Healthcare SEO Case Study: Small Business Takes on Corporate Juggernauts

Company & Client Overview

DuvaSawko is an emergency physician owned and operated Coding, Billing, Accounts Receivable and Practice Management Company. With headquarters located in Ormond Beach, Florida, DuvaSawko works with emergency medicine practices across the US.

The Challenge 


DuvaSawko provides similar SaaS (software as a service) medical billing software as some other major players in the space, notably McKesson, the 5th biggest company on the Fortune 500 list. The company came to Digital Elevator for help with rankings, brand awareness, and some website development. As with most of our campaigns, our focus was content marketing.


DuvaSawko came to us with essentially zero prior SEO, meaning we had to start from the beginning with SEO basics such as on-page optimization, sitemap creation and submittal, and a focused content marketing campaign to help rank each of their various sub-services under the Revenue Cycle Management space.Additionally, we had to create a blog separate from their existing blog (setup to provide industry news), and draw from topics that were appealing to a very niche demographic – emergency medicine groups. To help draw leads in a marketplace that historically has an extended brand awareness to lead to sale cycle (around a year), we created downloadable assets such as whitepapers, setup landing pages for these, and provide them to site visitors in exchange for their email. Then, we placed these warm leads on DuvaSawko’s automated email nurture campaign and pushed them down the sales cycle. Finally, all the work we do ties into DuvaSawko’s CRM, InfusionSoft, which we help manage and automate.

Making it All Work


DuvaSawko was nowhere to be seen in the search engine results pages (SERPs) before we came on, and now ranks right below McKesson for searches related to emergency medicine revenue cycle management. While we have not yet overtaken the 5th biggest company in the U.S., the accomplishment deserves mention as they essentially have an unlimited budget while DuvaSawko is a very small team of professionals.

Full Scope of Services

Website content



Rankings compared to McKesson

Increasing Ranking

Increase whitepaper downloads

Head-to-head rankings with 5th Biggest Company in

the U.S.

0 %



"We're a niche business and most of our sales take 3–6 months, so it was important to deliver the right content to our prospective clients. Digital Elevator positioned us as subject matter experts in the industry, and creates high-ranking content regularly. They're highly skilled at positioning the client as an expert within its industry. They brought fresh perspectives and offered valuable feedback, remaining personable and responsive all the way."

Christopher Morrison

VP of Marketing & Sales Operations

Subscribe: Rankings to Revenue Newsletter

Get exclusive content marketing tips only shared with email subscribers.