Health care · County · Texas
Medical and dental practices in Comal County, TX
The medical and dental practices in Comal County, TX, the household spending behind them and how the market ranks against other counties.
Groundwork market score · out of 100
Score 44 out of 100: Lower middle
Ranked #1,503 of 2,394 scored counties
#111 of 160 scored counties in Texas
- Listings
- 653
- 89 chain locations (14%)
- Official establishments
- 310
- +31.4% since 2019
- Household spending a year
- $93M
- On medical and dental services · $1,303 a household
- Spending per listing
- $142K
- 7% below the U.S.
- Listings per 10k households
- 91.5
- 8% above the U.S.
- Population, 2025
- 209,166
- +27.9% since 2020
See the medical and dental practices around any address in Comal 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 Comal 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 653 medical and dental practices in Comal County. Chain locations make up 14% of them, against 11% across the U.S. Per 10,000 households, that is 91.5, 8% above the U.S. rate of 84.5.
Households in Comal County spend about $93M a year on medical and dental services, or $1,303 per household, in line with the U.S. average. That is about $142K of household spending for each practice on map listings, 7% below the U.S. figure of $152K.
In 2023, official counts showed 310 businesses with payroll in Comal County classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers, up 31.4% from 2019. That is one for every 230 households, against one for every 270 across the U.S. Another 219 one-person businesses have no payroll, by official counts. Since fiscal 2022, 3 SBA-backed loans worth $10.6M have gone to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Comal County.
Between 2020 and 2025, the population of Comal County grew 27.9%, faster than the U.S. (+3.1%). The Groundwork market score for medical and dental practices in Comal County is 44 (lower middle), #1,503 of 2,394 scored counties and #111 of 160 scored counties in Texas.
How Comal County compares
The same measures for Texas 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 | Comal County | Texas | U.S. |
|---|---|---|---|
| Listings per 10k households | 91.5 | 82.6 | 84.5 |
| Spending per listing | $142K | $141K | $152K |
| Households per official establishment | 230 | 252 | 270 |
| Official establishment growth, 2019–2023 | +31.4% | +4.2% | +1.5% |
| Population growth, 2020–2025 | +27.9% | +8.5% | +3.1% |
| Spending per household on medical and dental services | $1,303 | $1,164 | $1,288 |
| Median household income | $101,889 | $78,476 | $80,734 |
| Groundwork market score | 44 | 38 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 236 → 310+31.4% over the period
- Employees, 2023
- 2,570
- Annual payroll, 2023
- $182.1M
- One-person businesses, 2023
- 219Businesses with no payroll
- Map listings, September 2026
- 65389 chain locations
- Listings at the U.S. rate for this spending
- 610The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 3
- Amount
- $10.6M
SBA-backed loans to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in Comal 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 Comal County
- Population, 2025 estimate
- 209,166+27.9% since 2020
- Households
- 71,354
- Median age
- 42.5
- Homes lived in by their owners
- 77%
- Vehicles per household
- 2.0
- Land area
- 560 sq. mi.
- People per square mile
- 329
- Median household income
- $101,889+27.5% vs. 2015–2019, before inflation
- Average household income
- $133,953
- Median home value
- $427,200
- Jobs located here
- 76,984
- Daytime population
- 179,700Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Comal 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 Comal 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 Texas
Every Texas market ranked →The highest-scoring counties in Texas for medical and dental practices, numbered among those based in Texas, with Comal County marked.
Top counties in Texas
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Chambers County, TX | 87 | 65 | 37.7 | $344K | +22.6% | #22 of 2,394 |
| 2Burleson County, TX | 86 | 13 | 16.5 | $661K | +16.2% | #25 of 2,394 |
| 3Grimes County, TX | 85 | 15 | 14.6 | $720K | +16.3% | #30 of 2,394 |
| 4Waller County, TX | 85 | 36 | 19.6 | $616K | +21.9% | #31 of 2,394 |
| 5Rains County, TX | 84 | 10 | 20.6 | $525K | +11.2% | #46 of 2,394 |
| 6Bandera County, TX | 83 | 25 | 27.0 | $408K | +9.0% | #62 of 2,394 |
| 7Milam County, TX | 82 | 14 | 13.8 | $757K | +6.0% | #69 of 2,394 |
| 8Upshur County, TX | 81 | 26 | 16.7 | $616K | +8.2% | #81 of 2,394 |
| 9Gaines County, TX | 81 | 18 | 26.0 | $430K | +10.4% | #84 of 2,394 |
| 10Blanco County, TX | 81 | 21 | 40.7 | $297K | +18.6% | #92 of 2,394 |
| 111Comal County, TX | 44 | 653 | 91.5 | $142K | +27.9% | #1,503 of 2,394 |
Other business types in Comal 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 clinics44
- Dentists and orthodontists43
- Primary care and pediatrics43
- Urgent care and walk-in clinics55
- Chiropractors58
- Physical therapy60
- Optometrists and eye care50
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many medical and dental practices are in Comal County, TX?
Comal County has 653 medical and dental practices on map listings as of September 2026. 89 of them (14%) are chain locations. The listings count every outpatient clinic and practice, and urgent care. Official counts show 310 businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in 2023, up 31.4% from 2019. Official counts list 219 one-person businesses without payroll.
How much do households in Comal County, TX spend on medical and dental services?
About $93M a year, or $1,303 per household. That is in line with the U.S. average (an index of 101, where 100 is the U.S. average). Spread across the 653 medical and dental practices on map listings, it comes to $142K per practice. It is estimated from the incomes of the 71,354 households in Comal County and national spending patterns by income.
How does Comal County, TX compare with the U.S. for medical and dental practices?
Comal County has 91.5 medical and dental practices per 10,000 households, 8% above the U.S. rate of 84.5. Spending per practice is $142K, 7% below the U.S. figure of $152K. At the national ratio of medical and dental practices to household spending, Comal County would have about 610, against 653 on map listings. There is one business with payroll in the industry for every 230 households, against one for every 270 across the U.S. The official count rose 31.4% from 2019 to 2023, against +1.5% for the U.S.
How fast is Comal County, TX growing?
Population estimates put Comal County at 209,166 people in 2025, up 27.9% since 2020, faster than the U.S. (+3.1%). It has 71,354 households. Median household income in Comal County is $101,889, 26% above the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 27.5%, 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. Comal County scores 44 for medical and dental practices (lower middle), #1,503 of 2,394 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Comal 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 Comal County
Screening a site or an acquisition in Comal 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 Comal 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.