Short answer is a resounding YES. Generally the more providers you have in your target area, more likely they will spend dollars on 6 key areas to reach the same patients, these 6 areas are : 1. Setup of website – usually one time charge – This could be an “update” of a current website, or a new website 2. Monthly marketing activities – For example, posting on social media, Email marketing, updating website 3. Monthly cost of apps – For example, Texting/SMS app, Chat-Bot app. Appointment app, Lead-capture apps, Offers app 4. Monthly SEO updates – Improving the SEO of your website every month 5. Support of a professional to assist you (you will need marketing + technical resources) 6. Digital advertising on Google, Facebook, Instagram, and other websites We have also found that digital advertising changes constantly. For example, if you have many other providers, who decide to increase their ads budget, your competition will increase, and  hence your patient acquisition cost will also increase.  Here is the scale used at PatientGain: Competition scale: 1. Low competition area :  You are in an area, where  very few other providers are competing with you – You can achieve online success much quickly.  Example rural areas, outskirts of small cities, It is much easier get SEO rankings and you may not need to spend money on advertising. 2. Medium competition area :  You are in an area where other providers are competing with you, however there are weaknesses in their strategies and you can  achieve online success in a reasonable time-frame. You will need to focus on SEO and a small advertising budget. 3. Medium-High competition area : You are in an area where many providers are competing with you, online advertising and online presence will be harder.  It will take many months to build your SEO rankings and you would want to have a dedicated advertising budget. 4. High competition area : You are in an area where too many providers are competing with you, online advertising  will be expensive and online presence will be very hard, and will take some time. Examples include if you are in a major city, with hundreds of thousands potential patients in your reach 5. Very-High competition area : You are in an area where too many providers are competing with you, online advertising  will be expensive and online presence will be extremely hard, and will take a long time. Examples include if you are in a major city, with hundreds of thousands potential patients in your reach, with high income patients and a very good economy.