I've got an adwords setup, keyword being "Hospital bed mattresses"

When i used the keyword estimator tool, it showed 2,400 local searches.
This past month, there have been about 5 impressions....

This doesnt make sense. Am I doing something wrong? Its position is averaging between 1-3....

Dani AI

Generated

It’s common for keyword-tool estimates and live AdWords impressions to diverge. Tool numbers are historical averages and include different match behaviors and geographies; live impressions depend on the campaign’s settings, auction competition, and ad/keyword eligibility.

Common causes that explain the gap:

  • Match type and query coverage: exact/phrase vs broad match produce very different impression volumes.
  • Geographic and language targeting: a narrow target area yields far fewer searches than a country- or global-level estimate.
  • Budget and bids: low daily budgets or bids below the auction threshold prevent participation in many auctions.
  • Keyword/ad status: paused, disapproved, or “low search volume” flags stop ads from serving.
  • Negative keywords and account-level exclusions that unintentionally block queries.
  • Network and scheduling limits: opting out of the Search Network, restricting ad hours, or device targeting cuts impressions.
  • Reporting period mismatch: tool averages vs the campaign’s selected date range.

Practical troubleshooting steps to run through:

  • Confirm campaign, ad group, ads, and keywords show as eligible and approved.
  • Compare the same date range and geographic settings used by the estimator.
  • Use the Search Terms report to see which queries actually trigger the keyword.
  • Inspect Impression Share and the “Search lost IS (budget/rank)” metrics to identify whether budget or rank is the limiter.
  • Run a short test with broader match (or modified-broad), a slightly higher bid, and wider location settings to see if impressions rise; if they do, refine targeting and quality score to control costs.

Build on ’s point about expanding coverage only after these checks. The different volumes noted by underscore that tool settings vary. When diagnostics still show negligible impressions, contact Google Ads support for account-specific investigation.

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Add more keywords or keyphrase
The ones that are getting High Searches are these:
mattresses mattresses
Hospital bed
medical supplies
bed for hospital

but why arent i seeing the results that google keyword's says ill see? It's confusing...

but why arent i seeing the results that google keyword's says ill see? It's confusing...

Webmaster Tools or Google Analytics

I havent used Adwords for soo long since every time I tried to use it, it's good for 1 day and then it stops. So I no longer used it and about 5 months later, google sends an email saying the account was suspended due to breaking terms, ?????? NO Clue. But thats fine.

In mine it showed 210 in local searches for "hospital bed mattresses"

maybe theres something wrong with the way i have it all set up? Hm.

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