Health care · County · Iowa
Primary care and pediatric clinics in Clay County, IA
The primary care and pediatric clinics in Clay County, IA, the household spending behind them and how the market ranks against other counties.
Groundwork market score · out of 100
Score 35 out of 100: Lower middle
Ranked #1,290 of 1,656 scored counties
#27 of 27 scored counties in Iowa
- Listings
- 10
- 0 chain locations (0%)
- Official establishments
- 9
- Businesses with payroll, 2023
- Household spending a year
- $9.6M
- On medical and dental services · $1,321 a household
- Spending per listing
- $962K
- 46% below the U.S.
- Listings per 10k households
- 13.7
- 90% above the U.S.
- Population, 2025
- 16,202
- −0.8% since 2020
See the primary care and pediatric clinics around any address in Clay 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 Clay 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
For primary care and pediatric clinics, Clay County has a Groundwork market score of 35 (lower middle): #1,290 of 1,656 scored counties and #27 of 27 scored counties in Iowa. That puts it in the bottom quarter of counties.
As of September 2026, map listings count 10 primary care and pediatric clinics in Clay County. None of them are chain locations, against 9% across the U.S. That comes to 13.7 for every 10,000 households, 90% above the U.S. rate of 7.2.
Households in Clay County spend about $9.6M a year on medical and dental services, or $1,321 per household, 3% above the U.S. average. That works out to $962K per clinic, 46% below the U.S. figure of $1.8M. That spending covers all medical and dental services, which primary care and pediatric clinics share with other businesses in the trade.
Official counts show 9 businesses with payroll classed as offices of physicians in Clay County in 2023. That is one for every 809 households, against one for every 593 across the U.S. Since fiscal 2022, 1 SBA-backed loan worth $101K has gone to businesses classed as offices of physicians in Clay County. Population estimates show Clay County declined 0.8% from 2020 to 2025, against +3.1% for the U.S.
How Clay County compares
The same measures for Iowa 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.
| Measure | Clay County | Iowa | U.S. |
|---|---|---|---|
| Listings per 10k households | 13.7 | 6.2 | 7.2 |
| Spending per listing | $962K | $2.3M | $1.8M |
| Households per official establishment | 809 | 1,197 | 593 |
| Official establishment growth, 2019–2023 | n/a | −5.8% | −2.2% |
| Population growth, 2020–2025 | −0.8% | +1.5% | +3.1% |
| Spending per household on medical and dental services | $1,321 | $1,412 | $1,288 |
| Median household income | $65,428 | $75,059 | $80,734 |
| Groundwork market score | 35 | 75 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 11 → 9
- Employees, 2023
- 214
- Annual payroll, 2023
- $22.4M
- One-person businesses, 2023
- 19Businesses with no payroll
- Map listings, September 2026
- 100 chain locations
- Listings at the U.S. rate for this spending
- 5The U.S. ratio of listings to household spending, applied here
SBA-backed loans since fiscal 2022
- Loans
- 1
- Amount
- $101K
SBA-backed loans to businesses classed as offices of physicians in Clay 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 Clay County
- Population, 2025 estimate
- 16,202−0.8% since 2020
- Households
- 7,282
- Median age
- 43.1
- Homes lived in by their owners
- 73%
- Vehicles per household
- 1.9
- Land area
- 567 sq. mi.
- People per square mile
- 29
- Median household income
- $65,428+29.5% vs. 2015–2019, before inflation
- Average household income
- $83,614
- Median home value
- $178,600
- Jobs located here
- 8,325
- Daytime population
- 16,701Residents who don’t work, plus everyone whose job is here
Looking at a specific site in Clay 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 Clay County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardPrimary care and pediatrics across Iowa
Every Iowa market ranked →The highest-scoring counties in Iowa for primary care and pediatric clinics, numbered among those based in Iowa, with Clay County marked.
Top counties in Iowa
| 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 |
| 27Clay County, IA | 35 | 10 | 13.7 | $962K | −0.8% | #1,290 of 1,656 |
Other business types in Clay 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 clinics35
- Dentists and orthodontists46
- Primary care and pediatrics35
- Urgent care and walk-in clinics
- Chiropractors19
- Physical therapy
- Optometrists and eye care19
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many primary care and pediatric clinics are in Clay County, IA?
Clay County has 10 primary care and pediatric clinics on map listings as of September 2026. None of them are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 9 businesses with payroll classed as offices of physicians in 2023. Official counts also show 19 one-person businesses without payroll.
How much do households in Clay County, IA spend on medical and dental services?
About $9.6M a year, or $1,321 per household. That is 3% above the U.S. average (an index of 103, where 100 is the U.S. average). Spread across the 10 primary care and pediatric clinics on map listings, it comes to $962K per clinic. The spending figure covers all medical and dental services, not only primary care and pediatric clinics. It is estimated from the incomes of the 7,282 households in Clay County and national spending patterns by income.
How does Clay County, IA compare with the U.S. for primary care and pediatric clinics?
Clay County has 13.7 primary care and pediatric clinics per 10,000 households, 90% above the U.S. rate of 7.2. Spending per clinic is $962K, 46% below the U.S. figure of $1.8M. At the national ratio of primary care and pediatric clinics to household spending, Clay County would have about 5, against 10 on map listings. There is one business with payroll in the industry for every 809 households, against one for every 593 across the U.S.
How fast is Clay County, IA growing?
Population estimates put Clay County at 16,202 people in 2025, down 0.8% since 2020, against +3.1% for the U.S. It has 7,282 households. The median household income in Clay County is $65,428 a year, 19% below the U.S. median of $80,734. That rose 29.5% from the 2015–2019 survey, 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. Clay County scores 35 for primary care and pediatric clinics (lower middle), #1,290 of 1,656 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Clay 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 Clay County
Screening a site or an acquisition in Clay 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 Clay 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.