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The Local AI Visibility Index

Mansfield Ophthalmology (Refractive / Cosmetic)

We asked 5 AI answer engines 10 questions a prospective patient would actually ask, then measured which of the market’s 44 practices got named. 38 of them never came up once.

Market
Mansfield, OH
Practices
44
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 — 6 practicesNever named — 38 practices

86.4%

of Ophthalmology (Refractive / Cosmetic) practices in Mansfield 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 14 best-ranked practices in Mansfield, 6 got named by an AI engine 42.9%. Of the 16 ranked lowest, 0 did. The single most-named practice in this market ranked 1st on Maps, coming up in 50% 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 — Mansfield
Where they rank on Google MapsNamed by AIShare
The 1st third — best ranked on Maps6 of 1442.9%
The middle third0 of 140%
The bottom third0 of 160%

Finding 02

How many local businesses actually appear in AI answers?

Very few, and the ones that do take most of it. Of 44 practices measured, 6 were named at least once and 38 were never named. The three most-named practices took 70.9% of every mention in the market.

The most-named practice came up in 50% of answers; the fourth came up in 32%; everything below that was 19% or less. A short shelf at the top, and a long floor underneath it.

Practice A50%
Practice B48%
Practice C48%
Practice D32%
Practice E19%
Practice F9%
38 practices0%

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

Practice A is one organization — 8 Google Maps listings that share its website, counted once because AI engines cite the organization’s site rather than any individual listing.

Practice E is one organization — 9 Google Maps listings that share its website, counted once because AI engines cite the organization’s site rather than any individual listing.

Practice F is one organization — 2 Google Maps listings that share its website, counted once because AI engines cite the organization’s site rather than any individual listing.

Finding 03

Are the best-reviewed practices invisible to AI?

Often, yes. Take the 11 strongest practices in Mansfield — the top 25% once you combine Google rank, star rating and number of reviews — and 6 were never named by any engine. That is 54.5% of the best practices in town, missing from every answer.

One of them ranks 12th on Maps with 4.8 stars, and was named zero times across all 50 answers. One of them ranks 17th on Maps with 5.0 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 6 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 Mansfield the practices AI named average 4.63 stars against 4.24 for the ones it never named. The stars come from real patients; whether an AI repeats a practice’s name turns on what the engines can find and trust about it, and that is a different signal than the rating itself.

6 practices here were named by at least one engine, rating between 4.1 and 4.9 stars. 37 were named by none, rating between 2.0 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 Mansfield 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 88.9% of the practices they named — and the furthest apart pair agreed on just 37.5%. Each engine reads its own mix of sources, so showing up in one assistant says little about whether the others will say your name.

Each engine surfaced a different slice of the market: Gemini named 9, Perplexity named 8, ChatGPT named 7, Google AI Overview named 7, Claude named 4. Checking yourself against a single assistant therefore tells you very little about the rest.

0001026ChatGPTGeminiPerplexity
Of the 9 practices named by any of the three, all three agreed on 6.
How often two engines named the same business
Engine pairAgreed on
Gemini & Perplexity88.9%
Perplexity & Google AI Overview87.5%
ChatGPT & Gemini77.8%
Gemini & Google AI Overview77.8%
ChatGPT & Google AI Overview75.0%
ChatGPT & Perplexity66.7%
Claude & Google AI Overview57.1%
Claude & Perplexity50.0%
Claude & Gemini44.4%
ChatGPT & Claude37.5%

How we measured it

We pulled every Ophthalmology (Refractive / Cosmetic) practice Google Maps returns for Mansfield44 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. Every question was kept identical across ChatGPT, Claude, Gemini, Perplexity and Google’s AI Overview, and every number on this page comes from this market alone.

Who is in it
44 practices, from everything Google Maps returns for "eye doctor" in Mansfield, OH. A practice with more than one listing is counted once. 36 listings that share the websites of 10 organizations are counted as those organizations, because AI engines cite the organization's site rather than any individual listing.
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 Mansfield 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 — 44 practices
What we measuredHow closely it trackedWhat that means
Google Maps rank−0.502A clear connection
Review count−0.088No connection
Star rating+0.167No real 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 — Mansfield, July 2026. Published by Moonline AEO GEO.