Deep Research Report
St Joseph Medical Corp
Performance Analysis: March 3 - April 2, 2026 (31 Days)
Performance Analysis: March 3 - April 2, 2026 (31 Days)
| Campaign | Status | Spend | Clicks | Impr. | CTR | CPC | Conv (all) | CPA |
|---|---|---|---|---|---|---|---|---|
| PMax | General | Active | $5,416 | 1,826 | 29,031 | 6.29% | $2.97 | 299 | $18.12 |
| PMax | General | NEW SITE | Active | $3,159 | 1,503 | 99,695 | 1.51% | $2.10 | 23 | $137.34 |
| Search | Website Form | Active | $1,060 | 357 | 3,898 | 9.16% | $2.97 | 43 | $24.66 |
| V2 Active Total | $9,635 | 3,686 | 132,624 | 2.78% | $2.61 | 365 | $26.40 |
| Ad Group | Spend | Clicks | Conv (all) | CPA |
|---|---|---|---|---|
| Non Performing Keywords (renamed) | $682 | 218 | 24 | $28.41 |
| Main Ad Group | $353 | 132 | 19 | $18.58 |
| FreeStyle Libre 3 | $13 | 5 | 0 | -- |
| Dexcom G7 | $10 | 1 | 0 | -- |
| General CGM | $2 | 1 | 0 | -- |
Main Ad Group converts at $18.58/conv while the "Non Performing Keywords" group costs $28.41/conv — 53% more. The renamed ad group inherited keywords that were underperforming in the original group and that pattern continues. Consider tightening match types or pausing lowest-converting keywords in the "Non Performing" group.
Conversions peaked at 139 in week of Mar 16-22 when PMax General | NEW SITE launched (gaining 750 clicks but 0 conversions that week — the 139 came from PMax General and Search). Since then, conversions dropped 50% to 70 (Mar 23-29) then 40 (partial week Mar 30 - Apr 2). The NEW SITE campaign is absorbing budget without converting proportionally.
All 12 campaigns in the Primary account are currently PAUSED. Total spend during the analysis period (before being paused) was $1,480. Only the L2S Focused Search campaign produced meaningful conversions.
| Campaign | Spend | Clicks | Impr. | Conv | All Conv | CPA (all) |
|---|---|---|---|---|---|---|
| L2S - Focused Search 3/15/26 | $433 | 222 | 3,649 | 43 | 46 | $9.41 |
| SJC - Dexcom Search | $271 | 512 | 49,996 | 0 | 1 | $271.02 |
| SJM - Blood Glucose | $185 | 388 | 7,654 | 0 | 0 | -- |
| PMax | FreeStyle Libre 3 | $125 | 508 | 19,163 | 0 | 1 | $125.37 |
| PMax | Dexcom G7 Specific | $98 | 482 | 19,235 | 0 | 0 | -- |
| PMax | General | $87 | 342 | 28,189 | 0 | 0 | -- |
| L3S - PM Brand Focus - Ocala | $73 | 31 | 2,811 | 0 | 0 | -- |
| PMax | Libre 3 Plus Specific | $56 | 165 | 6,752 | 0 | 0 | -- |
| PMax | Sock Promo | $47 | 34 | 3,139 | 0 | 0 | -- |
| 5 Other Campaigns | $105 | 243 | 14,746 | 0 | 0 | -- |
| Primary Account Total | $1,480 | 2,927 | 155,334 | 43 | 48 | $30.83 |
This campaign had the best CPA across BOTH accounts at $9.41 per all-conversion (46 conversions on $433 spend). It was a focused search campaign launched on 3/15. If reactivated in V2, this approach could be a top performer.
