Best USA Small Business PPC Management Companies

813 Companies - Rankings updated: September 09, 2026

DesignRush vets all agencies based on professional qualifications and verified customer feedback to help you choose confidently. Some featured agencies maintain paid sponsorships.

United States × Small Business PPC × Health Care × Clear Filters
  • A Digital Marketing Agency Fueled By Analytics & Technology.

    At Fountain, we build digital marketing strategies designed to drive real business results. Were here to help across the full spectrum of digital, with expertise across everything from SEO and content marketing to paid media, marketing automation and website development. With a core expertise in hyperlocal...

    Top Services:

    • PPC
    • Digital Marketing
    • Social Media Marketing
    • Advertising
    • Affiliate Marketing
    • Show more
    Location
    Independence, Ohio
    Number of Employees
    Under 49
  • Put your Google My Business Profile on Autopilot!

    GBP Pilot is unique in that we have focussed all our efforts on a single marketing channel - your Google Business Profile (formerly known as Google My Business). We know more about how to get the maximum performance out of this dynamic and labor intensive channel than anyone. When you need the very best...

    Top Services:

    • Content Marketing
    • Digital Marketing
    • SEO
    • Reputation Management
    • PPC
    • Show more
    Location
    East Palatka, Florida
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • More visibility. Higher results

    Site Ascension is a Digital Marketing Agency that can help businesses of all sizes. In todays world, your customers and potential customers are all online. As well as all of your competitors. You need to break through all the online clutter to reach your market. This is where Site Ascension comes into the...

    Top Services:

    • SEO
    • PPC
    • Social Media Marketing
    • Email Marketing
    • Content Marketing
    • Show more
    Location
    Galveston, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $95/hr
    Minimal Budget
    $1,000 - $10,000
  • Trusted by Wellness Brands Across the Nation.

    OMG Marketing is a California SEO and Digital Marketing Agency...

    Top Services:

    • Digital Marketing
    • Web Design
    • Web Development
    • PPC
    • Show more
    Location
    Hesperia, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $15/hr
    Minimal Budget
    $1,000 - $10,000
  • eCommerce & Digital Marketing Success Since 1997

    Launch Studios is a leading digital marketing agency based in Austin, Texas. We help businesses grow with search, social media, and email campaigns that generate interest, sales, and leads through our proven custom marketing solutions, refined over 25 years of helping brands, merchants, entrepreneurs and...

    Top Services:

    • Digital Services
    • eCommerce Development
    • eCommerce
    • Video Production
    • UI/UX Design
    • Show more
    Location
    Austin, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $175/hr
    Minimal Budget
    $10,000 - $25,000
  • Website Design & Hosting

    We understand the struggles many small business owners face when it comes to dealing with their website. Sadly, by the time they find us, we learn they have wasted money, been neglected and eventually burned by others in our industry. That is why we are here! To take away all your website headaches...

    Top Services:

    • Web Design
    • SEO
    • PPC
    • Digital Marketing
    • WordPress Website Design
    • Show more
    Location
    Titusville, Florida
    Number of Employees
    Under 49
    Average Hourly Rate
    $75/hr
    Minimal Budget
    $1,000 - $10,000
  • Law Firm Support Services

    Equivity provides dedicated virtual assistant services to individuals, and to entrepreneurs and businesses looking for paralegal, administrative, marketing and bookkeeping support...

    Top Services:

    • Call Centers
    • Accounting
    • BPO
    • PPC
    • Digital Marketing
    • Show more
    Location
    Las Vegas, Nevada
    Number of Employees
    Under 49
  • Because Obscurity is Your Small Business's Worst Enemy

    The most important aspect of Internet marketing is that you're paying for something that truly works. It doesn't help you and your business if your marketing company is sending traffic to your web pages and they don't convert to paying customers, clients, or patients. That's why we help small businesses...

    Top Services:

    • SEO
    • PPC
    • Digital Marketing
    • Email Marketing
    • Show more
    Location
    Cottonwood, Arizona
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • Launching Your Business into the Digital Stratosphere.

    Spider Bite Webs is here to provide web design solutions that are specifically crafted for your company's needs. Website layouts that pack a powerful punch and are certain to outperform even your most formidable rivals. Having your own website, on the other hand, is still the single most successful method to...

    Top Services:

    • Web Design
    • Web Development
    • WordPress Website Design
    • eCommerce Development
    • Social Media Marketing
    • Show more
    Location
    Beverly Hills, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • Medical Marketing

    RH Medical Marketing specializes in Digital Marketing Services for Medical Professionals...

