Groundwork

Market rankings · Virginia

Primary care and pediatric clinics in Virginia

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

Listings
2,306
231 chain locations (10%)
Official establishments
5,133
−2.9% since 2019
Household spending a year
$4.3B
On medical and dental services
Listings per 10k households
6.9
4% below the U.S.
Spending per listing
$1.8M
4% above the U.S.
Rank among states
#31 of 51
Market score 45 · Lower middle

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

Virginia has 2,306 primary care and pediatric clinics on map listings as of September 2026. Of those, 231 are chain locations, or 10%, against 9% across the U.S. That is 6.9 per 10,000 households, 4% below the U.S. rate of 7.2.

At $1,264 per household (2% below the U.S. average), households in Virginia spend about $4.3B a year on medical and dental services. That is about $1.8M of household spending for each clinic on map listings, 4% above the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.

In 2023, official counts showed 5,133 businesses with payroll in Virginia classed as offices of physicians, down 2.9% from 2019. That is one for every 656 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, 66 SBA-backed loans worth $22M have gone to businesses classed as offices of physicians in Virginia.

Among the 50 states and DC, Virginia ranks #31 for primary care and pediatric clinics, with a Groundwork market score of 45 (lower middle). Of the 11 scored metro areas in or partly in Virginia, the Lynchburg metro area scores highest (67). Of the 4 scored small-town markets in or partly in Virginia, the Lake of the Woods area scores highest (84).

Every market in Virginia for primary care and pediatric clinics

Download the ranking (CSV)

Numbered by Groundwork market score among the markets based in Virginia, 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 Virginia, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Lynchburg, VA67363.5$3M+2.9%#72 of 387
2Staunton-Stuarts Draft, VA65244.6$2.3M+3.2%#87 of 387
3Richmond, VA593075.8$2.1M+5.5%#129 of 387
Washington-Arlington-Alexandria, DC-VA-MD-WV561,8237.7$1.9M+3.3%#145 of 387
4Winchester, VA-WV54315.6$2.1M+6.5%#161 of 387
5Charlottesville, VA48657.2$1.8M+3.1%#217 of 387
6Harrisonburg, VA41367.2$1.5M+3.5%#264 of 387
7Virginia Beach-Chesapeake-Norfolk, VA-NC405577.9$1.5M+0.9%#269 of 387
Kingsport-Bristol, TN-VA29816.2$1.6M+2.3%#333 of 387
8Roanoke, VA261158.7$1.2M+0.4%#347 of 387
9Blacksburg-Christiansburg-Radford, VA23527.4$1.4M−0.1%#355 of 387

Small-town markets

Small-town markets reaching Virginia, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Lake of the Woods, VA8474.7$2.6M+10.1%#16 of 458
2Martinsville, VA38145.2$1.8M−1.9%#326 of 458
3Danville, VA33255.7$1.6M−1.7%#354 of 458
Bluefield, WV-VA13399.6$985K−3.8%#447 of 458