| Search Term | Spend | Clicks | Conv | CPA |
|---|---|---|---|---|
| freestyle libre 3 coupon | $22.04 | 6 | 1 | $22.04 |
| libre 3 plus coupon | $14.37 | 5 | 1 | $14.37 |
| free blood glucose meter by mail | $14.23 | 3 | 1 | $14.23 |
| freestyle libre 3 coupon with insurance | $13.69 | 5 | 0 | -- |
| free glucose meter | $11.01 | 4 | 1 | $11.01 |
| free diabetes meter | $11.00 | 2 | 0 | -- |
| freestyle libre 3 | $10.89 | 5 | 0 | -- |
| dexcom g7 app | $10.42 | 1 | 0 | -- |
| freestyle libre 3 plus | $10.32 | 4 | 0 | -- |
| free libre 3 | $7.95 | 2 | 1 | $7.95 |
| freestyle libre coupon | $7.18 | 2 | 0 | -- |
| libre 3 sensor coupon | $6.96 | 3 | 0 | -- |
| free diabetes supplies | $5.58 | 2 | 1 | $5.58 |
| diabetic supplies for free | $5.55 | 2 | 1 | $5.55 |
| Age Range | Spend | Clicks | Conv (all) | CPA | Share of Spend |
|---|---|---|---|---|---|
| 55-64 | $713 | 222 | 24 | $29.72 | 67.3% |
| 65+ | $343 | 133 | 19 | $18.04 | 32.4% |
| Undetermined | $5 | 2 | 0 | -- | 0.4% |
Ages 65+ convert at $18.04 CPA — 39% cheaper than ages 55-64 ($29.72). This makes sense: 65+ are Medicare-eligible and can get CGM supplies covered. Consider increasing bid adjustments for 65+ and reducing for 55-64 to improve blended CPA.
| Device | Spend | Clicks | Conv (all) | CPA | Conv Share |
|---|---|---|---|---|---|
| Mobile | $8,487 | 3,254 | 310 | $27.38 | 85% |
| Desktop | $903 | 306 | 39 | $23.16 | 11% |
| Tablet | $245 | 126 | 16 | $15.31 | 4% |
| Connected TV | $0.15 | 0 | 0 | -- | 0% |
Tablet users (likely iPad-using seniors) convert at $15.31 — 44% cheaper than mobile ($27.38) and 34% cheaper than desktop ($23.16). Volume is small (4% of conversions) but the efficiency is notable. Desktop also outperforms mobile on CPA. Consider testing increased tablet and desktop bid adjustments.
| Date | Campaign | Action | What Changed | By |
|---|---|---|---|---|
| Apr 2 | Search | Website Form | Removed | 7 campaign criteria removed | accountmanager@melleka |
| Apr 2 | Search | Website Form | Created | 3 new campaign criteria added | accountmanager@melleka |
| Apr 2 | PMax | General | NEW SITE | Updated | Campaign budget modified | accountmanager@melleka |
| Mar 28 | PMax | General | NEW SITE | Updated | Campaign budget modified | accountmanager@melleka |
| Mar 27 | PMax | General | NEW SITE | Updated | Campaign settings + asset groups modified | accountmanager@melleka |
| Mar 20 | PMax | General | NEW SITE | Created | New campaign + budget + asset group | accountmanager@melleka |
| Mar 16 | Search | Website Form | Updated | Ad group criteria modified | accountmanager@melleka |
This campaign spent $3,159 in 31 days with only 23 conversions ($137.34 CPA) — 7.6x worse than PMax General ($18.12). Options:
Multiple issues identified in previous audits (Tasks 86 + 87):
If PMax | General | NEW SITE is paused or reduced, redirect that $100/day to PMax General which converts at $18.12 CPA. Current daily budget for PMax General appears to be ~$175/day. Increasing to ~$275/day could yield an additional 5-6 conversions per day.
65+ converts 39% cheaper than 55-64. Apply a +20% bid adjustment for ages 65+ on the Search campaign. Consider -10% for 55-64 if budget is constrained.
The Meta Ads OAuth token has expired. Need to reconnect to pull data and manage campaigns. Previous audit found zero conversion events on the pixel — fix pixel first, then reconnect and launch campaigns.
The Primary account's "L2S - Focused Search" campaign achieved $9.41 CPA (46 conversions). This was a tightly focused search campaign. Consider replicating this keyword set and ad copy in the V2 account as a new Search campaign to capture this efficient traffic.
| Total Spend | $9,635 |
| Total Clicks | 3,686 |
| Total Impressions | 132,624 |
| Total Conversions (all) | 365 |
| Blended CPA | $26.40 |
| Blended CTR | 2.78% |
| Blended CPC | $2.61 |
| Total Spend | $1,480 |
| Total Clicks | 2,927 |
| Total Impressions | 155,334 |
| Total Conversions (all) | 48 |
| Blended CPA | $30.83 |
| Blended CTR | 1.88% |
| Blended CPC | $0.51 |