You did the work. Your practice shows up in the top three on Google Maps for the searches that matter. Then a patient or client mentions they asked ChatGPT, or saw Google's AI answer at the top of the page, and your name wasn't there.
That isn't bad luck, and it isn't a glitch. Showing up on Maps and showing up in an AI answer are two different things now. Here's what the research says, and what attorneys, med spas, chiropractors and clinics in Vancouver and Clark County can do about it.
What the research found
In September 2026, BrightLocal published a study of 200,875 non-branded local AI searches for 1,342 business locations. They ran the same kinds of questions people really ask, like "need an emergency dentist open late," across ChatGPT, Google AI Mode and Google AI Overviews, and compared the results to Google Maps.
Maps and AI don't agree
Google Maps named one of the tracked businesses in 66% of searches. The AI tools named one only 32% to 38% of the time (AI Overviews 38%, ChatGPT 33%, AI Mode 32%). In BrightLocal's words, success in Maps "doesn't necessarily lead to success in an LLM."
The AI tools also don't agree with each other. Google's own AI Mode and AI Overviews shared only about 29% of the businesses they named, and ChatGPT overlapped with either Google tool only about 19% to 20% of the time.
Your website is the main source
This is the part we think matters most. Of all the unique websites the AI tools pulled information from, 93% were business websites. Business sites also made up 42% of all citations. Google Business Profile was the single biggest source overall, followed by sites like Yelp and Facebook.
So your own site is not just a brochure. It is what AI tools read to decide what you do, where you do it and whether you fit the question.
Different tools read different places
BrightLocal found that Google Business Profile is important for AI Mode and AI Overviews but is "hardly used by ChatGPT," which leans more on Yelp and Bing. A comparison from 30 Second Productions puts it simply: Google's AI tools lean on your Business Profile and website, and ChatGPT leans on your website, Yelp and Bing. Local SEO practitioners surveyed by Whitespark also said curated "best of" lists matter mostly for ChatGPT, as summarized here.
Results change from search to search
Run the same question twice and you often get a different list. Repeat searches overlapped only 21% to 33% of the time, though a business that appeared once showed up again in about half of later tries.
That means one screenshot proves very little, good or bad. Treat AI visibility as something you track over time, not a ranking you win once. And be wary of anyone who promises to get you "into ChatGPT." Nobody can promise that, including us.
What to check first
Before you fix anything, spend 20 minutes looking.
- Ask the questions your customers ask. Use your city in the question, the way a real person would: "best personal injury lawyer in Vancouver WA," "Botox near Camas," "chiropractor in Battle Ground that takes my insurance," "urgent care in Vancouver open Saturday."
- Check three places. ChatGPT, Google's AI Mode tab and a normal Google search (look for the AI Overview at the top). Use a private window.
- Repeat on a few different days. Write down who gets named, which sites are cited and whether your phone, hours and address are right.
- Look at who keeps showing up. If a competitor appears again and again, check which sources the answer cited for them. That tells you where you need to be.
What to fix
Your Google Business Profile
This matters most for Google's AI tools. Fill in every field: primary and secondary categories, services, hours, holiday hours, photos and booking link. Make sure the categories match what you actually do, not just your broad type.
One page per service
This is where most local sites fall short. If your site has one "Services" page with a list, AI has very little to work with. Give each main service its own page that says what it is, who it's for, where you are and how to book. Write it the way you'd explain it to a patient or client, not in generic copy.
Reviews
Keep asking for reviews on Google, and on Yelp or your industry's directory too. Reply to them. Reviews that mention the specific service ("my knee injury," "my DUI case") help both people and AI understand what you're known for.
Yelp and Bing listings
Since ChatGPT leans on Yelp and Bing, claim your Yelp business page and your Bing Places listing. Many practices have never touched either.
Best-of lists
Local "best of" roundups and industry directories show up as sources, especially for ChatGPT. Find the ones that already rank for your service in Clark County and see whether you qualify to be included.
Consistent name, address and phone
Your name, address and phone number should match exactly everywhere: your website, Google, Yelp, Bing, Facebook and directories. BrightLocal specifically recommends keeping these consistent and making your address easy to find on your site, since distance still matters in AI answers.
Examples by type of practice
Attorneys
People ask long, specific questions here: "do I need a lawyer for a car accident in Washington," "best DUI attorney in Clark County." Give each practice area its own page, and answer the common questions on it. Check Avvo and your state bar listing, and make sure your firm name is written the same way everywhere.
Med spas
Clients search by treatment: Botox, fillers, laser hair removal, microneedling. Each treatment deserves its own page with who it's for, what to expect, who performs it and how to book. Keep your Yelp page current, since Yelp reviews carry weight for this type of business.
Chiropractors
Common questions include cost, insurance and what happens on a first visit. Build pages for the conditions you treat most (back pain, sports injuries, auto accident care) and add a clear first-visit and insurance FAQ. Make sure your Business Profile categories and services list match those pages.
Clinics and doctor's offices
Hours, insurance accepted, new patient availability and booking are what people want. Put them in plain text on your site, keep holiday hours updated on Google, and give each service or specialty its own page. If you have more than one location, each location needs its own page with its own address and phone number.
How Genius Marketing can help
At Genius Marketing, we've worked with Clark County businesses since 2019. We offer AI search optimization that covers the basics above: Business Profile cleanup, service pages, listings and ongoing tracking across Google Maps and AI tools. Our site also has a free heatmap tool that shows how you rank across your area on Maps. We asked ChatGPT, Gemini and Perplexity local questions across Clark County and published what AI recommends for Clark County businesses.
We won't promise you'll be named by ChatGPT or Google's AI. Nobody honestly can. What we can do is show you where you stand today and what's worth fixing. If you'd like a free check, call us at (360) 519-5100 or email info@geniusmarketingco.com.
FAQ
If I rank well on Google Maps, am I covered for AI search?
Not necessarily. In BrightLocal's study, Maps named a tracked business 66% of the time while the AI tools did 32% to 38% of the time. Ranking well on Maps helps, but AI tools read more sources.
Do I need a new website to show up in AI answers?
Usually not. Most practices need clearer pages, especially one page per service, with plain information on what you do, where and how to book.
Can anyone guarantee my business will show up in ChatGPT?
No. AI answers change from one search to the next. Anyone promising placement is guessing. The honest approach is to fix your sources and track results over time.
How often should I check?
Once a month is a good rhythm. Look for patterns over several checks rather than reacting to one result.
Sources