Living AI Visibility Report

Living AI Visibility Report · Confidential

Ear, nose & throat · Detroit DMA · Mount Clemens & Port Huron, MI · · run 2026-07-06 vs 2026-06-05

$349 / 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

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Constant ringing in one ear, what does it mean?Google AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Sinus pressure that will not go awayGoogle AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Hoarse voice for three weeks, should I worry?Google AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Trouble swallowing and a lump feeling in my throatGoogle AI Overview▲ gained

Last month: was not named → this month: named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Ear pain when flying, is that normal?Google AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Snoring so loud my partner cannot sleepGoogle AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Dizzy when I turn my head in bedGoogle AI Overviewheld

Last month: named #1 last month → this month: named #1

For symptom questions in the Detroit metro, is one of the practices commonly listed. [SYNTHETIC ANSWER TEXT — placeholder of realistic length so a report layout can be judged. The real answers were never archived. Replace with verbatim engine output once the archive has runs in it.]

Why do my ears feel full all the time?ChatGPTheld

Last month: named #3 last month → this month: named #3

Constant ringing in one ear, what does it mean?ChatGPTstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Sinus pressure that will not go awayChatGPTstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Hoarse voice for three weeks, should I worry?ChatGPTheld held-out

Last month: named #2 last month → this month: named #2

Trouble swallowing and a lump feeling in my throatChatGPTstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Ear pain when flying, is that normal?ChatGPTstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Snoring so loud my partner cannot sleepChatGPTheld held-out

Last month: named #1 last month → this month: named #1

Dizzy when I turn my head in bedChatGPTstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Why do my ears feel full all the time?Geminiheld

Last month: named #1 last month → this month: named #1

Constant ringing in one ear, what does it mean?Geminiheld held-out

Last month: named #2 last month → this month: named #2

Sinus pressure that will not go awayGemini▲ gained

Last month: was not named → this month: named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Hoarse voice for three weeks, should I worry?Geminiheld

Last month: named #4 last month → this month: named #4

Trouble swallowing and a lump feeling in my throatGeministill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Ear pain when flying, is that normal?Perplexityheld

Last month: named #1 last month → this month: named #1

Snoring so loud my partner cannot sleepPerplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the symptom question without naming this practice. Placeholder of realistic length for layout purposes only.]

Dizzy when I turn my head in bedPerplexityheld

Last month: named #3 last month → this month: named #3

Procedure 3 changed

What is balloon sinuplasty and does it work?Google AI Overview▲ gained

Last month: was not named → this month: named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

Is a BAHA implant worth it for single sided deafness?Google AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

How long is recovery after a septoplasty?Google AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

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

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

What happens at a hearing test appointment?Google AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

Is sinus surgery painful?Google AI Overviewstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

What is balloon sinuplasty and does it work?ChatGPTstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

Is a BAHA implant worth it for single sided deafness?ChatGPTstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

How long is recovery after a septoplasty?ChatGPTheld

Last month: named #1 last month → this month: named #1

For procedure questions in the Detroit metro, is one of the practices commonly listed. [SYNTHETIC ANSWER TEXT — placeholder of realistic length so a report layout can be judged. The real answers were never archived. Replace with verbatim engine output once the archive has runs in it.]

Do adults need tonsillectomy or is that just for kids?ChatGPTstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

What happens at a hearing test appointment?ChatGPTstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

Is sinus surgery painful?ChatGPTheld

Last month: named #4 last month → this month: named #4

What is balloon sinuplasty and does it work?Perplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

Is a BAHA implant worth it for single sided deafness?Perplexity▼ lost

Last month: was named #1 → this month: not named

How long is recovery after a septoplasty?Perplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

Do adults need tonsillectomy or is that just for kids?Perplexityheld

Last month: named #3 last month → this month: named #3

What happens at a hearing test appointment?Perplexity▲ gained

Last month: was not named → this month: named

[SYNTHETIC ANSWER TEXT — engine answered the procedure question without naming this practice. Placeholder of realistic length for layout purposes only.]