Counties

Counties in Virginia, ranked for primary care and pediatric clinics by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Frederick County, VA8961.7$7.5M+8.8%#14 of 1,656
2Stafford County, VA85224.2$3.6M+8.3%#37 of 1,656
3Orange County, VA8174.7$2.6M+10.1%#84 of 1,656
4Shenandoah County, VA7663.3$3.2M+3.6%#133 of 1,656
5Bedford County, VA75123.6$3.1M+4.4%#151 of 1,656
6Arlington County, VA74443.9$3.9M+2.1%#165 of 1,656
7Spotsylvania County, VA73285.3$2.5M+10.5%#202 of 1,656
8Fluvanna County, VA7365.8$2.1M+6.2%#205 of 1,656
9Warren County, VA7185.2$2.3M+4.8%#243 of 1,656
10York County, VA7051.9$7.3M+1.6%#249 of 1,656
11Hanover County, VA70184.2$3.2M+5.6%#256 of 1,656
12Isle of Wight County, VA6895.7$2.1M+6.7%#308 of 1,656
13Portsmouth city, VA6692.2$4.5M−1.2%#332 of 1,656
14Prince George County, VA6653.9$3M+2.0%#336 of 1,656
15Prince William County, VA661147.3$2M+4.2%#354 of 1,656
16Alexandria city, VA64354.6$3.1M+1.0%#387 of 1,656
17Augusta County, VA64144.5$2.5M+1.8%#404 of 1,656
18Rockingham County, VA63144.3$2.7M+6.6%#422 of 1,656
19James City County, VA63237.2$1.9M+6.2%#442 of 1,656
20Chesterfield County, VA62835.9$2.2M+8.7%#465 of 1,656
21Loudoun County, VA611178.2$2.1M+6.4%#488 of 1,656
22Fauquier County, VA61228.2$1.8M+4.8%#496 of 1,656
23Culpeper County, VA61147.4$1.7M+9.3%#500 of 1,656
24Botetourt County, VA5864.5$2.5M+1.5%#558 of 1,656
25Gloucester County, VA57117.2$1.6M+3.6%#628 of 1,656
Show all 133 counties
Counties in Virginia, ranked for primary care and pediatric clinics by Groundwork market score, continued
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
26Henry County, VA5673.3$2.8M−3.1%#632 of 1,656
27Franklin County, VA56146.1$1.8M+1.9%#652 of 1,656
28Albemarle County, VA55296.3$2.1M+5.1%#677 of 1,656
29Carroll County, VA5464.8$2M+0.5%#709 of 1,656
30Richmond city, VA54605.8$1.9M+4.6%#712 of 1,656
31Fairfax County, VA523478.4$1.9M+1.7%#778 of 1,656
32Staunton city, VA4976.2$1.6M+3.8%#876 of 1,656
33Hampton city, VA47345.9$1.8M0.0%#934 of 1,656
34Suffolk city, VA46318.2$1.5M+10.4%#982 of 1,656
35Fairfax city, VA461112.0$1.2M+10.8%#994 of 1,656
36Chesapeake city, VA44849.0$1.4M+2.3%#1,046 of 1,656
37Henrico County, VA431007.3$1.7M+2.3%#1,066 of 1,656
38Hopewell city, VA4155.4$1.8M+1.1%#1,108 of 1,656
39Scott County, VA4055.5$1.7M−1.8%#1,144 of 1,656
40Pulaski County, VA3974.8$2.1M−0.6%#1,167 of 1,656
41Virginia Beach city, VA391347.5$1.7M−1.3%#1,176 of 1,656
42Lynchburg city, VA36175.9$1.7M+3.0%#1,249 of 1,656
43Lee County, VA3655.9$1.5M−2.1%#1,253 of 1,656
44Mecklenburg County, VA3496.6$1.5M+1.5%#1,300 of 1,656
45Newport News city, VA33587.6$1.4M−1.5%#1,326 of 1,656
46Roanoke County, VA324010.1$1.2M+0.2%#1,351 of 1,656
47Manassas city, VA322416.9$807K+3.9%#1,359 of 1,656
48Falls Church city, VA322336.7$432K+3.3%#1,361 of 1,656
49Buchanan County, VA3056.6$1.3M−8.7%#1,378 of 1,656
50Fredericksburg city, VA303025.6$477K+8.6%#1,388 of 1,656
51Radford city, VA291018.1$533K+7.0%#1,410 of 1,656
52Wise County, VA2885.8$1.6M−3.5%#1,411 of 1,656
53Smyth County, VA2686.3$1.5M−3.0%#1,455 of 1,656
54Charlottesville city, VA262713.6$857K−4.4%#1,467 of 1,656
55Salem city, VA2598.8$1.2M+1.7%#1,476 of 1,656
56Bristol city, VA2568.3$1.1M−5.2%#1,480 of 1,656
57Petersburg city, VA25138.6$1M+1.0%#1,483 of 1,656
58Washington County, VA24177.7$1.3M0.0%#1,490 of 1,656
59Nottoway County, VA2458.9$1.1M+1.0%#1,492 of 1,656
60Prince Edward County, VA24911.8$853K+2.3%#1,499 of 1,656
61Montgomery County, VA23328.7$1.3M−1.2%#1,507 of 1,656
62Halifax County, VA2296.6$1.4M−1.4%#1,520 of 1,656
63Colonial Heights city, VA221114.6$756K+3.2%#1,525 of 1,656
64Roanoke city, VA184610.6$923K−0.8%#1,574 of 1,656
65Harrisonburg city, VA172212.7$807K−1.7%#1,587 of 1,656
66Wythe County, VA161310.4$930K−1.2%#1,592 of 1,656
67Martinsville city, VA15712.3$751K+2.8%#1,603 of 1,656
68Norfolk city, VA1515015.8$673K−2.9%#1,604 of 1,656
69Winchester city, VA142017.4$597K+1.0%#1,612 of 1,656
70Tazewell County, VA12159.2$1M−4.4%#1,625 of 1,656
71Danville city, VA72111.0$819K−2.2%#1,643 of 1,656
Pittsylvania County, VANot scored41.6$6M−1.5%
Campbell County, VANot scored20.9$11.5M+0.1%
Louisa County, VANot scored31.9$6.1M+13.6%
Accomack County, VANot scored21.4$7.3M+1.4%
Caroline County, VANot scored43.3$3.5M+11.3%
Powhatan County, VANot scored43.5$3.8M+7.0%
Amherst County, VANot scored43.2$3.3M+2.1%
Dinwiddie County, VANot scored10.9$12M+3.6%
King George County, VANot scored43.9$3.4M+10.5%
Goochland County, VANot scored21.9$7.4M+17.4%
Russell County, VANot scored10.9$10M−1.7%
New Kent County, VANot scored22.2$6.3M+21.2%
Page County, VANot scored22.0$4.8M+0.3%
Waynesboro city, VANot scored33.0$3.3M+7.5%
Rockbridge County, VANot scored33.1$3.4M0.0%
Greene County, VANot scored22.5$4.9M+6.6%
Westmoreland County, VANot scored22.5$4.2M+6.5%
King William County, VANot scored22.7$4.3M+9.5%
Southampton County, VANot scored00.0n/a+0.9%
Patrick County, VANot scored11.3$7.8M−0.9%
Buckingham County, VANot scored00.0n/a+1.9%
Manassas Park city, VANot scored11.9$6.6M−3.5%
Appomattox County, VANot scored11.5$6.8M+6.3%
Giles County, VANot scored34.5$2.3M−1.3%
Brunswick County, VANot scored23.1$3.1M−0.6%
Williamsburg city, VANot scored12.0$5.7M+2.6%
Floyd County, VANot scored00.0n/a+2.1%
Grayson County, VANot scored23.2$2.9M−0.3%
Clarke County, VANot scored11.7$7.9M+5.4%
Alleghany County, VANot scored34.7$2M−4.2%
Nelson County, VANot scored11.6$7.3M+1.2%
Madison County, VANot scored35.5$2.1M+2.7%
Dickenson County, VANot scored23.4$2.6M−6.0%
Amelia County, VANot scored00.0n/a+2.7%
Poquoson city, VANot scored00.0n/a+6.6%
Northumberland County, VANot scored23.5$3M+6.1%
Northampton County, VANot scored23.7$2.9M−2.8%
Lunenburg County, VANot scored12.1$4.5M+0.9%
Charlotte County, VANot scored12.1$4.5M−1.2%
Greensville County, VANot scored00.0n/a−1.8%
Lancaster County, VANot scored47.0$1.6M+0.9%
Middlesex County, VANot scored24.2$2.6M+2.2%
Sussex County, VANot scored12.6$3.9M−0.4%
Essex County, VANot scored24.5$2.2M+0.5%
Cumberland County, VANot scored00.0n/a+6.9%
Richmond County, VANot scored412.6$828K+4.2%
Mathews County, VANot scored00.0n/a+0.1%
Franklin city, VANot scored38.7$1.1M+4.1%
Lexington city, VANot scored418.3$593K+6.2%
Rappahannock County, VANot scored26.7$1.9M+1.6%
Galax city, VANot scored1036.2$259K−0.7%
King and Queen County, VANot scored00.0n/a+2.4%
Charles City County, VANot scored00.0n/a−1.8%
Buena Vista city, VANot scored00.0n/a+0.9%
Surry County, VANot scored13.5$3.1M+0.8%
Bland County, VANot scored14.2$2.4M−1.7%
Covington city, VANot scored13.9$2.1M−1.2%
Emporia city, VANot scored418.5$514K−4.4%
Craig County, VANot scored00.0n/a−1.6%
Bath County, VANot scored00.0n/a−2.6%
Norton city, VANot scored531.2$276K−5.5%
Highland County, VANot scored00.0n/a+3.4%

