Day 147, counted through October 5. Here is everything, dated.

The short version: September was the best month yet, and it beat August, which held the record before it.

One honest note before the numbers. Two systems count calls here and they count different things. Google counts taps on your profile. CallRail counts calls that came through your website. Both are real, neither is the whole picture, and we never add them together.

Every month, on the record.

Every month, what we built on the left and what the phone did on the right.

141 calls off your Google profile across the window: 26 in the back half of May, 20 in June, 30 in July, 31 in August, 34 in September. You can check any of the work. The fixes are live on your site, the pages and articles are published, and the posts are on your profile.

Your Google front door, measured.

Your Google Business Profile is the front door. When somebody in Dallas searches for a hernia surgeon on their phone, this is what they see before they ever reach your website.

September set the record on calls and on profile views. Direction requests rose too. Website clicks from the profile were the one line that fell, 26 against 33 in August, and we are watching it.

The reviews are the part worth protecting. 16 reviews, 5.0 stars, every one answered. That count has not grown since the summer, and a patient choosing who opens their abdomen reads all of them.

These are only the calls Google counted from the call button on your profile. Calls that started on your website are counted separately, on the Website Calls tab.

Every call, and where it came from.

This counts the calls that start on your website. Before June 25 nobody could see them, including us. If a patient read three pages about mesh revision and then dialed the number in your header, that call was invisible to everyone.

Here are the first fourteen weeks. 38 calls, 37 of them answered, 25 from people who had never called you before. 32 of the 38 came from a search you do not pay for.

July and August were nine calls each. September was 18, double either one. Eight of the 38 callers first landed on your article about mesh problems years after surgery.

October so far, 5 days: 2 calls. That is not a month, so it is not compared to one.

One caution. This does not stack with the 141 profile calls. Those two systems count different things and adding them would invent a number.

One honest note. The tracking number went live on June 25, so this covers about fourteen weeks, not the whole report window. By month: 9 in July, 9 in August, 18 in September. October so far, 5 days: 2 calls, both answered, both first-time callers. Five days is not a month, so it is not compared to one.

The searches that find you.

This is what Google search itself did, straight from Search Console.

September was the biggest month yet. 19,215 appearances against 17,494 in August, and 169 clicks against 129. Google Analytics agrees on the direction: 237 visits from free search in September, up from 174.

Across the window, 461 clicks off 53,871 appearances. That is about one click for every hundred and twenty times you show up, so the depth problem the next tabs name has not gone away. What keeps changing is the size of the pile.

October so far, 5 days: 10 clicks off 1,599 appearances. It is on the page so you can see it, not so you can compare it.

October so far (first 5 days): 10 clicks off 1,599 times shown. Kept off the chart because it is not a full month. The full month lands in your next check-in.

Beyond your name, new demand.

Two questions here, and they have different answers. Both are counted by Google Search Console. Nothing on this tab is an estimate.

Who clicked. Google named 122 of your 461 clicks, and 114 of those were somebody typing your name. On the clicks Google is willing to name, your reputation is still doing almost all the work.

Who searched. Over the same window Google put you in front of somebody 22,383 times on searches it named, and 9 in every 10 of those were people searching for the work rather than for you. Hernia surgeon dallas. Hernia surgery dallas. They do not know your name yet.

So the demand is there, you are on the board for it, and the click is not coming. Hernia surgeon dallas showed you 2,334 times and you sit at spot 7, on page one, with nothing to show for it. That is a depth problem on the page, and it is what the September rewrite was aimed at.

It is also growing. 88% of your appearances in the first thirty days were for the work, 94% in the last thirty, across nearly three times as many searches.

Your keywords, on the clock.

101 search terms tracked since May 11. Positions were checked on October 4, because a ranking is a reading of where you stand today rather than a total for a month.

39 now sit in the top ten and 15 in the top three, up from 35 and 14 a month ago. Recurrent hernia surgeon dallas and component separation surgery dallas both reached number one.

The honest read is still mixed and we are not going to dress it up. Abdominal wall reconstruction dallas fell from 7 to 19 since the last check. The terms that climbed have a real page underneath them. The ones that fell are competing on depth we are still building.

The tracker compares where terms started against where they sit today. From next month, this section carries a month by month line for every term that ranks.

Your map pack, pin by pin.

This is the map that appears when somebody searches on their phone. 50 grids across DFW, 39 check points on each one.

Your best map held. On abdominal wall reconstruction dfw you average spot 1.1 and hold a top three position on all 39 points, measured October 2. Baylor Scott and White also holds all 39 now, at 2.1, so the lead is real but it is about one spot, not three.

The broad term is the other side of it. On hernia surgery dallas you average 6.4 and hold a top three spot on none of the 39 points. Visible everywhere, below the hospitals everywhere, and it did not move in September.

Where AI recommends you.

Patients are starting to ask AI who to see. This tab tracks two things: whether AI answers with your name, and what it read to get there.

All five platforms name you. Your visibility across them is 13.4%, off 5,619 counted mentions, and sentiment is 80, which means when AI describes your practice it describes it well. That visibility number is flat against last month's 13.3%, and we are saying so. On every tracked question that compares you against other hernia surgeons by name, you come back first.

