Market rankings · Iowa

Primary care and pediatric clinics in Iowa

Every metro area, small-town market and county in Iowa, ranked by the Groundwork market score for primary care and pediatric clinics, with competitor counts and household spending for each.

Listings: 817; 40 chain locations (5%)
Official establishments: 1,099; −5.8% since 2019
Household spending a year: $1.9B; On medical and dental services
Listings per 10k households: 6.2; 14% below the U.S.
Spending per listing: $2.3M; 28% above the U.S.
Rank among states: #6 of 51; Market score 75 · High

A site report maps the primary care and pediatric clinics on map listings around any address in Iowa 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

Iowa has 817 primary care and pediatric clinics on map listings as of September 2026. Of those, 40 are chain locations, or 5%, against 9% across the U.S. That is 6.2 per 10,000 households, 14% below the U.S. rate of 7.2.

Households in Iowa spend about $1.9B a year on medical and dental services, or $1,412 per household, 10% above the U.S. average. That is about $2.3M of household spending for each clinic on map listings, 28% above the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

Official counts show 1,099 businesses with payroll classed as offices of physicians in Iowa in 2023, down 5.8% from 2019. That is one for every 1,197 households, against one for every 593 across the U.S. Across the U.S., the count fell 2.2% over the same years. Since fiscal 2022, 15 SBA-backed loans worth $10.1M have gone to businesses classed as offices of physicians in Iowa.

Among the 50 states and DC, Iowa ranks #6 for primary care and pediatric clinics, with a Groundwork market score of 75 (high). Of the 9 scored metro areas in or partly in Iowa, the Ames metro area scores highest (84). Of the 10 scored small-town markets in or partly in Iowa, the Pella area scores highest (84).

Every market in Iowa for primary care and pediatric clinics

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in Iowa, highest first; the U.S. rank compares each market with every other of its kind. A metro area that crosses a state line is listed in each state it reaches, and numbered only in the state its page is under. How the score works.

Metro areas

Metro areas reaching Iowa, ranked for primary care and pediatric clinics by Groundwork market score
Market	Score	Listings	Per 10k households	Spending per listing	Population growth	U.S. rank
1Ames, IA	84	13	2.6	$5.4M	+2.2%	#12 of 387
2Iowa City, IA	84	33	4.6	$3.2M	+4.1%	#13 of 387
3Dubuque, IA	72	22	5.4	$2.7M	+0.1%	#50 of 387
4Des Moines-West Des Moines, IA	72	256	8.7	$1.8M	+6.7%	#52 of 387
Omaha, NE-IA	70	331	8.5	$1.8M	+4.2%	#62 of 387
5Davenport-Moline-Rock Island, IA-IL	64	86	5.3	$2.6M	−0.9%	#92 of 387
6Waterloo-Cedar Falls, IA	64	42	6.1	$2.3M	+0.5%	#94 of 387
7Cedar Rapids, IA	61	98	8.6	$1.7M	+1.0%	#120 of 387
8Sioux City, IA-NE-SD	56	42	7.6	$1.8M	+1.0%	#146 of 387

Small-town markets

Small-town markets reaching Iowa, ranked for primary care and pediatric clinics by Groundwork market score
Market	Score	Listings	Per 10k households	Spending per listing	Population growth	U.S. rank
1Pella, IA	84	5	3.8	$3.8M	+2.3%	#14 of 458
2Spirit Lake, IA	76	6	6.8	$2.1M	+1.7%	#45 of 458
3Marshalltown, IA	71	5	3.2	$4.2M	−0.5%	#68 of 458
4Clinton, IA	69	12	6.2	$2.2M	−0.9%	#87 of 458
5Burlington, IA-IL	55	5	2.5	$5.1M	−2.5%	#191 of 458
6Fort Madison, IA	55	6	4.2	$3M	−3.6%	#193 of 458
7Ottumwa, IA	55	14	10.0	$1.3M	−0.3%	#203 of 458
8Fort Dodge, IA	51	14	9.1	$1.4M	−0.4%	#230 of 458
9Mason City, IA	46	35	15.4	$882K	−1.5%	#270 of 458
10Spencer, IA	37	10	13.7	$962K	−0.8%	#336 of 458
Muscatine, IA	Not scored	4	2.3	$5.8M	−3.0%
Le Mars, IA	Not scored	3	2.9	$5M	0.0%
Oskaloosa, IA	Not scored	2	2.3	$5.8M	−1.2%
Storm Lake, IA	Not scored	1	1.3	$10.4M	−1.7%
Carroll, IA	Not scored	3	3.4	$4M	−2.0%

