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The Local AI Visibility Index

Phoenix hair restoration

We asked 5 AI answer engines 10 questions a prospective client would actually ask, then measured which of the market’s 88 clinics got named. 79 of them never came up once.

Market
Phoenix, AZ
Clinics
88
Questions
10
Engines
5
Measured
July 2026

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

Named by AI — 9 clinicsNever named — 79 clinics

89.8%

of hair restoration clinics in Phoenix 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 29 best-ranked clinics in Phoenix, 6 got named by an AI engine 20.7%. Of the 30 ranked lowest, 1 did. The single most-named clinic in this market ranked 8th on Maps, coming up in 61% 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 clinic 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 — Phoenix
Where they rank on Google MapsNamed by AIShare
The 1st third — best ranked on Maps6 of 2920.7%
The middle third2 of 296.9%
The bottom third1 of 303.3%

Finding 02

How many local businesses actually appear in AI answers?

Very few, and the ones that do take most of it. Of 88 clinics measured, 9 were named at least once and 79 were never named. The three most-named clinics took 55.1% of every mention in the market.

The most-named clinic came up in 61% of answers; the fourth came up in 21%; everything below that was 20% or less. A short shelf at the top, and a long floor underneath it.

Clinic A61%
Clinic B31%
Clinic C21%
Clinic D21%
Clinic E20%
Clinic F20%
Clinic G20%
Clinic H10%
Clinic I1%
79 clinics0%

Finding 03

Are the best-reviewed clinics invisible to AI?

Often, yes. Take the 22 strongest clinics in Phoenix — the top 25% once you combine Google rank, star rating and number of reviews — and 18 were never named by any engine. That is 81.8% of the best clinics in town, missing from every answer.

One of them ranks 4th on Maps with 4.9 stars, and was named zero times across all 50 answers. One of them ranks 15th on Maps with 4.8 stars, and was named zero times across all 50 answers. Their clients 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 clinics at the top of this market are already competitive. The clinics with the most to gain are the 18 clinics 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?

Not measurably. In Phoenix the clinics AI named average 4.83 stars and the ones it never named average 4.84 — near enough to identical that ratings are clearly not what is deciding it.

8 clinics here were named by at least one engine, rating between 4.5 and 5.0 stars. 70 were named by none, rating between 3.0 and 5.0. The two groups overlap almost completely.

Reviews do real work in the map pack and in how clients choose. This measures something narrower: whether they are what makes an AI say your name. In Phoenix 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 clinics?

No. Asked the same questions about the same market, the closest any two engines came to agreeing was 55.6% of theclinics they named — and the furthest apart pair agreed on just 9.1%.

Each engine surfaced a different slice of the market: Perplexity named 17, Google AI Overview named 14, Gemini named 11, ChatGPT named 6, Claude named 6. 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 & Perplexity55.6%
Perplexity & Google AI Overview55.0%
Gemini & Google AI Overview47.1%
ChatGPT & Gemini41.7%
Claude & Gemini41.7%
Claude & Perplexity35.3%
Claude & Google AI Overview33.3%
ChatGPT & Perplexity27.8%
ChatGPT & Google AI Overview25.0%
ChatGPT & Claude9.1%

How we measured it

We pulled every hair restoration clinic Google Maps returns for Phoenix88 of them, after combining duplicate listings of the same clinic — then asked 5 AI answer engines the same 10 client questions and recorded which ones each engine named.

Who is in it
88 clinics, from everything Google Maps returns for "hair restoration" in Phoenix, AZ. A clinic with more than one listing is counted once.
What we asked
10 questions a client 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 clinic, 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 Phoenix and comes from that market alone — results differ between markets and we do not carry them across. We never name individual clinics. 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 — 88 clinics
What we measuredHow closely it trackedWhat that means
Google Maps rank−0.211A slight connection
Review count+0.275A slight connection
Star rating−0.087No 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 — Phoenix, July 2026. Published by Moonline AEO GEO.