Local Standings
Monthly market intelligence

Power Rankings for the practices that run your market.

The independent monthly ranking of every practice in a local service market. Every public review read. Five dimensions scored. Refreshed every thirty days.

The competitive structure of every local service market shifts faster than the operators inside it can track. A competitor's review velocity doubles. A new membership model lands and starts pulling rebooks. A practice flips its pricing page from opaque to itemized, and conversion shifts. None of it lands in a star average. None of it shows up on the desks of the people who would act on it — not at the cadence that matters.

Local Standings closes that gap. Every issue scores every practice in a market across the five dimensions that decide who gets booked, names what moved in the last thirty days, and explains why. It is what a competitive-intelligence desk would build for a Fortune 500 operating inside a single local market — applied to the local market itself.

The methodology

Five dimensions. One composite score.

Each issue scores every practice in a market across five dimensions, weighted per vertical. The pipeline reads tens of thousands of public reviews per category every month, and stores a reasoning trace for every score. The dimensions are universal; the weights depend on the market. Specific weights for each vertical are published on the methodology page — transparency over black-box.

Presence
Where the buyer finds you. Visibility across the surfaces a high-intent buyer actually touches — organic search, local maps, the procedure-specific queries that decide bookings. Not impressions; whether your name shows up at the moment of decision.
Pulse
Reputation velocity. Rate, recency, and substance of new customer feedback over a rolling ninety days. Eight hundred reviews from 2019 lose to eighty from this quarter. Buyers read recent; the score reflects it.
Place
The physical experience. Atmosphere, presentation, the chair itself, as customers describe it. Buyers decide here whether to come back, often before the practitioner has finished the work.
Practice
The work, and the people doing it. Clinical breadth, service mix, retention — and the named injector, the RN customers come back for, the doctor who shows up by first name in a quarter of the reviews. The closest thing to a quality score, derived from what customers actually said happened.
Pricing
Posture and transparency. Whether the buyer can see what they will pay before they walk in, and whether the price is positioned where it should be for the segment the practice competes in.
The intelligence layer

The pipeline reads every public review for every practice.

Most rankings reduce reputation to two integers — a star average and a review count. Buyers do not decide that way. They read the words. The scoring pipeline does the same thing at scale: it reads every public review for every practice in a market and extracts signal across the five dimensions. The same pipeline reads each practice's website, the public signal on its services and pricing, and timestamps the result.

Run every thirty days, the dataset shows velocity. A practice that ranked eighth in May and fourth in June moved for a reason — the kind of reason the data can name.

Sample report

See it applied to a market.

June 2026 Issue

The Phoenix Metro Med Spa Power Rankings

Every med spa in the Valley scored across the five P's. Top-quartile callouts, biggest movers month-over-month, and a full scorecard for every practice.

Read the report
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