What it takes to rank in Naples' med spa Map Pack (the real numbers)

The top 3 med spas in Naples average 156 reviews across the Map Pack. Businesses sitting outside the pack average 199. One business holds the number two spot with 18 reviews. This is Cascade's point-in-time data from tracking 31 med spas in this market, and the pattern it shows is not what most owners expect.

The top 5 in Naples med spa, by the numbers

See the full picture on the live Naples med spa leaderboard.

The outlier that defines this market

Med Spa on 5th sits at position 2 with 18 reviews and a 4.60 rating. BeU Medical Spa has 329 reviews and a 4.90 rating and lands at position 5. 4Ever Young has 320 reviews at the same position. The Om Spa has 852 reviews, a 4.80 rating, and sits at position 10. Spavia Day Spa has 811 reviews and a 4.90 rating, at position 13.

If rankings followed review count, those businesses would own the pack. They do not.

The pack average for the top 3 is 156 reviews. The average for the 27 outside-the-pack businesses with available data is 199 reviews. The most-reviewed businesses are not the highest-ranked. That is the most important fact in this market.

What the top 3 share

All three have websites. Two of the three, at positions 1 and 3, have 100 or more reviews. One does not.

Ratings compress quickly in this market. More than 20 of the 30 businesses with available ratings carry 4.90 stars or better. Multiple businesses have a perfect 5.00 and still sit outside the top 10. In a market this clustered on ratings, a star score is a baseline, not a differentiator.

The review gap tells a similar story. The leader, MD Health Spa, has 175 reviews. The median across all 31 tracked businesses is about 125 reviews. The gap from the median to the leader is roughly 50 reviews. Not an impossible distance to close.

Why review count alone is not the answer

I cannot tell you from this data exactly why The Om Spa with 852 reviews sits at position 10 while an 18-review business holds position 2. The data captures the outcome, not the full mechanism.

What I can tell you is that proximity matters enormously in local search. In Naples, med spas are spread across different neighborhoods and zip codes. A business that is physically closer to where someone is searching will regularly outrank a competitor with a stronger review profile.

Profile activity matters too. Google tends to favor businesses that respond to reviews, post updates, and keep their information current. A business with 18 reviews and an active, well-structured profile can outrank one with 800 reviews and a neglected listing.

If your Naples med spa has more than 175 reviews and you are not in the pack, the problem is almost certainly not your review count. The unlock lives somewhere else.

What to do next

Getting to 175 reviews is achievable for any practice that asks consistently. The 50-review gap between the median tracked business and the leader is not a multi-year project.

The more useful question in this market is not how to get more reviews. It is why a business with 18 reviews is ranking above yours when you already have hundreds. That question points toward your proximity advantage, your Google Business Profile completeness, and the specific queries you are or are not appearing for.

The live Naples med spa ranking shows the current full board. A free local SEO audit will show you exactly where you stand against the current pack and what is likely holding you back. You can also read the med spa local SEO guide for a broader breakdown of how rankings work in this vertical.

All data in this post is from Cascade's own point-in-time Map Pack tracking across more than 1,400 metro and industry markets.