Pause or Scale? Data-Driven Rules for $10K–$30K MedSpa Ad Spend

When you’re spending $10–$30K/month on ads, every “wait and see” week is expensive. The hardest call: pause a campaign or scale it? The answer isn’t in clicks or CPL—it’s in visits and revenue.

Why guessing is costly

Good-looking lead metrics can hide a broken middle of the funnel. If leads aren’t turning into bookings or visits, you’re not seeing ROI. ClinicROI shows the full path—ad → lead → appointment → visit → revenue—so you can tell whether it’s ad waste or follow-up/no-show leakage.

When to pause

• ROI < 1.0 for 2–3 consecutive weeks (after accounting for average time-to-visit).

• Rising CPL + falling visits per 100 leads.

• Low booking rate despite fast, multi-touch follow-up.
  Pause to reallocate budget into higher-ROI campaigns while you fix the variables (offer, audience, creative).

When to scale

• ROI ≥ 3.0 with stable or improving trends.

• High lead-to-visit rate and front desk capacity to handle more volume.

• Consistent show rates and minimal “Estimated Missed Revenue.”
  Increase budgets in 20–30% steps while watching visit volume and show rate inside ClinicROI.

The 70/30 budget rule

Keep 70% in proven campaigns. Use 30% for tests (new offer, audience, creative). Promote winners into the 70% bucket once they hit ROI and visit targets.

Quick pre-decision checklist

1. Check ROI by campaign in ClinicROI.

2. Sort by Estimated Lost Rev (leads never booked) vs Estimated Missed Rev (booked but no-show).

3. If leakage = follow-up/no-shows, coach the team and automate first contact—don’t cut the ads.

4. Only pause when both ads and downstream conversion underperform after process fixes.

Bottom line: Don’t pause what’s profitable or scale what’s leaky. Use ClinicROI to see exactly where dollars turn into patients—and where they don’t.

Want to track wins like this?

👉 Book a free 15-min demo of ClinicROI