Is sinus surgery painful?Perplexityheld

Last month: named #1 last month → this month: named #1

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

[SYNTHETIC ANSWER TEXT — engine answered the cost question without naming this practice. Placeholder of realistic length for layout purposes only.]

Does Medicare cover hearing aids in Michigan?Google AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the cost question without naming this practice. Placeholder of realistic length for layout purposes only.]

ENT visit cost with high deductible planGoogle AI Overviewstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the cost question without naming this practice. Placeholder of realistic length for layout purposes only.]

How much does balloon sinuplasty cost without insurance?ChatGPT▲ gained

Last month: was not named → this month: named

[SYNTHETIC ANSWER TEXT — engine answered the cost question without naming this practice. Placeholder of realistic length for layout purposes only.]

Does Medicare cover hearing aids in Michigan?ChatGPTstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the cost question without naming this practice. Placeholder of realistic length for layout purposes only.]

ENT visit cost with high deductible planClaudeheld

Last month: named #1 last month → this month: named #1

For cost questions in the Detroit metro, is one of the practices commonly listed. [SYNTHETIC ANSWER TEXT — placeholder of realistic length so a report layout can be judged. The real answers were never archived. Replace with verbatim engine output once the archive has runs in it.]

How much does balloon sinuplasty cost without insurance?Perplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the cost question without naming this practice. Placeholder of realistic length for layout purposes only.]

Does Medicare cover hearing aids in Michigan?Perplexityheld

Last month: named #3 last month → this month: named #3

ENT visit cost with high deductible planPerplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the cost question without naming this practice. Placeholder of realistic length for layout purposes only.]

Comparison 1 changed

ENT versus allergist for chronic congestionGoogle AI Overviewstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the compare question without naming this practice. Placeholder of realistic length for layout purposes only.]

Audiologist or ENT for hearing loss?Google AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the compare question without naming this practice. Placeholder of realistic length for layout purposes only.]

Urgent care or ENT for a bad ear infectionGoogle AI Overview▲ gained

Last month: was not named → this month: named

[SYNTHETIC ANSWER TEXT — engine answered the compare question without naming this practice. Placeholder of realistic length for layout purposes only.]

ENT versus allergist for chronic congestionClaudestill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the compare question without naming this practice. Placeholder of realistic length for layout purposes only.]

Audiologist or ENT for hearing loss?Claudeheld

Last month: named #3 last month → this month: named #3

For compare questions in the Detroit metro, is one of the practices commonly listed. [SYNTHETIC ANSWER TEXT — placeholder of realistic length so a report layout can be judged. The real answers were never archived. Replace with verbatim engine output once the archive has runs in it.]

Urgent care or ENT for a bad ear infectionClaudestill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the compare question without naming this practice. Placeholder of realistic length for layout purposes only.]

ENT versus allergist for chronic congestionPerplexityheld

Last month: named #1 last month → this month: named #1

Audiologist or ENT for hearing loss?Perplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the compare question without naming this practice. Placeholder of realistic length for layout purposes only.]

Urgent care or ENT for a bad ear infectionPerplexitystill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the compare question without naming this practice. Placeholder of realistic length for layout purposes only.]

Trust & credentials 0 changed

Is board certified?ChatGPTheld

Last month: named #1 last month → this month: named #1

For trust questions in the Detroit metro, is one of the practices commonly listed. [SYNTHETIC ANSWER TEXT — placeholder of realistic length so a report layout can be judged. The real answers were never archived. Replace with verbatim engine output once the archive has runs in it.]

Reviews for ChatGPTstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the trust question without naming this practice. Placeholder of realistic length for layout purposes only.]

How do I check if an ENT is qualified?ChatGPTstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the trust question without naming this practice. Placeholder of realistic length for layout purposes only.]

Is board certified?Claudestill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the trust question without naming this practice. Placeholder of realistic length for layout purposes only.]

Reviews for Claudeheld held-out

Last month: named #2 last month → this month: named #2

How do I check if an ENT is qualified?Claudestill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the trust question without naming this practice. Placeholder of realistic length for layout purposes only.]