Counties

Counties in Iowa, ranked for primary care and pediatric clinics by Groundwork market score
Market	Score	Listings	Per 10k households	Spending per listing	Population growth	U.S. rank
1Warren County, IA	97	5	2.4	$6.4M	+9.0%	#2 of 1,656
2Dallas County, IA	83	23	5.4	$3.1M	+17.8%	#59 of 1,656
3Story County, IA	80	8	2.1	$6.8M	+2.7%	#88 of 1,656
4Marion County, IA	79	5	3.8	$3.8M	+2.3%	#98 of 1,656
5Johnson County, IA	79	29	4.6	$3.2M	+4.6%	#99 of 1,656
6Boone County, IA	75	5	4.6	$3.2M	+0.4%	#150 of 1,656
7Benton County, IA	74	6	5.9	$2.5M	+1.8%	#178 of 1,656
8Dickinson County, IA	71	6	6.8	$2.1M	+1.7%	#246 of 1,656
9Marshall County, IA	68	5	3.2	$4.2M	−0.5%	#293 of 1,656
10Dubuque County, IA	68	22	5.4	$2.7M	+0.1%	#302 of 1,656
11Pottawattamie County, IA	66	23	6.1	$2.3M	−0.7%	#349 of 1,656
12Clinton County, IA	65	12	6.2	$2.2M	−0.9%	#374 of 1,656
13Scott County, IA	63	45	6.2	$2.4M	+0.4%	#428 of 1,656
14Polk County, IA	58	222	10.8	$1.4M	+4.8%	#602 of 1,656
15Black Hawk County, IA	57	37	6.8	$2M	+0.4%	#615 of 1,656
16Lee County, IA	55	6	4.2	$3M	−3.6%	#667 of 1,656
17Linn County, IA	55	92	9.6	$1.5M	+0.7%	#698 of 1,656
18Woodbury County, IA	54	32	7.9	$1.7M	+0.7%	#717 of 1,656
19Des Moines County, IA	53	5	2.9	$4.4M	−2.0%	#727 of 1,656
20Wapello County, IA	52	14	10.0	$1.3M	−0.3%	#795 of 1,656
21Tama County, IA	47	5	7.4	$1.8M	−1.5%	#939 of 1,656
22Webster County, IA	47	14	9.1	$1.4M	−0.4%	#950 of 1,656
23Fayette County, IA	45	6	7.2	$1.8M	−2.1%	#1,010 of 1,656
24O’Brien County, IA	41	6	10.3	$1.3M	+0.5%	#1,129 of 1,656
25Cerro Gordo County, IA	39	34	17.4	$779K	−1.5%	#1,200 of 1,656

