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TrueSignal Research · Updated 2026-06-29

Medspa AI Recommendation Audit

We asked 4 AI platforms to recommend the best Medspa practice in 10 major US cities, then asked them to describe 20 specific Medspa practices in detail. Every recommendation was verified against Google Places. Every factual claim was extracted and categorized.

68.3%
Unverifiable
of AI-stated facts can’t be confirmed or denied
6.6%
Platform Agreement
of recommendations cited by 2+ platforms
88.5%
Fact Disagreement
of the time platforms state different answers for the same fact
1,552
Claims Graded
specific facts extracted and verified
166
Practices Analyzed
across 10 cities
Study 1

Recommendation Consistency

“Who is the best Medspa practice in [city]?” — asked to ChatGPT, Claude, Perplexity, and Gemini

1.

AI platforms rarely agree on who to recommend. Only 6.6% of recommended Medspa practiceswere cited by two or more platforms. Ask ChatGPT and Perplexity the same question and you’ll likely get completely different answers.

2.

Most recommendations can’t be independently verified. Only 53.0% of recommended practices were confirmed as real, operating in the specified city, via Google Places. The rest are in nearby suburbs, have mismatched names, or can’t be found at all.

3.

Claude declined to recommend specific practices in most cities. With a 90.0% decline rate, Claude explicitly cited its inability to verify current information. The other three platforms recommended confidently — with no way for users to verify those recommendations either.

Study 1: Platform Comparison

PlatformAvg. RecommendationsVerification RateHedging RateDecline Rate
ChatGPT5.036.0%10.0%0.0%
Claude0.250.0%100.0%90.0%
Perplexity7.981.0%30.0%0.0%
Gemini4.727.7%20.0%0.0%

Results by City

Study 2

Description Verifiability

“Tell me about [specific Medspa practice]. How long have they been in business? What services do they offer? What certifications do they have?”

1.

68.3% of AI-stated facts about Medspa practices can't be verified. We extracted 1,552 specific factual claims from 79 AI descriptions of 20 practices, then graded each one against BBB records, state licensing boards, and company websites. Only 23.9% could be confirmed correct. The rest are either wrong or impossible to verify from public sources.

2.

Gemini was the least accurate (61.8%, 16 confirmed wrong). 27 total claims were provably incorrect across all platforms. Perplexity generated the most claims per business (48.6 on average). More data isn’t better when there’s no verified source to draw from.

3.

Ask two AI platforms the same question about the same business and they disagree 88.5% of the time. Across 26 fact comparisons, platforms gave different founding years, different owners, different employee counts for the same practice. 19 of those disagreements included at least one provably wrong answer.

Study 2: Platform Comparison

PlatformAvg. Claims / BusinessDecline RateAccuracyUnverifiableWrong
ChatGPT15.350.0%90.7%503
Claude1.2100.0%100.0%20
Perplexity48.60.0%78.7%5118
Gemini47.80.0%61.8%49716

“Accuracy” = correct claims / (correct + incorrect + partially correct). Claims graded against BBB, state records, and company websites. “Unverifiable” = claims that could not be confirmed or denied from available public sources.

Examples: What AI Got Wrong

Specific claims that directly contradict verified sources (BBB records, state licensing boards, company websites).

