Near-Me Keyword Economics
Near-me keywords route already-convinced buyers. Which monetization role wins is decided by two variables: patient LTV and competitive density.
"Specialty near me" keywords are intent-stacked goldmines. The searcher has a problem, has already decided they want a professional, and wants one geographically close. You're not convincing them to buy — you're routing already-convinced buyers. That changes the business model.
The money comes from one of four roles: lead generator (you sell the lead), directory/marketplace (clinics pay for placement), the clinic itself (you rank, you get the patient), or content authority (ads, affiliate, sponsorships). Which role wins is decided by exactly two variables: patient LTV and competitive density.
Fertility — high LTV, low density — pays exclusive lead-gen. Dermatology — wide LTV range, high density — pays directory and authority. Same keyword shape, completely different economics.