SD · Healthcare shortage profile
Oglala Lakota County, SD
Peak severity leads this reading: Oglala Lakota County's highest active HPSA score is 25.0, clearing HRSA's 17-point high-priority line. Population 13,672.
- Active HPSAs
- 12
- Population
- 13,672
- Peak shortage score
- 25.0
- MUA Index
- 43.0
Heavy-burden verdict
According to current HRSA Data Warehouse records, Oglala Lakota County ranks among the most underserved counties in the country - 12 active HPSA designations, more than 85% of the 3,289 real US counties, with primary care the deepest gap.
- 12
- Active HPSA designations
- 4
- Dental shortages
- 25
- Peak severity score (of 26)
- Top 15%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Oglala Lakota 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.
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Peak HPSA score 25.0 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.
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Closing Oglala Lakota County's active designations would take about 14 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 1.3 primary care, 10 mental health, 2.2 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Oglala Lakota County's 12 active designations are primary care.
Discipline mix from designated HPSA records only: 4 primary care, 4 mental health, 4 dental (denominator 12).
Oglala Lakota County's mid-pack ZIP footprint
11 Census ZCTAs intersect Oglala Lakota 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
3 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.
Oglala Lakota County vs. every real US county
Total active HPSA designations, including counties with none
12 Top 15% higher than 85% of 3,289 real US counties
Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source HRSA Data Warehouse, designated HPSAs · 2026
State peer position. Oglala Lakota County sits among the top three county rank positions in SD, at rank 2 of 66. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 46102. Population: 13,672.
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 12 active (designated) HPSAs in Oglala Lakota County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| LI Oglala Lakota County | dental | 25.0 |
| Kyle Health Center | mental_health | 23.0 |
| Pine Ridge Hospital | mental_health | 23.0 |
| Manderson Health Station | mental_health | 23.0 |
| Manderson Health Station | dental | 22.0 |
| Kyle Health Center | dental | 22.0 |
| Pine Ridge Hospital | dental | 22.0 |
| Behavior Management Systems Mhca | mental_health | 18.0 |
| Oglala Lakota County | primary_care | 16.0 |
| Pine Ridge Hospital | primary_care | 16.0 |
| Manderson Health Station | primary_care | 16.0 |
| Kyle Health Center | primary_care | 10.0 |
Heavy-burden reading for Oglala Lakota County
Peak severity leads this reading: Oglala Lakota County's highest active HPSA score is 25.0, clearing HRSA's 17-point high-priority line. Dental care carries Oglala Lakota County's deepest shortage reading, 25.0 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 16.0 of 25; Mental health reads 23.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 43.0, and the lower the index, the greater the measured need.
Volume places Oglala Lakota County above 85% of real US counties (12 active designations: 4 primary care, 4 mental health, 4 dental). Peak severity on the current designated set is 25.0. 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.
Oglala Lakota County sits among the top three county rank positions in SD, at rank 2 of 66. 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.
Oglala Lakota County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Mental health
Mental health
4 designations
- Dental
Dental
4 designations
Heavy-volume FTE gap in Oglala Lakota County
HRSA providers_needed summed once per HPSA id for Oglala Lakota County's active designations: about 14 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 Oglala Lakota 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 a heavy-burden county
Oglala Lakota County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Oglala Lakota County's 12 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.
Counties With a Similar Dental Shortage Score
Other U.S. counties whose active HRSA dental HPSA score is closest to Oglala Lakota County's 25.0. This compares the designation score only, not local appointment availability or care quality. Start with Fulton County, GA and Erie County, NY.
Showing 6 of 2744 counties nationally with an active designation this severe.
Counties near Oglala Lakota County's dental score of 25.0
One peer set for this severity-led county: nearest active dental HPSA score to 25.0 (severity lead on this page is “LI Oglala Lakota County”).
Fulton County, GA
25.0 dental score · 1,066,710 pop.
Erie County, NY
25.0 dental score · 954,236 pop.
El Paso County, TX
25.0 dental score · 865,657 pop.
Miami-Dade County, FL
25.0 dental score · 2,701,767 pop.
Tarrant County, TX
25.0 dental score · 2,110,640 pop.
Philadelphia County, PA
25.0 dental score · 1,603,797 pop.
Frequently Asked Questions
- Does Oglala Lakota County's MUA standing sit beside its HPSA records?
- Yes - Oglala Lakota County carries an MUA designation (index 43.0; 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 Oglala Lakota County's peak score of 25.0?
- "LI Oglala Lakota County" leads the active set (score 25.0; dental; 1,785 people in the service area; ~2.2 FTE still needed on the record; designated 10/28/2025). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 12 active rows: 4 primary care, 4 mental health, 4 dental.
- Which other active designations sit under Oglala Lakota County's severity reading?
- After "LI Oglala Lakota County", the next active names on this release are "LI Oglala Lakota County", "KYLE HEALTH CENTER", "Pine Ridge Hospital" and "MANDERSON HEALTH STATION". Provider need (id-de-duped) totals ~14 FTE across disciplines that still carry a gap.
- Which federal pathways follow Oglala Lakota County's high-severity geography?
- Oglala Lakota County's 12 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 "LI Oglala Lakota County".
- How does Oglala Lakota County's peak severity sit inside SD?
- Oglala Lakota County holds 12 active HPSA rows with peak 25.0. Oglala Lakota County sits among the top three county rank positions in SD, at rank 2 of 66. Score-nearest national peers appear below when the peer module renders. Score-nearest counties on this release include Fulton County, GA and Erie County, NY.
Source: HRSA Data Warehouse. FIPS: 46102. 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 46102 (Oglala Lakota County, SD), vintage 2026-08-15. Active designation count 12; peak score 25.0; signature peak score 25.0. This profile is reference material, not professional advice; see methodology.