AEO Services · Sioux Falls

If your business isn’t the answer, you don’t exist.

Buyers are skipping Google and asking ChatGPT, Claude, and Perplexity directly. AEO is how you become the answer.

A real buyer asks the AI

AI

Best hyperbaric oxygen therapy in Sioux Falls?

Three results returned, ranked by AEO authority.

1. Midwest Hyperbarics — cited by 4 LLMs

2. Regional clinic A

Your business: not in the answer

The story

Problem. Build. Result.

The problem

Visible to nobody who matters.

Buyers ask ChatGPT, Claude, and Perplexity for answers. Your business isn’t in the answer. Google has no reason to recognize the site as a topical authority. Every dollar on awareness evaporates without a structural foundation beneath it.

What we build

Structural authority + a video-first engine.

We don’t add content. We rebuild the structure — technical audit, intent mapping, page restructuring, internal link architecture, entity clarification. Then we layer a video-first authority system with full attribution from view to consult to closed revenue.

The transformation

Buyers arrive pre-sold.

Patients and prospects arrive already convinced. They’ve watched the videos, read the answers, asked the AI — and you were the recommendation. $1.2M tracked. $0 paid ad spend.

The delta

From invisible to fully booked in 6 months.

340%More Consultationsvs. previous year
$1.2MRevenue Attributedtracked end-to-end
14.2xROASreturn on investment

How we build it

No Gimmicks.
No Blog Spam.
Just Structure.

We rebuild from the ground up — engineering the site to communicate authority, relevance, and trust to Google AND the AI engines at every level. Six pillars. Three months of structural evaluation. Then authority recognition triggers.

01

Technical Audit

Crawl efficiency, indexation, and Core Web Vitals remediation. The foundation every other layer builds on.

02

Intent Mapping

Every page realigned to actual buyer prompt patterns — high-intent clinical and commercial queries, not generic topics.

03

Page Restructuring

Information architecture rebuilt for topical depth. Google needs to recognize the site as a definitive authority.

04

Link Architecture

Internal linking strategy reinforcing pillar-cluster authority signals across the entire domain.

05

Entity Clarification

Defining the practice as a recognized entity in Google’s Knowledge Graph — the signal that unlocks category authority.

06

On-Page SEO

Schema markup, metadata, heading hierarchy, and content optimization across every customer-facing page.

The Inflection Point

Three months of structural evaluation — then Google crossed the credibility threshold. Impressions went from ~1,500 in December to over 15,000 in January. One month. This is what authority recognition looks like.

6xSurge
90Days
$0Ad Spend
15,200
16,000
Sep
Oct
Nov
Dec
Jan
Feb

Case Study 01 · Midwest Hyperbarics · Sioux Falls, SD

From invisible to fully booked in 6 months.

Dr. Dan Todd was delivering incredible patient outcomes. Patients were getting better. But nobody outside his waiting room knew he existed. We rebuilt the structure — then layered a video-first authority system: 12 episodes positioning Dr. Todd as the regional authority, with full attribution from view to consult to closed revenue.

340%More Consultations
$1.2MRevenue Attributed
14.2xROAS
6xImpression Surge
$0Paid Ad Spend
The chapters next to that video are the AEO play, live. Each timestamp is a structured citation point that ChatGPT, Claude, and Perplexity can quote when a patient asks “how does HBOT help with sudden hearing loss?” The video isn’t just a video — it’s a database of answers, machine-readable, and the LLMs index it that way.

The first time a patient said ‘I watched your video and already knew you were the right fit’ — I got it. The video does the work so I don’t have to sell myself anymore. Patients arrive already convinced.

T
Dr. Dan ToddFounder, Midwest Hyperbarics · midwesthyperbarics.com

Case Study 02 · Radiant Health and Hormone · Sioux Falls, SD

From cold audience to 111 patients via one quiz.

A hyper-targeted hormone quiz built for women 42–54 in Sioux Falls and a 28-mile radius. Thirty-plus researched attributes shaped the audience and the questions. Six months later: a new revenue line, with attribution that traces every patient back to a quiz answer.

scorecard.radiantht.com Live
Unlock Your Wellness · Hormone Balance
Live

Leads

574

Visits

5,089

Conversion

12%
12%

Daily Leads · Oct 2025 → May 2026

OctNovDecJanFebMarAprMay
621Quiz Completions
111New Patients (6mo)
17.9%Quiz to Patient
$2.4–2.8KPatient LTV
~$288KAttributable Revenue

The quiz has not only given us a tremendous amount of new patients to help balance, but also incredible data points to help us get a lens into the market we just didn’t have before.

R
Radiant Health and HormoneSioux Falls, SD · Live quiz

Our Why · The Directory

We saw the same gap in every client.
So we built the answer.