    Top Services:

    • Digital Marketing
    • SEO
    • Social Media Marketing
    • Content Marketing
    • PPC
    • Show more
    Location
    Cape Coral, Florida
    Number of Employees
    Under 49
  • RISK FREE MARKETING!!

    EDNA Digital Marketing is a cutting-edge Digital Marketing Agency that thrives in today's ever-changing Internet Environment...

    Top Services:

    • Digital Marketing
    • Web Design
    • SEO
    • PPC
    • Social Media Marketing
    • Show more
    Location
    Torrance, California
    Number of Employees
    Under 49
  • Marketing & Communications Agency

    360 Marketing & PR is a full-service agency specializing in integrated marketing communications and PR services. Visit our website for more information...

    Top Services:

    • Social Media Marketing
    • PPC
    • SEO
    • Web Design
    • Reputation Management
    • Show more
    Location
    Camden, New Jersey
    Number of Employees
    Under 49
  • Dominate Your Competition.

    Rule Your Kingdom is a premium results-based Web Design & digital marketing agency, world-renowned for solving the most complex and difficult search engine optimization (SEO) challenges for law firms and medical practices...

    Top Services:

    • SEO
    • Digital Marketing
    • Web Design
    • PPC
    • Show more
    Location
    Waco, Texas
    Number of Employees
    Under 49
  • Creative marketing strategies and custom web design in McAllen, TX

    RSP.Marketing is an advertising and marketing agency, located in McAllen, TX, that provides web, marketing, branding, design, search, and business development solutions to take your business to the next level...

    Top Services:

    • Web Design
    • Web Development
    • Digital Marketing
    • SEO
    • Business Consulting
    • Show more
    Location
    McAllen, Texas
    Number of Employees
    Under 49
  • We Are The Right Digital Marketing Agency for Your Business

    Cobalt Digital Marketing is data-driven digital marketing. We are a Google-certified company and developer of the Cobalt Formula, a proven formula to help companies maximize their digital presence to get found and increase sales. It's not rocket science, it's cobalt digital science...

    Top Services:

    • Digital Marketing
    • Social Media Marketing
    • WordPress Website Design
    • Web Design
    • SEO
    • Show more
    Location
    McAllen, Texas
    Number of Employees
    Under 49
  • Set Your Brand on Fire

    Burning Stick Creative is a full-service marketing agency located right in Downtown Lafayette. Our in-house services cover all your marketing needs. Stoke your creative flame with Burning Stick Creative and watch your business spread like wildfire...

    Top Services:

    • SEO
    • Social Media Marketing
    • PPC
    • Graphic Design
    • Show more
    Location
    Lafayette, Louisiana
    Number of Employees
    Under 49
  • Where Dentistry Meets Precision Marketing.

    DentalScapes: Your Dental PPC Digital Solution Feel like most marketing agencies miss the mark? DentalScapes is different. With an on-board practicing dentist, we offer precise, clinically accurate, and impactful digital marketing strategies. Designed uniquely for your dental practice, we amplify leads and...

    Top Services:

    • Digital Marketing
    • Content Marketing
    • PPC
    • Web Design
    • SEO
    • Show more
    Location
    Raleigh , North Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • Focus on your business. We'll get you the leads.

    You know your service business. We know how to make your service business look good on the Web. We'd like to proactively match our professional experiences/recommendations with your business goals. We can make your Kansas City Website design look like a million, and make it optimized for Google using local...

    Top Services:

    • Web Design
    • Web Development
    • SEO
    • PPC
    • Show more
    Location
    Overland Park, Kansas
    Number of Employees
    Under 49
    Average Hourly Rate
    $110/hr
    Minimal Budget
    $1,000 - $10,000
  • Drive Growth With Data-Driven Marketing.

    Jade Orchard is a digital marketing agency dedicated to helping businesses grow...

    Top Services:

    • SEO
    • Web Design
    • Digital Marketing
    • Email Marketing
    • PPC
    • Show more
    Location
    Oakland, California
    Number of Employees
    Under 49
  • Let Your Business Be Heard with MLJ Solutions

    MLJ Solutions provides proper Search Engine Optimization process which will improve the quality and quantity of website traffic...

    Top Services:

    • SEO
    • Digital Marketing
    • PPC
    • Email Marketing
    • Show more
    Location
    Scottsdale, Arizona
    Number of Employees
    Under 49
  • Local business marketing company.

