Best R.O.I.
#4 in Chiropractic
Local marketing agency running paid search, social, reputation, and web design for service businesses.
- Founded
- 2015
- HQ
- Greenbrier, TN
- Team
- 6-15
Founder
Meet the founder
Sebastian Mealer
Founder & CEO
Sebastian Mealer, a third-generation entrepreneur, founded BEST R.O.I. in 2002 with his wife Giovanna to provide digital marketing services for healthcare practitioners, particularly chiropractors seeking patient acquisition.
Editorial
Editor’s take
Best R.O.I. positions itself as a multi-channel local marketing agency serving small-business service providers, with a noted specialization in chiropractic practices. Their core offering spans paid search, Facebook Ads, reputation management, and web design — four systems the agency identifies as essential for consistent local growth. The agency's own research indicates that 95% of incoming clients had gaps in at least two of these areas, underscoring the practical demand for their integrated approach.
What they do
Services
Facebook Advertising
Patient acquisition campaigns built specifically for chiropractic offers — new-patient exams, decompression, and spinal screenings — with creative and audience targeting tuned to local catchment areas rather than broad interest stacks.
Pay Per Click
Google Ads programs aimed at high-intent chiropractic queries (back pain relief, auto injury care, chiropractor near me) with landing pages and tracking built to tie spend back to booked appointments, not just clicks.
Local Search Optimization
Google Business Profile and local SEO work designed to put a practice into the map pack for its primary service area, which for most chiropractors is the dominant source of organic new-patient calls.
Reputation Management & Customer Reviews
Systems for generating and monitoring patient reviews across Google and other platforms — a category the agency treats as foundational for chiropractors because review volume and recency materially move local pack rankings and conversion.
Retargeting & Display Advertising
Follow-up campaigns that re-engage website visitors and ad clickers who didn't book on the first visit, which the agency positions as essential given the multi-touch consideration cycle typical of a new-patient decision.
Web Design
Conversion-focused practice websites built around the booking flow, with offer pages and forms structured to feed the paid-media campaigns rather than function as brochure sites.