SD · Healthcare shortage profile
Perkins County, SD
Peak severity leads this reading: Perkins County's highest active HPSA score is 22.0, clearing HRSA's 17-point high-priority line. Population 2,835.
- Active HPSAs
- 3
- Population
- 2,835
- Peak shortage score
- 22.0
- MUA Index
- 54.5
Light-burden verdict
According to current HRSA Data Warehouse records, Perkins County carries a comparatively light shortage burden - 3 active HPSA designations, more than 20% of the 3,289 real US counties, with primary care the deepest gap.
- 3
- Active HPSA designations
- 1
- Mental-health shortages
- 22
- Peak severity score (of 26)
- Top 80%
- US counties by volume
Few Census ZCTAs touch Perkins County
The Census ZCTA-county crosswalk lists only 9 ZIP Code Tabulation Areas intersecting Perkins 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 Perkins 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 22.0 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 Perkins County's active designations would take about 2 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.5 primary care, 1 mental health, 0.6 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Perkins County's 3 active designations are primary care.
Discipline mix from designated HPSA records only: 1 primary care, 1 mental health, 1 dental (denominator 3).
Perkins County vs. every real US county
Total active HPSA designations, including counties with none
3 Top 80% higher than 20% 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. Perkins County falls in the upper half of SD counties by active-designation volume, at rank 31 of 66. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 46105. Population: 2,835.
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 3 active (designated) HPSAs in Perkins County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Three Rivers Mental Health Center - Mhca 8 | mental_health | 22.0 |
| Perkins County | dental | 15.0 |
| Perkins County | primary_care | 13.0 |
Light-burden reading for Perkins County
Peak severity leads this reading: Perkins County's highest active HPSA score is 22.0, clearing HRSA's 17-point high-priority line. Perkins County's severest measured gap is in mental health, scored 22.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 13.0 of 25; Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 54.5, and the lower the index, the greater the measured need.
Perkins County carries 3 active designations and sits below the national mid-pack (above 20% of counties). A light footprint still matters: a single high-score dental or mental-health record can open program geography even when the county total looks small next to heavy peers.
Perkins County falls in the upper half of SD counties by active-designation volume, at rank 31 of 66. Read the active scores and the deepest-care guide link below before collapsing this county into a "no shortage" story.
Light-volume FTE gap for Perkins County
HRSA providers_needed summed once per HPSA id for Perkins County's active designations: about 2 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Perkins County's high-priority mental health
Perkins County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Perkins County's high-priority mental health designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's mental health burden compares with the rest of SD before drawing conclusions from a single score. SD overview
- Check the provider-to-population ratio behind an HPSA score against HRSA's designation thresholds. 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 near Perkins County's mental score of 22.0
One peer set for this severity-led county: nearest active mental HPSA score to 22.0 (severity lead on this page is “Three Rivers Mental Health Center - MHCA 8”).
Palm Beach County, FL
22.0 mental score · 1,492,191 pop.
Duval County, FL
22.0 mental score · 995,567 pop.
San Joaquin County, CA
22.0 mental score · 779,233 pop.
Baltimore City County, MD
22.0 mental score · 585,708 pop.
Naugatuck Valley County, CT
22.0 mental score · 451,887 pop.
Lubbock County, TX
22.0 mental score · 310,639 pop.
Frequently Asked Questions
- Does Perkins County's MUA standing sit beside its HPSA records?
- Yes - Perkins County carries an MUA designation (index 54.5; 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 Perkins County's peak score of 22.0?
- "Three Rivers Mental Health Center - MHCA 8" leads the active set (score 22.0; mental health; 14,392 people in the service area; ~1 FTE still needed on the record; designated 05/16/1979). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 3 active rows: 1 primary care, 1 mental health, 1 dental.
- Which other active designations sit under Perkins County's severity reading?
- After "Three Rivers Mental Health Center - MHCA 8", the next active names on this release are "Three Rivers Mental Health Center - MHCA 8", "Perkins County" and "Perkins County". Provider need (id-de-duped) totals ~2 FTE across disciplines that still carry a gap.
Source: HRSA Data Warehouse. FIPS: 46105. 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 46105 (Perkins County, SD), vintage 2026-08-15. Active designation count 3; peak score 22.0; signature peak score 22.0. This profile is reference material, not professional advice; see methodology.