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Living AI Visibility Report

Ear, nose & throat · your DMA · your city & your second city · · run 2026-07-06 vs 2026-06-05
$350 / month · month 2

The verdict month 2 vs month 1

37% ± 5 +4 points

We do not believe this is real movement. The two ranges overlap (28-37% last month, 32-42% this month) and the held-out set moved by a comparable amount.

This is the sentence a monthly report exists to produce, and the one nobody else will print.

What changed

L1 Per engine, against last month

defaultfeeds InsightsTo-dos
Google AI Overview16%±7·n=25
ChatGPT35%±9·n=26
Claude40%±15·n=10
Gemini44%±17·n=9
Perplexity56%±10·n=25

Dashed bar is last month. Gemini fell while the headline rose, which a blended score would hide.

L2 Question ledger, what moved

defaultfeeds InsightsTo-dosExecution

The same 95 questions, re-asked in journey order. Each shows last month versus this month. Click any question to read this month’s answer. The flips are the story: a gained that becomes a held next month is a win that stuck; still absent is open work. Held-out questions are marked, when those move it is the market, not you.

Symptom 2 changed
Why do my ears feel full all the time?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Constant ringing in one ear, what does it mean?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Sinus pressure that will not go awayGoogle AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Hoarse voice for three weeks, should I worry?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Trouble swallowing and a lump feeling in my throatGoogle AI Overview▲ gained
Last month: was not named → this month: named
Redacted for sample report
Ear pain when flying, is that normal?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Snoring so loud my partner cannot sleepGoogle AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Dizzy when I turn my head in bedGoogle AI Overviewheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
Why do my ears feel full all the time?ChatGPTheld
Last month: named #3 last month → this month: named #3
Redacted for sample report
Constant ringing in one ear, what does it mean?ChatGPTstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Sinus pressure that will not go awayChatGPTstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
Hoarse voice for three weeks, should I worry?ChatGPTheld held-out
Last month: named #2 last month → this month: named #2
Redacted for sample report
Trouble swallowing and a lump feeling in my throatChatGPTstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Ear pain when flying, is that normal?ChatGPTstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Snoring so loud my partner cannot sleepChatGPTheld held-out
Last month: named #1 last month → this month: named #1
Redacted for sample report
Dizzy when I turn my head in bedChatGPTstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
Why do my ears feel full all the time?Geminiheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
Constant ringing in one ear, what does it mean?Geminiheld held-out
Last month: named #2 last month → this month: named #2
Redacted for sample report
Sinus pressure that will not go awayGemini▲ gained
Last month: was not named → this month: named
Redacted for sample report
Hoarse voice for three weeks, should I worry?Geminiheld
Last month: named #4 last month → this month: named #4
Redacted for sample report
Trouble swallowing and a lump feeling in my throatGeministill absent
Last month: not named last month → this month: not named
Redacted for sample report
Ear pain when flying, is that normal?Perplexityheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
Snoring so loud my partner cannot sleepPerplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
Dizzy when I turn my head in bedPerplexityheld
Last month: named #3 last month → this month: named #3
Redacted for sample report
Procedure 3 changed
What is balloon sinuplasty and does it work?Google AI Overview▲ gained
Last month: was not named → this month: named
Redacted for sample report
Is a BAHA implant worth it for single sided deafness?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
How long is recovery after a septoplasty?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Do adults need tonsillectomy or is that just for kids?Google AI Overviewstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
What happens at a hearing test appointment?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Is sinus surgery painful?Google AI Overviewstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
What is balloon sinuplasty and does it work?ChatGPTstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
Is a BAHA implant worth it for single sided deafness?ChatGPTstill absent
Last month: not named last month → this month: not named
Redacted for sample report
How long is recovery after a septoplasty?ChatGPTheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
Do adults need tonsillectomy or is that just for kids?ChatGPTstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
What happens at a hearing test appointment?ChatGPTstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Is sinus surgery painful?ChatGPTheld
Last month: named #4 last month → this month: named #4
Redacted for sample report
What is balloon sinuplasty and does it work?Perplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
Is a BAHA implant worth it for single sided deafness?Perplexity▼ lost
Last month: was named #1 → this month: not named
Redacted for sample report
How long is recovery after a septoplasty?Perplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
Do adults need tonsillectomy or is that just for kids?Perplexityheld
Last month: named #3 last month → this month: named #3
Redacted for sample report
What happens at a hearing test appointment?Perplexity▲ gained
Last month: was not named → this month: named
Redacted for sample report
Is sinus surgery painful?Perplexityheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
Cost & insurance 1 changed
How much does balloon sinuplasty cost without insurance?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Does Medicare cover hearing aids in your state?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
ENT visit cost with high deductible planGoogle AI Overviewstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
How much does balloon sinuplasty cost without insurance?ChatGPT▲ gained
Last month: was not named → this month: named
Redacted for sample report
Does Medicare cover hearing aids in your state?ChatGPTstill absent
Last month: not named last month → this month: not named
Redacted for sample report
ENT visit cost with high deductible planClaudeheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
How much does balloon sinuplasty cost without insurance?Perplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
Does Medicare cover hearing aids in your state?Perplexityheld
Last month: named #3 last month → this month: named #3
Redacted for sample report
ENT visit cost with high deductible planPerplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
Comparison 1 changed
ENT versus allergist for chronic congestionGoogle AI Overviewstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
Audiologist or ENT for hearing loss?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Urgent care or ENT for a bad ear infectionGoogle AI Overview▲ gained
Last month: was not named → this month: named
Redacted for sample report
ENT versus allergist for chronic congestionClaudestill absent
Last month: not named last month → this month: not named
Redacted for sample report
Audiologist or ENT for hearing loss?Claudeheld
Last month: named #3 last month → this month: named #3
Redacted for sample report
Urgent care or ENT for a bad ear infectionClaudestill absent
Last month: not named last month → this month: not named
Redacted for sample report
ENT versus allergist for chronic congestionPerplexityheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
Audiologist or ENT for hearing loss?Perplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
Urgent care or ENT for a bad ear infectionPerplexitystill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
Trust & credentials 0 changed
Is board certified?ChatGPTheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
Reviews for ChatGPTstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
How do I check if an ENT is qualified?ChatGPTstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Is board certified?Claudestill absent
Last month: not named last month → this month: not named
Redacted for sample report
Reviews for Claudeheld held-out
Last month: named #2 last month → this month: named #2
Redacted for sample report
How do I check if an ENT is qualified?Claudestill absent
Last month: not named last month → this month: not named
Redacted for sample report
Is board certified?Perplexityheld
Last month: named #4 last month → this month: named #4
Redacted for sample report
Reviews for Perplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
How do I check if an ENT is qualified?Perplexityheld held-out
Last month: named #2 last month → this month: named #2
Redacted for sample report
Who to see 1 changed
Who is the best ENT in your city?Google AI Overviewheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
Best ear nose and throat doctor near your cityGoogle AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Top rated ENT specialist your metroGoogle AI Overviewstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
Which ENT should I see in Macomb County?Google AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
ENT doctor accepting new patients your cityGoogle AI Overviewstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Who is the best ENT in your city?ChatGPTstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Best ear nose and throat doctor near your cityChatGPTheld
Last month: named #3 last month → this month: named #3
Redacted for sample report
Top rated ENT specialist your metroChatGPTstill absent
Last month: not named last month → this month: not named
Redacted for sample report
Which ENT should I see in Macomb County?ChatGPTstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
ENT doctor accepting new patients your cityChatGPTstill absent held-out
Last month: not named last month → this month: not named
Redacted for sample report
Who is the best ENT in your city?Claudestill absent
Last month: not named last month → this month: not named
Redacted for sample report
Best ear nose and throat doctor near your cityGeminiheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
Top rated ENT specialist your metroGeministill absent
Last month: not named last month → this month: not named
Redacted for sample report
Which ENT should I see in Macomb County?Geminiheld
Last month: named #3 last month → this month: named #3
Redacted for sample report
ENT doctor accepting new patients your cityGeministill absent
Last month: not named last month → this month: not named
Redacted for sample report
Who is the best ENT in your city?Perplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
Best ear nose and throat doctor near your cityPerplexity▼ lost
Last month: was named #2 → this month: not named
Redacted for sample report
Top rated ENT specialist your metroPerplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
Which ENT should I see in Macomb County?Perplexityheld held-out
Last month: named #4 last month → this month: named #4
Redacted for sample report
ENT doctor accepting new patients your cityPerplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
Near me 0 changed
ENT near your second city that takes BCBSChatGPTheld
Last month: named #4 last month → this month: named #4
Redacted for sample report
Pediatric ENT your metroChatGPTstill absent
Last month: not named last month → this month: not named
Redacted for sample report
ENT near your second city that takes BCBSClaudestill absent
Last month: not named last month → this month: not named
Redacted for sample report
Pediatric ENT your metroClaudeheld
Last month: named #1 last month → this month: named #1
Redacted for sample report
ENT near your second city that takes BCBSPerplexitystill absent
Last month: not named last month → this month: not named
Redacted for sample report
Pediatric ENT your metroPerplexityheld
Last month: named #4 last month → this month: named #4
Redacted for sample report

