Local search is where a chiropractic clinic gets found, and Google names review count and review score as ranking inputs for local results. Reputation Medics files policy-violating reviews for businesses in 141 metro areas across 51 states, remotely, at $397 per Google review and $697 per Yelp review. Pay upfront. If the specific item is not removed within 30 days, the removal fee is automatically refunded.
Google publishes three factors for local results and names review count and review score among the prominence inputs. The quoted line under each heading is Google's wording. The second line is what it means for a chiropractic clinic sitting on a review that breaks policy.
Relevance
How well a local Business Profile matches what someone searched for.
Category, services and profile detail carry this one. A review never makes a profile more relevant, but review text does get read by people comparing two profiles that match equally well.
Distance
How far each possible search result is from the location term used in a search.
Nothing about a review changes distance. This is why a shop can rank in the map pack and still lose the call to the business one rating point higher.
Prominence
How well known a business is, which Google states includes review count and review score along with links, articles and directories.
This is the factor a policy-violating review touches. A fake one-star sits in the same score Google reads as prominence, and it sits there until the platform removes it.
How does local search decide which chiropractic clinic gets the call?
Google publishes three factors for local results: relevance, distance and prominence. Review count and review score sit inside prominence, alongside links and mentions elsewhere on the web. Relevance and distance are set by the profile and the searcher's location. Prominence is the part a fake or policy-violating review drags on, and the only fix is getting that review off the listing.
Will removing a review move the ranking?
No one can promise that, and we do not. Google decides its own results the same way it decides its own removals. What removal changes is what a searcher sees in the map pack and on the profile next to your name. Google, Yelp, and the sites we file with make the final removal decision. What we guarantee is the automatic refund of the removal fee if the item stays up past 30 days.
Do you work with a chiropractic clinic in my city?
Yes. Filing is handled remotely, so location does not change the price or the process. The list below covers 141 metro areas across 51 states, including Phoenix, Los Angeles, Houston, Dallas, Chicago. A business outside those metros is filed exactly the same way.
What does it cost, city to city?
One price everywhere: $397 per Google review, $697 per Yelp review, $497 per harmful link on another site. No retainer and no travel charge. Pay upfront. If the specific item is not removed within 30 days, the removal fee is automatically refunded.
What does one missed local call cost a chiropractic clinic?
On the self-pay visit job type, a $157 job at a 100% gross margin is $157 of gross profit. That is one job, multiplied out from the cited benchmarks at the bottom of this page. Searchers who pick the profile above yours never appear in any report you can read.
What one local job is worth to a chiropractic clinic
Gross profit is the job value multiplied by the gross margin in the same row. Nothing is projected and no lost-revenue total is claimed. Every job value, close rate and margin below is cited in the sources at the end of this page.
141 metro areas across 51 states, listed as a chiropractic clinic would search them. Filing happens remotely, so the city changes nothing about the price, the process, or the 30-day refund window. There is no office in these cities and we do not claim one.
Alabama
Birmingham, Montgomery, Huntsville
Alaska
Anchorage, Juneau
Arizona
Phoenix, Tucson, Mesa, Scottsdale
Arkansas
Little Rock, Fayetteville
California
Los Angeles, San Diego, San Francisco, San Jose, Sacramento, Fresno, Riverside, Oakland
Colorado
Denver, Colorado Springs, Fort Collins
Connecticut
Hartford, Bridgeport, New Haven
Delaware
Wilmington, Dover
Florida
Miami, Tampa, Orlando, Jacksonville, Fort Lauderdale, Tallahassee, Naples
Georgia
Atlanta, Savannah, Augusta
Hawaii
Honolulu
Idaho
Boise
Illinois
Chicago, Springfield, Naperville
Indiana
Indianapolis, Fort Wayne
Iowa
Des Moines, Cedar Rapids
Kansas
Wichita, Topeka, Overland Park
Kentucky
Louisville, Lexington, Frankfort
Louisiana
New Orleans, Baton Rouge, Shreveport
Maine
Portland, Augusta
Maryland
Baltimore, Annapolis
Massachusetts
Boston, Worcester, Springfield
Michigan
Detroit, Grand Rapids, Lansing
Minnesota
Minneapolis, Saint Paul
Mississippi
Jackson, Gulfport
Missouri
Kansas City, St. Louis, Jefferson City
Montana
Billings, Helena
Nebraska
Omaha, Lincoln
Nevada
Las Vegas, Reno, Carson City
New Hampshire
Manchester, Concord
New Jersey
Newark, Jersey City, Trenton
New Mexico
Albuquerque, Santa Fe
New York
New York City, Buffalo, Rochester, Albany
North Carolina
Charlotte, Raleigh, Greensboro, Durham
North Dakota
Fargo, Bismarck
Ohio
Columbus, Cleveland, Cincinnati
Oklahoma
Oklahoma City, Tulsa
Oregon
Portland, Salem, Eugene
Pennsylvania
Philadelphia, Pittsburgh, Harrisburg
Rhode Island
Providence
South Carolina
Charleston, Columbia, Greenville
South Dakota
Sioux Falls, Pierre
Tennessee
Nashville, Memphis, Knoxville, Chattanooga
Texas
Houston, Dallas, Fort Worth, Austin, San Antonio, El Paso, Corpus Christi, Plano
Utah
Salt Lake City, Provo
Vermont
Burlington, Montpelier
Virginia
Virginia Beach, Richmond, Arlington
Washington
Seattle, Spokane, Tacoma, Olympia
Washington, DC
Washington
West Virginia
Charleston
Wisconsin
Milwaukee, Madison
Wyoming
Cheyenne
What happens if it stays up
You pay the removal fee upfront so we can begin work. If the specific item is not removed within 30 days, we automatically refund that removal fee to your original payment method. Google, Yelp, and other third-party sites make the final removal decision.
Google, Yelp, and the sites we file with make the final removal decision. What we guarantee is the automatic refund of the removal fee if the item stays up past 30 days.
Google Business Profile Help. Google states local results are ranked on relevance, distance and prominence, and names review count and review score among the prominence inputs.
Heard (2024). Average self-pay individual therapy session fee of $157 and average insurance reimbursement of $122 per session, from a survey of more than 2,000 self-employed therapists. Limitation: respondents are users of one bookkeeping platform, not a random national sample.
Health Affairs Scholar (Zhu et al.) (2024). Average cash-pay rate of $143.26 per session across directory data for 175,083 providers. Peer-reviewed. Limitation: based on advertised directory rates rather than collected payments.
Reputation Medics editorial note (2026). APTA, AAOS, AAP, AVMA, and SAMHSA publish no per-visit revenue, per-episode value, or cost-per-admission figure. AVMA publishes average practice revenue of about $1.5 million for 2024 but not an average client transaction, and the $125-per-visit physical therapy figure circulating online traces only to secondary aggregators with undisclosed methodology. Therapy session fees on this page are the one published per-visit benchmark found, and the other visit types are left out.
Missing margin data note for fee-for-service practices
Reputation Medics editorial note (2026). No association publishes a gross or operating margin for dental practices, med spas, clinics, senior living, law firms, advisory firms, brokerages, or hotels. The ADA publishes dentist net income, not a margin; AmSpa publishes revenue per med spa, not a margin; AICPA's margin figure sits behind its paid MAP survey. So the fee or room rate on this page is treated as revenue at 100%, not as profit. Read the revenue figures as lost billings, not lost take-home.