Groundwork

Health care · County · Missouri

Primary care and pediatric clinics in Howell County, MO

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

Groundwork market score · out of 100

Score 37 out of 100: Lower middle

Ranked #1,243 of 1,656 scored counties
#42 of 43 scored counties in Missouri

Listings
18
1 chain location (6%)
Official establishments
21
−19.2% since 2019
Household spending a year
$18.7M
On medical and dental services · $1,172 a household
Spending per listing
$1M
42% below the U.S.
Listings per 10k households
11.3
57% above the U.S.
Population, 2025
40,798
+2.5% since 2020

See the primary care and pediatric clinics around any address in Howell 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 Howell County. Signed out, you see a blurred preview; on an account, each report is one action.

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

For primary care and pediatric clinics, Howell County has a Groundwork market score of 37 (lower middle): #1,243 of 1,656 scored counties and #42 of 43 scored counties in Missouri. That puts it in the bottom quarter of counties.

As of September 2026, map listings count 18 primary care and pediatric clinics in Howell County. One of them (6%) is a chain location, against 9% across the U.S. That is 11.3 per 10,000 households, 57% above the U.S. rate of 7.2.

At $1,172 per household (9% below the U.S. average), households in Howell County spend about $18.7M a year on medical and dental services. Spread across 18 primary care and pediatric clinics, that is $1M per clinic, 42% 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.

In 2023, official counts showed 21 businesses with payroll in Howell County classed as offices of physicians, down 19.2% from 2019. That is one for every 760 households, against one for every 593 across the U.S. Between 2020 and 2025, the population of Howell County grew 2.5%, slower than the U.S. (+3.1%).

How Howell County compares

The same measures for Missouri 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 Howell County, MO compared with Missouri and the U.S.
MeasureHowell CountyMissouriU.S.
Listings per 10k households11.35.57.2
Spending per listing$1M$2.5M$1.8M
Households per official establishment760772593
Official establishment growth, 2019–2023−19.2%−4.7%−2.2%
Population growth, 2020–2025+2.5%+1.9%+3.1%
Spending per household on medical and dental services$1,172$1,389$1,288
Median household income$50,993$70,702$80,734
Groundwork market score3767

Official counts and lending

Businesses

Official establishments, 2019 to 2023
26 → 21−19.2% over the period
Employees, 2023
414
Annual payroll, 2023
$32.5M
One-person businesses, 2023
29Businesses with no payroll
Map listings, September 2026
181 chain location
Listings at the U.S. rate for this spending
11The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
0
Amount
$0

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

Population, 2025 estimate
40,798+2.5% since 2020
Households
15,965
Median age
41.7
Homes lived in by their owners
70%
Vehicles per household
2.0
Land area
927 sq. mi.
People per square mile
44
Median household income
$50,993+32.9% vs. 2015–2019, before inflation
Average household income
$66,539
Median home value
$173,000
Jobs located here
15,317
Daytime population
40,659Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Howell 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 Howell 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 Missouri

Every Missouri market ranked →

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

Top counties in Missouri

Counties in Missouri ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Cass County, MO9492.1$7.2M+7.1%#5 of 1,656
2Christian County, MO9292.6$5.7M+8.3%#7 of 1,656
3Lincoln County, MO9273.1$4.8M+11.4%#8 of 1,656
4Platte County, MO87102.3$7.1M+6.7%#25 of 1,656
5Webster County, MO8575.0$2.6M+10.4%#41 of 1,656
6St. Charles County, MO81644.0$4.2M+4.9%#79 of 1,656
7Johnson County, MO8183.8$3.5M+4.9%#82 of 1,656
8Polk County, MO8165.0$2.5M+6.3%#85 of 1,656
9Jefferson County, MO80313.5$4.1M+2.7%#90 of 1,656
10Pulaski County, MO7674.2$3.1M+0.8%#134 of 1,656
42Howell County, MO371811.3$1M+2.5%#1,243 of 1,656

Other business types in Howell 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 Howell County, MO?

Howell County has 18 primary care and pediatric clinics on map listings as of September 2026. One of them (6%) is a chain location. The listings count primary care, family medicine and pediatric clinics. Official counts show 21 businesses with payroll classed as offices of physicians in 2023, down 19.2% from 2019. Another 29 one-person businesses have no payroll, by official counts.

How much do households in Howell County, MO spend on medical and dental services?

About $18.7M a year, or $1,172 per household. That is 9% below the U.S. average (an index of 91, where 100 is the U.S. average). Spread across the 18 primary care and pediatric clinics on map listings, it comes to $1M 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 15,965 households in Howell County and national spending patterns by income.

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

Howell County has 11.3 primary care and pediatric clinics per 10,000 households, 57% above the U.S. rate of 7.2. Spending per clinic is $1M, 42% below the U.S. figure of $1.8M. At the national ratio of primary care and pediatric clinics to household spending, Howell County would have about 11, against 18 on map listings. There is one business with payroll in the industry for every 760 households, against one for every 593 across the U.S. The official count fell 19.2% from 2019 to 2023, against −2.2% for the U.S.

How fast is Howell County, MO growing?

Population estimates put Howell County at 40,798 people in 2025, up 2.5% since 2020, slower than the U.S. (+3.1%). It has 15,965 households. The median household income in Howell County is $50,993 a year, 37% below the U.S. median of $80,734. That rose 32.9% 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. Howell County scores 37 for primary care and pediatric clinics (lower middle), #1,243 of 1,656 scored counties.

How can I see the market around a specific site?

Run a Groundwork site report on an address in Howell 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 Howell County

Screening a site or an acquisition in Howell 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 Howell 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.