AI almost never speaks negatively about a practice.
This study analyzed 3,234 AI answers and 10,133 citations to 72 patient questions on ChatGPT, Gemini, Perplexity and Google AI Overview, checked against 18,492 practice listings in five US metro markets: suburban Chicago, Philadelphia-South Jersey, Tampa-St. Petersburg, Phoenix West Valley and suburban Houston.
Out of 10,133 practice citations across ChatGPT, Gemini and Perplexity in Javvo's study, only 12 were negative. Every negative comment traces to a very low rating or patient complaints on a review platform; AI does not form its own negative opinions about a practice.
The 12 negative mentions from AI all trace to patient reviews
The negative citations cluster tightly. The 12 negatives name seven businesses: two podiatry practices drew 3, three dental practices drew 4, and two chiropractic businesses drew 5. Every one is based on a very low rating or written patient complaints on a review platform; AI simply quotes what patients have written. Google AI Overview showed the same restraint, with 0.5% of its practice mentions negative.
When AI does share negative sentiment, it adopts a measured tone
The criticism is quoted, weighed, and often softened with balance rather than amplified.
Dr. [Doctor], DDS. Pediatric dentistry in [city]; Healthgrades lists her as accepting new patients, but the visible rating is 1.8/5 from 6 reviews, so I'd be cautious and read the reviews closely.
Patient reviews for Dr. [Doctor] are mixed. Some patients praise his kind and compassionate care, while others have reported negative experiences.
[Practice]. Established local practice in [city]; however, the Healthgrades group listing shown has a 1.0 rating based on 1 review, so it is not the best-rated option in the results.
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AEO for partnersAugust 2026 edition.