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The Local AI Visibility Index

Bend Ophthalmology (Refractive / Cosmetic)

We asked 5 AI answer engines 10 questions a prospective patient would actually ask, then measured which of the market’s 82 practices got named. 54 of them never came up once.

Market
Bend, OR
Practices
82
Questions
10
Engines
5
Measured
July 2026

Every practice in the market · one dot each · ordered by Google Maps rank · lit = named by at least one engine

Named by AI — 28 practicesNever named — 54 practices

65.9%

of Ophthalmology (Refractive / Cosmetic) practices in Bend were named in none of the 50 AI answers we collected.

Finding 01

Does ranking well on Google mean AI recommends you?

It helps, and it is nowhere near enough. Of the 27 best-ranked practices in Bend, 14 got named by an AI engine 51.9%. Of the 28 ranked lowest, 7 did. The single most-named practice in this market ranked 14th on Maps, coming up in 38% of answers.

Google rank and AI answers are decided by two different systems looking at different things. Your map position comes from how close you are, what category you are in, and how people engage with your listing. Whether an AI names you depends on whether it can find, read and trust a description of your practice in the sources it pulls from. Ranking first buys you better odds. It does not buy you the answer.

Google Maps rank vs getting named — Bend
Where they rank on Google MapsNamed by AIShare
The 1st third — best ranked on Maps14 of 2751.9%
The middle third7 of 2725.9%
The bottom third7 of 2825%

Finding 02

How many local businesses actually appear in AI answers?

Very few, and the ones that do take most of it. Of 82 practices measured, 28 were named at least once and 54 were never named. The three most-named practices took 16.6% of every mention in the market.

The most-named practice came up in 38% of answers; the fourth came up in 38%; everything below that was 37% or less. A short shelf at the top, and a long floor underneath it.

Practice A38%
Practice B38%
Practice C38%
Practice D38%
Practice E37%
Practice F37%
Practice G37%
Practice H37%
Practice I28%
Practice J28%
Practice K28%
Practice L28%
Practice M28%
Practice N28%
Practice O28%
Practice P28%
Practice Q28%
Practice R28%
Practice S28%
Practice T12%
Practice U12%
Practice V11%
Practice W11%
Practice X11%
Practice Y10%
Practice Z9%
Practice AA1%
Practice AB1%
54 practices0%

Finding 03

Are the best-reviewed practices invisible to AI?

Often, yes. Take the 20 strongest practices in Bend — the top 25% once you combine Google rank, star rating and number of reviews — and 13 were never named by any engine. That is 65% of the best practices in town, missing from every answer.

One of them ranks 7th on Maps with 4.9 stars, and was named zero times across all 50 answers. One of them ranks 12th on Maps with 4.8 stars, and was named zero times across all 50 answers. Their patients rate them highly and Google ranks them well. The AI engines do not know they exist.

Why this matters more than who came first. The practices at the top of this market are already competitive. The practices with the most to gain are the 13 practices that earned a top-25% reputation and get none of the benefit of it in AI answers.

Finding 04

Do Google reviews affect whether AI recommends you?

A little, here. In Bend the practices AI named average 4.51 stars against 4.37 for the ones it never named.

20 practices here were named by at least one engine, rating between 3.0 and 5.0 stars. 47 were named by none, rating between 1.0 and 5.0. The two groups overlap almost completely.

Reviews do real work in the map pack and in how patients choose. This measures something narrower: whether they are what makes an AI say your name. In Bend the answer is what the numbers above say it is, and it is not the same answer in every market we measured.

Finding 05

Do ChatGPT, Gemini and Perplexity recommend the same practices?

No. Asked the same questions about the same market, the closest any two engines came to agreeing was 93.5% of thepractices they named — and the furthest apart pair agreed on just 45.7%.

Each engine surfaced a different slice of the market: Perplexity named 45, Gemini named 44, Google AI Overview named 36, ChatGPT named 26, Claude named 22. Showing up in one does not mean showing up in the others, so checking yourself against a single assistant tells you very little.

How often two engines named the same business
Engine pairAgreed on
Gemini & Perplexity93.5%
Gemini & Google AI Overview77.8%
Perplexity & Google AI Overview76.1%
ChatGPT & Google AI Overview63.2%
Claude & Google AI Overview61.1%
ChatGPT & Claude60.0%
ChatGPT & Perplexity54.3%
ChatGPT & Gemini48.9%
Claude & Gemini46.7%
Claude & Perplexity45.7%

How we measured it

We pulled every Ophthalmology (Refractive / Cosmetic) practice Google Maps returns for Bend82 of them, after combining duplicate listings of the same practice — then asked 5 AI answer engines the same 10 patient questions and recorded which ones each engine named.

Who is in it
82 practices, from everything Google Maps returns for "eye doctor" in Bend, OR. A practice with more than one listing is counted once.
What we asked
10 questions a patient would actually ask, kept identical across ChatGPT, Claude, Gemini, Perplexity and Google's AI Overview. 50 answers in total, July 2026.
How we scored it
The share of answers that named or cited a practice, weighted by how many people use the engine that named it.
How we ranked reputation
Google Maps position, star rating adjusted for how many reviews back it up, and review count on a sliding scale that levels off around a thousand.
Scope
One market, one category. Every number on this page describes Bend and comes from that market alone — results differ between markets and we do not carry them across. We never name individual practices. AI engines change over time; this describes July 2026.

For anyone who wants the statistics

The findings above are counts, which is how most people want to read them. Here are the same relationships as correlations, for readers who prefer them.

Reputation signals vs getting named — 82 practices
What we measuredHow closely it trackedWhat that means
Google Maps rank−0.116No real connection
Review count−0.214A slight connection
Star rating+0.009No connection

Reading the middle column: 0.0 means the two things had nothing to do with each other. 1.0 would mean they moved together perfectly. A minus sign means they moved in opposite directions. Anything under about 0.2 either way is noise.

The Local AI Visibility Index — Bend, July 2026. Published by Moonline AEO GEO.