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Health care · Metro area · Iowa

Chiropractors in the Des Moines-West Des Moines, IA metro area

How the Des Moines-West Des Moines, IA metro area compares with other metro areas and the U.S. for chiropractors: competitors, household spending, official counts and growth.

Groundwork market score · out of 100

Score 38 out of 100: Lower middle

Ranked #295 of 386 scored metro areas
#2 of 8 scored metro areas based in Iowa

Listings
324
29 chain locations (9%)
Official establishments
194
+10.9% since 2019
Household spending a year
$450.2M
On medical and dental services · $1,527 a household
Spending per listing
$1.4M
42% below the U.S.
Listings per 10k households
11.0
Twice the U.S.
Population, 2025
758,539
+6.7% since 2020

See the chiropractors around any address in the Des Moines-West Des Moines metro area

The site report maps the chiropractors on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of the Des Moines-West Des Moines metro area. Signed out, you see a blurred preview; on an account, each report is one action.

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Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

For chiropractors, the Des Moines-West Des Moines metro area has a Groundwork market score of 38 (lower middle): #295 of 386 scored metro areas and #2 of 8 scored metro areas based in Iowa. That puts it in the bottom quarter of metro areas.

As of September 2026, map listings count 324 chiropractors in the Des Moines-West Des Moines metro area. Of those, 29 are chain locations, or 9%, against 8% across the U.S. That comes to 11.0 for every 10,000 households, twice the U.S. rate of 5.4.

Household spending on medical and dental services in the Des Moines-West Des Moines metro area comes to about $450.2M a year: $1,527 per household, 19% above the U.S. average. Spread across 324 chiropractors, that is $1.4M per practice, 42% below the U.S. figure of $2.4M. That spending covers all medical and dental services, which chiropractors share with other businesses in the trade.

In 2023, official counts showed 194 businesses with payroll in the Des Moines-West Des Moines metro area classed as offices of chiropractors, up 10.9% from 2019. That is one for every 1,520 households, against one for every 3,237 across the U.S. Since fiscal 2022, 14 SBA-backed loans worth $3.4M have gone to businesses classed as offices of chiropractors in the Des Moines-West Des Moines metro area. Population estimates put the population change in the Des Moines-West Des Moines metro area from 2020 to 2025 at +6.7%, faster than the U.S. (+3.1%).

How the Des Moines-West Des Moines metro area compares

The same measures for Iowa and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the chiropractors counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.

Chiropractors in Des Moines-West Des Moines, IA metro area compared with Iowa and the U.S.
MeasureDes Moines-West Des Moines metro areaIowaU.S.
Listings per 10k households11.010.55.4
Spending per listing$1.4M$1.3M$2.4M
Households per official establishment1,5201,5093,237
Official establishment growth, 2019–2023+10.9%−0.6%+0.8%
Population growth, 2020–2025+6.7%+1.5%+3.1%
Spending per household on medical and dental services$1,527$1,412$1,288
Median household income$85,890$75,059$80,734
Groundwork market score3824

Official counts and lending

Businesses

Official establishments, 2019 to 2023
194+10.9% over the period
Employees, 2023
642
Annual payroll, 2023
$25.4M
One-person businesses, 2023
Not publishedNot published for this business type
Map listings, September 2026
32429 chain locations
Listings at the U.S. rate for this spending
188The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
14
Amount
$3.4M

SBA-backed loans to businesses classed as offices of chiropractors in the Des Moines-West Des Moines metro area, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.

Population and households in the Des Moines-West Des Moines metro area

Population, 2025 estimate
758,539+6.7% since 2020
Households
294,814
Median age
37.7
Homes lived in by their owners
69%
Vehicles per household
1.9
Land area
3,613 sq. mi.
People per square mile
202
Median household income
$85,890+22.5% vs. 2015–2019, before inflation
Average household income
$112,632
Median home value
$267,400
Jobs located here
392,636
Daytime population
765,807Residents who don’t work, plus everyone whose job is here

Looking at a specific site in the Des Moines-West Des Moines metro area?

These figures cover the whole metro area. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the chiropractors on map listings by name and distance.

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Chiropractors across Iowa

Every Iowa market ranked →

The highest-scoring metro areas in Iowa for chiropractors, numbered among those based in Iowa (a market based in another state is listed without a number), with the Des Moines-West Des Moines metro area marked.

Top metro areas in Iowa

Metro areas in Iowa ranked for chiropractors by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
Omaha, NE-IA462937.5$2M+4.2%#219 of 386
1Iowa City, IA41598.2$1.8M+4.1%#259 of 386
2Des Moines-West Des Moines, IA3832411.0$1.4M+6.7%#295 of 386
3Cedar Rapids, IA291089.5$1.5M+1.0%#349 of 386
4Ames, IA275811.6$1.2M+2.2%#362 of 386
5Waterloo-Cedar Falls, IA25659.4$1.5M+0.5%#368 of 386
6Sioux City, IA-NE-SD245610.1$1.4M+1.0%#371 of 386
7Dubuque, IA225513.4$1.1M+0.1%#376 of 386
8Davenport-Moline-Rock Island, IA-IL1923714.7$952K−0.9%#381 of 386

Other business types in the Des Moines-West Des Moines metro area

Each with its Groundwork market score here, out of 100, where it has one.

Questions

How many chiropractors are in the Des Moines-West Des Moines, IA metro area?

The Des Moines-West Des Moines metro area has 324 chiropractors on map listings as of September 2026. 29 of them (9%) are chain locations. The listings count chiropractors. Official counts show 194 businesses with payroll classed as offices of chiropractors in 2023, up 10.9% from 2019.

How much do households in the Des Moines-West Des Moines, IA metro area spend on medical and dental services?

About $450.2M a year, or $1,527 per household. That is 19% above the U.S. average (an index of 119, where 100 is the U.S. average). Spread across the 324 chiropractors on map listings, it comes to $1.4M per practice. The spending figure covers all medical and dental services, not only chiropractors. It is estimated from the incomes of the 294,814 households in the Des Moines-West Des Moines metro area and national spending patterns by income.

How does the Des Moines-West Des Moines, IA metro area compare with the U.S. for chiropractors?

The Des Moines-West Des Moines metro area has 11.0 chiropractors per 10,000 households, twice the U.S. rate of 5.4. Spending per practice is $1.4M, 42% below the U.S. figure of $2.4M. At the national ratio of chiropractors to household spending, the Des Moines-West Des Moines metro area would have about 188, against 324 on map listings. There is one business with payroll in the industry for every 1,520 households, against one for every 3,237 across the U.S. The official count rose 10.9% from 2019 to 2023, against +0.8% for the U.S.

How fast is the Des Moines-West Des Moines, IA metro area growing?

Population estimates put the Des Moines-West Des Moines metro area at 758,539 people in 2025, up 6.7% since 2020, faster than the U.S. (+3.1%). It has 294,814 households. Median household income in the Des Moines-West Des Moines metro area is $85,890, 6% above the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 22.5%, before inflation.

What is the Groundwork market score?

The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. The Des Moines-West Des Moines metro area scores 38 for chiropractors (lower middle), #295 of 386 scored metro areas.

How can I see the market around a specific site?

Run a Groundwork site report on an address in the Des Moines-West Des Moines metro area. It maps the chiropractors on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.

How the score works · Top markets for chiropractors · All 56 business types in the Des Moines-West Des Moines metro area

Screening a site or an acquisition in the Des Moines-West Des Moines metro area?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

The button opens the report at the center of the Des Moines-West Des Moines metro area. Signed out, you see a blurred preview; on an account, each report is one action.

This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures are estimates for research only. Not investment or real estate advice.