Groundwork

Market rankings · Health care

Top markets for primary care and pediatric clinics

Every U.S. metro area, small-town market and county, ranked by the Groundwork market score for primary care and pediatric clinics. The score weighs household spending per clinic, households per business, population growth and spending power.

Listings in the U.S.
93,457
8,387 chain locations (9%)
Official establishments
218,066
−2.2% since 2019
Household spending a year
$166.4B
On medical and dental services
Listings per 10k households
7.2
Spending per listing: $1.8M

A site report maps the primary care and pediatric clinics on map listings around the address by name and distance, and the spending within reach.

Free10 actions over 3 days, no card

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

What this means

There are 93,457 primary care and pediatric clinics on map listings in the U.S. as of September 2026. Chain locations make up 9% of them. That is 7.2 per 10,000 households.

At $1,288 per household, households in the U.S. spend about $166.4B a year on medical and dental services. Spread across 93,457 primary care and pediatric clinics, that is $1.8M per clinic. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

In 2023, official counts showed 218,066 businesses with payroll in the U.S. classed as offices of physicians, down 2.2% from 2019. They employ 2,771,935 people, with $290.9B in annual payroll. Official counts also show 239,099 one-person businesses without payroll.

The Fargo, ND-MN metro area has the highest market score for primary care and pediatric clinics among 387 scored metro areas, at 93. In the 10 highest-scoring metro areas, the median spending per clinic is 2.4 times the U.S. figure, and the median rate of listings per household is 50% below the U.S. rate.

Ranked by the Groundwork market score, which weighs household spending per competitor, households per business with payroll, population growth and spending power against every other market of the same kind. How the score works.

Top metro areas of 1 million people or more

Highest Groundwork market scores for primary care and pediatric clinics among metro areas of 1 million people or more
MarketScoreListingsPer 10k householdsSpending per listingPopulation growth
8Minneapolis-St. Paul-Bloomington, MN-WI865663.8$4.3M+2.6%
16Seattle-Tacoma-Bellevue, WA828605.3$2.9M+3.3%
41Cincinnati, OH-KY-IN744915.4$2.6M+2.7%
46Sacramento-Roseville-Folsom, CA734375.0$2.9M+3.2%
48Boston-Cambridge-Newton, MA-NH731,1545.9$2.4M+2.3%
49Columbus, OH735896.8$2.2M+4.7%
58Grand Rapids-Wyoming-Kentwood, MI713036.9$2.1M+2.8%
59Cleveland, OH703994.3$3.3M−0.8%
69Denver-Aurora-Centennial, CO688577.0$2.1M+4.1%
70Kansas City, MO-KS686427.2$2.1M+3.4%
89Indianapolis-Carmel-Greenwood, IN656758.0$1.9M+5.4%
90St. Louis, MO-IL646015.2$2.9M−0.2%
95Portland-Vancouver-Hillsboro, OR-WA646816.7$2.1M+1.0%
129Richmond, VA593075.8$2.1M+5.5%
131Raleigh-Cary, NC594567.9$1.6M+12.6%

Top 50 metro areas

Top 50 metro areas for primary care and pediatric clinics, by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growth
1Fargo, ND-MN93373.4$4.3M+7.7%
2Sioux Falls, SD-MN93514.2$3.5M+9.5%
3Rochester, MN88171.8$8.6M+2.0%
4Wenatchee-East Wenatchee, WA88112.3$5.7M+5.0%
5Bismarck, ND87295.2$2.9M+4.5%
6Greeley, CO87604.8$2.9M+14.2%
7Bremerton-Silverdale-Port Orchard, WA86353.2$4.5M+2.7%
8Minneapolis-St. Paul-Bloomington, MN-WI865663.8$4.3M+2.6%
9St. Cloud, MN85263.3$4.2M+3.0%
10Madison, WI851846.1$2.5M+4.1%
11Janesville-Beloit, WI84101.5$9.3M+1.7%
12Ames, IA84132.6$5.4M+2.2%
13Iowa City, IA84334.6$3.2M+4.1%
14Mankato, MN83102.5$5.7M+1.2%
15Lawrence, KS83183.6$3.9M+1.8%
16Seattle-Tacoma-Bellevue, WA828605.3$2.9M+3.3%
17Springfield, MO81894.5$3M+5.1%
18Champaign-Urbana, IL80252.5$5.3M+1.5%
19La Crosse-Onalaska, WI-MN80233.2$4.4M+0.4%
20Bozeman, MT80224.3$3.3M+7.7%
21Fond du Lac, WI79112.5$5.5M+0.5%
22Grand Forks, ND-MN79173.9$3.5M+0.8%
23Minot, ND7892.8$5.1M−2.4%
24Duluth, MN-WI78342.8$4.9M+0.2%
25Bellingham, WA78272.9$4.6M+3.9%
26Vallejo, CA78674.3$3.4M+0.6%
27Stockton-Lodi, CA781064.3$3.2M+5.5%
28Corvallis, OR78164.2$3.1M+4.4%
29Helena, MT78194.9$2.7M+7.7%
30Amherst Town-Northampton, MA78304.8$2.6M+10.4%
31Eau Claire, WI77283.9$3.6M+2.6%
32Gettysburg, PA77163.9$3.1M+3.6%
33Lexington Park, MD77395.1$2.8M+2.1%
34Wildwood-The Villages, FL76223.1$3.5M+21.1%
35Worcester, MA761634.9$2.7M+3.7%
36Rapid City, SD75304.8$2.9M+6.2%
37Lincoln, NE75715.0$2.8M+3.3%
38Grand Island, NE74124.0$3.4M+1.5%
39Burlington, NC74263.7$2.8M+8.5%
40Bloomington, IL74385.4$2.7M+0.1%
41Cincinnati, OH-KY-IN744915.4$2.6M+2.7%
42Jefferson City, MO74345.8$2.4M+2.2%
43Springfield, IL73364.0$3.6M−1.2%
44Chambersburg, PA73233.6$3.2M+3.0%
45Mount Vernon-Anacortes, WA73224.2$3.2M+2.4%
46Sacramento-Roseville-Folsom, CA734375.0$2.9M+3.2%
47Muskegon-Norton Shores, MI73314.6$2.8M+1.8%
48Boston-Cambridge-Newton, MA-NH731,1545.9$2.4M+2.3%
49Columbus, OH735896.8$2.2M+4.7%
50Dubuque, IA72225.4$2.7M+0.1%

