You are competing with a telehealth company that has a national budget
Removing the X-waiver did more than widen who could prescribe. It made a fully remote buprenorphine business viable, and funded companies moved into every state at once, buying the searches your clinic used to own for the price of a few clicks.
They win on speed, price transparency, and a booking flow that takes ninety seconds. They lose on anything requiring a physical exam, on patients who want to sit across from a person, on complex cases, and on patients whose insurance they do not take.
None of those advantages show up in a search result on their own. If your site says request an appointment and theirs says start today for a stated price, you lose the click before your advantage gets a hearing.