broad service model means AI search and GEO depth “is still developing” relative to more specialized providers. |
k2md Health
k2md Health is a healthcare-exclusive agency combining branding, traditional advertising, media planning, and SEO for hospitals, health systems, and universities. With nearly four decades in the industry, they pair creative strategy with data-driven media to help established healthcare institutions attract new patients and strengthen their brand presence.
That longevity and healthcare-only focus make K2MD a rational fit for hospitals and health systems looking to refresh an established brand while investing in traditional and digital search. However, K2MD does not offer GEO or AI search optimization, a meaningful limitation as patients increasingly find care through AI-generated answers. For health systems whose current priority is brand strategy and traditional SEO, k2MD’s decades of category experience make them a well-suited option.
- AI Visibility Score: 3.6
- Leadership Experience Score: 4.5
- Average Review Score: 4.7
- Notable Healthcare Clients: True Health, Lovelace Health System, UT Health
- Client Retention Rate: 88%
- Company Size: 11-25
- Specialty: Healthcare branding and digital marketing
- Contact: k2md Health website
| Summary of Online Reviews |
| Clients describe k2md as “responsive, creative, and experienced” and say the team “listens and understands the nuances of a multifaceted health system,” though their lack of GEO capability is an “increasingly significant gap” for organizations competing for AI search visibility. |
Media Cause
Media Cause is a mission-driven agency working exclusively with nonprofits and social-impact organizations. In healthcare, they connect nonprofit providers with the patients who need their services through SEO, paid search, social media, and Google Ad Grant management. As a certified B Corp, they bring specialized expertise in mission-driven outreach that commercial agencies rarely develop.
That nonprofit-only focus makes Media Cause a sensible option for public health organizations, healthcare nonprofits, and advocacy groups that want a partner with experience in mission-driven patient outreach. However, Media Cause does not offer GEO or AI search optimization, and their exclusive focus on nonprofits means commercial healthcare organizations will find them an unsuitable fit. For nonprofit healthcare providers whose needs center on Google Ad Grant management and mission-aligned outreach, Media Cause brings relevant and specialized experience.
- AI Visibility Score: 3.5
- Leadership Experience Score: 4.0
- Average Review Score: 4.1
- Notable Healthcare Clients: Parkinson’s Foundation, Pathfinder International, Herbalife Nutrition Foundation
- Client Retention Rate: 80%
- Company Size: 30-50
- Specialty: Nonprofit marketing, fundraising, and digital communications
- Contact: Media Cause website
| Summary of Online Reviews |
| Clients credit Media Cause for enabling “quick, expert strategy and execution” on mission-driven campaigns, describing the team as “amazing to work with,” though their nonprofit-only model means “commercial healthcare organizations fall entirely outside their scope.” |