    Econcept Inc. help small businesses to Shine Online. Econcept Inc. provides affordable Website Design & Social Media Management...

    Top Services:

    • Digital Marketing
    • Digital Services
    • Web Design
    • Social Media Marketing
    • PPC
    • Show more
    Location
    Santa Maria, California
    Number of Employees
    Under 49
  • Energized By Exceptional Creativity

    RTL Digital Media offers a number of solutions to help you make people adore your brand as much as you do. We understand that excellent branding is a combination of good processes and strong graphic execution. Our designers have designed or reinvented branding packages for both large and small...

    Top Services:

    • SEO
    • Advertising
    • Digital Marketing
    • PPC
    • eCommerce Development
    • Show more
    Location
    Kennesaw, Georgia
    Number of Employees
    Under 49
    Average Hourly Rate
    $175/hr
    Minimal Budget
    $1,000 - $10,000
  • Attract. Impress. Convert.

    Fitz Designz helps Clients with full service web design and internet marketing...

    Top Services:

    • PPC
    • SEO
    • Digital Marketing
    • Content Marketing
    • Web Design
    • Show more
    Location
    Santa Rosa, California
    Number of Employees
    Under 49
  • Profit from our Experience

    Creative, Transparent, Data Driven & Results Oriented SEO, PPC & Web Development Agency...

    Top Services:

    • SEO
    • Digital Marketing
    • Web Design
    • PPC
    • CRO
    • Show more
    Location
    Allen, Texas
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • WE MAKE ONLY AUTHENTIC DIGITAL EXPERIENCES

    Wahha Design is a full digital marketing agency. Our main focus is to help companies grow through SEO, PPC, and an authentic branding experience...

    Top Services:

    • Content Marketing
    • Advertising
    • SEO
    • PPC
    • Digital Marketing
    • Show more
    Location
    Wilmington, North Carolina
    Number of Employees
    Under 49
    Average Hourly Rate
    $145/hr
    Minimal Budget
    $1,000 - $10,000
  • AI Where It Matters ...

    Execo is delivering unmatched outcomes by expertly blending turnkey solutions, tailored execution, and industry-leading AI tools and techniques...

    Top Services:

    • Email Marketing
    • Content Marketing
    • PPC
    • Digital Marketing
    • SEO
    • Show more
    Location
    New York City, New York
    Number of Employees
    Under 49
    Average Hourly Rate
    $99/hr
    Minimal Budget
    $1,000 - $10,000
  • Digital Outfitters for the Most Driven Brands

    Lake One: Your Partner for Success. From providing strategic advice to solving complex CRM issues, Marketing Automation and Performance Marketing - Lake One helps B2B companies reach their goals through comprehensive sales & marketing transformation. With a team of experienced professionals, we offer an...

    Top Services:

    • PPC
    • SEO
    • Digital Marketing
    • Social Media Marketing
    • CRO
    • Show more
    Location
    Minneapolis, Minnesota
    Number of Employees
    Under 49
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • Let's Grow Together.

    At Web Tech Fusion, we're passionate about helping organizations reach their potential. We turn growth goals into reality with exclusive partnerships and tailored digital strategies! As a partner, our success is measured by yours: Your wins are ours too. Let's work together to transform your organization and...

    Top Services:

    • SEO
    • Digital Marketing
    • PPC
    • Social Media Marketing
    • Email Marketing
    • Show more
    Location
    Midlothian, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
  • Level Up Your Marketing — Foster Web Style!

    Foster Web Marketing provides comprehensive marketing solutions specifically tailored to attorneys, doctors and other professionals. From SEO optimization to book writing services, FWM uses its innovative Dynamic Self-Syndication (DSS) content management system for simple website updating and the integration...

    Top Services:

    • Content Marketing
    • Social Media Marketing
    • Digital Marketing
    • Advertising
    • SEO
    • Show more
    Location
    Alexandria, Virginia
    Number of Employees
    100 - 249
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Strategic Partners in Healthcare Marketing

    At Webserv, our team of SEO specialists and PPC experts are dedicated to maximizing your business results. With practical design techniques and advanced CRO experiments – we've helped one healthcare company experience an incredible 1300% rise in leads! We make work easier for you, talk to us today!...

    Top Services:

    • PPC
    • SEO
    • Advertising
    • Digital Marketing
    • Show more
    Location
    Irvine, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • Digital Design Done Right.