Show all 99 counties

Counties in Iowa, ranked for primary care and pediatric clinics by Groundwork market score, continued
Market	Score	Listings	Per 10k households	Spending per listing	Population growth	U.S. rank
26Poweshiek County, IA	35	8	10.3	$1.3M	−1.4%	#1,273 of 1,656
27Clay County, IA	35	10	13.7	$962K	−0.8%	#1,290 of 1,656
Muscatine County, IA	Not scored	4	2.3	$5.8M	−3.0%
Jasper County, IA	Not scored	2	1.3	$10.2M	+0.9%
Sioux County, IA	Not scored	4	3.2	$4.7M	+2.5%
Plymouth County, IA	Not scored	3	2.9	$5M	0.0%
Bremer County, IA	Not scored	3	3.1	$4.7M	+1.1%
Washington County, IA	Not scored	4	4.5	$3.1M	+0.6%
Mahaska County, IA	Not scored	2	2.3	$5.8M	−1.2%
Jones County, IA	Not scored	0	0.0	n/a	+2.9%
Buena Vista County, IA	Not scored	1	1.3	$10.4M	−1.7%
Buchanan County, IA	Not scored	4	4.8	$2.8M	+1.3%
Carroll County, IA	Not scored	3	3.4	$4M	−2.0%
Henry County, IA	Not scored	2	2.6	$5.1M	−5.4%
Winneshiek County, IA	Not scored	3	3.7	$3.8M	−1.6%
Jackson County, IA	Not scored	4	4.9	$2.8M	−0.8%
Cedar County, IA	Not scored	1	1.3	$10.8M	−0.7%
Delaware County, IA	Not scored	4	5.4	$2.6M	+1.3%
Clayton County, IA	Not scored	3	4.0	$3.3M	−1.1%
Madison County, IA	Not scored	1	1.5	$10M	+3.8%
Hardin County, IA	Not scored	2	2.8	$4.5M	−2.2%
Iowa County, IA	Not scored	2	2.9	$4.7M	−1.0%
Crawford County, IA	Not scored	0	0.0	n/a	−1.5%
Jefferson County, IA	Not scored	3	4.3	$2.9M	−2.5%
Floyd County, IA	Not scored	3	4.6	$2.9M	−4.4%
Page County, IA	Not scored	2	3.2	$3.9M	−2.3%
Hamilton County, IA	Not scored	0	0.0	n/a	−0.5%
Harrison County, IA	Not scored	1	1.6	$8.6M	+0.4%
Mills County, IA	Not scored	2	3.7	$4.1M	+2.6%
Kossuth County, IA	Not scored	3	4.6	$2.9M	−3.2%
Butler County, IA	Not scored	2	3.4	$4M	−2.0%
Allamakee County, IA	Not scored	3	5.0	$2.6M	+1.2%
Cass County, IA	Not scored	1	1.7	$7.5M	−1.2%
Wright County, IA	Not scored	2	3.7	$3.6M	−0.9%
Grundy County, IA	Not scored	2	3.9	$3.7M	+0.2%
Appanoose County, IA	Not scored	2	3.8	$3.1M	−1.7%
Lyon County, IA	Not scored	2	4.5	$3.2M	+3.6%
Union County, IA	Not scored	1	2.0	$6.3M	−2.5%
Chickasaw County, IA	Not scored	2	4.0	$3.4M	−2.8%
Shelby County, IA	Not scored	0	0.0	n/a	−0.2%
Cherokee County, IA	Not scored	2	4.0	$3.5M	−2.4%
Guthrie County, IA	Not scored	3	6.5	$2.2M	+1.6%
Louisa County, IA	Not scored	1	2.4	$5.9M	−3.7%
Hancock County, IA	Not scored	2	4.3	$3.1M	−2.2%
Winnebago County, IA	Not scored	2	4.3	$3M	−3.8%
Mitchell County, IA	Not scored	1	2.2	$6.3M	+0.6%
Montgomery County, IA	Not scored	3	6.5	$1.9M	−3.2%
Franklin County, IA	Not scored	0	0.0	n/a	−1.2%
Keokuk County, IA	Not scored	2	4.9	$2.6M	−2.0%
Calhoun County, IA	Not scored	1	2.5	$5.3M	−3.4%
Sac County, IA	Not scored	3	7.0	$1.9M	−2.7%
Clarke County, IA	Not scored	0	0.0	n/a	−1.6%
Humboldt County, IA	Not scored	2	4.7	$2.9M	−2.0%
Howard County, IA	Not scored	0	0.0	n/a	−0.8%
Emmet County, IA	Not scored	0	0.0	n/a	−2.5%
Davis County, IA	Not scored	2	6.2	$2.2M	+1.3%
Palo Alto County, IA	Not scored	0	0.0	n/a	−1.0%
Lucas County, IA	Not scored	2	5.4	$2.3M	+2.6%
Greene County, IA	Not scored	2	5.1	$2.6M	−1.0%
Monona County, IA	Not scored	3	7.7	$1.7M	−2.4%
Decatur County, IA	Not scored	0	0.0	n/a	−0.9%
Monroe County, IA	Not scored	0	0.0	n/a	−2.5%
Adair County, IA	Not scored	3	9.3	$1.5M	−1.3%
Worth County, IA	Not scored	1	3.1	$4.4M	−1.3%
Van Buren County, IA	Not scored	0	0.0	n/a	−1.2%
Pocahontas County, IA	Not scored	1	3.3	$3.9M	−3.5%
Ida County, IA	Not scored	1	3.3	$3.9M	−3.4%
Wayne County, IA	Not scored	2	7.8	$1.7M	+3.6%
Fremont County, IA	Not scored	0	0.0	n/a	−0.8%
Osceola County, IA	Not scored	2	7.6	$1.7M	−3.6%
Taylor County, IA	Not scored	2	8.0	$1.6M	−0.5%
Audubon County, IA	Not scored	2	7.7	$1.7M	−3.0%
Ringgold County, IA	Not scored	3	15.8	$858K	0.0%
Adams County, IA	Not scored	1	6.5	$2.1M	−2.5%

Markets with fewer than 5 primary care and pediatric clinics on map listings, and counties under 10,000 people, aren’t scored; they’re listed last in each table.

Questions

How many primary care and pediatric clinics are in Iowa?

Map listings as of September 2026 show 817 primary care and pediatric clinics in Iowa. 40 of them (5%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 1,099 businesses with payroll classed as offices of physicians in 2023, down 5.8% from 2019. Official counts also show 1,048 one-person businesses without payroll.

How much do households in Iowa spend on medical and dental services?

About $1.9B a year, or $1,412 per household. That is 10% above the U.S. average (an index of 110, where 100 is the U.S. average). Spread across the 817 primary care and pediatric clinics on map listings, it comes to $2.3M 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 1,315,707 households in Iowa and national spending patterns by income.

How does Iowa compare with the U.S. for primary care and pediatric clinics?

Iowa has 6.2 primary care and pediatric clinics per 10,000 households, 14% below the U.S. rate of 7.2. Spending per clinic is $2.3M, 28% above the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, Iowa would have about 1,043, against 817 on map listings. There is one business with payroll in the industry for every 1,197 households, against one for every 593 across the U.S. The official count fell 5.8% from 2019 to 2023, against −2.2% for the U.S.

Which market in Iowa has the highest market score for primary care and pediatric clinics?

Among 9 scored metro areas in or partly in Iowa, the Ames metro area scores highest, at 84 (high). Among 10 scored small-town markets in or partly in Iowa, the Pella area scores highest, at 84 (high). Among 27 scored counties in Iowa, Warren County scores highest, at 97 (very high). Scores compare each market with others of its kind across the U.S.

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. Iowa scores 75 for primary care and pediatric clinics (high), #6 of the 50 states and DC.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Iowa. 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.

Doctors, dentists and clinics11,017 listings
Dentists and orthodontists1,255 listings
Urgent care and walk-in clinics44 listings
Chiropractors1,387 listings
Physical therapy770 listings
Optometrists and eye care538 listings

Screening a site or an acquisition in Iowa?

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