Ear, nose & throat · your DMA · your city & your second city ·
· up to 5 locations
$450 base · add-ons $30 (Competitors $100)
Insights assembled from the sections below
A2 Visibility swings 8%→56% across engines in a single run, the spread is the story, not the average.
A6·A7 Gemini states the wrong credential (MD vs D.O.) and fails the NPI check, a confident error on a licensed professional.
A11 In the booking simulation you surface but lose the first-choice slot to on review volume.
A14 When patients ask if you take BCBS, the engines don't know, coverage answers about you are absent.
A8 A named contact number rings a closed office.
S6 · add-on Three competitors are quoted as sources by ChatGPT, Perplexity and Gemini; you are cited by none.
What’s in this build
Your Workup is the defaults (always included) plus the add-ons you pick at order time. This sample renders every section so you can see the whole menu, the Insights above and the To-dos below recompose from exactly what you include. live now = the data ships today; on the roadmap = the section is in the build, its data lands on the schedule in the master plan.
☑ S6 Competitors $99☐ S5 Local pack $29☐ S7 Review architecture $29☐ S11 SEO / keyword plan $29☐ S10 Procedure demand $29☐ A9 Refusal rate $29☐ A10 Person vs practice $29☐ A13 Sentiment provenance $29
In this sample, Competitors ($100) is the selected add-on, watch its findings flow into the Insights, To-dos and Execution bookends, tagged S6 · add-on.
Part one, The Ask
A1 Named-in rate, the headline band
defaultlive nowfeeds InsightsExecution
Named in 33% of runs ± 5
Floor: 24 of 95 questions named you in all five runs. Those are yours.
A2 Per engine, never blended
defaultlive nowfeeds InsightsTo-dos
Google AI Overview8%±5·n=25
ChatGPT31%±9·n=26
Claude40%±15·n=10
Gemini56%±17·n=9
Perplexity48%±10·n=25
Gemini 56% carries the widest band (n=9): its 39–72% overlaps Perplexity 38–58%. Not distinguishable. Google AI Overview 8%±5 is the one clear signal, and the engine most patients see.
A3 Question ledger, the patient's journey
defaultlive nowfeeds InsightsTo-dosExecution
All 95 questions in journey order, symptom first. Click any question to read the engine's actual answer. Misses are flagged, they're the work.
Symptom 9/24 named
Why do my ears feel full all the time?Google AI Overviewnot named
Redacted for sample report
Constant ringing in one ear, what does it mean?Google AI Overviewnot named
Redacted for sample report
Sinus pressure that will not go awayGoogle AI Overviewnot named
Redacted for sample report
Hoarse voice for three weeks, should I worry?Google AI Overviewnot named
Redacted for sample report
Trouble swallowing and a lump feeling in my throatGoogle AI Overviewnot named
Redacted for sample report
Ear pain when flying, is that normal?Google AI Overviewnot named
Redacted for sample report
Snoring so loud my partner cannot sleepGoogle AI Overviewnot named
Redacted for sample report
Dizzy when I turn my head in bedGoogle AI Overviewnamed #1
Redacted for sample report
Why do my ears feel full all the time?ChatGPTnamed #3
Redacted for sample report
Constant ringing in one ear, what does it mean?ChatGPTnot named
Redacted for sample report
Sinus pressure that will not go awayChatGPTnot named
Redacted for sample report
Hoarse voice for three weeks, should I worry?ChatGPTnamed #2
Redacted for sample report
Trouble swallowing and a lump feeling in my throatChatGPTnot named
Redacted for sample report
Ear pain when flying, is that normal?ChatGPTnot named
Redacted for sample report
Snoring so loud my partner cannot sleepChatGPTnamed #1
Redacted for sample report
Dizzy when I turn my head in bedChatGPTnot named
Redacted for sample report
Why do my ears feel full all the time?Gemininamed #1
Redacted for sample report
Constant ringing in one ear, what does it mean?Gemininamed #2
Redacted for sample report
Sinus pressure that will not go awayGemininot named
Redacted for sample report
Hoarse voice for three weeks, should I worry?Gemininamed #4
Redacted for sample report
Trouble swallowing and a lump feeling in my throatGemininot named