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 Virginia?

Map listings as of September 2026 show 2,306 primary care and pediatric clinics in Virginia. 231 of them (10%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 5,133 businesses with payroll classed as offices of physicians in 2023, down 2.9% from 2019. Official counts list 5,393 one-person businesses without payroll.

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

About $4.3B a year, or $1,264 per household. That is 2% below the U.S. average (an index of 98, where 100 is the U.S. average). Spread across the 2,306 primary care and pediatric clinics on map listings, it comes to $1.8M 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 3,365,732 households in Virginia and national spending patterns by income.

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

Virginia has 6.9 primary care and pediatric clinics per 10,000 households, 4% below the U.S. rate of 7.2. Spending per clinic is $1.8M, 4% above the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, Virginia would have about 2,390, against 2,306 on map listings. There is one business with payroll in the industry for every 656 households, against one for every 593 across the U.S. The official count fell 2.9% from 2019 to 2023, against −2.2% for the U.S.

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

Among 11 scored metro areas in or partly in Virginia, the Lynchburg metro area scores highest, at 67 (upper middle). Among 4 scored small-town markets in or partly in Virginia, the Lake of the Woods area scores highest, at 84 (high). Among 71 scored counties in Virginia, Frederick 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. Virginia scores 45 for primary care and pediatric clinics (lower middle), #31 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 Virginia. 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

All 51 states

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

Screening a site or an acquisition in Virginia?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

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.