    At Hounder, we are passionate about helping our clients create meaningful digital products and experiences that deliver results. We ensure projects receive the focus they need to be done correctly and on schedule – reducing cost and risk for all stakeholders involved. Our success is measured solely by how...

    Top Services:

    • eCommerce Development
    • Web Design
    • Web Development
    • Software Development
    • CRO
    • Show more
    Location
    Redlands, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $300/hr
    Minimal Budget
    $25,000 - $50,000
  • Digital Marketing Designed for Your Business

    At Upgrow, we work closely with our clients to develop customized web design and digital marketing strategies that maximize conversions. We provide tailored solutions designed specifically for your needs!...

    Top Services:

    • CRO
    • PPC
    • SEO
    • Social Media Marketing
    • Digital Marketing
    • Show more
    Location
    San Francisco, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • Digital Marketing That Works

    When it comes to digital marketing, you deserve an agency that doesn't make empty promises. SeoTuners is here for businesses that want tangible results from SEO. Our team is dedicated to helping your website achieve a positive presence in search engine rankings through proven whitehat strategies...

    Top Services:

    • SEO
    • Digital Marketing
    • Social Media Marketing
    • CRO
    • PPC
    • Show more
    Location
    Thousand Oaks, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • Strengthen Your Brand Identity

    Higher Images is a Pittsburgh-based advertising firm that can help magnify your online presence with powerful SEO strategies. We'll give you more than just the basics, from web design and graphics to PPC management and display ads, we've got your back! Our team can even help you with content tailored for...

    Top Services:

    • PPC
    • Digital Marketing
    • SEO
    • Web Design
    • Graphic Design
    • Show more
    Location
    Carnegie, Pennsylvania
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
  • Your Digital Presence, Amplified.

    Amplify media + marketing is a one-stop shop for all your international advertising needs, from extensive campaigns to small personal touches. We tap into technology's power by utilizing data and analytics in real-time, so clients can make decisions with maximum impact on the spot! Our award-winning team...

    Top Services:

    • SEO
    • Content Marketing
    • PPC
    • Social Media Marketing
    • Digital Marketing
    • Show more
    Location
    McAllen, Texas
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Specialized Web Solutions for Medical Institutions

    For over a decade, Doctor Multimedia has been revolutionizing medical web design and marketing. Our specialized focus on the healthcare industry means that our proven solutions drive clinics' success while also creating an enhanced experience for patients...

    Top Services:

    • Social Media Marketing
    • Digital Marketing
    • Content Marketing
    • PPC
    • Email Marketing
    • Show more
    Location
    San Diego, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
  • Helping Your Business GROW Online

    Cogo Interactive is a leading-edge digital marketing agency that specializes in online marketing strategy, website design & development, search engine optimization, social media marketing and email campaign strategies...

    Top Services:

    • WordPress Website Design
    • SEO
    • Social Media Marketing
    • Digital Marketing
    • Web Design
    • Show more
    Location
    Chantilly, Virginia
    Number of Employees
    Under 49
    Average Hourly Rate
    $150/hr
    Minimal Budget
    $1,000 - $10,000
  • Proven Robust Results

    At CB/I Digital, we specialize in Performance Marketing and Platform Development for the purpose of driving increased traffic and revenue for Direct-to-Consumer (DTC) e-Commerce and large omnichannel brands...

    Top Services:

    • PPC
    • Digital Marketing
    • SEO
    • AI Development
    • Mobile App Development
    • Show more
    Location
    New York City, New York
    Number of Employees
    100 - 249
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $25,000 - $50,000
  • We're the Growth Marketing Gurus

    Our specialty is helping fledging app and SaaS teams take their brand to the next level by creating powerful growth strategies that combine best-in-class agency services with dynamic consulting. Let us help your business soar!...

    Top Services:

    • Email Marketing
    • Digital Marketing
    • Social Media Marketing
    • PPC
    • Web Design
    • Show more
    Location
    Los Angeles, California
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • Merging Data with Creativity

    TEAM LEWIS is a worldwide force in marketing, connecting brands to success with an expansive range of services. With offices on three continents and over 500 specialists ready to help make the most out of any business venture, they inspire ambition while using creativity and technology to achieve amazing...

    Top Services:

    • PPC
    • SEO
    • Content Marketing
    • Digital Marketing
    • Email Marketing
    • Show more
    Location
    San Francisco, California
    Number of Employees
    500 - 999
  • The resources you need to succeed

    GBC Digital Marketing is a Houston-based firm dedicated to helping clients make more money with cutting-edge digital solutions. Founded in 2004, we specialize in SEO strategies (Search Engine Optimization), lead generation, PPC advertising and Artificial Intelligence technologies. Our solutions are all...

