Health care · County · Kentucky
Medical and dental practices in Letcher County, KY
Competitor counts, household spending and official business counts for medical and dental practices in Letcher County, KY, set against other counties and the U.S.
Groundwork market score · out of 100
Score 32 out of 100: Lower middle
Ranked #2,010 of 2,394 scored counties
#64 of 99 scored counties in Kentucky
- Listings
- 32
- 6 chain locations (19%)
- Official establishments
- 21
- −12.5% since 2019
- Household spending a year
- $7.1M
- On medical and dental services · $838 a household
- Spending per listing
- $222K
- 45% above the U.S.
- Listings per 10k households
- 37.8
- 55% below the U.S.
- Population, 2025
- 19,952
- −7.0% since 2020
See the medical and dental practices around any address in Letcher 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 Letcher 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
The Groundwork market score for medical and dental practices in Letcher County is 32 (lower middle), #2,010 of 2,394 scored counties and #64 of 99 scored counties in Kentucky. That puts it in the bottom quarter of counties.
As of September 2026, map listings count 32 medical and dental practices in Letcher County. Of those, 6 are chain locations, or 19%, against 11% across the U.S. That is 37.8 per 10,000 households, 55% below the U.S. rate of 84.5.
Household spending on medical and dental services in Letcher County comes to about $7.1M a year: $838 per household, 35% below the U.S. average. Spread across 32 medical and dental practices, that is $222K per practice, 45% above the U.S. figure of $152K.
Official counts show 21 businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Letcher County in 2023, down 12.5% from 2019. That is one for every 403 households, against one for every 270 across the U.S. Between 2020 and 2025, the population of Letcher County declined 7.0%, against +3.1% for the U.S.
How Letcher County compares
The same measures for Kentucky 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 | Letcher County | Kentucky | U.S. |
|---|---|---|---|
| Listings per 10k households | 37.8 | 91.7 | 84.5 |
| Spending per listing | $222K | $114K | $152K |
| Households per official establishment | 403 | 310 | 270 |
| Official establishment growth, 2019–2023 | −12.5% | +1.9% | +1.5% |
| Population growth, 2020–2025 | −7.0% | +2.2% | +3.1% |
| Spending per household on medical and dental services | $838 | $1,042 | $1,288 |
| Median household income | $41,793 | $63,726 | $80,734 |
| Groundwork market score | 32 | 25 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 24 → 21−12.5% over the period
- Employees, 2023
- 85
- Annual payroll, 2023
- $4.6M
- One-person businesses, 2023
- 11Businesses with no payroll
- Map listings, September 2026
- 326 chain locations
- Listings at the U.S. rate for this spending
- 47The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 0
- Amount
- $0
SBA-backed loans to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Letcher 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 Letcher County
- Population, 2025 estimate
- 19,952−7.0% since 2020
- Households
- 8,463
- Median age
- 43.8
- Homes lived in by their owners
- 74%
- Vehicles per household
- 1.9
- Land area
- 338 sq. mi.
- People per square mile
- 62
- Median household income
- $41,793+39.8% vs. 2015–2019, before inflation
- Average household income
- $53,066
- Median home value
- $67,400
- Jobs located here
- 4,399
- Daytime population
- 18,096Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Letcher 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 Letcher 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 Kentucky
Every Kentucky market ranked →The highest-scoring counties in Kentucky for medical and dental practices, numbered among those based in Kentucky, with Letcher County marked.
Top counties in Kentucky
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Spencer County, KY | 85 | 21 | 28.7 | $433K | +7.7% | #37 of 2,394 |
| 2Allen County, KY | 78 | 20 | 24.9 | $390K | +9.5% | #121 of 2,394 |
| 3Edmonson County, KY | 75 | 9 | 17.7 | $527K | +5.0% | #192 of 2,394 |
| 4Todd County, KY | 74 | 13 | 28.5 | $359K | +5.6% | #235 of 2,394 |
| 5Trigg County, KY | 72 | 16 | 26.4 | $375K | +3.1% | #279 of 2,394 |
| 6Henry County, KY | 71 | 18 | 29.3 | $345K | +4.8% | #316 of 2,394 |
| 7Jackson County, KY | 70 | 8 | 15.6 | $549K | +2.8% | #331 of 2,394 |
| 8Garrard County, KY | 70 | 25 | 37.3 | $263K | +7.3% | #353 of 2,394 |
| 9Lincoln County, KY | 68 | 30 | 30.9 | $306K | +4.6% | #406 of 2,394 |
| 10Meade County, KY | 68 | 43 | 39.1 | $283K | +2.2% | #413 of 2,394 |
| 64Letcher County, KY | 32 | 32 | 37.8 | $222K | −7.0% | #2,010 of 2,394 |
Other business types in Letcher 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
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many medical and dental practices are in Letcher County, KY?
Letcher County has 32 medical and dental practices on map listings as of September 2026. 6 of them (19%) are chain locations. The listings count every outpatient clinic and practice, and urgent care. Official counts show 21 businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in 2023, down 12.5% from 2019. Another 11 one-person businesses have no payroll, by official counts.
How much do households in Letcher County, KY spend on medical and dental services?
About $7.1M a year, or $838 per household. That is 35% below the U.S. average (an index of 65, where 100 is the U.S. average). Spread across the 32 medical and dental practices on map listings, it comes to $222K per practice. It is estimated from the incomes of the 8,463 households in Letcher County and national spending patterns by income.
How does Letcher County, KY compare with the U.S. for medical and dental practices?
Letcher County has 37.8 medical and dental practices per 10,000 households, 55% below the U.S. rate of 84.5. Spending per practice is $222K, 45% above the U.S. figure of $152K. At the national ratio of medical and dental practices to household spending, Letcher County would have about 47, against 32 on map listings. There is one business with payroll in the industry for every 403 households, against one for every 270 across the U.S. The official count fell 12.5% from 2019 to 2023, against +1.5% for the U.S.
How fast is Letcher County, KY growing?
Population estimates put Letcher County at 19,952 people in 2025, down 7.0% since 2020, against +3.1% for the U.S. It has 8,463 households. Median household income in Letcher County is $41,793, 48% below the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 39.8%, 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. Letcher County scores 32 for medical and dental practices (lower middle), #2,010 of 2,394 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Letcher 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 Letcher County
Screening a site or an acquisition in Letcher 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 Letcher 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.