Best PPC Agencies for Medium Business (2026) – Ranked by Case Studies

Cannonball Digital Visit Website →

Bierschbach Equipment & Supply Client-verified

PPC, SEO

Heavy Equipment

51-200 Employees

N/A

Sioux Falls, SD

N/A

Website phone calls +143% during the campaign
Application clicks +107%
Careers page traffic +63%
650 clicks from Google Demand Gen ads, 13% lead conversion rate
3 positions filled

Landscape Garden Center Client-verified

PPC, SEO, Email Marketing

Landscaping

51-200 Employees

N/A

Sioux Falls, SD

N/A

Google Map visibility +100% (average rank from #5 to #2)
116 locally ranked keywords, 35 in the #1 position
Website sessions from Google Ads +57% year over year
Project request form submissions +23%
Brand searches +13% and overall search visibility +34%

RYNO Strategic Solutions Visit Website →

Blind & Sons, Inc. Client-verified

SEO, PPC

Home Services

51-200 Employees

N/A

Barberton, OH

N/A

54% increase in leads from SEO
252% increase in leads from PPC
194% total lead increase from digital marketing

Penguin Air, Plumbing & Electrical Client-verified

Web Design, SEO, PPC

Home Services

51-200 Employees

N/A

Phoenix, AZ

N/A

Grew from a $13M business to $30M (2020 to 2023)
$34M+ revenue generated from digital marketing in four years
Digital marketing accounted for 50%+ of company revenue over four years

KlientBoost Visit Website →

Kiddom Client-verified

Social Media Ads, PPC, Web Design, CRO

Education

51-200 Employees

N/A

San Francisco, CA

N/A

923% Increase in Teacher Signups
52% Decrease in CPA for Teacher Signups
145% Increase in Enterprise Demos
41% Decrease in CPA for Enterprise Demos

Crime Intervention Alarm

PPC

Home Security

51-200 Employees

N/A

York, PA

N/A

37% Increase in Conversion Rate
32% Increase in Conversions
30% Decrease in CPA

Dennis Carpenter Ford Restorations

PPC

Automotive

51-200 Employees

N/A

Concord, NC

N/A

39% Increase in Revenue
160% Increase in CTR
118% Increase in ROAS

LOCALiQ Visit Website →

Aubuchon Homes & Miloff Aubuchon Realty Client-verified

PPC, Social Media Ads, Email Marketing

Real Estate

51-200 Employees

N/A

Cape Coral, FL

N/A

300% increase in social ad leads
42% increase in average home sale price
2,300+ clicks on social ads in 2 months

PowerLift Hydraulic Doors

PPC, Social Media Ads

Manufacturing

51-200 Employees

N/A

Lake Benton, MN

N/A

81% lower Search Ads CPC than industry average
46% increase in lead form conversions MoM
145% increase in SMS leads within a 60-day period

TouchSource

PPC, Social Media Ads, SEO

Technology

51-200 Employees

N/A

Lafayette, CO

N/A

50 Contacts in 2 Months
96% Reduction in Cost Per Lead
7K Clicks on Facebook Ads in 2 Months

NoGood Visit Website →

unspun Client-verified

PPC, CRO, Content Marketing

Fashion

51-200 Employees

N/A

San Francisco, CA

N/A

28% YoY Increase in Conversion Rate
1,109% Increase in Revenue From Google Ads
18% Decrease in CAC on Meta Ads

Cameo

Social Media Ads, PPC

Entertainment

51-200 Employees

N/A

Chicago, IL

N/A

102% YoY Increase in Paid Revenue
55% YoY Increase in Spend
52% YoY Increase in CVR
113% Meta Revenue Growth to $4.9M

Inflection AI

PPC, CRO

SaaS

51-200 Employees

N/A

Palo Alto, CA

N/A

40% Decrease in Cost Per Account Creation
300% Increase in App Downloads
106% Increase in CTR

Forthea Digital Marketing Visit Website →

Paul Davis Client-verified

PPC, SEO, GEO

Home Services

51-200 Employees

N/A

Jacksonville, FL

N/A

731% ROI from digital marketing
Franchise locations see a 3x to 7x return on investment
Milwaukee location: 1 to 61 AI Overview appearances and 59% more calls

