From 8K to 412K monthly organic visits in 11 months — and a $3.2M ARR lift from organic alone.
Quasar Clinic is a SaaS platform helping outpatient clinics automate clinical research recruitment. They had a beautiful product, an inherited content strategy from a previous vendor, and 8K monthly organic visits that had plateaued for three quarters. Eleven months later they're at 412K monthly visits, 312 top-10 keywords (up from 4), and $3.2M of ARR attributed to organic — with a topical authority position that's defensible against the next algorithm update.
Quasar Clinic came to us with…
Quasar had inherited a vendor-built site architecture optimized for the wrong intents. Most of their existing pages targeted educational queries (high traffic, no commercial intent) while their actual buyers — clinical research coordinators and CROs — were searching for specific protocol templates, regulatory artifacts, and recruitment benchmarks. Indexation was bloated (12K+ pages), schema was wrong on 4 of 6 templates, and a 2024 Helpful Content Update had cut their thin glossary cluster by 38%. The CRO was frustrated, the CEO was patient but watching runway burn, and a previous SEO consultant had quietly stopped responding to emails.
Wrong intents, not wrong content
92% of their organic traffic was on top-of-funnel educational queries that didn't convert. The brief from the previous vendor was 'rank for everything healthcare-adjacent' — which works for ad networks, not for SaaS LTVs.
Indexation debt
12,400 pages indexed; 7,800 of them had zero organic visits in the previous 90 days. Crawl budget was being spent on pages that would never rank, and Google's algorithm updates were now using thin pages as a quality signal against the whole domain.
Schema drift
FAQPage schema was applied to product pages, Article schema was missing from research-content templates, and Organization schema referenced a deprecated logo URL. Rich results coverage in GSC was at 14%.
Inherited content debt
Previous vendor had shipped 800 thin pages from a single template. None had been pruned. We had to triage: keep, merge, rewrite, or 410.
The approach
Forensic audit + dollar-weighted opportunity model
Crawl, indexation, schema, intent map, competitor delta, and a 47-page diagnosis with the three highest-leverage moves and the seven worst time sinks. Every recommendation was tagged with a $-impact and a confidence interval. The CFO signed off the engagement on the back of the model alone.
- 47-page forensic SEO audit
- Dollar-weighted 12-month opportunity model
- Intent + entity map across 1,200 commercial queries
- Competitor SERP archetype analysis
- Indexation-pruning shortlist (1,400 pages)
Information architecture rebuild
Restructured the site into a hub-and-spoke topical authority graph aligned to clinical research entities. Engineering shipped 6,200 templated pages from a single component over four sprints; content QA gated each batch through a 12-step quality framework. Internal linking graph was rebuilt with anchor text variation discipline.
- New IA: 18 hubs × 4–6 spokes each
- Programmatic template (Next.js + Sanity CMS)
- 12-step content QA framework
- Internal-linking graph + anchor variation rules
- 1,400 thin pages pruned (302 redirects + 410s)
Authority + GEO layer
Digital PR with original research, entity-rich asset pages, and 12 commissioned data assets — all designed both to earn domain authority and to be cited verbatim by ChatGPT, Perplexity, and Gemini in healthcare answers. Brand mentions in AI engines went from 0 to 47 per week.
- 12 original-research data assets (HIPAA-safe)
- Digital PR campaign — 89 unique placements
- GEO-optimized content patterns across 600 pages
- Brand mention monitoring across 5 generative engines
- Knowledge-graph submissions (Wikidata, Google KG)
Compounding + commercial expansion
With foundation in place, we expanded into adjacent commercial intents — competitor comparisons, integration pages, and pricing-adjacent content. Traffic crossed 400K/mo in month 10. We're now 6 weeks into the next phase: a multi-language launch (Spanish + Portuguese) for LATAM expansion.
- Comparison + integration page set (47 pages)
- Pricing-adjacent commercial content
- Multi-language IA (en / es / pt-BR)
- Quarterly board-ready ROI report
Before / after — every metric
Numbers verifiable with the client. Audit trail available on request.
| Metric | Before | After | Change |
|---|---|---|---|
| Organic monthly visits | 8,150 | 412,400 | +4,956% |
| Top-10 keywords | 4 | 312 | +7,700% |
| Top-3 keywords | 0 | 78 | — |
| Pages indexed (productive) | 4,600 of 12,400 | 11,200 of 11,600 | +143% productive ratio |
| Average position (commercial KWs) | 47.2 | 8.4 | −38.8 positions |
| Domain Rating (Ahrefs) | 32 | 61 | +29 |
| Referring domains | 412 | 1,847 | +348% |
| Core Web Vitals (LCP p75) | 3.8s | 1.4s | −63% |
| Branded search volume | 1,800/mo | 9,400/mo | +422% |
| AI engine citations (weekly) | 0 | 47 | — |
Stack, team, and tools
- · Next.js 14
- · Sanity CMS
- · Vercel Edge
- · PostgreSQL
- · Algolia (search)
- · Cloudflare Workers
- · 1 senior strategist (lead)
- · 2 SEO operators
- · 1 staff engineer
- · 1 content QA lead
- · 1 data analyst (Power BI)
- · Ahrefs
- · Google Search Console
- · Lighthouse CI
- · Sitebulb
- · Screaming Frog
- · Custom GEO citation monitor
- · Looker Studio
Within four months SERP Axis took us from page-3 obscurity to category-leading SERPs on our top 30 keywords. The audit alone paid for the engagement. The build-and-operate model is what's hard to find — they own the outcome, not just the tickets. By month nine our CRO was tracking organic as our largest single demand source.
“We've been through three SEO vendors in five years. SERP Axis is the first one who treated our engineering team as collaborators instead of order-takers. Every recommendation came as a tested PR — not a 60-page deck.”
We're now 6 weeks into a multi-language expansion (Spanish + Portuguese) for LATAM markets, plus a Power BI revenue-attribution dashboard so the CRO can see organic-driven pipeline by ICP segment in real time.
The cost of waiting
is your competitor.
Every 90 days you delay is 90 days of authority compounding for someone else. Get the audit. See the math. Then decide.