Groundwork

Health care · County · California

Primary care and pediatric clinics in Fresno County, CA

Competitor counts, household spending and official business counts for primary care and pediatric clinics in Fresno County, CA, set against other counties and the U.S.

Groundwork market score · out of 100

Score 49 out of 100: Lower middle

Ranked #862 of 1,656 scored counties
#34 of 45 scored counties in California

Listings
204
11 chain locations (5%)
Official establishments
699
−9.3% since 2019
Household spending a year
$408.8M
On medical and dental services · $1,259 a household
Spending per listing
$2M
13% above the U.S.
Listings per 10k households
6.3
12% below the U.S.
Population, 2025
1,035,456
+2.6% since 2020

See the primary care and pediatric clinics around any address in Fresno County

The site report maps the primary care and pediatric clinics 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 Fresno County. 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

At $1,259 per household (2% below the U.S. average), households in Fresno County spend about $408.8M a year on medical and dental services. That works out to $2M per clinic, 13% above the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

Fresno County has 204 primary care and pediatric clinics on map listings as of September 2026. 11 of them (5%) are chain locations, against 9% across the U.S. That is 6.3 per 10,000 households, 12% below the U.S. rate of 7.2.

Official counts show 699 businesses with payroll classed as offices of physicians in Fresno County in 2023, down 9.3% from 2019. That is one for every 465 households, against one for every 593 across the U.S. Another 542 one-person businesses have no payroll, by official counts. Since fiscal 2022, 16 SBA-backed loans worth $13.1M have gone to businesses classed as offices of physicians in Fresno County.

Between 2020 and 2025, the population of Fresno County grew 2.6%, slower than the U.S. (+3.1%). The Groundwork market score for primary care and pediatric clinics in Fresno County is 49 (lower middle), #862 of 1,656 scored counties and #34 of 45 scored counties in California.

How Fresno County compares

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

Primary care and pediatrics in Fresno County, CA compared with California and the U.S.
MeasureFresno CountyCaliforniaU.S.
Listings per 10k households6.37.37.2
Spending per listing$2M$2M$1.8M
Households per official establishment465426593
Official establishment growth, 2019–2023−9.3%−0.8%−2.2%
Population growth, 2020–2025+2.6%−0.4%+3.1%
Spending per household on medical and dental services$1,259$1,464$1,288
Median household income$74,201$99,122$80,734
Groundwork market score4942

Official counts and lending

Businesses

Official establishments, 2019 to 2023
771 → 699−9.3% over the period
Employees, 2023
6,363
Annual payroll, 2023
$750M
One-person businesses, 2023
542Businesses with no payroll
Map listings, September 2026
20411 chain locations
Listings at the U.S. rate for this spending
230The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
16
Amount
$13.1M

SBA-backed loans to businesses classed as offices of physicians in Fresno 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 Fresno County

Population, 2025 estimate
1,035,456+2.6% since 2020
Households
324,702
Median age
34.3
Homes lived in by their owners
56%
Vehicles per household
2.0
Land area
5,959 sq. mi.
People per square mile
171
Median household income
$74,201+37.5% vs. 2015–2019, before inflation
Average household income
$100,641
Median home value
$388,800
Jobs located here
413,154
Daytime population
1,017,627Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Fresno 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 primary care and pediatric clinics on map listings by name and distance.

Or open the report at the center of Fresno County. Signed out, you see a blurred preview; on an account, each report is one action.

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Primary care and pediatrics across California

Every California market ranked →

The highest-scoring counties in California for primary care and pediatric clinics, numbered among those based in California, with Fresno County marked.

Top counties in California

Counties in California ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Yuba County, CA85103.5$3.6M+8.2%#38 of 1,656
2San Benito County, CA8283.9$4M+8.6%#66 of 1,656
3Yolo County, CA76283.7$3.8M+3.1%#129 of 1,656
4Madera County, CA76194.2$3M+7.4%#135 of 1,656
5El Dorado County, CA74263.4$4.5M+0.6%#162 of 1,656
6Solano County, CA74674.3$3.4M+0.6%#170 of 1,656
7San Joaquin County, CA741064.3$3.2M+5.5%#171 of 1,656
8Placer County, CA70915.8$2.7M+8.9%#263 of 1,656
9Sacramento County, CA672925.1$2.7M+2.0%#315 of 1,656
10Nevada County, CA64112.6$5.4M−0.4%#383 of 1,656
34Fresno County, CA492046.3$2M+2.6%#862 of 1,656

Other business types in Fresno County

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

Questions

How many primary care and pediatric clinics are in Fresno County, CA?

Map listings as of September 2026 show 204 primary care and pediatric clinics in Fresno County. 11 of them (5%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 699 businesses with payroll classed as offices of physicians in 2023, down 9.3% from 2019. Official counts list 542 one-person businesses without payroll.

How much do households in Fresno County, CA spend on medical and dental services?

About $408.8M a year, or $1,259 per household. That is 2% below the U.S. average (an index of 98, where 100 is the U.S. average). Spread across the 204 primary care and pediatric clinics on map listings, it comes to $2M 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 324,702 households in Fresno County and national spending patterns by income.

How does Fresno County, CA compare with the U.S. for primary care and pediatric clinics?

Fresno County has 6.3 primary care and pediatric clinics per 10,000 households, 12% below the U.S. rate of 7.2. Spending per clinic is $2M, 13% above the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, Fresno County would have about 230, against 204 on map listings. There is one business with payroll in the industry for every 465 households, against one for every 593 across the U.S. The official count fell 9.3% from 2019 to 2023, against −2.2% for the U.S.

How fast is Fresno County, CA growing?

Population estimates put Fresno County at 1,035,456 people in 2025, up 2.6% since 2020, slower than the U.S. (+3.1%). It has 324,702 households. Median household income in Fresno County is $74,201, 8% below the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 37.5%, 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. Fresno County scores 49 for primary care and pediatric clinics (lower middle), #862 of 1,656 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Fresno County. 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.

How the score works · Top markets for primary care and pediatric clinics · All 56 business types in Fresno County

Screening a site or an acquisition in Fresno 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 Fresno 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.