Top 25 small-town markets

Top small-town markets for primary care and pediatric clinics, by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growth
1Red Wing, MN9152.5$5.7M+1.3%
2Greencastle, IN9064.2$3.2M+3.2%
3Holland, MI89132.9$5.1M+2.1%
4Ellensburg, WA8973.5$3.7M+4.2%
5Mount Vernon, OH87114.7$3M+1.9%
6Williston, ND8785.3$2.9M+1.4%
7Watertown-Fort Atkinson, WI8682.3$6.3M+0.3%
8Grand Rapids, MN8652.7$5M+0.9%
9Moses Lake, WA86133.7$3.3M+6.3%
10Brookings, SD8685.8$2.3M+9.6%
11Hemlock Farms, PA8552.1$5.8M+7.2%
12Brainerd, MN85133.1$4.5M+4.3%
13Baraboo, WI8593.2$4.4M+1.3%
14Pella, IA8453.8$3.8M+2.3%
15Warrensburg, MO8483.8$3.5M+4.9%
16Lake of the Woods, VA8474.7$2.6M+10.1%
17Auburn, IN8495.3$2.6M+2.9%
18Keene, NH8382.6$4.6M+2.3%
19Alexandria, MN8395.1$2.8M+2.6%
20Concord, NH82223.6$3.6M+2.6%
21Urbana, OH8263.8$3.6M+0.2%
22Rochelle, IL8183.8$3.7M−0.7%
23Fort Leonard Wood, MO8174.2$3.1M+0.8%
24Oneonta, NY8083.4$3.2M+3.8%
25Alamogordo, NM7962.5$4.5M+3.7%

Top 25 counties

Top counties for primary care and pediatric clinics, by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growth
1Wright County, MN9891.7$9.9M+11.1%
2Warren County, IA9752.4$6.4M+9.0%
3Kendall County, IL96153.3$5.1M+9.9%
4Sherburne County, MN9561.7$9.7M+6.8%
5Cass County, MO9492.1$7.2M+7.1%
6Scott County, MN94173.1$5.8M+5.1%
7Christian County, MO9292.6$5.7M+8.3%
8Lincoln County, MO9273.1$4.8M+11.4%
9St. Croix County, WI91133.5$4.7M+4.7%
10Pickaway County, OH9173.2$4.4M+7.4%
11Anoka County, MN90261.9$8.5M+4.7%
12Olmsted County, MN89142.1$7.7M+2.3%
13Carver County, MN89102.4$7.6M+6.6%
14Frederick County, VA8961.7$7.5M+8.8%
15Dakota County, MN89553.2$5.3M+3.9%
16Waller County, TX8952.7$4.4M+21.9%
17Licking County, OH89243.5$4.3M+3.8%
18Minnehaha County, SD89313.7$3.9M+7.6%
19Union County, OH89114.5$3.7M+16.5%
20Sarpy County, NE89354.7$3.5M+9.0%
21Cass County, ND89354.2$3.4M+9.1%
22Morgan County, IN88113.9$3.7M+4.4%
23Clermont County, OH88364.2$3.5M+3.9%
24Hancock County, IN88164.8$3.3M+13.5%
25Platte County, MO87102.3$7.1M+6.7%

Scored: 387 metro areas, 458 small-town markets and 1,656 counties, each with at least 5 primary care and pediatric clinics on map listings (counties: 10,000 people or more). Spending per listing is all household spending on medical and dental services over the listings: demand for each competitor, not revenue. Each market has its own page, reached from its state below.

Excel · free with an account

Every market in one Excel file

Primary care and pediatrics figures for all 387 metro areas, 538 small-town markets, 3,144 counties and 51 states: the Groundwork market score and rank, map listings and chains, household spending, businesses with payroll, employees and payroll, one-person businesses, SBA-backed loans, population, income and home value, each linked to its page. Sorted, filterable and ready to screen.

