How we measure who ChatGPT recommends

These rankings aren't opinions, votes, or paid placements. They are a record of what ChatGPT actually answered when we asked — the same way a patient would — who to see.

The five steps, in plain language

1. 1

   We ask the questions real patients ask.

   In each metro we asked ChatGPT for a chiropractor 4 different ways — everyday phrasings like "Who is the best chiropractor near me?", "Who's the best chiropractor near me for back pain?", and "Which chiropractor should I go to?". No trick prompts, no leading questions. 27 metros × 4 questions = 108 checks for this edition.

2. 2

   We record every practice it names.

   Each answer gets logged exactly as given. We then match every recommendation against the 3,205 Florida & Texas practices in our dataset. When ChatGPT names a business with multiple locations, we credit it once — one winner per named business, so no practice is double-counted.

3. 3

   We publish the count, not a number one.

   We tested this. Running the identical questions on the identical list a second time, the same day, changed which practice came out on top in more than a third of markets — and in most markets the top spot was already shared by two to five of them. What did NOT move was the count: a practice named in most checks was named in most checks again. So the page shows how many of the 4 checks named each one. Practices with the same count are shown together, alphabetically, because the measurement does not separate them.

4. 4

   Named once doesn't make the list.

   Practices named in exactly one check reappeared less than half the time when we re-ran the same questions. That is a coin flip, not a recommendation, so we keep the data and don't publish the name. Two mentions came back 86% of the time; four came back every time. Each metro page shows only the practices ChatGPT named more than once. We never publish a bottom list and never name who didn't make it.

5. 5

   We re-run it quarterly.

   The same benchmark, the same way, every quarter. Practices that improve their AI visibility can appear in the next edition — and the run date is printed on every page. This edition: August 2026.

This edition

Measured August 5, 2026 on ChatGPT (gpt-4o, with web search): 27 metros × 4 question phrasings = 108 checks. No other AI system is included in these numbers.

Earlier editions of this board pooled the answers of more than one AI assistant into a single number. This edition is ChatGPT only, so the percentages here are lower than an older screenshot of this page — the market didn't change, the measurement got narrower and clearer.

What this is — and what it isn't

Being on this list means ChatGPT recommended that practice when we asked, in this edition, in that metro. It is a measurement of AI visibility — not a judgment of the quality of anyone's work, and not a claim that unlisted chiropractors are worse at what they do. AI answers also change over time, which is exactly why we re-measure quarterly and date every edition.