Redacted for sample report
Ear pain when flying, is that normal?Perplexitynamed #1
Redacted for sample report
Snoring so loud my partner cannot sleepPerplexitynot named
Redacted for sample report
Dizzy when I turn my head in bedPerplexitynamed #3
Redacted for sample report
Procedure 5/18 named
What is balloon sinuplasty and does it work?Google AI Overviewnot named
Redacted for sample report
Is a BAHA implant worth it for single sided deafness?Google AI Overviewnot named
Redacted for sample report
How long is recovery after a septoplasty?Google AI Overviewnot named
Redacted for sample report
Do adults need tonsillectomy or is that just for kids?Google AI Overviewnot named
Redacted for sample report
What happens at a hearing test appointment?Google AI Overviewnot named
Redacted for sample report
Is sinus surgery painful?Google AI Overviewnot named
Redacted for sample report
What is balloon sinuplasty and does it work?ChatGPTnot named
Redacted for sample report
Is a BAHA implant worth it for single sided deafness?ChatGPTnot named
Redacted for sample report
How long is recovery after a septoplasty?ChatGPTnamed #1
Redacted for sample report
Do adults need tonsillectomy or is that just for kids?ChatGPTnot named
Redacted for sample report
What happens at a hearing test appointment?ChatGPTnot named
Redacted for sample report
Is sinus surgery painful?ChatGPTnamed #4
Redacted for sample report
What is balloon sinuplasty and does it work?Perplexitynot named
Redacted for sample report
Is a BAHA implant worth it for single sided deafness?Perplexitynamed #1
Redacted for sample report
How long is recovery after a septoplasty?Perplexitynot named
Redacted for sample report
Do adults need tonsillectomy or is that just for kids?Perplexitynamed #3
Redacted for sample report
What happens at a hearing test appointment?Perplexitynot named
Redacted for sample report
Is sinus surgery painful?Perplexitynamed #1
Redacted for sample report
Cost & insurance 2/9 named
How much does balloon sinuplasty cost without insurance?Google AI Overviewnot named
Redacted for sample report
Does Medicare cover hearing aids in your state?Google AI Overviewnot named
Redacted for sample report
ENT visit cost with high deductible planGoogle AI Overviewnot named
Redacted for sample report
How much does balloon sinuplasty cost without insurance?ChatGPTnot named
Redacted for sample report
Does Medicare cover hearing aids in your state?ChatGPTnot named
Redacted for sample report
ENT visit cost with high deductible planClaudenamed #1
Redacted for sample report
How much does balloon sinuplasty cost without insurance?Perplexitynot named
Redacted for sample report
Does Medicare cover hearing aids in your state?Perplexitynamed #3
Redacted for sample report
ENT visit cost with high deductible planPerplexitynot named
Redacted for sample report
Comparison 2/9 named
ENT versus allergist for chronic congestionGoogle AI Overviewnot named
Redacted for sample report
Audiologist or ENT for hearing loss?Google AI Overviewnot named
Redacted for sample report
Urgent care or ENT for a bad ear infectionGoogle AI Overviewnot named
Redacted for sample report
ENT versus allergist for chronic congestionClaudenot named
Redacted for sample report
Audiologist or ENT for hearing loss?Claudenamed #3
Redacted for sample report
Urgent care or ENT for a bad ear infectionClaudenot named
Redacted for sample report
ENT versus allergist for chronic congestionPerplexitynamed #1
Redacted for sample report
Audiologist or ENT for hearing loss?Perplexitynot named
Redacted for sample report
Urgent care or ENT for a bad ear infectionPerplexitynot named
Redacted for sample report
Trust & credentials 4/9 named
Is board certified?ChatGPTnamed #1
Redacted for sample report
Reviews for ChatGPTnot named
Redacted for sample report
How do I check if an ENT is qualified?ChatGPTnot named
Redacted for sample report
Is board certified?Claudenot named
Redacted for sample report
Reviews for Claudenamed #2
Redacted for sample report
How do I check if an ENT is qualified?Claudenot named
Redacted for sample report
