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The Local AI Visibility Index

Hanford Integrative / Anti-Aging Medicine (Concierge)

We asked 5 AI answer engines 10 questions a prospective patient would actually ask, then measured which of the market’s 6 practices got named. 5 of them never came up once.

Market
Hanford, CA
Practices
6
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 — 1 practiceNever named — 5 practices

83.3%

of Integrative / Anti-Aging Medicine (Concierge) practices in Hanford 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 2 best-ranked practices in Hanford, 1 got named by an AI engine 50%. Of the 2 ranked lowest, 0 did. The single most-named practice in this market ranked 1st on Maps, coming up in 32% 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 — Hanford
Where they rank on Google MapsNamed by AIShare
The 1st third — best ranked on Maps1 of 250%
The middle third0 of 20%
The bottom third0 of 20%

Finding 02

How many local businesses actually appear in AI answers?

Very few, and the ones that do take most of it. Of 6 practices measured, 1 was named at least once and 5 were never named. The three most-named practices took 100% of every mention in the market.

Practice A32%
5 practices0%

Bar length is the share of all 50 answers, so a full bar would mean every answer named them.

Finding 03

Are the best-reviewed practices invisible to AI?

Often, yes. Take the 1 strongest practice in Hanford — the top 25% once you combine Google rank, star rating and number of reviews — and 1 was never named by any engine. That is 100% of the best practices in town, missing from every answer.

One of them ranks 2nd on Maps with 4.7 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 practice at the top of this market is already competitive. The practice with the most to gain is the 1 practice that earned a top-25% reputation and gets none of the benefit of it in AI answers.

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 100% of thepractices they named — and the furthest apart pair agreed on just 50%.

Each engine surfaced a different slice of the market: Gemini named 2, ChatGPT named 1, Claude named 1, Perplexity named 1, Google AI Overview named 1. Showing up in one does not mean showing up in the others, so checking yourself against a single assistant tells you very little.

0100001ChatGPTGeminiPerplexity
Of the 2 practices named by any of the three, all three agreed on 1.
How often two engines named the same business
Engine pairAgreed on
ChatGPT & Claude100.0%
ChatGPT & Perplexity100.0%
ChatGPT & Google AI Overview100.0%
Claude & Perplexity100.0%
Claude & Google AI Overview100.0%
Perplexity & Google AI Overview100.0%
ChatGPT & Gemini50.0%
Claude & Gemini50.0%
Gemini & Perplexity50.0%
Gemini & Google AI Overview50.0%

How we measured it

We pulled every Integrative / Anti-Aging Medicine (Concierge) practice Google Maps returns for Hanford6 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
6 practices, from everything Google Maps returns for "integrative medicine" in Hanford, CA. 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 Hanford 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 — 6 practices
What we measuredHow closely it trackedWhat that means
Google Maps rank−0.655A strong connection
Review count−0.285A slight connection
Star rating+0.405A clear 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 — Hanford, July 2026. Published by Moonline AEO GEO.