// SAMPLE AUDIT

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Bay Area Clinic Example

Sample Audit

bayareaclinicexample.com · San Mateo, CA · March 2026

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Voxel Phase

This is a sample audit using fictional data for a made-up business. It demonstrates the format, depth, and structure of the 7-report audit every Voxel Phase client receives. Your audit will use real data from your website and market.

Executive Summary: Bay Area Clinic Example

This audit analyzes the online visibility of Bay Area Clinic Example (bayareaclinicexample.com), a family medicine practice in San Mateo, CA. The findings cover keyword rankings, backlink health, technical SEO, competitive positioning, directory presence, and AI search readiness.

Overall SEO Health: 38 / 100

Significant improvements needed across technical SEO, content, and local visibility. The site is underperforming relative to competitors in the San Mateo area.

Domain Health Snapshot

Domain Rank

Total Backlinks

Referring Domains

Organic Keywords

~180

Monthly Traffic

Spam Score

Platform: WordPress · Domain Registered: 2019 · SSL: HTTPS Active

Lighthouse Score Overview

Mobile

Performance

Accessibility

Best Practices

SEO

Desktop

Performance

Accessibility

Best Practices

SEO

Keyword Ranking Distribution

Position Range	Keywords	% of Total
#1-3	0	0%
#4-10	3	12%
#11-20	8	32%
#21-50	10	40%
#51-100	4	16%

Zero keywords in the top 3 positions. Most ranking keywords sit on page 2-3 of Google, generating minimal click-through traffic.

Top 5 Priority Actions

Fix Core Web Vitals (LCP and CLS)

Current LCP of 4.2s is causing ranking penalties. Target under 2.5s. CLS of 0.28 needs to be below 0.1.

Complete Google Business Profile optimization

Missing business hours, only 2 photos, wrong primary category. This is the fastest path to local visibility.

Create service-specific landing pages

Competitors have dedicated pages for "annual physical," "pediatric care," and "urgent care." You have none. Each missing page is a missed ranking opportunity.

Add LocalBusiness and MedicalBusiness schema markup

No structured data found. Adding schema helps Google understand your business type, location, and services.

Claim and update directory listings

3 of 8 directories have inconsistent phone numbers. Healthgrades and Zocdoc listings are not claimed.

Keyword Research: Bay Area Clinic Example

Analysis of target keywords for a family medicine practice in San Mateo, CA. The site currently ranks for 25 keywords, but none in the top 3 positions. Significant content gaps exist compared to local competitors.

Target Keyword Rankings

Keyword	Position	Volume/mo	Difficulty	Ranking URL
family doctor san mateo	#34	320	42	/about
primary care clinic san mateo	#28	210	38	/
doctor near me san mateo	Not ranking	480	55	N/A
walk in clinic san mateo	#47	390	44	/
annual physical san mateo	#22	140	30	/services
pediatrician san mateo	Not ranking	260	48	N/A
urgent care san mateo	Not ranking	520	58	N/A
bay area family medicine	#41	170	35	/

Content Gap Analysis

Your competitors have dedicated pages for the following services. You do not. Each represents a ranking opportunity with existing search demand.

Missing Page	Target Keyword	Monthly Volume	Competitors Ranking
/services/annual-physical	annual physical exam san mateo	140	2 of 3
/services/pediatric-care	pediatric care san mateo	190	3 of 3
/services/urgent-care	urgent care san mateo walk in	520	2 of 3
/services/vaccinations	flu shot san mateo	310	1 of 3

Local Pack Visibility

Critical

Not appearing in Google Maps "Local Pack" for any target keywords.

The Google Maps 3-pack captures over 40% of clicks for local searches. Bay Area Clinic Example does not appear in the top 3 map results for any of the 8 target keywords tested. This is primarily due to an incomplete Google Business Profile, low review count (47), and missing local content signals.

Backlink Profile: Bay Area Clinic Example

Backlinks are links from other websites pointing to yours. They act as trust signals for Google. This analysis covers link quantity, quality, and potential risks.

Total Backlinks

Referring Domains

Spam Score

Toxic Links

Top Referring Domains

Domain	Authority	Link Type	Status
yelp.com	93	Profile	Good
healthgrades.com	87	Profile	Good
smcgov.org	72	Directory	Good
sanmateochamber.org	45	Member listing	Good
medspamdirectory.xyz	3	Spam directory	Toxic
linkfarm-health.ru	1	Spam	Toxic

Anchor Text Distribution

Anchor Text	Count	%
bayareaclinicexample.com	14	33%
Bay Area Clinic Example	10	24%
Dr. Sarah Chen	6	14%
click here	5	12%
family doctor	4	10%
[other/misc]	3	7%

Anchor text distribution is heavily branded (57%), with minimal keyword-rich anchors. "Click here" anchors (12%) provide zero SEO value.