The second half is the one worth your attention. When an assistant answers a question about hernia surgery, it reads a handful of sources and builds the answer out of them. Across everything AI said about your specialty it pulled from 519 different websites, and yours was the most quoted of all of them. 444 quotes, ahead of Baylor Scott and White at 242 and UT Southwestern at 149.

Being named and being the source are two different things, and the table splits them. All five name you. Your own site is the top source they read on three of the five.

The one worth watching is still ChatGPT, where you are second. Baylor is quoted 91 times against your 65, so your hospital profile is doing the talking on the platform patients use most, and that is a page you do not control.

21 of your pages have been quoted at least once, led by your home page and your About page. AI quotes the pages that exist, which is the argument for the plan at the end in one line.

Last, what it is worth in visits. 23 people arrived on your site from inside an AI answer, 12 of them in September, up from 8 in August. Nearly all came from ChatGPT, and they stayed and read. That is small and we are not going to dress it up. It is also growing every month.

The five platforms tracked here are ChatGPT, Gemini, Perplexity, Copilot, and Google AI Mode. Google AI Mode is the AI layer inside Google search itself. Claude and Grok are not covered: our tracking tool does not offer them yet, so we do not have readings to show rather than having readings of zero.

Counted, not guessed.

Three counters, kept apart. Your Google profile counted 141 calls. Google Search counted 461 clicks. CallRail counted 38 calls that started on your website.

One note on the search number. 461 is the true count of clicks Google recorded. Google names the searches behind only 122 of them and withholds the rest as individually rare, so the named ones are never the total. 461 is the honest number.

The profile count and the website count do not add together. Different questions, different answers, both counted straight.

The foundation under all of it.

This is the plumbing. Nobody sees it and everything else stands on it.

The crawl now covers 75 pages, up from 68 in August, and 470 of the 531 issues it has logged are fixed and deployed. Technical health is 93.

Content moved from 9 to 18 after the September rewrite. That is still low, and it is not a criticism of what is written. It is a count of how much of it there is. Every tab in this report ends up pointing at the same thing.

The work, month by month

1. June: Schema content cleanup across 109 page schemas · Heatmap coverage completed to 50 of 50 grids
2. July: Weekly crawl and fix deployment on autopilot · 551 fixes deployed to date of 613 found · Technical pillar reached 94 of 100
3. August: Weekly crawl held, no new critical issues surfaced · Crawl now covers 68 pages and logs 567 issues, 463 of them deployed · Technical pillar holding at 94 of 100, content still the weak pillar at 9
4. September: Hernia repair, abdominal wall reconstruction, robotic surgery, gastrointestinal surgery and legal and medical consulting pages republished September 24 · Crawl now covers 75 pages and logs 531 issues, 470 of them deployed · Technical pillar at 93 of 100, content pillar up from 9 to 18

The plan, page by page.

Here is the plan, grouped by when. Every item names the number above that produced it.

September's job is done. All five service pages were rewritten and went live on September 24, with six new articles beside them. They are about a week old, so the numbers above barely include them yet.

October is about whether those pages move the broad hernia searches, and the procedure pages come after that. It is pages rather than a blog on purpose. A blog post is read once and then slides down the feed. A procedure page is a permanent address for one search, and it is the thing that gets quoted.

One note on why these are pages and not blog posts. A blog post is read once and slides down the feed. A procedure page is a permanent address for one search, it earns links, it feeds the map, and it is the thing AI quotes. 21 of your pages have already been quoted by an assistant. Every page here is one more thing it can quote, and all of it is yours.

The data behind every number.

Every number on this page came from a system you can log into and check yourself. Nothing is modeled or blended. Where we could not count something, we said so rather than filling the hole with a guess.

The window runs May 11 to October 5. Every month-to-month comparison stops on September 30, the last full month. October 1 to 5 shows only where it is labeled October so far. Your Google profile numbers stop on September 30, because Google's October counts were not in yet when we pulled, and five uncounted days would read as a phone that stopped ringing. Keyword positions were checked on October 4 and the map on October 2, each labeled that way on its own tab.

On the call data. The Tracked Calls tab lists every call to your website number with the caller's name and number, exactly as CallRail recorded them, so your team can match each one to your own schedule. Please keep this link inside the practice. Forty three calls were logged in total and thirty eight are counted. We left out the test call from the day the number was installed, because that was us, and four calls that ran under thirty seconds, which are misdials rather than patients. All five are still listed, in their own group, so every call CallRail logged has a line on the page.

On the AI numbers. Citation counts come from Search Atlas, which asks each assistant the same patient questions on a schedule and records which sources the answer was built from. Visit counts come from Google Analytics on your own site. Two systems measuring two different things, which is why a large citation number sits beside a small visit number. Claude and Grok are not tracked, because the tool does not offer them yet.

We usually check the search numbers twice, once through Google directly and once through Search Atlas, and show a badge when the two agree within ten percent. They agree exactly for May, June, July and October so far. For August and September Search Atlas comes in about twelve percent lower, 149 clicks against Google's 169 for September. So there is no badge this month either. Google's own figure is the one shown and we are still watching the gap.