Cleveland Clinic MD engagement report
@CleClinicMD - 291K followers on X
Measured over 40 original posts from a 30-day window, last computed on October 20, 2026.
Engagement
A typical post picks up 6 interactions against 291K followers, an engagement rate of 0.002%. Measured over 40 original posts, its engagement rate beats 10% of 21,185 tracked accounts of a similar size. That is a reason to look at how the audience behaves - reply depth, saves, whether the followers are recent - rather than a conclusion about it on its own. Posts are seen about 1.3K times each, and 0.456% of those impressions turn into an interaction. That is about 0.452% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.3 post a day over the last 30 days, with activity on roughly 53% of days. Most posts go out around 10:00 UTC, and Tuesday is the busiest day of the week. Of the 40 posts sampled, 98% carry an image or video and 100% link out. The account's strongest tracked post pulled 87 interactions, about 15x its own typical post.
Measured over 40 original posts from a 30-day window, last computed on October 20, 2026.
Compared with accounts its own size
Cleveland Clinic MD's engagement rate beats 10% of the tracked X accounts closest to it in follower count (21,185 accounts, accounts of similar size (decile 9 of 10)). A percentile is spread evenly by construction, so 50 really is the middle of that group and 90 really is its top tenth.
On engagement per impression rather than per follower it beats 24% of the same group. When those two numbers disagree, the gap is about how far its posts travel rather than how people react to them.
Where this sits in the catalog
At 0.002%, Cleveland Clinic MD sits below the 10th percentile of the 213,282 accounts in this comparison. That places it in the bottom 25% band, which runs below 0.025%.
Show the percentile table
| Percentile | Engagement rate |
|---|---|
| 10th percentile | 0.004% |
| 25th percentile | 0.025% |
| 50th percentile | 0.147% |
| 75th percentile | 0.698% |
| 90th percentile | 2.61% |
| 99th percentile | 82.9% |
This ruler is the whole measured catalog, not a size-matched group: it shows where the raw rate falls across every account we can measure, all of which are large. For a like-for-like comparison, read the size-band percentile above instead. See how the bands are built
Posting timing
This account posts most often around 10:00 UTC, and Tuesday is its busiest day of the week. The bars below are the catalog-wide pattern, with this account's own busiest slot marked. They do not show how this account performs at each hour: we keep one aggregate per account, not one per hour, so that measurement does not exist in our data.
Show engagement by hour posted, utc as a table
| Hour (UTC) | Vs author median | Posts |
|---|---|---|
| 00:00 UTC | -1% | 89K |
| 01:00 UTC | -2% | 90K |
| 02:00 UTC | -3% | 88K |
| 03:00 UTC | -4% | 94K |
| 04:00 UTC | -5% | 76K |
| 05:00 UTC | -4% | 75K |
| 06:00 UTC | -5% | 86K |
| 07:00 UTC | -5% | 93K |
| 08:00 UTC | -4% | 108K |
| 09:00 UTC | -4% | 124K |
| 10:00 UTC | -3% | 129K |
| 11:00 UTC | -3% | 141K |
| 12:00 UTC | -3% | 154K |
| 13:00 UTC | -3% | 167K |
| 14:00 UTC | -4% | 173K |
| 15:00 UTC | -2% | 176K |
| 16:00 UTC | -3% | 171K |
| 17:00 UTC | -3% | 159K |
| 18:00 UTC | -2% | 149K |
| 19:00 UTC | -2% | 141K |
| 20:00 UTC | -1% | 131K |
| 21:00 UTC | 0% | 116K |
| 22:00 UTC | -2% | 100K |
| 23:00 UTC | -1% | 90K |
Show engagement by day of week as a table
| Day | Vs author median | Posts |
|---|---|---|
| Sunday | +5% | 393K |
| Monday | +1% | 483K |
| Tuesday | -2% | 520K |
| Wednesday | -3% | 472K |
| Thursday | -2% | 430K |
| Friday | -3% | 447K |
| Saturday | +2% | 393K |
Formats this account uses
Its own posting mix on the left, and what each of those formats does across every account we track on the right. Only formats where the effect clears our publish test appear here, so an empty row is a format we could not measure rather than one that does nothing.
| Format | This account | Catalog effect | 95% interval | Accounts behind it |
|---|---|---|---|---|
| Image or video | 98% of posts | +111% | +108% to +115% | 34K |
| Outbound link | 100% of posts | -41% | -42% to -40% | 32K |
| Typical length | - | no effect | -2% to -1% | 42K |
- 98% of this account's sampled posts carry an image or video. Across the catalog, posts with an image or video run 111% above the same accounts' other posts.
- 100% of its posts carry a link off X. Across the catalog, posts with an outbound link run 41% below the same accounts' other posts, so a large share of this account's output sits in the weakest bucket we measure.
- Its average post runs 276 characters, which falls in the 180 - 280 characters band. Across the catalog, posts of 180 to 280 characters match the same accounts' other posts almost exactly.
These are catalog-wide differences applied to this account's own posting mix, not a measurement of how each format performs for this account specifically. We keep one median per account, not one per format per account, so the second thing is not something this data can tell you.
