PFBHNC Monthly Performance Report

Comparing January 1-31, 2026 to December 1-31, 2025

Monthly Highlights

TMS Therapy Campaign: Conversions up 109.6% with cost per conversion down 52.4%
Telehealth (All of NC): Conversions increased 36.3% while reducing cost per lead by 27.2%
Charlotte Therapy Services: Steady growth with conversions up 4.1%
Cost Efficiency: Average CPC improved by 11.3% across all campaigns

Areas Requiring Attention

NewADHD-PMax: Conversions dropped 60.2% - needs immediate review
Overall Conversion Rate: Declined from 23% to 16.5% account-wide
Spravato Campaign: Conversions down 23.4% with rising costs
Budget Limitations: Most campaigns limited by budget constraints

$12,494

Total Ad Spend

+0.01% vs Dec

3,922

Total Conversions

-17.1% vs Dec

$3.19

Avg Cost/Conversion

+20.7% vs Dec

16.5%

Conversion Rate

-28.3% vs Dec

$0.54

Average CPC

-11.3% vs Dec

7

Active Campaigns

All Enabled

Campaign	Type	Budget	Spend	Conversions	Conv. Change	Cost/Conv	CPC
NeuroStar TMS TherapyTOP PERFORMER	Search	$25/day	$758.89	42.04	+109.6%	$18.05 (-52.4%)	$5.54
Telehealth \| All of NCSTRONG	PMax	$25/day	$751.96	489.77	+36.3%	$1.54 (-27.2%)	$0.31
Therapy Services \| Charlotte NC	Search	$60/day	$1,810.97	183.30	+4.1%	$9.88 (-3.5%)	$2.31
General Psychiatry Counseling	PMax	$165/day	$5,016.28	2,285.26	-3.1%	$2.20 (+3.2%)	$0.38
ADHD \| Performance Max	PMax	$10/day	$281.54	122.94	-17.0%	$2.29 (+11.8%)	$0.74
Spravato Leads	PMax	$33/day	$1,003.97	277.25	-23.4%	$3.62 (+33.3%)	$0.53
NewADHD-PMaxNEEDS REVIEW	PMax	$95/day	$2,870.06	521.84	-60.2%	$5.50 (+150.9%)	$0.69
TOTAL	--	$413/day	$12,493.67	3,922.39	-17.1%	$3.19	$0.54

Performance Max

5 Campaigns | $9,923.82 Spend

Conversions: 3,697 (-18.5%)

Cost/Conv: $2.68 (+22.6%)

Conv Rate: 16.2% (-29.4%)

Search

2 Campaigns | $2,569.85 Spend

Conversions: 225 (+14.9%)

Cost/Conv: $11.40 (-12.7%)

Conv Rate: 24.4% (-2.9%)

Search Campaigns Outperforming PMax

Search campaigns delivered a 14.9% increase in conversions while PMax campaigns saw an 18.5% decline. Consider reallocating budget from underperforming PMax campaigns to Search.

TMS Therapy Campaign Success

The NeuroStar TMS Therapy campaign more than doubled conversions while cutting cost per conversion in half. This specialized service messaging is resonating strongly with the target audience.

NewADHD-PMax Performance Decline

This campaign saw a dramatic 60% drop in conversions with cost per conversion increasing by 151%. With a $95/day budget, this represents the largest opportunity for optimization.

Telehealth Expansion Working

The expanded "All of NC" telehealth campaign is performing excellently with 36% more conversions at a 27% lower cost. The statewide targeting expansion is proving successful.

Recommended Actions for February 2026

Audit NewADHD-PMax Campaign: Review asset groups, targeting, and creative elements. Consider pausing and rebuilding with updated assets given the 60% conversion drop.
Increase TMS Therapy Budget: With exceptional performance and a low $25/day budget, there's room to scale this high-converting campaign.
Address Policy Limitations: Multiple campaigns show "asset groups limited by policy" - review and update flagged creatives to improve delivery.
Review Budget Allocation: With 6 of 7 campaigns limited by budget, consider consolidating spend toward top performers (TMS, Telehealth, Charlotte Therapy).
Investigate Conversion Rate Decline: The account-wide 28% drop in conversion rate suggests potential landing page or tracking issues worth investigating.

Note: All campaigns are showing "Limited by Budget" or policy restrictions. This indicates potential for improved performance with budget increases or creative updates.