# Pedal Performance

> Pedal Performance is a performance marketing agency born into the AI era, built by the team behind Pearmill (which has managed $500M+ in ad spend). Pedal specializes in performance media, growth ops (SEO, analytics, CRO, automation), and web design for businesses whose customers research before they buy — medical and cosmetic practices, e-commerce and DTC brands, educational institutions, and B2B platforms.

Pedal is operated by Pearmill Inc. (d/b/a Pedal). The agency focuses on turning ad spend into booked appointments and customers, with its deepest vertical expertise in elective and aesthetic medical practices. Its approach is three-part: Integrate (embed with the client's team, learn SOPs and KPIs), Augment (AI workflows for bid management, ad testing, and reporting), and Advise (ongoing strategy and tuning as platforms shift).

Key facts:
- Parent company: Pearmill Inc.
- Website: https://pedal-performance.com
- Email: hello@pedal-performance.com
- Services: Performance Media, Growth Ops, Web Design & Development
- Specialties: Medical & Cosmetic (med spas, dermatology, plastic surgery, cosmetic dentistry, hair replacement), E-Commerce & DTC, Education & Institutions, Platforms & Partnerships
- Pricing: Starter ($2,500/mo flat fee, up to $10K ad spend), Growth (15% of ad spend, $10K-$50K), Scale (custom, $50K+)
- Contracts: Month-to-month, no long-term contracts, no setup fees
- Asset ownership: Clients own all domains, ad accounts, website code, and data from day one

## Pages

- [Homepage](https://pedal-performance.com/index.html.md): Main landing page — "AI is like a bike" hero, the problem, why Pedal, the Inspect/Tune/Ride method, five specialty hubs (healthcare, ecommerce, lead gen, AI, SEO), results, pricing, FAQ, and free call booking
- [Healthcare, Cosmetic, & Medical Marketing](https://pedal-performance.com/healthcare-marketing/index.html.md): Umbrella page for private-practice healthcare marketing — who Pedal serves (med spas, dermatology, plastic surgery, cosmetic dentistry, hair restoration), category-level pain points, services, pricing, and FAQ
- [Ecommerce Marketing](https://pedal-performance.com/ecommerce-marketing/index.html.md): Industry page for Shopify/DTC brands — supplements & wellness, considered-purchase products, subscription brands; revenue-first measurement, services, pricing, and FAQ
- [Lead Generation](https://pedal-performance.com/lead-generation/index.html.md): Industry page for small businesses — local services, professional practices, online brands; lead-first measurement, services, pricing, and FAQ
- [AI Marketing](https://pedal-performance.com/ai-marketing/index.html.md): Positioning page — what AI-native delivery actually means (AI execution, human strategy, Hopkin copilot), services, pricing, and FAQ
- [SEO Services](https://pedal-performance.com/seo/index.html.md): Service page — performance SEO measured to leads and revenue; technical, on-page, and content SEO with AI-native production; services, pricing, and FAQ
- [PPC & Google Ads Management](https://pedal-performance.com/paid-search/index.html.md): Service page for paid search measured to leads and revenue; Google Search, Performance Max, Shopping, and Microsoft Ads with published pricing and full client account ownership; services, pricing, and FAQ
- [Paid Social & Meta Ads Management](https://pedal-performance.com/paid-social/index.html.md): Service page for paid social measured to leads and revenue; Facebook, Instagram, Meta Advantage+, and TikTok ads with creative testing, published pricing, and full client ownership of the ad account and pixel; services, pricing, and FAQ
- [Med Spa Marketing](https://pedal-performance.com/med-spa/index.html.md): Specialty page for med spa and cosmetic clinic marketing
- [Dermatology Marketing](https://pedal-performance.com/dermatology/index.html.md): Specialty page for dermatology and cosmetic dermatology practice marketing
- [Plastic Surgery Marketing](https://pedal-performance.com/plastic-surgery/index.html.md): Specialty page for plastic surgery practice marketing
- [Cosmetic Dentistry Marketing](https://pedal-performance.com/cosmetic-dentistry/index.html.md): Specialty page for cosmetic dental practice marketing
- [Hair Restoration Marketing](https://pedal-performance.com/hair-replacement/index.html.md): Specialty page for hair replacement and restoration practice marketing
- [Hopkin AI Marketing Copilot](https://pedal-performance.com/hopkin/index.html.md): Partner page selling Hopkin, the AI marketing analytics copilot Pedal uses to run client ad accounts — available self-serve or bundled into Pedal-managed plans
- [Growth Shop Overview One-Pager](https://pedal-performance.com/one-pagers/full-service/index.html.md): Printable overview of Pedal's whole growth stack — strategy, media, creative, SEO & web, and AI ops with entry pricing per service (also available as PDF at /one-pagers/full-service.pdf)

