PhalloFILL® is the global leader in advanced penile girth enhancement with currently 29 treatment locations across North and Central America. Before they were introduced to APAS, they were spending upwards of $300k a year on Google ads without being able to optimize their account beyond simple webform submissions. The lack of actual sales data flowing into their account was hurting their large provider network due to poor quality, uneducated leads. APAS re-engineered their entire data infrastructure, enabling our media buying team to optimize for enriched offline sales conversions. This strategic shift dramatically improved both the volume and quality of leads. A real success story. Read the full case study below…
PhalloFILL® was investing over $360k a year on Google ads alone, unable to break through the ceiling of 800-1,000 leads a month, while not knowing where their customers were actually coming from, and if they were actually coming from Google ads or not. Their previous PPC agency did a great job in managing the account, but was at its limit in their ability to optimize the Google advertising beyond the basic “lead generation.” APAS accepted the challenge and became an extension of their team, focusing on building an effective data infrastructure by restructuring their entire data utilization and activation process.
After six months of building and continuously optimizing a custom data infrastructure specifically designed for Google advertising efficiency, their campaigns began generating twice the results from the same ad spend. This dramatic improvement came from our ability to activate enriched pipeline stage conversions – tracking actual patient treatments and revenue rather than just web form submissions. In addition, the data warehouse that APAS built unified marketing and sales data from their network providers into 360-degree profiles, uncovering actionable insights that standard web analytics couldn’t provide. All these insights are now visually displayed in advanced KPI dashboards, giving the PhalloFILL® team complete visibility into their marketing performance across their entire provider network.
APAS Cloud engineers kicked this project off with a detailed inventory of all existing strategies and systems to identify performance and compliance gaps. Our team conducted a comprehensive audit of PhalloFILL®’s marketing technology stack, trracking and measurement implementation, and data flows. We discovered significant opportunities to enhance their data collection strategy, particularly around conversion tracking – critical factors for a business with a longer consideration cycle. The team followed up with a comprehensive measurement plan that outlined exactly what was needed, taking into account the client’s desired end goal of being able to increase both the volume and quality of leads for their fast-growing provider network.
The assessment revealed that PhalloFILL®’s existing tracking infrastructure was not only missing crucial conversion points but also presented potential compliance risks, particularly concerning healthcare data regulations. Standard analytics implementations like Google Analytics 4 weren’t capturing the full patient journey from initial interest to treatment, creating blind spots in their marketing attribution.
The APAS team removed all existing Google Tag Manager and Google Analytics 4 setups and replaced these low quality, non-compliant tracking and measurement systems with a more advanced, custom-built and HIPAA-compliant data system leveraging Cloudflare Enterprise, PostHog analytics, a Supabase database, and Google BigQuery. These HIPAA-compliant platforms were chosen strategically to work together in a cohesive measurement strategy, building on top of each other, allowing the team to capture, store, enrich, and activate data precisely at the right moment, exactly when it is needed.
With Cloudflare Enterprise serving as the secure edge computing layer, we could capture campaign data before it was lost to ad blockers or browser restrictions. PostHog analytics provided the event-based tracking infrastructure needed to follow the complex patient journey, while Supabase offered a secure, HIPAA-compliant database for storing first-party data. Google BigQuery served as the central data warehouse where marketing data could be securely unified with actual patient and revenue information from PhalloFILL®’s provider network.
The implementation was phased across three to six months to minimize disruption to ongoing campaigns, with extensive testing at each stage to ensure data accuracy and compliance. This methodical approach allowed PhalloFILL® to maintain marketing momentum while we built the infrastructure that would ultimately transform their marketing effectiveness.
The results speak for themselves; within just 180 days of working with APAS, PhalloFILL® saw a dramatic increase of lead volume as well as a significant increase in patient volume due to better data utilization and activation, leveraging the entire APAS Cloud infrastructure. This dramatic improvement fis a true testament to the effectiveness of the APAS Cloud infrastructure. The key difference was our ability to feed enriched sales conversion data back into Google ads, allowing for superior optimization of campaigns toward actual patients rather than just “leads.”
This closed-loop reporting system transformed PhalloFILL®’s decision-making process. Before our implementation, they were investing in keywords and campaigns based primarily on lead volume metrics. Now, they allocate budget with precision based on which marketing efforts drive actual revenue, resulting in a marketing ROI that’s nearly double their previous performance.
The improved ROI has enabled PhalloFILL® to expand their organization while maintaining cost efficiency, supporting their continued network growth across multiple regions. Their executive team now has real-time visibility into their marketing performance across all locations through customized dashboards that connect advertising spend directly to revenue, allowing for data-driven expansion planning and more accurate financial forecasting.
The system’s success has also created a significant competitive advantage for PhalloFILL®, where most providers still struggle with basic lead attribution. As they continue to scale, this data infrastructure will adapt and grow with them, continuously improving as more patient data enhances the machine learning optimization models we’ve implemented within their ad platforms.
APAS has been fantastic to work with and has been a game-changer in terms of the data we capture from incoming leads and how we leverage that data to optimize our PPC campaigns. Our leads have increased, and we’ve significantly improved both the targeting and quality of our leads. The team is great to work with, very responsive and professional! ⭐️⭐️⭐️⭐️⭐️
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