GeminiViva Day Spa + Med Spa Dallas
Viva Day Spa + Med Spa Dallas is located at 3223 W Mockingbird Ln, Dallas, TX 75235
Ground truth shows the address as 8300 Preston Rd, Suite 250, Dallas, TX 75225, not 3223 W Mockingbird Ln, Dallas, TX 75235.
GeminiViva Day Spa + Med Spa Dallas
The Dallas location is in the Inwood Village area
The verified address (8300 Preston Rd) is not in the Inwood Village area; Inwood Village is near W Mockingbird Ln, which contradicts the correct address.
ChatGPTSkinSpirit Atlanta - Buckhead
SkinSpirit was founded in 2003
The ground truth states the Atlanta Buckhead location was founded in 2024, not 2003. The 2003 date may refer to the broader SkinSpirit chain, but this specific claim is misleading/incorrect for this location.
PerplexitySkinSpirit Atlanta - Buckhead
SkinSpirit company was founded in 2003
The Atlanta Buckhead location was founded in 2024 per ground truth. The 2003 date may refer to the broader SkinSpirit organization, not this specific location.
GeminiSkinSpirit Atlanta - Buckhead
SkinSpirit Atlanta - Buckhead opened in October 2022
Ground truth states the business was founded in 2024, not October 2022.
GeminiVive Med Spa
Vive Med Spa is located in the Cherry Creek North neighborhood of Denver, Colorado
Ground truth lists address as 2353 15th St, Denver, CO 80202, which is in the LoHi/Sloan's Lake area, not Cherry Creek North.
ChatGPTRESTOR Medical Spa
No specific information is available on a business named RESTOR Medical Spa in Denver, Colorado
The business does exist in Denver, Colorado and has a verified address, so the claim that no specific information is available is contradicted by ground truth.
PerplexityLook Lab Med Spa
Look Lab is a multi-location med spa brand
Ground truth indicates a single location at 3545 E Indian School Rd, Phoenix, AZ; no evidence of multiple locations
GeminiLook Lab Med Spa
Look Lab Med Spa officially opened in 2021
Ground truth states founded in 2022, not 2021
GeminiLook Lab Med Spa
The medical director is Dr. Danielle Smith, DO
Ground truth identifies the owner as Dr. Michael Seifried, not Dr. Danielle Smith, DO as medical director

Same Business, Different Answers

When we asked each platform the same question about the same business, they often gave different answers. Here are side-by-side comparisons with the verified answer.

Viva Day Spa + Med Spa DallasDallas
Year Founded
ChatGPT
not stated
Claude
not stated
Perplexity
2005
Gemini
2022
Verified
2005
Look Lab Med SpaPhoenix
Year Founded
ChatGPT
not stated
Claude
not stated
Perplexity
2022
Gemini
2021
Verified
2022
Bella Santé Day Spa Med SpaBoston
Year Founded
ChatGPT
not stated
Claude
not stated
Perplexity
1998
Gemini
1993
Verified
1996
Skinlogic Med SpaSeattle
Year Founded
ChatGPT
not stated
Claude
not stated
Perplexity
2001
Gemini
2006
Verified
2001
61Five Health & WellnessNashville
Year Founded
ChatGPT
not stated
Claude
not stated
Perplexity
2015
Gemini
2021
Verified
2015
Mara's Med Spa DallasDallas
Owner/Founder
ChatGPT
not stated
Claude
not stated
Perplexity
Mara Pinney
Gemini
Mara
Verified
Mara Pinney
Viva Day Spa + Med Spa DallasDallas
Address
ChatGPT
not stated
Claude
not stated
Perplexity
8300 Preston Road, Suite 250, Dallas, TX 75225
Gemini
3223 W Mockingbird Ln, Dallas, TX 75235
Verified
8300 Preston Rd, Suite 250, Dallas, TX 75225
Boston Medical AestheticsBoston
Owner/Founder
ChatGPT
not stated
Claude
not stated
Perplexity
Jennifer Canesi, ANP-BC
Gemini
Emily K. Deen, NP and Sarah B. Wirth, NP
Verified
Jennifer Canesi

Across 26 fact comparisons where 2+ platforms stated an answer, platforms disagreed 88.5% of the time. 19 comparisons included at least one provably wrong answer.

Claims Per Business

How many factual claims each platform made when asked to describe a specific Medspa practice.