Is board certified?Perplexitynamed #4
Redacted for sample report
Reviews for Perplexitynot named
Redacted for sample report
How do I check if an ENT is qualified?Perplexitynamed #2
Redacted for sample report
Who to see 6/20 named
Who is the best ENT in your city?Google AI Overviewnamed #1
Redacted for sample report
Best ear nose and throat doctor near your cityGoogle AI Overviewnot named
Redacted for sample report
Top rated ENT specialist your metroGoogle AI Overviewnot named
Redacted for sample report
Which ENT should I see in Macomb County?Google AI Overviewnot named
Redacted for sample report
ENT doctor accepting new patients your cityGoogle AI Overviewnot named
Redacted for sample report
Who is the best ENT in your city?ChatGPTnot named
Redacted for sample report
Best ear nose and throat doctor near your cityChatGPTnamed #3
Redacted for sample report
Top rated ENT specialist your metroChatGPTnot named
Redacted for sample report
Which ENT should I see in Macomb County?ChatGPTnot named
Redacted for sample report
ENT doctor accepting new patients your cityChatGPTnot named
Redacted for sample report
Who is the best ENT in your city?Claudenot named
Redacted for sample report
Best ear nose and throat doctor near your cityGemininamed #1
Redacted for sample report
Top rated ENT specialist your metroGemininot named
Redacted for sample report
Which ENT should I see in Macomb County?Gemininamed #3
Redacted for sample report
ENT doctor accepting new patients your cityGemininot named
Redacted for sample report
Who is the best ENT in your city?Perplexitynot named
Redacted for sample report
Best ear nose and throat doctor near your cityPerplexitynamed #2
Redacted for sample report
Top rated ENT specialist your metroPerplexitynot named
Redacted for sample report
Which ENT should I see in Macomb County?Perplexitynamed #4
Redacted for sample report
ENT doctor accepting new patients your cityPerplexitynot named
Redacted for sample report
Near me 3/6 named
ENT near your second city that takes BCBSChatGPTnamed #4
Redacted for sample report
Pediatric ENT your metroChatGPTnot named
Redacted for sample report
ENT near your second city that takes BCBSClaudenot named
Redacted for sample report
Pediatric ENT your metroClaudenamed #1
Redacted for sample report
ENT near your second city that takes BCBSPerplexitynot named
Redacted for sample report
Pediatric ENT your metroPerplexitynamed #4
Redacted for sample report
Answer text is synthetic placeholder, real per-query answers begin with the archive live this month. Distribution and counts are real.
A4 Who shows for “near me”
defaultlive nowfeeds InsightsTo-dos
Near-me ask
Named instead
You?
“best ENT near your city”
·
not named
“ent near me” (your second city)
named #3
Per location, repeats for each of up to 5 sites.
A5 Because-clause, why they name who they name
defaulton the roadmapfeeds InsightsExecution
“…board-certified otolaryngology, two locations, strong balloon-sinuplasty coverage.”Perplexity · the reason it gave · MOCKUP TEXT
We already pay for the “why” on every call. Nobody else captures it.
A6 Answer accuracy ledger
defaulton the roadmapfeeds InsightsTo-dos
Is what the engine says about you true. For a licensed practice a confident error beats absence.
Engine
Said
Actually
ChatGPT
“does not perform balloon sinuplasty”
Listed service
Gemini
“, MD”
D.O., not MD
A7 Registry identity, NPI / bar / CRD
defaulton the roadmapfeeds InsightsTo-dos
The engine's claimed credential checked against the public registry. NPI (medical), state bar (legal), CRD (wealth). Gemini's “MD” fails the NPI check · the pair to A6.
A8 The handoff, does the named contact work
defaulton the roadmapfeeds To-dosExecution
Gemini gives the second-location number. It rings the old office. A mention that ends nowhere is worth nothing. Checked for all 5 sites.
A11 Booking simulation, the patient's real journey
defaultlive nowfeeds InsightsExecution
The headline section. We run the actual multi-turn conversation a patient has, first question to booking choice, and show it verbatim. Nobody else ships this at this price.
