Domain: nourishyourmindbody.com | Location: Independence, IA | Date: 2026-06-07 Prepared by: Lance W Pincock Consulting LLC for the Abundant Physician RPG cohort
You already rank #1 on Google Maps for "bioidentical hormones" in Independence, which proves Google will place you at the top when the signals line up. For the other five searches patients actually type (BHRT doctor, HRT doctor, menopause specialist, perimenopause doctor, pellet therapy) you do not show up at all, and the practices catching those patients have 5 to 15 times your review count and photo count. Your website scores 49.7/100 on the trust fundamentals Google requires of a health provider: no Physician schema, no medical reviewer markers, no citations, and no sitemap.
Rank measured for a patient searching from Independence, IA across the six provider-intent queries that drive consult bookings. Live Google Maps data.
| Query | Your rank | Verdict |
|---|---|---|
| bioidentical hormones | #1 | You own this. Defend it. |
| BHRT doctor | — | Invisible |
| hormone replacement therapy doctor | — | Invisible |
| menopause specialist | — | Invisible |
| perimenopause doctor | — | Invisible |
| pellet therapy | — | Invisible |
Who patients see instead. Independence is a thin market, so Google fills the pack with a mix of in-town and regional names. The ones that actually matter:
| Business | Reviews | Rating | Where |
|---|---|---|---|
| Heartland Men's Health | 77 | 4.6 | Independence (in-town) |
| Independence Women's Clinic | 348 | 4.4 | Independence (in-town) |
| Balanced Hormone Health | 423 | 4.9 | Regional |
| Trillion Health & Hormone Clinic | 121 | 4.9 | West Des Moines |
| New Leaf Wellness | 116 | 4.9 | North Liberty |
The two in-town names are the real competition. You beat them on rating (5.0), but they bury you on review volume and that is what Google reads as "trusted by this community."
| Field | Nourish Mind & Body (you) | Heartland Men's Health (in-town rival) |
|---|---|---|
| Primary category | Health consultant | Medical office |
| Total categories used (of 10) | 1 | 2 |
| Average rating | 5.0 | 4.6 |
| Review count | 5 | 77 |
| Photos | 1 | 11 |
| Website linked | Yes | Yes |
One category is the single biggest fixable miss here. Each category you add is a separate search bucket Google can rank you in, and right now you are only in one. You rank #1 for "bioidentical hormones" off one category and five reviews. Imagine what nine categories and thirty reviews does.
Site crawl: 7 pages | Platform: WordPress + GA4 | HTTPS: Yes | Sitemap: No
| Check | Status |
|---|---|
| HTTPS, robots.txt, canonicals | Pass |
| Phone visible on homepage | Pass |
| Average page word count > 400 | Pass |
| Author byline present somewhere | Pass |
| Organization schema | Pass |
| XML sitemap discoverable | Fail |
| Physician / LocalBusiness schema | Fail |
| FAQ schema | Fail |
| Any "medically reviewed by" marker | Fail |
| Any clinical citations | Fail |
Site average page score: 49.7 / 100
| Priority | Issue | Evidence |
|---|---|---|
| Critical | No medical-vertical schema anywhere | Only Organization + WebPage schema found |
| High | Zero "medically reviewed by" markers | 7 pages checked, none found |
| High | Zero clinical citations | 7 pages scanned, none found |
| High | No XML sitemap | Google has no map of your pages |
| Medium | 6 pages missing meta descriptions | Home, Functional Medicine, IV Therapy, What to Expect, Meet Your Provider |
| Medium | Bemer page is 81 words | Thin page, either build it out or noindex it |
| Low | Homepage title only 26 chars | Target 30-65 with keyword + city |
You already won "bioidentical hormones." The highest-ROI page is the one that captures the queries you are invisible for: a dedicated /bioidentical-hormones or /hormone-therapy service page targeting "BHRT Independence" and "menopause specialist Independence."
Score it against this checklist before publishing:
Site crawl (7 pages, 1 req/sec, robots.txt respected). Google Maps 3-pack, geo-biased to Independence IA, 6 provider-intent queries, live data. Google Places for GBP profile data. Google Autosuggest for the keyword universe. E-E-A-T rubric weighted for medical/YMYL content per Google's Search Quality Guidelines. PageSpeed Insights was rate-limited on this run and is not included.
Prepared by Lance W Pincock Consulting LLC for the Abundant Physician RPG cohort.