Medically Underserved Area Primary · mental · dental footprint

TX · Healthcare shortage profile

Gonzales County, TX

Peak severity leads this reading: Gonzales County's highest active HPSA score is 23.0, clearing HRSA's 17-point high-priority line. Population 19,653.

Active HPSAs
6
Population
19,653
Peak shortage score
23.0
MUA Index
37.7

Mid-burden verdict

According to current HRSA Data Warehouse records, Gonzales 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
23
Peak severity score (of 26)
Top 46%
US counties by volume

Key findings

What the HRSA Data Warehouse does not surface for Gonzales County, TX 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 23.0 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 Gonzales County's active designations would take about 4.2 additional clinician FTEs, with primary care the largest gap.

    HRSA providers_needed summed once per HPSA id (no double-count across status rows): 1.5 primary care, 1.2 mental health, 1.5 dental. This is the federal gap estimate, not a headcount of practising clinicians.

  3. 33.3% of Gonzales 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).

Gonzales County's mid-pack ZIP footprint

15 Census ZCTAs intersect Gonzales 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

Active-designation volume placement

According to current HRSA Data Warehouse records, Gonzales 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. Gonzales County falls in the upper quarter of TX counties by active-designation volume, at rank 26 of 254. 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: 48177. Population: 19,653.

2
Dental HPSAs
2
Primary Care HPSAs
2
Mental Health HPSAs

Medically Underserved Area

MUA Designated
MUA Index: 37.7

Active HPSA scores

Primary Care 17.0
Mental Health 18.0
Dental 23.0

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 Gonzales County, ranked by HRSA shortage score.

Name Type Score
Community Health Centers OF South Central Texas, Inc. dental 23.0
Community Health Centers OF South Central Texas, Inc. mental_health 18.0
Community Health Centers OF South Central Texas, Inc. primary_care 17.0
Gonzales County mental_health 17.0
LI - Gonzales County dental 16.0
LI - Gonzales County primary_care 14.0

Moderate-burden reading for Gonzales County

Peak severity leads this reading: Gonzales County's highest active HPSA score is 23.0, clearing HRSA's 17-point high-priority line. Dental care carries Gonzales County's deepest shortage reading, 23.0 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 18.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 37.7, and the lower the index, the greater the measured need.

Gonzales 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.

Gonzales County falls in the upper quarter of TX counties by active-designation volume, at rank 26 of 254. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.

Gonzales 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 Gonzales County

HRSA providers_needed summed once per HPSA id for Gonzales County's active designations: about 4.2 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 Gonzales County, TX · 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 Gonzales County's designations

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

  • Gonzales 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 TX before you draw conclusions from a single score. TX 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 Gonzales County's 23.0. Open Kern County, CA or Prince William County, VA next.

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

Counties near Gonzales County's dental score of 23.0

One peer set for this severity-led county: nearest active dental HPSA score to 23.0 (severity lead on this page is “COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.”).

Frequently Asked Questions

Does Gonzales County's MUA standing sit beside its HPSA records?
Yes - Gonzales County carries an MUA designation (index 37.7; 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 Gonzales County's peak score of 23.0?
"COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC." leads the active set (score 23.0; dental; 107,138 people in the service area; designated 11/26/2003). 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 Gonzales County's severity reading?
After "COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.", the next active names on this release are "COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.", "COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.", "COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC." and "Gonzales County". Provider need (id-de-duped) totals ~4.2 FTE across disciplines that still carry a gap.
Which federal pathways follow Gonzales County's high-severity geography?
Gonzales 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 "COMMUNITY HEALTH CENTERS OF SOUTH CENTRAL TEXAS, INC.".

Source: HRSA Data Warehouse. FIPS: 48177. 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 48177 (Gonzales County, TX), vintage 2026-08-15. Active designation count 6; peak score 23.0; signature peak score 23.0. This profile is reference material, not professional advice; see methodology.