Patient
I've had sinus pressure and headaches for three weeks near your city. Who should I see?
ChatGPT
For persistent sinus pressure you'd want an ENT (otolaryngologist). Options in the your city area include , , and , who offers balloon sinuplasty.you were named
Patient
Of those, which would you book first?
ChatGPT
is frequently recommended for sinus issues, with a large review base and multiple sub-specialists. I'd start there, then consider if you want balloon sinuplasty specifically.named, but not first choice
Outcome: surfaced ✓ · named first ✗ · lost the first-choice slot to on review volume. One simulation per location.
A14 Coverage & cost visibility
defaulton the roadmapfeeds InsightsTo-dosExecution
Cost and coverage are the #1 anxiety in YMYL, and the questions patients ask most.
When they ask an engine, is the answer about YOU present, correct, or absent? Nobody reports this.
Patient asks
Engine
Answer about you
Reality
"Does take Blue Cross Blue Shield?"
ChatGPT
absent, no coverage info
Accepts BCBS, Aetna, Medicare
"Balloon sinuplasty cost without insurance?"
Perplexity
generic national range, not you
No published self-pay price
"Is an ENT visit covered by Medicare in your state?"
Gemini
correct, but doesn't name you
,
Plans and self-pay pricing can differ per location, checked for each. Legal equivalent: fee structure & free-consult; wealth: fee-only vs commission, minimums.
A12 Citation source stack + listing accuracy
defaultlive nowfeeds To-dosExecution
The third-party sites the engines lean on (Healthgrades, Zocdoc, NPI registry), each joined to whether your listing there is correct. The join is the ownable half.
A9 Refusal & deflection rate
add-on · $29on the roadmapfeeds Insights
Engines named no local practice at all in 18% of the 95 questions, market context, DMA-level.
A10 Person vs practice gap
add-on · $29on the roadmapfeeds InsightsTo-dos
named in 22% of by-name asks; the practice name in 31%. The person trails the brand.
A13 Sentiment provenance
add-on · $29on the roadmapfeeds InsightsTo-dos
When an engine calls you “slow,” which reviews it's echoing and how old. Sources sentiment instead of scoring it.
Part two, The Search
S1 Top branded keywords
defaultlive nowfeeds Insights
Keyword
Monthly (DMA)
Position
KD
260
1
0
50
2
0
S2 Top non-branded keywords
defaultlive nowfeeds InsightsTo-dos
Keyword
Monthly (DMA)
Position
KD
ent care of your state
720
52
34
does tylenol help ear infection
590
22
8
does tylenol help with ear infections
590
32
0
advil for ear infection
480
41
5
medicine for fluid in ear
320
56
17
your second city ent
260
2
0
best medicine for ear fluid
170
29
30
ear fluid medicine
140
23
29
S3 Demand you’re absent from
defaultlive nowfeeds InsightsTo-dosExecution
Keyword
Monthly (DMA)
Competition
KD
ent near me
2900
MEDIUM
42
ent MI
590
LOW
27
ent appointment
30
MEDIUM
11
ent reviews
10
UNKNOWN
15
ent near me opens 2,900 DMA searches/mo and you’re absent.
S4 Journey ladder, question-share
defaultlive nowfeeds InsightsTo-dosExecution
Your site answers 9 of the 40 questions on the way to booking. Filled at the bottom (branded), hollow at the top (symptom).
S8 Trust & schema audit
defaultlive nowfeeds To-dosExecution
Structured data, NAP consistency, credentials inline, the gate E-E-A-T turns on. From your run:
Signal
Status
Why it matters
NAP consistency across surfaces
Partial
Name, address, and phone (NAP) alignment across GBP, Healthgrades, Yelp, and Vitals wasn't fully verified this run , any mismatch here undermines directory citations
GBP categories filled
Not verified
Primary and secondary category selection directly affects which "near me" queries trigger your listing
Schema markup on service pages
Missing (likely)
No structured-data markup was detected on the pages reviewed; AI engines and Google parse schema to extract procedure and provider facts
Provider credentials surfaced inline
Partial
Credentials appear in some areas of the site but aren't consistently formatted alongside each service or procedure description
Year founded / years in practice
Not prominent
Longevity is a trust signal; if the practice has decades in your city, that number should be visible above the fold
Insurance accepted listed
Not verified
Patients filter by insurance before they call; a visible, current list removes a friction point that otherwise kills the conversion
Real signals from the 2026-06-05 pull. NAP re-checked per location.