Helfman Auto Group

PPC

Automotive

51-200 Employees

N/A

Houston, TX

N/A

28% decrease in cost per click
274% increase in click-through rate
89% decrease in PPC bounces

iHealth

PPC

Healthcare

51-200 Employees

N/A

Sunnyvale, CA

N/A

717% ROAS
38% decrease in cost per unit
300,000 units sold

CB/I Digital Visit Website →

Hammitt Client-verified

PPC

Fashion

51-200 Employees

N/A

Hermosa Beach, CA

N/A

Revenue +243% YoY within 9 months
September 2021 revenue more than 3x January
Google Shopping revenue doubled and orders +50%

Kyte

PPC

Car Rental

51-200 Employees

N/A

San Francisco, CA

N/A

Revenue +273% in 6 months
Request-a-quote +534%
Bookings +186%

Wowza Media System

PPC

Technology

51-200 Employees

N/A

Golden, CO

N/A

Cost per lead -30% with higher lead acquisition

Major Tom Visit Website →

Loeffler Randall Client-verified

PPC, CRO

Fashion

51-200 Employees

N/A

New York, NY

N/A

152% increase in conversion rates
40% increase in ROAS
20% increase in transactions

Phantom Screens

SEO, PPC

Manufacturing

51-200 Employees

N/A

Abbotsford, Canada

N/A

16,000+ qualified leads
3.4M impressions across the U.S. and Canada
5% conversion rate on the main product line

Law Quill Visit Website →

King Law Offices Client-verified

SEO, Local SEO, PPC

Law Firm

51-200 Employees

N/A

Forest City, NC

N/A

34% increase in organic client acquisition in 3 months
$130K in additional monthly revenue within 3 months
26K top-ranking keywords across search engines and AI
Revenue from the first 3 months more than covered annual marketing fees

TripleDart Digital Visit Website →

Fyle Client-verified

PPC, Lead Generation

SaaS

51-200 Employees

N/A

Newark, DE

N/A

Demos booked +34% and cost per demo down 27%
Paid search revenue +30%
Search impressions nearly doubled

Big Sea Visit Website →

Champions for Children Client-verified

Web Design, Email Marketing, PPC

Non Profit

51-200 Employees

N/A

Tampa, FL

N/A

75% increase in online conversions
145% increase in unique donors
115% increase in revenue
30% increase in donations from fundraisers

Fu Dog Media Visit Website →

Ultra Select Medical Client-verified

PPC, SEO

Medical Device

51-200 Employees

N/A

North Charleston, SC

N/A

Revenue grew from $2M to nearly $10M per year
Return grew from 2-3x to 6-7x per quarter

scandiweb Visit Website →

Felco Client-verified

PPC, SEO, GEO

Manufacturing

51-200 Employees

N/A

Les Geneveys-sur-Coffrane, Switzerland

N/A

Doubling DTC Revenue for a 75-Year-Old Swiss Tool Brand in 6 Months
Discover how scandiweb helped FELCO grow DTC revenue by 108% in 6 months through integrated PPC, SEO, AEO, email, and CX campaign

Digital Neighbor - SEO Agency Visit Website →

Decks & Docks Lumber Company Client-verified

PPC, SEO

Construction

51-200 Employees

N/A

Clearwater, FL

N/A

Google Ads impressions up 2,176% to 2.16M, 2021 to 2022
Ad clicks up 78%, to 15,225
Ad conversions up 120%, to 2,393
Cost per acquisition down 39% and cost per click down 25%
Earlier SEO work drove 658% more website traffic

Milia Marketing Visit Website →

Cutting Edge Countertops Client-verified

PPC, SEO

Manufacturing

51-200 Employees

N/A

Perrysburg, OH

N/A

Conversions +24% by February, +40% by March and +25% in April
44,185 organic sessions and 18,143 paid search sessions
195K overall web sessions
Average CTR 5.03%

Rocket Clicks Visit Website →

Sterling Lawyers (Paid Search & SEO) Client-verified

PPC, SEO, Local SEO

Law Firm

51-200 Employees

N/A

Menomonee Falls, WI

N/A

1,233% return on marketing spend since 2014

Geeks360 Visit Website →

Christina Cosmeceuticals Client-verified

PPC, Social Media Ads, Content Marketing

Skincare

51-200 Employees

N/A

Petah Tikva, Israel

N/A

-55% overall CPA across all channels
+452% Google Ads ROAS
+230% Meta Ads ROAS
+36% Google Ads conversion rate

Home Care Marketing Pros Visit Website →

HomeChoice Home Care Client-verified

SEO, PPC, Email Marketing

Senior Care

51-200 Employees

N/A

Raleigh, NC

N/A

Conversion rate of roughly 35% held on rising lead volume
Search rankings held steady instead of sliding

Amazon Growth Lab Visit Website →

Brooklinen Client-verified

PPC, CRO

Bedding

51-200 Employees

N/A

Brooklyn, NY

N/A

7 figures in 30 days with half the ad spend
Listing, SEO and advertising overhaul

Coalition Technologies Visit Website →

Liven Co.