Working with Radiant Health taught us something we couldn’t unsee. Every Sioux Falls business we audited had the same problem — they were operating in a world where 67% of users (and rising) are now daily AI users, but their digital infrastructure was built for a Google-only era that’s already ending.

So we built The Directory at getgravitygrowth.com. Every Sioux Falls business gets a baseline-AI-ready listing for free. Featured tiers add structured citation data, AI-optimized profiles, and conversion-grade CTAs.

This isn’t a directory. It’s the local AI readiness layer for Sioux Falls — and it changes the competitive landscape for every business in town.

67%+Daily AI Users
2,711Sioux Falls Businesses
18Categories
1Citation-grade Layer

Phase 2 · Closing the click gap

Seen. Now get chosen.

The structural SEO is working. The hard part is done. The challenge shifts from being seen to being chosen.

The gap · February 2026

Impressions16,000
Clicks captured110
Click-through rate0.69%
Missed buyer touchpoints~15,890

What this means

Every unclicked impression is a real buyer who saw your business and kept scrolling. Phase 2 is about converting visibility into booked consultations — 5-second clarity, single CTA, condition-specific pages, and video that builds trust before the first call.

Step 01

5-Second Clarity

Visitors must understand what you do, who you serve, and what to do next within five seconds. No ambiguity.

Step 02

Single Dominant CTA

One clear action per page. No competing links, no decision fatigue — just a friction-free consult pathway.

Step 03

Condition-Specific Pages

Pages that speak directly to the buyer’s question — engineered to answer their specific clinical or commercial query.

Step 04

Video Integration

Provider-facing video that builds trust before the first call. The highest-leverage conversion asset in service categories today.

80%Trust Increasebuyers who watch provider video before booking
2.5xTime on Pageaverage increase with embedded video
64%Conversion Liftvideo vs. text-only landing pages

What changed

Three signals.
One unlock.

Signal 01

Google Trust Confirmed

The site crossed Google’s credibility threshold — recognized as a legitimate topical authority, surfacing across a much wider range of related queries.

Signal 02

Intent Alignment Verified

Content now matches actual buyer search behavior. Every page answers the specific question buyers type — high-intent queries indicating real consideration.

Signal 03

Brand Visibility at Scale

Your business now surfaces for real category queries across the Midwest. Buyers researching the service see your practice before competitors.

“This is not marketing. This is infrastructure. Structural authority that compounds month over month — organic equity building without a media budget.”

What it costs

Two ways to start.
Both compound.

No hourly billing. No surprise SEO add-ons. SEO is bundled into every AEO engagement at no additional cost.

Tier 01

AEO + SEO Services

$1,500–2,500+ /mo

SEO included at no additional cost.

  • Full structural rebuild on your existing site
  • All six structural pillars deployed
  • AI citation tracking across ChatGPT, Claude, Perplexity
  • Schema, metadata, entity clarification
  • Monthly attribution reporting — view to revenue
  • Quarterly strategy review with founder
Take the AI Readiness Quiz

Questions answered

Honest answers,
no agency-speak.

What is AEO?

Answer Engine Optimization. The structural work that makes your business discoverable by AI engines like ChatGPT, Claude, Perplexity, and Gemini when buyers ask them questions instead of searching Google.

How is AEO different from SEO?

SEO targets blue-link Google rankings. AEO targets AI-generated answers. Same foundation, different signals — entity recognition, schema density, citation worthiness. We do both. SEO is included with every AEO engagement at no additional cost.

Do I need AEO if I already rank on Google?

Yes. Google’s AI Overviews and the LLM crawlers (GPTBot, ClaudeBot, PerplexityBot) use different ranking signals than blue links. You can rank #1 on Google and still be invisible in ChatGPT. Most businesses we work with rank fine on Google and disappear completely the moment a buyer opens an AI engine.

How long until I see results?

Structural work shows in 60–90 days. Citation lift in AI engines comes in 90–180 days. From there it compounds. Midwest Hyperbarics went from invisible to fully booked with a 6-month waitlist in six months.

What does AEO cost?

AEO Services start at $1,500–$2,500+ per month, with full SEO included at no additional cost. AEO + SEO + a new site built and managed by Gravity Growth is $3,499 per month, all in. No hourly billing, no setup fees, no surprise add-ons.

How do you measure success?

Citation tracking in major LLMs (ChatGPT, Claude, Perplexity), branded vs. non-branded query lift, and full attribution from AEO traffic to booked revenue. No vanity metrics. We tracked $1.2M in attributed revenue for Midwest Hyperbarics, end-to-end.

Your move

Want to know if your business is the answer?

Take the AI Readiness Quiz. We’ll tell you what AI engines think of your business right now — and what to do about it.