Recommendations

Submit a Google disavow file for the 3 toxic backlinks (medspamdirectory.xyz, linkfarm-health.ru, cheaplinks-dir.cn). These are spam domains that could trigger a manual penalty.

Build local citations: pursue listings on ZocDoc, WebMD, Vitals, and local healthcare directories. Each quality citation adds a referring domain and improves local authority.

Request backlinks from local partners: nearby pharmacies, labs, or specialists you refer patients to. A link from a relevant local business carries significant weight.

Competitive Analysis: Bay Area Clinic Example

We identified 3 competing family medicine practices in the San Mateo area and compared their SEO performance against Bay Area Clinic Example. The gap is significant across all metrics.

Competitor Overview

Practice	Domain Rank	Keywords	Monthly Traffic	Backlinks	GBP Reviews
Peninsula Medical Group	35	450	3,200	380	312 (4.6 stars)
San Mateo Primary Care	22	180	890	145	189 (4.3 stars)
Bay Family Health	18	95	420	78	94 (4.5 stars)
Bay Area Clinic Example (You)	8	25	180	42	47 (4.2 stars)

Keyword Overlap

Keyword	Peninsula Med	SM Primary	Bay Family	You
family doctor san mateo	#3	#7	#12	#34
primary care san mateo	#1	#5	#18	#28
urgent care san mateo	#4	#11	N/A	N/A
pediatrician san mateo	#2	#8	#15	N/A
annual physical san mateo	#5	#14	N/A	#22

Peninsula Medical Group dominates across all keywords. They have 18x your keywords and 9x your referring domains. The primary differentiator: they have 14 service-specific landing pages. You have 1 generic services page.

What Competitors Have That You Don't

Missing: Service Pages

All 3 competitors have individual pages for each service (physicals, pediatrics, urgent care, vaccinations). You list everything on one page.

Missing: Blog / Health Resources

Peninsula Medical Group publishes 2 blog posts per month. San Mateo Primary Care has a patient resources section. You have no content beyond your core pages.

Missing: Doctor Bio Pages

2 of 3 competitors have detailed physician pages with credentials, specialties, and patient reviews. Dr. Chen's bio is a short paragraph on the About page.

Missing: Patient Testimonials

No patient testimonials or review highlights on the website. Competitors showcase their Google reviews prominently, building trust and adding fresh content.

Technical SEO: Bay Area Clinic Example

Technical SEO covers site speed, mobile usability, indexing, and structured data. These factors determine whether Google can properly crawl, understand, and rank your pages.

Core Web Vitals

Metric	Your Value	Target	Status
Largest Contentful Paint (LCP)	4.2s	< 2.5s	Poor
First Input Delay (FID)	180ms	< 100ms	Needs Work
Cumulative Layout Shift (CLS)	0.28	< 0.1	Poor
Time to First Byte (TTFB)	1.8s	< 0.8s	Poor

Indexing & Crawlability

Check	Status	Details
XML Sitemap	Missing	No sitemap.xml found. Google relies on sitemaps to discover pages.
Robots.txt	Warning	Exists but blocks /wp-admin/ and /wp-includes/ (normal) plus /services/ (not normal, blocks content).
Noindex Pages	3 found	/services, /doctors/dr-chen, /contact all have noindex tags. These are critical pages that should be indexed.
SSL Certificate	Active	HTTPS is active. All pages redirect from HTTP to HTTPS.
Canonical Tags	Warning	Missing on 4 of 7 pages. Could cause duplicate content issues.
Meta Descriptions	Missing	5 of 7 pages have no meta description. Google generates one from page content, often poorly.

Schema Markup Audit

Schema Type	Status	Impact
LocalBusiness	Missing	Critical for local SEO. Tells Google your name, address, phone, hours.
MedicalBusiness	Missing	Subtype of LocalBusiness specific to healthcare. Enables medical-specific rich results.
Physician	Missing	Links Dr. Chen to the practice. Important for E-E-A-T signals in health content.
FAQPage	Missing	Enables FAQ rich results in Google. Also helps AI search engines cite your answers.
BreadcrumbList	Missing	Helps Google understand site hierarchy. Improves how pages appear in search results.

No structured data markup of any kind was found on the site. This is a significant missed opportunity for both traditional and AI search visibility.