    Top Services:

    • SEO
    • Digital Marketing
    • PPC
    • Social Media Marketing
    • Web Design
    • Show more
    Location
    Houston, Texas
    Number of Employees
    Under 49
    Minimal Budget
    $1,000 - $10,000
  • We make advertising & marketing online easy for you.

    BullsEye Internet Marketing was founded in 2006 in order to help businesses such as yours make money!! We are experts at figuring out the best way to promote your business online...

    Top Services:

    • SEO
    • PPC
    • Digital Marketing
    Location
    Fort Lauderdale, Florida
    Number of Employees
    Under 49
    Minimal Budget
    Under $1,000
  • Less Like Hiring An Agency. More Like Adding To Your Team.

    Socratik understands that mid-size and enterprise clients depend on tangible ROI to drive their business forward. We strive to provide SEO services with a holistic view, balancing efficiency tactics and strategic decisions to maximize our client's return on investment...

    Top Services:

    • Digital Marketing
    • PPC
    • SEO
    • Content Marketing
    • Digital Strategy
    • Show more
    Location
    San Diego, California
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
  • Leading Digital Marketing Agency in Fort Worth

    Nickel SEO is a full-service digital marketing agency located in Fort Worth, Texas, which has received recognition for its services. The agency offers a range of local SEO services, as well as custom web design and search engine optimization, Google Maps optimization, social media marketing, pay-per-click...

    Top Services:

    • SEO
    • Social Media Marketing
    • PPC
    • Digital Marketing
    • Web Design
    • Show more
    Location
    Fort Worth, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
  • The surefire way to deliver on key initiatives!

    Zilker Partners: the surefire way to deliver on key initiatives! Need top talent? Outsourcing digital marketing? No matter what you require or your size, this full-service recruiting and digital marketing firm has got it covered. Trust Zilker as an integral part of totally transforming your business - they'll...

    Top Services:

    • Content Marketing
    • PPC
    • Digital Marketing
    • SEO
    • Social Media Marketing
    • Show more
    Location
    Austin, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
  • More Leads. The Kind of Leads You Want.

    AGI Marketing is a powerhouse in the digital marketing world, offering custom-fit solutions to help businesses across North America grow. Our team of experts works diligently with passion and dedication towards helping our partners succeed - through SEO, review services, web development, PPC management and so...

    Top Services:

    • Social Media Marketing
    • Digital Marketing
    • SEO
    • PPC
    • Web Development
    • Show more
    Location
    El Paso, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $149/hr
    Minimal Budget
    $1,000 - $10,000
  • Amplifying Your Success: Creative Solutions for a Boost in Business

    Are you looking for nothing but the best? Look no further than Holland Adhaus, a top-notch full-service marketing agency based in Cincinnati, Ohio. Our team comprises highly skilled and experienced professionals, always eager to explore new avenues for success. From digital marketing and web design to...

    Top Services:

    • Advertising
    • Media Buying
    • PPC
    • Email Marketing
    • Social Media Marketing
    • Show more
    Location
    Cincinnati, Ohio
    Number of Employees
    Under 49
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000
  • Real People. Real Marketing. Real Results.

    Real Digital Marketing is a web design and digital marketing service that specializes in assisting small and medium-sized companies around the country. We provide site design, graphic design, social media management, pay-per-click marketing, and SEO software, among other services!...

    Top Services:

    • Email Marketing
    • Content Marketing
    • Digital Marketing
    • Web Development
    • Web Design
    • Show more
    Location
    Mt. Juliet, Tennessee
    Number of Employees
    Under 49
    Average Hourly Rate
    $50/hr
    Minimal Budget
    Under $1,000
  • Deep Rooted Search for the Best Digital Marketing Strategy

    At WrightIMC, our mission is to provide marketing solutions that are second to none. With over a decade of experience combined with cutting-edge resources and project management techniques, we strive to help grow businesses in all aspects of search - from SEO/SEM and content creation through analytics &...

    Top Services:

    • PPC
    • Social Media Marketing
    • SEO
    • Content Marketing
    • Branding
    • Show more
    Location
    Allen, Texas
    Number of Employees
    Under 49
    Average Hourly Rate
    $199/hr
    Minimal Budget
    $1,000 - $10,000

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