PPC, SEO

Jewelry

51-200 Employees

N/A

Melbourne, Australia

N/A

$10,501.52
46.84% Increase in Sessions
107.25% Increase in Revenue

Found Animals Foundation

PPC, SEO

Non Profit

51-200 Employees

N/A

Los Angeles, CA

N/A

73% Increase in Yearly Organic Sessions
39% Increase in Overall Sessions
236,223 Sessions

Velvet Co.

PPC, SEO

B2B

51-200 Employees

N/A

Culver City, CA

N/A

1,094.91% Increase in Organic Sessions
129.90% Increase in Organic Revenue
736.36% Increase in Sessions
921.23% Increase in Revenue Than the Previous Year
1,027.27% Increase in Total Transactions

WebFX Visit Website →

Calhoun Super Structure

SEO, PPC

Manufacturing

51-200 Employees

N/A

Tara, Canada

N/A

210% Increase in Online Lead Conversions
30% ROI Increase from SEM
74% Increase in Users
21% Decrease in Bounce Rate

Net Friends

SEO, PPC

MSP

51-200 Employees

N/A

Durham, NC

N/A

96% Increase in Organic Sessions YoY
2X INCREASE IN WEBSITE TRAFFIC AND LEADS

PowerGistics

SEO, PPC

Manufacturing

51-200 Employees

N/A

Columbus, WI

N/A

77% YoY INCREASE IN ORGANIC SEARCH SESSIONS
19% YoY INCREASE IN ORGANIC PRODUCT PAGE VIEWS

Black Propeller Visit Website →

Buildkite

PPC

SaaS

51-200 Employees

N/A

Melbourne, Australia

N/A

59% decrease in cost per MQL in 1 month
696% quarter-over-quarter increase in MQLs
20% increase in MQLs in 1 month

NRG Clean Power

PPC

Energy

51-200 Employees

N/A

Canoga Park, CA

N/A

309% increase in leads
$147,822 in closed-won revenue
9.87x ROAS

Olde Wood Limited

PPC

Construction

51-200 Employees

N/A

Magnolia, OH

N/A

120% year-over-year increase in conversions
75% improvement in conversion rate
8% drop in cost per conversion

Cardinal Digital Marketing Visit Website →

Galter LifeCenter

PPC

Gym

51-200 Employees

N/A

Chicago, IL

N/A

Under $22 Average Cost-Per-Lead
33% Increase in Month-Over-Month Conversions
150 New Leads Per Month on Average

MedPost

PPC, Social Media Ads

Urgent Care

51-200 Employees

N/A

Brentwood, TN

N/A

22% Growth in Branded Searches
21% Increase in Brand Conversions
17% Decrease in Branded CPA

Medway Air Ambulance

SEO, PPC

Air Ambulance

51-200 Employees

N/A

Lawrenceville, GA

N/A

9 New Medical Flights Per Month on Average
50% MoM Increase in Organic Search Traffic
111+ Paid Media Phone Leads in First 4 Months

Konstruct Digital Visit Website →

Loyalty Logistics

PPC

Logistics

51-200 Employees

N/A

Carol Stream, IL

N/A

Landing page and PPC campaigns produced sales opportunities and deals

UFP-Edge

PPC, Content Marketing

Manufacturing

51-200 Employees

N/A

Grand Rapids, MI

N/A

86% lower average cost per conversion
Improved CTR and conversion rates

Empyra/MyOneFlow

SEO, PPC

SaaS

51-200 Employees

N/A

Coppell, TX

N/A

SEO support plus 2 PPC campaigns created and managed

Directive Visit Website →

Winmo

PPC

B2B

51-200 Employees

N/A

Atlanta, GA

N/A

96% decrease in sales cycle
78% increase in MQLs QoQ
681% increase in conversions QoQ

Congruity360

Content Marketing, PPC

Software Development

51-200 Employees

N/A

Fall River, MA

N/A

50% increase in organic leads YoY
83% decrease in cost per SQL (492% over goal)
75% increase in SQLs

Aegis Software

Content Marketing, PPC

Manufacturing

51-200 Employees

N/A

Horsham, PA

N/A

148% increase in overall conversions
147% lowered CPA
457% increased monthly paid leads

