Health care · County · Alabama
Medical and dental practices in Madison County, AL
How Madison County, AL compares with other counties and the U.S. for medical and dental practices: competitors, household spending, official counts and growth.
Groundwork market score · out of 100
Score 39 out of 100: Lower middle
Ranked #1,725 of 2,394 scored counties
#49 of 64 scored counties in Alabama
- Listings
- 1,434
- 164 chain locations (11%)
- Official establishments
- 662
- +4.9% since 2019
- Household spending a year
- $198.7M
- On medical and dental services · $1,204 a household
- Spending per listing
- $139K
- 9% below the U.S.
- Listings per 10k households
- 86.9
- 3% above the U.S.
- Population, 2025
- 433,516
- +11.0% since 2020
See the medical and dental practices around any address in Madison County
The site report maps the medical and dental practices 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 Madison County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardSurvey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure
What this means
As of September 2026, map listings count 1,434 medical and dental practices in Madison County. Of those, 164 are chain locations, or 11%, against 11% across the U.S. Per 10,000 households, that is 86.9, 3% above the U.S. rate of 84.5.
Household spending on medical and dental services in Madison County comes to about $198.7M a year: $1,204 per household, 7% below the U.S. average. That works out to $139K per practice, 9% below the U.S. figure of $152K.
The official count of businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Madison County was 662 in 2023, up 4.9% from 2019. That is one for every 249 households, against one for every 270 across the U.S. Another 416 one-person businesses have no payroll, by official counts. Since fiscal 2022, 3 SBA-backed loans worth $1.2M have gone to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Madison County.
Population estimates put the population change in Madison County from 2020 to 2025 at +11.0%, faster than the U.S. (+3.1%). For medical and dental practices, Madison County has a Groundwork market score of 39 (lower middle): #1,725 of 2,394 scored counties and #49 of 64 scored counties in Alabama.
How Madison County compares
The same measures for Alabama and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the medical and dental practices counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.
| Measure | Madison County | Alabama | U.S. |
|---|---|---|---|
| Listings per 10k households | 86.9 | 64.4 | 84.5 |
| Spending per listing | $139K | $163K | $152K |
| Households per official establishment | 249 | 343 | 270 |
| Official establishment growth, 2019–2023 | +4.9% | +1.1% | +1.5% |
| Population growth, 2020–2025 | +11.0% | +3.2% | +3.1% |
| Spending per household on medical and dental services | $1,204 | $1,050 | $1,288 |
| Median household income | $86,499 | $63,999 | $80,734 |
| Groundwork market score | 39 | 54 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 631 → 662+4.9% over the period
- Employees, 2023
- 7,648
- Annual payroll, 2023
- $608.1M
- One-person businesses, 2023
- 416Businesses with no payroll
- Map listings, September 2026
- 1,434164 chain locations
- Listings at the U.S. rate for this spending
- 1,303The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 3
- Amount
- $1.2M
SBA-backed loans to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Madison County, 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 Madison County
- Population, 2025 estimate
- 433,516+11.0% since 2020
- Households
- 165,031
- Median age
- 39.6
- Homes lived in by their owners
- 68%
- Vehicles per household
- 1.9
- Land area
- 802 sq. mi.
- People per square mile
- 506
- Median household income
- $86,499+32.2% vs. 2015–2019, before inflation
- Average household income
- $115,432
- Median home value
- $299,200
- Jobs located here
- 217,020
- Daytime population
- 448,110Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Madison County?
These figures cover the whole county. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the medical and dental practices on map listings by name and distance.
Or open the report at the center of Madison County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardDoctors, dentists and clinics across Alabama
Every Alabama market ranked →The highest-scoring counties in Alabama for medical and dental practices, numbered among those based in Alabama, with Madison County marked.
Top counties in Alabama
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Henry County, AL | 76 | 15 | 21.2 | $466K | +7.1% | #166 of 2,394 |
| 2Lawrence County, AL | 75 | 27 | 19.8 | $519K | +2.3% | #193 of 2,394 |
| 3Hale County, AL | 71 | 10 | 17.7 | $496K | +2.9% | #302 of 2,394 |
| 4Elmore County, AL | 71 | 103 | 31.3 | $352K | +4.2% | #313 of 2,394 |
| 5Geneva County, AL | 70 | 17 | 16.0 | $585K | +3.2% | #330 of 2,394 |
| 6Cleburne County, AL | 70 | 11 | 18.4 | $519K | +6.0% | #332 of 2,394 |
| 7Limestone County, AL | 68 | 154 | 37.6 | $312K | +18.0% | #405 of 2,394 |
| 8St. Clair County, AL | 68 | 138 | 39.3 | $276K | +7.1% | #414 of 2,394 |
| 9Washington County, AL | 65 | 13 | 21.8 | $483K | −3.3% | #516 of 2,394 |
| 10Clay County, AL | 64 | 14 | 24.1 | $396K | −0.1% | #563 of 2,394 |
| 49Madison County, AL | 39 | 1,434 | 86.9 | $139K | +11.0% | #1,725 of 2,394 |
Other business types in Madison County
Each with its Groundwork market score here, out of 100, where it has one.
Food and drink
Groceries and convenience
Auto
Beauty and personal care
Fitness and classes
Health care
- Doctors, dentists and clinics39
- Dentists and orthodontists43
- Primary care and pediatrics44
- Urgent care and walk-in clinics47
- Chiropractors53
- Physical therapy48
- Optometrists and eye care56
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many medical and dental practices are in Madison County, AL?
Madison County has 1,434 medical and dental practices on map listings as of September 2026. 164 of them (11%) are chain locations. The listings count every outpatient clinic and practice, and urgent care. Official counts show 662 businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in 2023, up 4.9% from 2019. Official counts list 416 one-person businesses without payroll.
How much do households in Madison County, AL spend on medical and dental services?
About $198.7M a year, or $1,204 per household. That is 7% below the U.S. average (an index of 93, where 100 is the U.S. average). Spread across the 1,434 medical and dental practices on map listings, it comes to $139K per practice. It is estimated from the incomes of the 165,031 households in Madison County and national spending patterns by income.
How does Madison County, AL compare with the U.S. for medical and dental practices?
Madison County has 86.9 medical and dental practices per 10,000 households, 3% above the U.S. rate of 84.5. Spending per practice is $139K, 9% below the U.S. figure of $152K. At the national ratio of medical and dental practices to household spending, Madison County would have about 1,303, against 1,434 on map listings. There is one business with payroll in the industry for every 249 households, against one for every 270 across the U.S. The official count rose 4.9% from 2019 to 2023, against +1.5% for the U.S.
How fast is Madison County, AL growing?
Population estimates put Madison County at 433,516 people in 2025, up 11.0% since 2020, faster than the U.S. (+3.1%). It has 165,031 households. Median household income in Madison County is $86,499, 7% above the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 32.2%, 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. Madison County scores 39 for medical and dental practices (lower middle), #1,725 of 2,394 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Madison County. It maps the medical and dental practices 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 medical and dental practices · All 56 business types in Madison County
Screening a site or an acquisition in Madison County?
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 Madison County. 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.