Best tweets
- Aug 19, 202615x their median
A 29-year-old U.S. Army staff sergeant was referred after being diagnosed with chondrosarcoma in the left side of his pelvis. 10 years ago, the only options after resecting the cancer would be to amputate the leg or leave a flail leg. In this case, our sarcoma team opted to replace the removed bone with a custom 3D-printed implant. More about the case: https://t.co/Ftv0sGwTnU
- Aug 28, 20264.2x their median
A 49-year-old man traveled from Peru after being diagnosed with a large secondary brain tumor more than four decades after surviving childhood medulloblastoma. MRI revealed a six-centimeter meningioma compressing his brain. Within days of arriving, he underwent a successful 12-hour surgery followed by advanced molecular testing, imaging and personalized radiation therapy. He continues to do well with virtual follow-up care from his home in Peru. More about the case: https://t.co/w6eo62i4Hv
- Aug 27, 20263.8x their median
A 79-year-old woman with no previous health issues presented with newly diagnosed melanoma on the right shoulder. Biopsy confirmed stage IIB melanoma, with a 3.1 mm thick, ulcerated lesion. Because of the stage of disease, the patient underwent a staging PET scan, which identified a suspicious lymph node above the right clavicle. More about the case: https://t.co/3HkSXC4Ddr
- Sep 3, 20263.2x their median
A 53-year-old firefighter and EMT was transferred from an outside hospital to identify the underlying cause of his symptoms. He presented with unexplained fevers and night sweats and was found to have bloodstream infection with methicillin-sensitive staphylocuccus aureus, which had spread to infect the valves of his heart. More about the case: https://t.co/oFYTiwlAyF
- Aug 31, 20263.2x their median
In aortic valve, root or LVOT surgery, surgeons can use landmarks on preop cardiac CT to help them avoid the conduction axis and prevent heart block: https://t.co/xU549OkWPL https://t.co/nPnUKqc4wM
- Sep 4, 20262.8x their median
Our first U.S. case of robotically assisted lung transplant offers a glimpse of how this new approach shapes patient selection, operative setup, speed of recovery and more: https://t.co/Bn3w5fy6RC https://t.co/2x5MK32C6Y
- Oct 8, 20262.7x their median
A 53-year-old firefighter and EMT was transferred from an outside hospital to identify the underlying cause of his symptoms. He presented with unexplained fevers and night sweats and was found to have bloodstream infection with methicillin-sensitive staphylocuccus aureus, which had spread to infect the valves of his heart. More about the case: https://t.co/oFYTiwlAyF
- Sep 5, 20262.7x their median
A 51-year-old male general surgeon presented for evaluation after an outside institution found a large mass invading his lumbar spine and left common iliac vein: https://t.co/mUNVV2xHee https://t.co/5bWiBrWwIq
- Sep 2, 20262.7x their median
After a pregnant woman’s routine ultrasound revealed ovarian cancer, clinicians successfully removed the tumor and continued to provide maternal-fetal care up through the baby’s birth. A healthy boy was delivered at 37 weeks by cesarean section. More about the case: https://t.co/sV5zofoNhl
- Aug 22, 20262.7x their median
A 72-year-old man with a history of smoking presented with a diagnosis of Extramammary Paget disease of his oral mucosa. The patient had been seen by a community-based oral and maxillofacial surgeon due to unexplained weight loss over one year, as well as tenderness of his oral mucosa when eating, drinking and toothbrushing over the previous two months. More about the case: https://t.co/J8ILakeOUi
Ranked by total interactions across everything we have tracked for this account, which is a longer history than the 30-day window the rates above use. The multiple compares each post to this account's own median.
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Reading these numbers
A typical post picks up 6 interactions against 291K followers, an engagement rate of 0.002%. Measured over 40 original posts, its engagement rate beats 10% of 21,185 tracked accounts of a similar size. That is a reason to look at how the audience behaves - reply depth, saves, whether the followers are recent - rather than a conclusion about it on its own. Posts are seen about 1.3K times each, and 0.456% of those impressions turn into an interaction. That is about 0.452% of the follower count, which is the gap between an audience on paper and an audience in a timeline. Posting runs at about 1.3 post a day over the last 30 days, with activity on roughly 53% of days. Most posts go out around 10:00 UTC, and Tuesday is the busiest day of the week. Of the 40 posts sampled, 98% carry an image or video and 100% link out. The account's strongest tracked post pulled 87 interactions, about 15x its own typical post.
- What is Cleveland Clinic MD's engagement rate on X?
- Cleveland Clinic MD (@CleClinicMD) has an engagement rate of 0.002%, based on the median interactions across 40 original posts from the last 30 days against 291,421 followers. Replies, reposts and quote-posts of other people are excluded from that sample.
- Is that a good engagement rate?
- At 0.002%, Cleveland Clinic MD sits below the 10th percentile of the 213,282 accounts in this comparison. Those comparison accounts are all large ones, because our scanning cadence is weighted towards big accounts, so this is a ranking among peers of similar scale rather than a ranking across X.
- Does @CleClinicMD have real engagement?
- Its engagement rate beats 10% of the tracked X accounts closest to it in follower count (21,185 accounts), which puts it in the bottom 10% for its size group. Ranking inside a size band matters because engagement rate falls as accounts grow, so a raw rate would mostly re-measure the follower count. It is a starting point for a look at follower quality, not a verdict on it.
- When does @CleClinicMD post?
- Most posts go out around 10:00 UTC, and Tuesday is its busiest day, at roughly 1.33 posts per day across the measured window.