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Primary care and pediatrics by state

Every market in each state ranked, with the state’s highest-scoring metro area.

  • AlabamaTop metro area: Auburn-Opelika metro area · 53
  • AlaskaTop metro area: Fairbanks-College metro area · 65
  • ArizonaTop metro area: Yuma metro area · 60
  • ArkansasTop metro area: Fayetteville-Springdale-Rogers metro area · 54
  • CaliforniaTop metro area: Vallejo metro area · 78
  • ColoradoTop metro area: Greeley metro area · 87
  • ConnecticutTop metro area: Waterbury-Shelton metro area · 61
  • DelawareTop metro area: Dover metro area · 46
  • District of ColumbiaTop metro area: Washington-Arlington-Alexandria metro area · 56
  • FloridaTop metro area: Wildwood-The Villages metro area · 76
  • GeorgiaTop metro area: Hinesville metro area · 55
  • HawaiiTop metro area: Kahului-Wailuku metro area · 28
  • IdahoTop metro area: Coeur d’Alene metro area · 56
  • IllinoisTop metro area: Champaign-Urbana metro area · 80
  • IndianaTop metro area: Bloomington metro area · 70
  • IowaTop metro area: Ames metro area · 84
  • KansasTop metro area: Lawrence metro area · 83
  • KentuckyTop metro area: Bowling Green metro area · 55
  • LouisianaTop metro area: Hammond metro area · 45
  • MaineTop metro area: Lewiston-Auburn metro area · 62
  • MarylandTop metro area: Lexington Park metro area · 77
  • MassachusettsTop metro area: Amherst Town-Northampton metro area · 78
  • MichiganTop metro area: Muskegon-Norton Shores metro area · 73
  • MinnesotaTop metro area: Rochester metro area · 88
  • MississippiTop metro area: Gulfport-Biloxi metro area · 34
  • MissouriTop metro area: Springfield metro area · 81
  • MontanaTop metro area: Bozeman metro area · 80
  • NebraskaTop metro area: Lincoln metro area · 75
  • NevadaTop metro area: Reno metro area · 61
  • New HampshireTop metro area: Manchester-Nashua metro area · 63
  • New JerseyTop metro area: Atlantic City-Hammonton metro area · 45
  • New MexicoTop metro area: Albuquerque metro area · 64
  • New YorkTop metro area: Kingston metro area · 67
  • North CarolinaTop metro area: Burlington metro area · 74
  • North DakotaTop metro area: Fargo metro area · 93
  • OhioTop metro area: Cincinnati metro area · 74
  • OklahomaTop metro area: Lawton metro area · 46
  • OregonTop metro area: Corvallis metro area · 78
  • PennsylvaniaTop metro area: Gettysburg metro area · 77
  • Rhode IslandTop metro area: Providence-Warwick metro area · 52
  • South CarolinaTop metro area: Hilton Head Island-Bluffton-Port Royal metro area · 65
  • South DakotaTop metro area: Sioux Falls metro area · 93
  • TennesseeTop metro area: Clarksville metro area · 56
  • TexasTop metro area: Killeen-Temple metro area · 70
  • UtahTop metro area: Ogden metro area · 63
  • VermontTop metro area: Burlington-South Burlington metro area · 62
  • VirginiaTop metro area: Lynchburg metro area · 67
  • WashingtonTop metro area: Wenatchee-East Wenatchee metro area · 88
  • West VirginiaTop metro area: Morgantown metro area · 59
  • WisconsinTop metro area: Madison metro area · 85
  • WyomingTop metro area: Cheyenne metro area · 47

Questions

Which metro areas have the highest market score for primary care and pediatric clinics?

The top 5 are Fargo, ND-MN (93); Sioux Falls, SD-MN (93); Rochester, MN (88); Wenatchee-East Wenatchee, WA (88); and Bismarck, ND (87). The score compares each of 387 scored metro areas with the others for primary care and pediatric clinics.

How many primary care and pediatric clinics are in the U.S.?

As of September 2026, map listings count 93,457 primary care and pediatric clinics in the U.S. 8,387 of them (9%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 218,066 businesses with payroll classed as offices of physicians in 2023, down 2.2% from 2019. Another 239,099 one-person businesses have no payroll, by official counts.

How much do U.S. households spend on medical and dental services?

About $166.4B a year, or $1,288 per household. Spread across the 93,457 primary care and pediatric clinics on map listings, it comes to $1.8M per clinic. That spending covers all medical and dental services, which primary care and pediatric clinics share with other businesses in the trade. It is estimated from the incomes of the 129,209,336 households in the U.S. and national spending patterns by income.

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. Markets with fewer than 5 map listings of the type, and counties under 10,000 people, aren’t scored, since a few businesses can swing their figures.

How can I see the market around a specific site?

Run a Groundwork site report on an address anywhere in the U.S. It maps the primary care and pediatric clinics 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.

All business types and every U.S. market · How we measure

Screening a site or an acquisition?

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

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.