BusinessCityChatGPTClaudePerplexityGemini
Mara's Med Spa DallasDallas11 / 29Declined47 / 5339 / 52
Viva Day Spa + Med Spa DallasDallas8 / 19Declined56 / 6641 / 57
SkinSpirit Atlanta - BuckheadAtlanta11 / 25Declined37 / 4428 / 45
WIFHAtlanta15 / 26Declined37 / 4733 / 42
Vive Med SpaDenverDeclinedDeclined39 / 4434 / 49
RESTOR Medical SpaDenverDeclinedDeclined39 / 5324 / 40
Look Lab Med SpaPhoenixDeclinedDeclined36 / 4235 / 43
Suddenly Slimmer Med SpaPhoenix18 / 25Declined-53 / 62
Essence Medspa & Wellness CenterChicagoDeclinedDeclined46 / 5530 / 47
ImageLab Med SpaChicagoDeclinedDeclined34 / 4036 / 49
Boston Medical AestheticsBoston1 / 16Declined36 / 4429 / 45
Bella Santé Day Spa Med SpaBoston24 / 35Declined46 / 5538 / 52
Skinlogic Med SpaSeattle10 / 22Declined60 / 6330 / 41
Penelope & The Beauty BarSeattle15 / 31Declined44 / 5629 / 44
Lux MedSpa BrickellMiamiDeclinedDeclined36 / 5022 / 41
Aviva Medical Spa - Miami Design DistrictMiamiDeclinedDeclined37 / 4228 / 44
Eternal Beauty Med SpaMinneapolisDeclinedDeclined35 / 4523 / 40
Clinic EllenaMinneapolisDeclinedDeclined30 / 4235 / 50
61Five Health & WellnessNashvilleDeclinedDeclined50 / 5825 / 47
Genesis Lifestyle MedicineNashville1 / 22Declined19 / 2542 / 65

Bold number = specific claims. After slash = total claims including vague statements.

What This Means for Medspa Practices

?

AI doesn’t agree on who you are

Only 6.6% of recommended Medspa practices appeared on more than one platform. Which AI your customer uses determines which practicethey find.

!

Most of what AI says about you can’t be verified

68.3% of specific AI claims about Medspa practices couldn't be confirmed or denied from any public source. 27 claims were confirmed wrong.

The gap is verified operational data

AI doesn’t lack information — it lacks verified information. When there’s no authoritative source, AI guesses. Structured data from systems-of-record is how it gets the answer right.

Full Methodology

Study 1: Recommendation Consistency

What is the best medspa in [City], [State]? Please recommend specific businesses and explain why you recommend them.

Asked in each of 10 cities. Each response parsed for business names, evidence cited, hedging language. Each business verified via Google Places API.

Study 2: Description Verifiability

Tell me about [Business Name], a medspa in [City], [State]. How long have they been in business? What treatments and services do they offer? What certifications or medical credentials do they have? What is their reputation? Please be as specific and detailed as possible.

20 verified Medspa practices (2 per city, selected by Google review volume). Every factual claim extracted and categorized into 9 categories: founding year, services, certifications, location, reputation, staff, pricing, affiliations, other.

Each specific claim was then graded against ground truth collected from BBB profiles, state licensing boards, Google Places, and company websites. Claims were graded as correct, incorrect, partially correct, or unverifiable.

For the cross-platform disagreement analysis, structured facts (founding year, address, BBB rating, owner name, employee count) were extracted from each response and compared side-by-side. A disagreement is recorded when two or more platforms state different values for the same fact about the same business.

Platforms & Models

  • ChatGPT: gpt-4o
  • Claude: claude-sonnet-4-6
  • Perplexity: sonar-pro
  • Gemini: gemini-2.5-flash

Cities

Dallas, Texas · Atlanta, Georgia · Denver, Colorado · Phoenix, Arizona · Chicago, Illinois · Boston, Massachusetts · Seattle, Washington · Miami, Florida · Minneapolis, Minnesota · Nashville, Tennessee

Verification

Google Places API (Find Place from Text). Each recommended business was searched by name + city + state. Verified = found on Google Places with name match >= 50% and address in specified metro area.

Limitations

  • AI responses are non-deterministic. Running the same prompt twice may produce different results. This study captures a single snapshot per platform per city.
  • Google Places verification uses name + city text search. Businesses with different registered names or addresses in adjacent suburbs may be incorrectly flagged as unverified.
  • “Verification rate” measures whether the business exists on Google Places in the specified city, not whether it is the best recommendation.
  • Claim extraction uses AI to parse AI responses. Some claims may be miscategorized or split differently across platforms.
  • Claude declined to recommend specific practices in most cities, citing inability to verify current information. This is recorded as a decline, not a platform failure.

Data Access

Raw data, parsed responses, and verification results are available for download. Contact hello@usetruesignal.com for the full dataset.

Take control of how AI describes your Medspa practice.

68.3% of what AI says about Medspa practices in this study couldn't be verified from any public source. A TrustRecord replaces guesswork with verified operational data from your own systems-of-record.

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