Is board certified?Perplexityheld

Last month: named #4 last month → this month: named #4

Reviews for Perplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the trust question without naming this practice. Placeholder of realistic length for layout purposes only.]

How do I check if an ENT is qualified?Perplexityheld held-out

Last month: named #2 last month → this month: named #2

Who to see 1 changed

Who is the best ENT in Mount Clemens, MI?Google AI Overviewheld

Last month: named #1 last month → this month: named #1

For who questions in the Detroit metro, is one of the practices commonly listed. [SYNTHETIC ANSWER TEXT — placeholder of realistic length so a report layout can be judged. The real answers were never archived. Replace with verbatim engine output once the archive has runs in it.]

Best ear nose and throat doctor near Mount Clemens, MIGoogle AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Top rated ENT specialist Detroit areaGoogle AI Overviewstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Which ENT should I see in Macomb County?Google AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

ENT doctor accepting new patients Mount Clemens, MIGoogle AI Overviewstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Who is the best ENT in Mount Clemens, MI?ChatGPTstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Best ear nose and throat doctor near Mount Clemens, MIChatGPTheld

Last month: named #3 last month → this month: named #3

Top rated ENT specialist Detroit areaChatGPTstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Which ENT should I see in Macomb County?ChatGPTstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

ENT doctor accepting new patients Mount Clemens, MIChatGPTstill absent held-out

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Who is the best ENT in Mount Clemens, MI?Claudestill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Best ear nose and throat doctor near Mount Clemens, MIGeminiheld

Last month: named #1 last month → this month: named #1

Top rated ENT specialist Detroit areaGeministill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Which ENT should I see in Macomb County?Geminiheld

Last month: named #3 last month → this month: named #3

ENT doctor accepting new patients Mount Clemens, MIGeministill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Who is the best ENT in Mount Clemens, MI?Perplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Best ear nose and throat doctor near Mount Clemens, MIPerplexity▼ lost

Last month: was named #2 → this month: not named

Top rated ENT specialist Detroit areaPerplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Which ENT should I see in Macomb County?Perplexityheld held-out

Last month: named #4 last month → this month: named #4

ENT doctor accepting new patients Mount Clemens, MIPerplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the who question without naming this practice. Placeholder of realistic length for layout purposes only.]

Near me 0 changed

ENT near Port Huron that takes BCBSChatGPTheld

Last month: named #4 last month → this month: named #4

For local questions in the Detroit metro, is one of the practices commonly listed. [SYNTHETIC ANSWER TEXT — placeholder of realistic length so a report layout can be judged. The real answers were never archived. Replace with verbatim engine output once the archive has runs in it.]

Pediatric ENT DetroitChatGPTstill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the local question without naming this practice. Placeholder of realistic length for layout purposes only.]

ENT near Port Huron that takes BCBSClaudestill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the local question without naming this practice. Placeholder of realistic length for layout purposes only.]

Pediatric ENT DetroitClaudeheld

Last month: named #1 last month → this month: named #1

ENT near Port Huron that takes BCBSPerplexitystill absent

Last month: not named last month → this month: not named

[SYNTHETIC ANSWER TEXT — engine answered the local question without naming this practice. Placeholder of realistic length for layout purposes only.]

Pediatric ENT DetroitPerplexityheld

Last month: named #4 last month → this month: named #4

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.

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

L4 Correction ledger

defaultfeeds To-dos

Found	Error	Fixed	Held?
Month 1	Gemini: credential shown as MD	Month 1	yes
Month 1	Port Huron number wrong	Month 1	yes
Month 1	ChatGPT: “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

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.
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.
Then it gets fixed.

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

The verdict month 2 vs month 1

L1 Per engine, against last month

L2 Question ledger, what moved

L3 The held-out set, our control group

L4 Correction ledger

How we work together

Start with the free check.

The report shows you where you stand.

Then it gets fixed.

The living report proves what moved.