S9 Provider findability
defaultlive nowfeeds InsightsTo-dos
Can each named practitioner be found and credential-verified across the engines. From your run:
Signal
Status
Provider ranks for own name (branded query)
Present , `` ranks #1
Credentials surfaced as visible HTML text
Not verifiable this run
Physician schema on provider bio pages
Not verifiable this run
Booking path on provider bio
Not verifiable this run
Real signals from the run. One row per provider in the live report.
S6 Competitors
add-on · $99live nowfeeds InsightsTo-dosExecution
The $100 add-on, built from your run. This is source citation · whose site the
engines quote as evidence, a different lineage from being named in the answer. You are named in
33% of answers (A1), but as a cited source you appear in 0 of 5 engines while each tracked
competitor is cited by three. That gap is the work. DMA-scoped, shared across locations.
Cited as a source by…
GAIO
ChatGPT
Claude
Gemini
Perplexity
Total
Competitor 1
·
✓
·
✓
✓
3/5
Competitor 2
·
✓
·
✓
✓
3/5
Competitor 3
·
✓
✓
✓
·
3/5
(you)
·
·
·
·
·
0/5
Real data: the per-engine citation booleans are from your 2026-06-05 workup pull.
Competitor identities are withheld in this sample; the live add-on names them.
What to do about it
Three competitors are quoted as sources by ChatGPT, Perplexity and Gemini; you by
none. Closing it means becoming quotable: procedure-level pages an engine can cite, schema it can
parse, and third-party listings (Healthgrades, Zocdoc, the NPI registry) that agree with your site.
S5 Local pack / map presence
add-on · $29on the roadmapfeeds InsightsTo-dos
Google local-pack and map rank per location, grid-sampled across the DMA. BrightLocal/Local Falcon's whole product, an add-on for us. Build item.
S7 Review architecture
add-on · $29on the roadmapfeeds InsightsTo-dosExecution
Counts, velocity, on-site review surface, per location. Review counts are a capture gap today, build item.
S11 SEO & keyword recommendation
add-on · $29live nowfeeds InsightsTo-dosExecution
A prioritized keyword plan: the terms with real DMA demand you can rank for, scored by opportunity (volume vs difficulty vs what you already have), each mapped to the page that should target it. Built from your ranking gaps and what competitors optimize for.
Keyword
Monthly (DMA)
KD
Target page
Priority
ent near me
2,900
42
homepage + local pages
high
balloon sinuplasty your state
320
18
balloon-sinuplasty page
quick win
sinus doctor macomb
210
12
new symptom page
quick win
Placeholder rows. DMA-scoped, mapped to real pages.
S10 Procedure / service demand
add-on · $29live nowfeeds InsightsExecution
DMA search volume per service line, balloon sinuplasty, BAHA, thyroid, so content targets real demand.
To-dos & Execution assembled from the sections above
30 days
A6·A7 Correct the credential at source; reconcile the NPI record.
A8 Fix the second-location number on every profile.
A14 Publish accepted-insurance and self-pay pricing where engines can read it.
S3 Publish the four highest-demand symptom answers.
60 days
A12 Correct listings on the sources the engines actually cite.
S8 Credentials inline on service pages; schema on each.
S6 · add-on Become a quotable source where the three cited competitors already are.
90 days
A3·A11 Re-run the ledger and the booking simulation; measure movement against baseline.
S6 · add-on Re-check competitor displacement on the near-me asks.
Add-on sections fold their own insights, to-dos and execution lines into these
bookends when selected. This deliverable shows every section; a live Workup carries the
defaults ($450) plus whichever add-ons the buyer selects ($30 each · Competitors $100).
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.