Groundwork

Market rankings · South Dakota

Primary care and pediatric clinics in South Dakota

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

Listings
201
32 chain locations (16%)
Official establishments
341
+30.7% since 2019
Household spending a year
$512.6M
On medical and dental services
Listings per 10k households
5.5
24% below the U.S.
Spending per listing
$2.6M
43% above the U.S.
Rank among states
#4 of 51
Market score 86 · High

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

South Dakota has 201 primary care and pediatric clinics on map listings as of September 2026. Of those, 32 are chain locations, or 16%, against 9% across the U.S. That is 5.5 per 10,000 households, 24% below the U.S. rate of 7.2.

Household spending on medical and dental services in South Dakota comes to about $512.6M a year: $1,402 per household, 9% above the U.S. average. Spread across 201 primary care and pediatric clinics, that is $2.6M per clinic, 43% 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 341 businesses with payroll classed as offices of physicians in South Dakota in 2023, up 30.7% from 2019. That is one for every 1,072 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, 2 SBA-backed loans worth $569K have gone to businesses classed as offices of physicians in South Dakota.

Among the 50 states and DC, South Dakota ranks #4 for primary care and pediatric clinics, with a Groundwork market score of 86 (high). Of the 3 scored metro areas in or partly in South Dakota, the Sioux Falls metro area scores highest (93). Of the 6 scored small-town markets in or partly in South Dakota, the Brookings area scores highest (86).

Every market in South Dakota for primary care and pediatric clinics

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in South Dakota, 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 South Dakota, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Sioux Falls, SD-MN93514.2$3.5M+9.5%#2 of 387
2Rapid City, SD75304.8$2.9M+6.2%#36 of 387
Sioux City, IA-NE-SD56427.6$1.8M+1.0%#146 of 387

Small-town markets

Small-town markets reaching South Dakota, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Brookings, SD8685.8$2.3M+9.6%#10 of 458
2Watertown, SD7964.8$2.8M+4.3%#29 of 458
3Spearfish, SD7565.0$2.7M+14.0%#48 of 458
4Pierre, SD511618.7$773K−0.5%#231 of 458
5Yankton, SD461212.4$1.1M+1.5%#269 of 458
6Aberdeen, SD422011.2$1.2M−1.5%#302 of 458
Mitchell, SDNot scored21.8$7.3M+0.6%
Huron, SDNot scored45.3$2.5M+2.4%
Vermillion, SDNot scored23.6$3.5M+0.2%