## Resources

- [Resources hub](https://pedal-performance.com/resources/index.html.md): Index of Pedal guides and blog content for paid media owners and operators
- [Guides hub](https://pedal-performance.com/resources/guides/index.html.md): Step-by-step walkthroughs from the Pedal team
- [How to Set Up Google Ads Conversion Tracking](https://pedal-performance.com/resources/guides/set-up-google-ads-conversion-tracking/index.html.md): Step-by-step 2026 guide to setting up Google Ads conversion tracking correctly — the Google tag, GA4 key-event import, Enhanced Conversions for Leads, offline conversions via GCLID, Consent Mode v2, and verification before scaling spend
- [How to Set Up the Meta Pixel and Conversions API for a Local Business](https://pedal-performance.com/resources/guides/set-up-meta-pixel-conversions-api/index.html.md): Step-by-step guide for local service businesses to set up the Meta Pixel (dataset) and the Conversions API together, deduplicating browser and server-side events with a shared event_id
- [How to Set Up Your Google Marketing Suite](https://pedal-performance.com/resources/guides/google-marketing-setup/index.html.md): Beginner-friendly step-by-step guide for setting up Google Business Profile, Search Console, Analytics 4, Tag Manager, Ads, and Merchant Center for a new business
- [How to Connect Your Ad Accounts to an Agency Manager](https://pedal-performance.com/resources/guides/connect-ad-accounts-to-your-agency/index.html.md): Step-by-step guide for granting partner access on Meta Business Manager, Google Ads (MCC), and TikTok Business Center, plus Shopify collaborator access, without sharing passwords or losing ownership
- [Blog hub](https://pedal-performance.com/resources/blog/index.html.md): Field notes and teardowns from the Pedal team for paid media owners and operators
- [How to Choose a Digital Marketing Agency (Without Getting Burned)](https://pedal-performance.com/resources/blog/how-to-choose-a-digital-marketing-agency/index.html.md): The 8 criteria that predict a good agency fit, the questions to ask, and the red flags to walk away from, for small and mid-sized businesses
- [How Much Does a Marketing Agency Cost? (A Straight Answer)](https://pedal-performance.com/resources/blog/how-much-does-a-marketing-agency-cost/index.html.md): What marketing agencies really charge in 2026 (SEO, paid media, social, and web builds, by pricing model) with honest ranges, what drives the price, and what "cheap" ends up costing
- [SEO for Small and Mid-Sized Businesses: What Actually Moves Rankings](https://pedal-performance.com/resources/blog/seo-for-smb/index.html.md): The three levers that actually move rankings for a lead-gen business (reviews, the local pack, and deep service pages) and what to stop paying your SEO retainer for
- [How to Read a Google Ads Audit](https://pedal-performance.com/resources/blog/how-to-read-a-paid-search-audit/index.html.md): What a real paid search audit contains (scorecard, workhorses, drains, conversion-tracking sanity) and the red flags that tell you it was a checkbox exercise
- [The 5 Questions a Real Google Ads Audit Answers That Google's Recommendations Won't](https://pedal-performance.com/resources/blog/5-questions-a-real-audit-answers/index.html.md): The five questions a real paid search audit answers — workhorse, budget waste, conversion-counting sanity, competitor-brand leakage, and the marginal dollar — that Google's Recommendations tab won't surface

## Authors

- [Authors hub](https://pedal-performance.com/authors/index.html.md): Index of Pedal Performance authors
- [Chad Hilyard](https://pedal-performance.com/authors/chad-hilyard/index.html.md): Founder, Head of GTM & Account Management
- [Justin Griffiths](https://pedal-performance.com/authors/justin-griffiths/index.html.md): Co-Founder, Head of Strategy & PR