Abstract: This disclosure describes systems and methods for managing the reputation of a practitioner, such as a medical practitioner or another professional service provider, by requesting reviews after a procedure or other service has been provided. A targeted patient or client acquisition system leverages the strengthened reputation of the practitioner to acquire target patients. The targeted patient acquisition system identifies a target geographic region for targeted advertisement based on a weighted function of targeting factors for each of a plurality of geographic regions within a travel threshold of an office of the practitioner. A marketing management subsystem manages the electronic distribution of advertisements to individuals within the identified target geographic region. Calculated profitability metrics of new patients acquired via the targeted advertisements are used to adjust the target geographic region.