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

The top 3 in Phoenix's med spa Map Pack average 1,108 reviews each, but review volume alone is not the deciding factor. Omni Dermatology has 1,622 reviews and ranks #7. Alliance Dermatology and Mohs Center has 1,838 reviews, the highest on the entire board, and lands at #14. Something beyond review count is separating the Pack leaders from the rest of this field.

The Pack in numbers

Cascade tracks Map Pack positions for local businesses across hundreds of cities and verticals using our own point-in-time data collection. The numbers here come directly from our Phoenix med spa leaderboard, which records 34 businesses competing for the "med spa Phoenix Arizona" search query.

See the full live Phoenix med spa ranking.

Top 5 at a glance

All data is from Cascade's own point-in-time Map Pack tracking for "med spa Phoenix Arizona."

Review volume sets a floor, not a ceiling

The top 3 average 1,108 reviews each. Businesses sitting at positions 4 and beyond average 458. That is roughly 2.4 times the review volume, and breaking into four-digit review territory appears to be a working threshold for competing at the front of this pack.

But review count does not pick the winner. Some of the most review-rich profiles in Phoenix are sitting well outside the Pack:

• Omni Dermatology, Inc. has 1,622 reviews and ranks at position 7.
• Alliance Dermatology and Mohs Center has 1,838 reviews, the highest on the entire board, and sits at position 14.
• Stockton Dermatology carries 1,492 reviews and appears at position 15.

These are not thin, under-invested profiles. They are established practices with more reviews than any of the top 3. Something in the local-signal mix is working against them, whether that is primary category mismatch, proximity to search centroids, or GBP signals that do not show up in review data alone.

What every Pack leader has in common

The three businesses holding Pack positions all pass the same baseline checklist:

• 100 or more reviews. NakedMD has 791. Suddenly Slimmer has 1,074. Look Lab has 1,460.
• A working website linked on their GBP. All three.
• A rating of 4.7 or higher. All three.

These look like table stakes, not differentiators. Clearing them puts you in contention. They do not explain why one business holds a Pack spot while another with more reviews sits at #7 or #14.

The rating range tells you almost nothing here

Across all 32 unique businesses tracked in this pack, ratings run from 4.6 to 5.0. That is a 0.4-star window. Multiple businesses with perfect 5.0 ratings appear at positions 4, 8, 11, 12, 14, and beyond. A higher rating does not separate the leaders from the field in Phoenix's med spa market. Staying above roughly 4.6 likely matters at the margins, but rating is not the primary sorting mechanism here.

The review gap that actually matters

The median review count across the Phoenix med spa board is 200. The current #1 position (NakedMD Med Spa Phoenix) has 791 reviews. That is a gap of 591 reviews between the Pack leader and the midpoint of all tracked businesses.

If your profile sits near or below the median, closing that 591-review gap is the most concrete, measurable action available. It does not guarantee a Pack position, but it is the first lever worth pulling before worrying about anything else.

Why well-reviewed businesses stall outside the Pack

A few patterns in the data are worth noting for anyone trying to move up in this market:

• Several of the highest-reviewed businesses (1,622 to 1,838 reviews) are dermatology practices competing under a med spa search query. Their primary GBP category is likely working against them regardless of how strong the rest of their profile is.
• Position 5 holds with just 74 reviews. One business at position 6 holds with 41. The floor to enter the Pack at the lower end of the top 5 is lower than most operators expect.
• Skin Fit Med Spa at position 16 has no website linked on its GBP. Every business in the top 3 has one. Missing a website appears to be a hard ceiling on how far a profile can climb.

If you want to see how your Phoenix med spa profile stands against the rest of the field, run a free local SEO audit here. Or learn more about how Cascade works with med spas.