NY · Healthcare shortage profile
Orleans County, NY
Designation volume is the standout signal for Orleans County: 7 active HPSA records, above 70% of real US counties. Population 40,343.
- Active HPSAs
- 7
- Population
- 40,343
- Peak shortage score
- 16.0
- MUA Index
- 60.5
Heavy-burden verdict
According to current HRSA Data Warehouse records, Orleans County carries a heavier shortage burden than most US counties - 7 active HPSA designations, more than 70% of the 3,289 real US counties, with mental health the deepest gap.
- 7
- Active HPSA designations
- 3
- Mental-health shortages
- 16
- Peak severity score (of 26)
- Top 30%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Orleans County, NY on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
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Closing Orleans County's active designations would take about 4.6 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 3.3 primary care, 1 mental health, 0.4 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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42.9% of Orleans County's 7 active designations are mental health.
Discipline mix from designated HPSA records only: 2 primary care, 3 mental health, 2 dental (denominator 7).
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Peak HPSA score 16.0 sits below HRSA's 17-point high-priority line.
Below-17 designations still count as shortages for program geography, but they do not clear the high-priority NHSC placement threshold on this release.
Orleans County's mid-pack ZIP footprint
15 Census ZCTAs intersect Orleans County, between the 9 and 15 ZIP cuts across published counties: neither a postage-stamp footprint nor a metro-scale lattice.
Largest land-share ZCTAs
7 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Orleans County carries 7 active designations, above 70% of real US counties. None of those scores clear HRSA's high-priority line of 17 on this release, so the page leads with severity reading rather than a national distribution chart.
State peer position. Orleans County falls in the upper half of NY counties by active-designation volume, at rank 24 of 62. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 36073. Population: 40,343.
Below high-priority line
Orleans County is designated, but no active score clears 17
7 active designations sit on this FIPS (2 primary care, 3 mental health, 2 dental), and the peak severity is 16.0. That is a formal shortage footprint without HRSA's high-priority (≥17) tier, so NHSC placement geography is usually weaker here than on counties whose lead score clears the line.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 7 active (designated) HPSAs in Orleans County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Orleans Community Health Clinic | primary_care | 16.0 |
| Orleans Community Health Clinic | mental_health | 16.0 |
| ME - Orleans County | mental_health | 16.0 |
| ME - Orleans County | primary_care | 15.0 |
| Orleans Community Health Clinic | dental | 15.0 |
| Orleans Correctional Facility | dental | 12.0 |
| Orleans Correctional Facility | mental_health | 6.0 |
Heavy-burden reading for Orleans County
Designation volume is the standout signal for Orleans County: 7 active HPSA records, above 70% of real US counties. Orleans County's shortage runs equally deep in primary care and mental health: both scored 16.0 by HRSA, still short of the 17-point priority line, though the designation itself is formal. Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 60.5, and the lower the index, the greater the measured need.
Volume places Orleans County above 70% of real US counties (7 active designations: 2 primary care, 3 mental health, 2 dental). Peak severity on the current designated set is 16.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Orleans County falls in the upper half of NY counties by active-designation volume, at rank 24 of 62. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Heavy-volume FTE gap in Orleans County
HRSA providers_needed summed once per HPSA id for Orleans County's active designations: about 4.6 FTE, a federal gap estimate, not a headcount of practising clinicians.
High-volume peers of Orleans County (7 active)
One peer set for this volume-led county: nearest active designation count to 7 across the national corpus.
Frequently Asked Questions
- Does Orleans County's MUA standing sit beside its HPSA records?
- Yes - Orleans County carries an MUA designation (index 60.5; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Orleans County's 7 active HPSA designations?
- 7 Designated rows (2 primary care, 3 mental health, 2 dental). Highest-scored name on this release: "ORLEANS COMMUNITY HEALTH CLINIC" (score 16.0; primary care; 45,166 people in the service area; designated 08/14/2025). Also active: "ORLEANS COMMUNITY HEALTH CLINIC", "ME - Orleans County", "ME - Orleans County". Above 70% of real US counties by volume.
- What does volume-plus-score look like for Orleans County?
- Peak active score 16.0 in primary care and mental health stays under the 17-point line while volume sits at 7 rows.
- What clinician need sits behind Orleans County's designation volume?
- Closing published gaps would take about 4.6 additional clinician FTEs (id-de-duped providers_needed). "ORLEANS COMMUNITY HEALTH CLINIC" is the severity lead inside that inventory.
- Which federal programs follow Orleans County's designation volume?
- 7 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, by designated area and provider type, not by county line alone.
- How does Orleans County's volume compare inside NY?
- 7 active HPSA rows · peak 16.0. Orleans County falls in the upper half of NY counties by active-designation volume, at rank 24 of 62. Score-nearest counties on this release include Roanoke County, VA and Kent County, MI.
Source: HRSA Data Warehouse. FIPS: 36073. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 36073 (Orleans County, NY), vintage 2026-08-15. Active designation count 7; peak score 16.0; signature 7 active designations. This profile is reference material, not professional advice; see methodology.