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The percentage of the 169 map locations where this business appears in any Google Maps search result. Higher is better.
Google shows a box of 3 local businesses at the top of results before organic links. Appearing here drives the most calls and clicks. Map Pack % shows what share of the grid earns that top-3 position.
Rankings are tracked at 169 specific geographic points across the service area — one every mile in every direction. Each colored dot on the grid shows the ranking at that exact location.
Integrated Spine, Pain and Wellness is a pain management and wellness practice serving the Scottsdale area. Medical and healthcare local search is among the most competitive and compliance-sensitive verticals in local SEO. At campaign start, the practice had 54% visibility and only 1% Map Pack presence — meaning the majority of the grid sat in the 7–14 range where patients searching for pain management services would rarely see this practice in the top results.
Google Business Profile rebuild specific to pain management and spine care with accurate medical service categories, doctor profiles, and practice area configuration
Citation audit across healthcare-specific directories (Healthgrades, Zocdoc, WebMD, Vitals) plus general local directories
Mapped local ranking performance across a 13×13 grid and prioritized optimization toward the 11–14 ranked zones in the Scottsdale service area
Local authority link building from Scottsdale healthcare and community sources
Compliance-conscious GBP post cadence aligned with healthcare marketing guidelines
Integrated Spine, Pain and Wellness — Pain Management Scottsdale — November 2025 (54%, 1% Map Pack) → April 2026 (63%, 0%) → July 2026 (71%, 20%). Green core expanding from center. First Map Pack appearances in July.
Pain management in Scottsdale is a highly competitive medical search term with established multi-location practices and hospital systems in the Map Pack. Starting from 54% visibility with near-zero Map Pack presence, the campaign delivered consistent monthly visibility gains and the first Map Pack appearances in July at 20% coverage. The April Map Pack dip to 0% reflects normal algorithm fluctuation before the July breakthrough. The green core is clearly expanding outward from the center of the grid.
Achieving strong Map Pack coverage is only half the job. Local rankings are dynamic — competitors optimize, Google updates its algorithm, and signals need to stay fresh. These are the ongoing workstreams that protect and continue to grow the results above:
Weekly posts, photo updates, and service descriptions keep the listing signaling relevance to Google. Inactive listings lose ground to competitors who post consistently.
Google shows a box of 3 local businesses at the top of results before organic links. Appearing here drives the most calls and clicks. Map Pack % shows what share of the grid earns that top-3 position.
NAP consistency can drift as directories update their data. We monitor and correct any inconsistencies that appear across the citation network.
Monthly grid snapshots track whether each keyword is holding, gaining, or showing early signs of slippage so we can respond before rankings drop.
As the green core saturates, we shift optimization focus to the next ring of grid points, or target a new service/location. Progress compounds: each new zone captured becomes the foundation for the next.
Medical SEO is one of the hardest verticals to crack. See how Bliss Drive applied the same methodology across home services, legal, roofing, and more in our comprehensive Local SEO Case Study.