Counties

Counties in South Dakota, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Minnehaha County, SD89313.7$3.9M+7.6%#18 of 1,656
2Brookings County, SD8385.8$2.3M+9.6%#61 of 1,656
3Lincoln County, SD76196.8$2.4M+17.5%#141 of 1,656
4Codington County, SD7564.8$2.8M+4.3%#155 of 1,656
5Lawrence County, SD7465.0$2.7M+14.0%#176 of 1,656
6Pennington County, SD65275.8$2.4M+6.6%#370 of 1,656
7Union County, SD4879.6$1.6M+3.3%#908 of 1,656
8Hughes County, SD461520.7$702K−0.9%#1,001 of 1,656
9Yankton County, SD431212.4$1.1M+1.5%#1,077 of 1,656
10Brown County, SD361911.7$1.2M−1.7%#1,264 of 1,656
Meade County, SDNot scored21.7$8.4M+2.7%
Davison County, SDNot scored22.2$5.8M+0.6%
Beadle County, SDNot scored45.3$2.5M+2.4%
Clay County, SDNot scored23.6$3.5M+0.2%
Oglala Lakota County, SDNot scored26.8$1.6M−2.3%
Lake County, SDNot scored00.0n/a−0.2%
Butte County, SDNot scored12.3$6M+5.5%
Roberts County, SDNot scored25.5$2.4M−0.1%
Charles Mix County, SDNot scored26.6$2M−0.5%
Todd County, SDNot scored00.0n/a−4.9%
Custer County, SDNot scored12.2$6.4M+13.2%
Turner County, SDNot scored00.0n/a+7.3%
Grant County, SDNot scored13.3$4.1M0.0%
Hutchinson County, SDNot scored26.9$2.1M−0.1%
Fall River County, SDNot scored12.8$4.7M+7.1%
Show all 66 counties
Counties in South Dakota, ranked for primary care and pediatric clinics by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
Bon Homme County, SDNot scored520.7$623K+3.8%
Moody County, SDNot scored13.9$3.6M+4.5%
Hamlin County, SDNot scored14.6$3.2M+11.9%
Spink County, SDNot scored14.0$3.4M−3.0%
McCook County, SDNot scored14.5$3.3M+5.2%
Tripp County, SDNot scored28.9$1.4M+1.8%
Day County, SDNot scored00.0n/a+0.8%
Brule County, SDNot scored210.2$1.3M+0.5%
Walworth County, SDNot scored00.0n/a−1.4%
Kingsbury County, SDNot scored29.5$1.4M+1.6%
Dewey County, SDNot scored15.9$2.1M+3.8%
Marshall County, SDNot scored212.1$1.2M+2.9%
Deuel County, SDNot scored00.0n/a+2.6%
Edmunds County, SDNot scored16.1$2.4M+1.0%
Gregory County, SDNot scored212.4$1.1M+1.1%
Clark County, SDNot scored17.5$1.8M+4.7%
Corson County, SDNot scored18.9$1.4M−2.8%
Lyman County, SDNot scored00.0n/a−0.1%
Hanson County, SDNot scored00.0n/a−0.3%
Bennett County, SDNot scored00.0n/a−2.6%
Hand County, SDNot scored17.1$1.9M−0.7%
Stanley County, SDNot scored17.8$1.8M+1.8%
Perkins County, SDNot scored17.6$1.8M+0.9%
Douglas County, SDNot scored00.0n/a+1.9%
Jackson County, SDNot scored00.0n/a−4.7%
Aurora County, SDNot scored19.4$1.4M+2.6%
Potter County, SDNot scored19.4$1.5M−3.8%
Sanborn County, SDNot scored00.0n/a+2.5%
Ziebach County, SDNot scored00.0n/a−0.1%
Miner County, SDNot scored00.0n/a−0.8%
McPherson County, SDNot scored00.0n/a−2.2%
Faulk County, SDNot scored00.0n/a+2.4%
Mellette County, SDNot scored00.0n/a+11.5%
Buffalo County, SDNot scored00.0n/a−6.8%
Jerauld County, SDNot scored00.0n/a+0.6%
Haakon County, SDNot scored00.0n/a−3.6%
Campbell County, SDNot scored00.0n/a−0.1%
Sully County, SDNot scored00.0n/a+1.9%
Hyde County, SDNot scored00.0n/a−4.6%
Harding County, SDNot scored120.1$725K+2.2%
Jones County, SDNot scored00.0n/a−1.5%

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 South Dakota?

Map listings as of September 2026 show 201 primary care and pediatric clinics in South Dakota. 32 of them (16%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 341 businesses with payroll classed as offices of physicians in 2023, up 30.7% from 2019. Another 488 one-person businesses have no payroll, by official counts.

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

About $512.6M a year, or $1,402 per household. That is 9% above the U.S. average (an index of 109, where 100 is the U.S. average). Spread across the 201 primary care and pediatric clinics on map listings, it comes to $2.6M 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 365,544 households in South Dakota and national spending patterns by income.

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

South Dakota has 5.5 primary care and pediatric clinics per 10,000 households, 24% below the U.S. rate of 7.2. Spending per clinic is $2.6M, 43% above the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, South Dakota would have about 288, against 201 on map listings. There is one business with payroll in the industry for every 1,072 households, against one for every 593 across the U.S. The official count rose 30.7% from 2019 to 2023, against −2.2% for the U.S.

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

Among 3 scored metro areas in or partly in South Dakota, the Sioux Falls metro area scores highest, at 93 (very high). Among 6 scored small-town markets in or partly in South Dakota, the Brookings area scores highest, at 86 (high). Among 10 scored counties in South Dakota, Minnehaha County scores highest, at 89 (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. South Dakota scores 86 for primary care and pediatric clinics (high), #4 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 South Dakota. 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.

Primary care and pediatrics in other states

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Top markets for primary care and pediatric clinics across the U.S. · All business types in South Dakota

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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.