Groundwork

Health care · County · Texas

Primary care and pediatric clinics in Cooke County, TX

How Cooke County, TX compares with other counties and the U.S. for primary care and pediatric clinics: competitors, household spending, official counts and growth.

Groundwork market score · out of 100

Score 44 out of 100: Lower middle

Ranked #1,047 of 1,656 scored counties
#61 of 114 scored counties in Texas

Listings
14
0 chain locations (0%)
Official establishments
24
+4.4% since 2019
Household spending a year
$18.7M
On medical and dental services · $1,130 a household
Spending per listing
$1.3M
25% below the U.S.
Listings per 10k households
8.5
18% above the U.S.
Population, 2025
44,461
+6.5% since 2020

See the primary care and pediatric clinics around any address in Cooke 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 Cooke County. 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

Household spending on medical and dental services in Cooke County comes to about $18.7M a year: $1,130 per household, 12% below the U.S. average. That works out to $1.3M per clinic, 25% below the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

Cooke County has 14 primary care and pediatric clinics on map listings as of September 2026. None of them are chain locations, against 9% across the U.S. That is 8.5 per 10,000 households, 18% above the U.S. rate of 7.2.

In 2023, official counts showed 24 businesses with payroll in Cooke County classed as offices of physicians, up 4.4% from 2019. That is one for every 689 households, against one for every 593 across the U.S. Official counts also show 21 one-person businesses without payroll.

Between 2020 and 2025, the population of Cooke County grew 6.5%, faster than the U.S. (+3.1%). For primary care and pediatric clinics, Cooke County has a Groundwork market score of 44 (lower middle): #1,047 of 1,656 scored counties and #61 of 114 scored counties in Texas.

How Cooke County compares

The same measures for Texas 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 Cooke County, TX compared with Texas and the U.S.
MeasureCooke CountyTexasU.S.
Listings per 10k households8.58.77.2
Spending per listing$1.3M$1.3M$1.8M
Households per official establishment689486593
Official establishment growth, 2019–2023+4.4%+1.9%−2.2%
Population growth, 2020–2025+6.5%+8.5%+3.1%
Spending per household on medical and dental services$1,130$1,164$1,288
Median household income$73,932$78,476$80,734
Groundwork market score4431

Official counts and lending

Businesses

Official establishments, 2019 to 2023
23 → 24+4.4% over the period
Employees, 2023
153
Annual payroll, 2023
$7.1M
One-person businesses, 2023
21Businesses with no payroll
Map listings, September 2026
140 chain locations
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 Cooke 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 Cooke County

Population, 2025 estimate
44,461+6.5% since 2020
Households
16,528
Median age
41.3
Homes lived in by their owners
72%
Vehicles per household
2.1
Land area
875 sq. mi.
People per square mile
49
Median household income
$73,932+22.8% vs. 2015–2019, before inflation
Average household income
$100,815
Median home value
$240,400
Jobs located here
14,462
Daytime population
37,643Residents who don’t work, plus everyone whose job is here

Looking at a specific site in Cooke 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 Cooke 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 Texas

Every Texas market ranked →

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

Top counties in Texas

Counties in Texas ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Waller County, TX8952.7$4.4M+21.9%#16 of 1,656
2Chambers County, TX80116.4$2M+22.6%#94 of 1,656
3Kaufman County, TX78254.9$2.4M+42.2%#109 of 1,656
4Coryell County, TX7762.2$4.7M+3.0%#112 of 1,656
5Hardin County, TX7783.6$3.1M+4.2%#122 of 1,656
6Bastrop County, TX77143.8$3.1M+21.3%#123 of 1,656
7Wilson County, TX7684.4$2.8M+12.2%#137 of 1,656
8Upshur County, TX7663.9$2.7M+8.2%#139 of 1,656
9Randall County, TX75193.3$3.5M+7.9%#148 of 1,656
10Hill County, TX7453.6$2.8M+9.8%#174 of 1,656
61Cooke County, TX44148.5$1.3M+6.5%#1,047 of 1,656

Other business types in Cooke 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 Cooke County, TX?

Map listings as of September 2026 show 14 primary care and pediatric clinics in Cooke County. None of them are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 24 businesses with payroll classed as offices of physicians in 2023, up 4.4% from 2019. Another 21 one-person businesses have no payroll, by official counts.

How much do households in Cooke County, TX spend on medical and dental services?

About $18.7M a year, or $1,130 per household. That is 12% below the U.S. average (an index of 88, where 100 is the U.S. average). Spread across the 14 primary care and pediatric clinics on map listings, it comes to $1.3M 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 16,528 households in Cooke County and national spending patterns by income.

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

Cooke County has 8.5 primary care and pediatric clinics per 10,000 households, 18% above the U.S. rate of 7.2. Spending per clinic is $1.3M, 25% below the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, Cooke County would have about 11, against 14 on map listings. There is one business with payroll in the industry for every 689 households, against one for every 593 across the U.S. The official count rose 4.4% from 2019 to 2023, against −2.2% for the U.S.

How fast is Cooke County, TX growing?

Population estimates put Cooke County at 44,461 people in 2025, up 6.5% since 2020, faster than the U.S. (+3.1%). It has 16,528 households. Median household income in Cooke County is $73,932, 8% below the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 22.8%, 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. Cooke County scores 44 for primary care and pediatric clinics (lower middle), #1,047 of 1,656 scored counties.

How can I see the market around a specific site?

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

Screening a site or an acquisition in Cooke 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 Cooke 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.