A patient referred for uterine fibroid embolization, prostate artery embolization, or a TIPS procedure searches "interventional radiologist [city]" and lands on an ABMS lookup that returns one record at a time. SIR membership exists, hospital department pages exist, but no public directory cross-references them by metro and procedure focus. SleekRank fills the gap. One sheet of about 500 US metros, each row carrying IR physician counts, dominant hospital systems, and a JSON column of named physicians with procedure tags (UFE, PAE, TIPS, port placement, biopsy, ablation, embolization), drives every URL.

One row per metro, one URL per row. The slug column maps to /interventional-radiologists/{slug}/, ir_count flows into a hero stat, top_health_system drives a badge, and a JSON column of named physicians with procedure chips feeds a list block. Meta mappings carry title, description, canonical, and og:image keyed to the slug. A second page group filtered to UFE-tagged rows runs /uterine-fibroid-embolization/{city}/ from the same source.

The base page is a normal WordPress page in your theme so design, schema, and tracking carry across all 500 URLs. The XML sitemap auto-includes every produced page, stale rows 404 cleanly on the next cache refresh, and a physician relocation is a single sheet edit. No CMS sprint, no engineer.

Interventional radiology sits between diagnostic radiology, surgery, and specialty medicine, and patients often have a hard time finding the right subspecialist. Someone diagnosed with uterine fibroids and offered UFE as an alternative to hysterectomy needs an IR who performs UFE in their metro, with consultation availability and a hospital where the procedure is supported. ABMS lookup does not surface that, SIR membership data is not segmented by metro and procedure publicly, and hospital department pages rarely name individual IRs or list their procedure focus.

The result: a search for "UFE Philadelphia" returns a department landing page that does not name a single attending. Google rewards whoever publishes a real URL per metro with concrete physician counts, named subspecialists, and procedure chips. Hand-building 500 metro pages and keeping them current across quarterly hospital updates and SIR membership changes is unrealistic for a small clinical operations team.

Maintaining 500 rows in a sheet the same analyst already uses for workforce reporting is a normal week. SleekRank wires the sheet directly to a rendered WordPress page, so the analyst who edits the row ships the page. Procedure-specific subsets are one filter away rather than a parallel build, and patients finally find the right IR by procedure and metro.