Month-1 distribution and counts are real; month-2 per-question states are illustrative, labeled.

L3 The held-out set, our control group

defaultfeeds Insights

Twenty questions left deliberately unworked. If the worked set moves and the held-out set does not, the movement is ours. This month both moved together.

SetMonth 1Month 2Verdict
Worked (75q)32%37%,
Held out (20q)34%38%market, not us

L4 Correction ledger

defaultfeeds To-dos
FoundErrorFixedHeld?
Month 1Gemini: credential shown as MDMonth 1yes
Month 1second-location number wrongMonth 1yes
Month 1ChatGPT: “no balloon sinuplasty”, open

Engines regress. A record of what was wrong, when it was fixed and whether it stayed fixed is what compounds.

How we work together

  1. Start with the free check.

    It answers one question. When someone asks AI about a practice like yours, does your name come up? A minute of your time, nothing to pay.

  2. The report shows you where you stand.

    Across the engines your patients actually use, named or not, and exactly what is wrong. Every gap comes with the page it lives on and the copy to fix it. Nothing to interpret.

  3. Then it gets fixed.

    We can do the work, or hand it to your team ready to paste. Your call, either way.

  4. The living report proves what moved.

    The same measurement every month, so you can see which changes are real and which are just noise. No guessing, and no taking our word for it.

Questions about any of it, a real person answers at human@aeoptim.com.