Medically Underserved Area Primary · mental · dental footprint

SD · Healthcare shortage profile

Buffalo County, SD

Peak severity leads this reading: Buffalo County's highest active HPSA score is 20.0, clearing HRSA's 17-point high-priority line. Population 1,948.

Active HPSAs
6
Population
1,948
Peak shortage score
20.0
MUA Index
46.6

Mid-burden verdict

According to current HRSA Data Warehouse records, Buffalo 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
20
Peak severity score (of 26)
Top 46%
US counties by volume

Few Census ZCTAs touch Buffalo County

The Census ZCTA-county crosswalk lists only 6 ZIP Code Tabulation Areas intersecting Buffalo County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).

Intersecting ZCTA

1 additional ZCTA 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 Buffalo County, SD 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.

  1. Peak HPSA score 20.0 clears HRSA's 17-point high-priority line.

    Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.

  2. Closing Buffalo County's active designations would take about 2.4 additional clinician FTEs, with mental health the largest gap.

    HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.6 primary care, 1.5 mental health, 0.3 dental. This is the federal gap estimate, not a headcount of practising clinicians.

  3. 33.3% of Buffalo 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).

Corpus placement

Active-designation volume placement

According to current HRSA Data Warehouse records, Buffalo County carries 6 active designations, above 54% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.

State peer position. Buffalo County falls in the upper quarter of SD counties by active-designation volume, at rank 14 of 66. 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: 46017. Population: 1,948.

2
Dental HPSAs
2
Primary Care HPSAs
2
Mental Health HPSAs

Medically Underserved Area

MUA Designated
MUA Index: 46.6

Active HPSA scores

Primary Care 17.0
Mental Health 19.0
Dental 20.0

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 Buffalo County, ranked by HRSA shortage score.

Name Type Score
Ft. Thompson Health Center dental 20.0
Capital Area Counseling Services Mhca mental_health 19.0
Ft. Thompson Health Center primary_care 17.0
LI- Jerauld/Sanborn/Buffalo Counties primary_care 17.0
Ft. Thompson Health Center mental_health 17.0
LI - Buffalo County dental 13.0

Moderate-burden reading for Buffalo County

Peak severity leads this reading: Buffalo County's highest active HPSA score is 20.0, clearing HRSA's 17-point high-priority line. Dental care carries Buffalo County's deepest shortage reading, 20.0 on HRSA's 0–26 dental scale, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 17.0 of 25; Mental health reads 19.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 46.6, and the lower the index, the greater the measured need.

Buffalo 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.

Buffalo County falls in the upper quarter of SD counties by active-designation volume, at rank 14 of 66. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.

Buffalo County designations by care type

Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).

designations
Source HRSA Data Warehouse, designated HPSAs As of 2026

Mid-pack clinician FTE gap for Buffalo County

HRSA providers_needed summed once per HPSA id for Buffalo County's active designations: about 2.4 FTE, a federal gap estimate, not a headcount of practising clinicians.

Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Buffalo County, SD · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.

Acting on Buffalo County's designations

Buffalo County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.

  • Buffalo County's 6 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
  • See how the county's primary care burden compares with the rest of SD before you draw conclusions from a single score. SD overview
  • Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA score lookup

HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.

Nearby dental score peers

Closest U.S. counties on active dental HPSA score to Buffalo County's 20.0. Open Snohomish County, WA or Marion County, FL next.

Showing 3 of 2744 counties nationally with an active designation this severe.

Counties near Buffalo County's dental score of 20.0

One peer set for this severity-led county: nearest active dental HPSA score to 20.0 (severity lead on this page is “FT. THOMPSON HEALTH CENTER”).

Frequently Asked Questions

Does Buffalo County's MUA standing sit beside its HPSA records?
Yes - Buffalo County carries an MUA designation (index 46.6; 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 Buffalo County's peak score of 20.0?
"FT. THOMPSON HEALTH CENTER" leads the active set (score 20.0; dental; 4,707 people in the service area; designated 10/26/2002). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 6 active rows: 2 primary care, 2 mental health, 2 dental.
Which other active designations sit under Buffalo County's severity reading?
After "FT. THOMPSON HEALTH CENTER", the next active names on this release are "FT. THOMPSON HEALTH CENTER", "Capital Area Counseling Services MHCA", "FT. THOMPSON HEALTH CENTER" and "LI- Jerauld/Sanborn/Buffalo Counties". Provider need (id-de-duped) totals ~2.4 FTE across disciplines that still carry a gap.
Which federal pathways follow Buffalo County's high-severity geography?
Buffalo 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 "FT. THOMPSON HEALTH CENTER".

Source: HRSA Data Warehouse. FIPS: 46017. 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 46017 (Buffalo County, SD), vintage 2026-08-15. Active designation count 6; peak score 20.0; signature peak score 20.0. This profile is reference material, not professional advice; see methodology.