ND · Healthcare shortage profile
Burke County, ND
Peak severity leads this reading: Burke County's highest active HPSA score is 16.0, still below HRSA's 17-point high-priority line. Population 2,201.
- Active HPSAs
- 6
- Population
- 2,201
- Peak shortage score
- 16.0
- MUA Index
- 48.4
Mid-burden verdict
According to current HRSA Data Warehouse records, Burke County holds a moderate federal shortage burden - 6 active HPSA designations, more than 54% of the 3,289 real US counties, with primary care the deepest gap.
- 6
- Active HPSA designations
- 2
- Dental shortages
- 16
- Peak severity score (of 26)
- Top 46%
- US counties by volume
Few Census ZCTAs touch Burke County
The Census ZCTA-county crosswalk lists only 9 ZIP Code Tabulation Areas intersecting Burke County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).
Intersecting ZCTA
4 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.
Key findings
What the HRSA Data Warehouse does not surface for Burke County, ND 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 Burke County's active designations would take about 1 additional clinician FTEs, with dental the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.4 primary care, 0.1 mental health, 0.4 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Burke County's 6 active designations are primary care.
Discipline mix from designated HPSA records only: 2 primary care, 2 mental health, 2 dental (denominator 6).
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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.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Burke County carries 6 active designations, above 54% 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. Burke County falls in the upper quarter of ND counties by active-designation volume, at rank 11 of 53. 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: 38013. Population: 2,201.
Below high-priority line
Burke County is designated, but no active score clears 17
6 active designations sit on this FIPS (2 primary care, 2 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
Active HPSA 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 6 active (designated) HPSAs in Burke County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Tioga Medical Center - Powers Lake Rhc | dental | 16.0 |
| Burke County | primary_care | 15.0 |
| Tioga Medical Center - Powers Lake Rhc | mental_health | 14.0 |
| Tioga Medical Center - Powers Lake Rhc | primary_care | 13.0 |
| Burke County | mental_health | 12.0 |
| Burke County | dental | 12.0 |
Moderate-burden reading for Burke County
Peak severity leads this reading: Burke County's highest active HPSA score is 16.0, still below HRSA's 17-point high-priority line. Dental care carries Burke County's deepest shortage reading, 16.0 on HRSA's 0–26 dental scale, still short of the 17-point priority line, though the designation itself is formal. Primary care reads 15.0 of 25; Mental health reads 14.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 48.4, and the lower the index, the greater the measured need.
Burke County sits in the middle of the national designation-volume distribution (above 54% of counties) with 6 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (2/2/2) before assuming every care category is equally short.
Burke County falls in the upper quarter of ND counties by active-designation volume, at rank 11 of 53. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.
Mid-pack clinician FTE gap for Burke County
HRSA providers_needed summed once per HPSA id for Burke County's active designations: about 1 FTE, a federal gap estimate, not a headcount of practising clinicians.
Counties near Burke County's dental score of 16.0
One peer set for this severity-led county: nearest active dental HPSA score to 16.0 (severity lead on this page is “TIOGA MEDICAL CENTER - POWERS LAKE RHC”).
Elko County, NV
16.0 dental score · 53,702 pop.
Stokes County, NC
16.0 dental score · 44,520 pop.
Clinton County, OH
16.0 dental score · 42,018 pop.
Randolph County, NC
16.0 dental score · 144,171 pop.
Lenawee County, MI
16.0 dental score · 99,423 pop.
Franklin County, NC
16.0 dental score · 68,573 pop.
Frequently Asked Questions
- Does Burke County's MUA standing sit beside its HPSA records?
- Yes - Burke County carries an MUA designation (index 48.4; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- Which record sets Burke County's peak score of 16.0?
- "TIOGA MEDICAL CENTER - POWERS LAKE RHC" leads the active set (score 16.0; dental; 3,554 people in the service area; designated 08/18/2019). Below 17 the shortage is formal but outside HRSA's high-priority NHSC tier. Discipline mix across 6 active rows: 2 primary care, 2 mental health, 2 dental.
- Which other active designations sit under Burke County's severity reading?
- After "TIOGA MEDICAL CENTER - POWERS LAKE RHC", the next active names on this release are "TIOGA MEDICAL CENTER - POWERS LAKE RHC", "Burke County", "TIOGA MEDICAL CENTER - POWERS LAKE RHC" and "TIOGA MEDICAL CENTER - POWERS LAKE RHC". Provider need (id-de-duped) totals ~1 FTE across disciplines that still carry a gap.
- Which federal pathways follow Burke County's high-severity geography?
- Burke County's 6 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, eligibility follows the designated area and provider type, not merely the county line around "TIOGA MEDICAL CENTER - POWERS LAKE RHC".
Source: HRSA Data Warehouse. FIPS: 38013. 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 38013 (Burke County, ND), vintage 2026-08-15. Active designation count 6; peak score 16.0; signature peak score 16.0. This profile is reference material, not professional advice; see methodology.