Mobile Usability

4 tap targets are too small (buttons and links under 48x48px). Users on mobile devices will struggle to tap accurately.

Text on /services and /about pages is below 16px on mobile, requiring pinch-to-zoom. Google penalizes this in mobile rankings.

✓

Viewport meta tag is correctly configured. The site is technically responsive.

✓

No horizontal scrolling detected on any page.

Directory Visibility: Bay Area Clinic Example

Directory listings (citations) are a key local SEO signal. Consistent name, address, and phone (NAP) across directories builds trust with Google. We audited 10 major directories for Bay Area Clinic Example.

Google Business Profile Audit

4.2

Average Rating

Total Reviews

Photos

GBP Posts

GBP Field	Status	Issue
Business Name	Correct	Matches website.
Primary Category	Wrong	Set to "Medical Center" instead of "Family Practice Physician." Wrong category reduces map visibility.
Business Hours	Missing	No hours listed. Google deprioritizes listings without hours.
Business Description	Incomplete	Only 40 characters. Should be 250-750 characters with keywords.
Photos	2 only	Google recommends 10+ photos. Competitors average 25 photos.
Services Listed	None	No services added to GBP. Missing opportunity for keyword matching.
Insurance Accepted	Not listed	Patients filter by insurance. Not listing accepted plans means you get filtered out.

Directory Listings Audit

Directory	Found	Claimed	NAP Correct	Status
Google Business Profile	Yes	Yes	Yes	Incomplete
Yelp	Yes	Yes	Yes	Incomplete
Healthgrades	Yes	No	Yes	Not Claimed
Zocdoc	No	N/A	N/A	Not Found
Vitals	Yes	No	Wrong phone	Outdated
WebMD	No	N/A	N/A	Not Found
Apple Maps	Yes	No	Wrong phone	Needs Update
Bing Places	Yes	Yes	Wrong phone	Needs Update
Facebook	Yes	Yes	Yes	OK
Nextdoor	No	N/A	N/A	Not Found

NAP Consistency: 5 of 10 directories have issues

3 directories show an old phone number. 3 critical directories (Zocdoc, WebMD, Nextdoor) have no listing at all. Inconsistent NAP data confuses Google and can suppress your map rankings.

GEO / AI Search Visibility: Bay Area Clinic Example

AI search engines (ChatGPT, Perplexity, Google AI Overviews, Gemini) are becoming a major discovery channel for local services. We tested whether Bay Area Clinic Example appears in AI-generated answers for relevant healthcare queries.

AI Readiness Score: 15 / 100

Bay Area Clinic Example is not cited in any AI search results we tested. The site lacks the structured content, authority signals, and schema markup that AI engines rely on to generate recommendations.

AI Citation Test Results

We tested 3 queries across ChatGPT, Perplexity, and Google Gemini to see if your practice was mentioned or cited.

Query	ChatGPT	Perplexity	Gemini
"best family doctor in san mateo"	Not cited	Not cited	Not cited
"primary care clinic near san mateo ca"	Not cited	Not cited	Not cited
"where to get annual physical san mateo"	Not cited	Not cited	Not cited

0 of 9 AI responses mentioned Bay Area Clinic Example. For comparison, Peninsula Medical Group was cited in 6 of 9 responses.

Why AI Search Engines Don't Recommend You

No structured FAQ content

AI engines pull from FAQ sections and structured Q&A content. Your site has no FAQ page or FAQ schema markup.

No medical condition pages

Pages about specific conditions (allergies, diabetes management, pediatric checkups) give AI engines content to cite. Your site only has a generic services list.

Thin "About" page, weak E-E-A-T signals

Dr. Chen's credentials, board certifications, and experience are barely mentioned. AI engines prioritize content from verified medical professionals with clear expertise signals.

No backlinks from authoritative health sources

AI engines weight citations from medical directories, hospital networks, and health publications. Your backlink profile is mostly generic directories.

Competitor AI Visibility

Practice	AI Citations (of 9)	Why They Get Cited
Peninsula Medical Group	6 / 9	Blog content, FAQ schema, 14 service pages, 312 reviews, physician bios with credentials
San Mateo Primary Care	3 / 9	Patient resources section, condition pages, strong review profile
Bay Family Health	1 / 9	One detailed service page that matches a long-tail query
Bay Area Clinic Example (You)	0 / 9	No citable content, no schema, low authority

AI search is growing rapidly. Patients increasingly ask ChatGPT or Perplexity for doctor recommendations instead of (or before) searching Google. Building AI-visible content now means getting ahead of this shift while competitors are still catching up.

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