Groundwork

Health care · Metro area · California

Primary care and pediatric clinics in the Fresno, CA metro area

How the Fresno, CA metro area compares with other metro areas and the U.S. for primary care and pediatric clinics: competitors, household spending, official counts and growth.

Groundwork market score · out of 100

Score 49 out of 100: Lower middle

Ranked #205 of 387 scored metro areas
#15 of 25 scored metro areas based in California

Listings
223
13 chain locations (6%)
Official establishments
746
−9.1% since 2019
Household spending a year
$466.2M
On medical and dental services · $1,260 a household
Spending per listing
$2.1M
17% above the U.S.
Listings per 10k households
6.0
17% below the U.S.
Population, 2025
1,203,383
+3.2% since 2020

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

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 the Fresno metro area. 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

Households in the Fresno metro area spend about $466.2M a year on medical and dental services, or $1,260 per household, 2% below the U.S. average. That is about $2.1M of household spending for each clinic on map listings, 17% above the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

The Fresno metro area has 223 primary care and pediatric clinics on map listings as of September 2026. 13 of them (6%) are chain locations, against 9% across the U.S. That is 6.0 per 10,000 households, 17% below the U.S. rate of 7.2.

The official count of businesses with payroll classed as offices of physicians in the Fresno metro area was 746 in 2023, down 9.1% from 2019. That is one for every 496 households, against one for every 593 across the U.S. Official counts also show 584 one-person businesses without payroll. Since fiscal 2022, 17 SBA-backed loans worth $13.2M have gone to businesses classed as offices of physicians in the Fresno metro area.

Between 2020 and 2025, the population of the Fresno metro area grew 3.2%, in step with the U.S. (+3.1%). The Groundwork market score for primary care and pediatric clinics in the Fresno metro area is 49 (lower middle), #205 of 387 scored metro areas and #15 of 25 scored metro areas based in California.

How the Fresno metro area 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, CA metro area compared with California and the U.S.
MeasureFresno metro areaCaliforniaU.S.
Listings per 10k households6.07.37.2
Spending per listing$2.1M$2M$1.8M
Households per official establishment496426593
Official establishment growth, 2019–2023−9.1%−0.8%−2.2%
Population growth, 2020–2025+3.2%−0.4%+3.1%
Spending per household on medical and dental services$1,260$1,464$1,288
Median household income$74,468$99,122$80,734
Groundwork market score4942

Official counts and lending

Businesses

Official establishments, 2019 to 2023
746−9.1% over the period
Employees, 2023
6,822
Annual payroll, 2023
$860.8M
One-person businesses, 2023
584Businesses with no payroll
Map listings, September 2026
22313 chain locations
Listings at the U.S. rate for this spending
262The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
17
Amount
$13.2M

SBA-backed loans to businesses classed as offices of physicians in the Fresno metro area, 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 the Fresno metro area

Population, 2025 estimate
1,203,383+3.2% since 2020
Households
370,081
Median age
34.5
Homes lived in by their owners
57%
Vehicles per household
2.0
Land area
8,095 sq. mi.
People per square mile
145
Median household income
$74,468
Average household income
$100,662
Median home value
$389,400
Jobs located here
466,033
Daytime population
1,171,895Residents who don’t work, plus everyone whose job is here

Looking at a specific site in the Fresno metro area?

These figures cover the whole metro area. 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 the Fresno metro area. 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 metro areas in California for primary care and pediatric clinics, numbered among those based in California, with the Fresno metro area marked.

Top metro areas in California

Metro areas in California ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Vallejo, CA78674.3$3.4M+0.6%#26 of 387
2Stockton-Lodi, CA781064.3$3.2M+5.5%#27 of 387
3Sacramento-Roseville-Folsom, CA734375.0$2.9M+3.2%#46 of 387
4Merced, CA66364.2$2.8M+5.1%#79 of 387
5Santa Rosa-Petaluma, CA651105.8$2.6M−0.4%#85 of 387
6Yuba City, CA61376.0$2.1M+3.3%#116 of 387
7San Francisco-Oakland-Fremont, CA571,1466.6$2.6M−2.4%#137 of 387
8San Jose-Sunnyvale-Santa Clara, CA555367.9$2.3M−0.6%#152 of 387
9Napa, CA54316.2$2.5M−3.3%#158 of 387
10Modesto, CA531066.0$2.2M+0.7%#169 of 387
15Fresno, CA492236.0$2.1M+3.2%#205 of 387

Other business types in the Fresno metro area

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

Questions

How many primary care and pediatric clinics are in the Fresno, CA metro area?

Map listings as of September 2026 show 223 primary care and pediatric clinics in the Fresno metro area. 13 of them (6%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 746 businesses with payroll classed as offices of physicians in 2023, down 9.1% from 2019. Another 584 one-person businesses have no payroll, by official counts.

How much do households in the Fresno, CA metro area spend on medical and dental services?

About $466.2M a year, or $1,260 per household. That is 2% below the U.S. average (an index of 98, where 100 is the U.S. average). Spread across the 223 primary care and pediatric clinics on map listings, it comes to $2.1M 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 370,081 households in the Fresno metro area and national spending patterns by income.

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

The Fresno metro area has 6.0 primary care and pediatric clinics per 10,000 households, 17% below the U.S. rate of 7.2. Spending per clinic is $2.1M, 17% above the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, the Fresno metro area would have about 262, against 223 on map listings. There is one business with payroll in the industry for every 496 households, against one for every 593 across the U.S. The official count fell 9.1% from 2019 to 2023, against −2.2% for the U.S.

How fast is the Fresno, CA metro area growing?

Population estimates put the Fresno metro area at 1,203,383 people in 2025, up 3.2% since 2020, in step with the U.S. (+3.1%). It has 370,081 households. Median household income in the Fresno metro area is $74,468, 8% below the U.S. median of $80,734.

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. The Fresno metro area scores 49 for primary care and pediatric clinics (lower middle), #205 of 387 scored metro areas.

How can I see the market around a specific site?

Run a Groundwork site report on an address in the Fresno metro area. 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 the Fresno metro area

Screening a site or an acquisition in the Fresno metro area?

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 the Fresno metro area. 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.