OuterBox Visit Website →

Caraway

PPC

Ecommerce

51-200 Employees

N/A

New York, NY

N/A

37% increase in conversion volume
31% increase in ROAS
46% increase in revenue
19% more efficient CPA

johnnie-O

PPC, Social Media Ads

Fashion

51-200 Employees

N/A

Los Angeles, CA

N/A

21% year-over-year revenue increase
66% year-over-year increase in Cyber Week revenue
14.9% year-over-year improvement in ROAS

Nadine West

PPC, YouTube Advertising

Fashion

51-200 Employees

N/A

Austin, TX

N/A

197.62% improvement in conversion rate
48.96% improvement in click-through rate
13.19% CPA beat goal (period 2)
CPA within $1.50 of goal (period 1)
15% increase in overall conversions

Wpromote Visit Website →

Ember

Amazon Marketing, PPC

Consumer Electronics

51-200 Employees

N/A

Westlake Village, CA

N/A

+186% increase in attributed ad sales on Amazon
+68% increase in YoY gross sales on Amazon
Expanded to 6 new international markets

Erin Condren

PPC, SEO, Content Marketing

Personalized Gifts

51-200 Employees

N/A

Austin, TX

N/A

25% lower CPA
CPA equal to 10% of predicted 12-month customer spend
35% increase in organic traffic

Jack Black

PPC, Programmatic Advertising, Social Media Ads

Skincare

51-200 Employees

N/A

Carrollton, TX

N/A

623% increase in revenue YoY via Facebook
512% increase in revenue via programmatic
42% lift in brand conversions (Google & Bing)
36% lift in brand ad clicks (Google & Bing)
49% increase in new site visitors

Brafton Visit Website →

WellRight

PPC

Wellness

51-200 Employees

N/A

Chicago, IL

N/A

142K increase in impressions
6135 clicks
4.59% click-through rate
1.6X Return on Ad Spend

On Call International

PPC

Travel

51-200 Employees

N/A

Salem, NH

N/A

15,549 clicks (+33% YoY)
961,771 impressions (+71% YoY)
464 conversions (+73% YoY)
3% conversion rate (+30% YoY)
81% of Q1 2025 MQLs came from PPC

On Call International

PPC

Travel

51-200 Employees

N/A

Salem, NH

N/A

448% ROI ($5.48 revenue per $1 invested)
90% increase in click-through rate YoY
197% increase in conversion rate YoY
58% increase in MQLs YoY

Funnel Boost Media Visit Website →

Lonestar 24HR ER

PPC

Healthcare

51-200 Employees

N/A

New Braunfels, TX

N/A

56% Lower Cost Per Lead
2.8x Higher Conversion Rate
2.2x Leads Per Dollar Spent
Cost per verified lead: $62.75 (from $142.39)
Conversion rate: 5.55% to 15.38%

Step Up ABA Therapy

Local SEO, Web Development, PPC

ABA Therapy

51-200 Employees

N/A

Kent, WA

N/A

+335% Increase in Conversions
+36% Increase in Organic Traffic
Page 1 keywords: 9 to 107
Top 3 keywords: 4 to 64
+89% Search impressions

Christopher Radko

PPC, eCommerce Optimization, Data & Analytics

Ecommerce

51-200 Employees

N/A

Gastonia, NC

N/A

40x return on ad spend (ROAS)
3,646 purchases in 30 days
+1233% return on ad spend
+1880% purchases
+1424% conversion value

Power Digital Visit Website →

Platform 9

PPC, SEO

SaaS

51-200 Employees

N/A

San Jose, CA

N/A

3x Increase in Page One Google Keywords (15 to 53)
231% Increase in Organic Sessions
227% Increase in New Users
30% Increase in Organic-Assisted Conversions
$55 Decrease in CPA MoM

ViX Paula Hermanny

PPC, Social Media Ads, SEO, Content Marketing

Fashion

51-200 Employees

N/A

San Diego, CA

N/A

22% YoY Increase in Gross eCommerce Revenue
25% YoY Increase in New Customers

Victrola

Affiliate Marketing, Amazon Marketing, Content Marketing, Email Marketing, SMS Marketing, PPC, Social Media Ads, SEO

Consumer Electronics

51-200 Employees

N/A

Denver, CO

N/A

115% Rise in Revenue in a Single Year
31K+ New Email Subscribers
160% Increase in Web Sessions
108% Rise in Customer Transactions
11,000 Increase in Instagram Followers