TX · Healthcare shortage profile
Milam County, TX
Peak severity leads this reading: Milam County's highest active HPSA score is 16.0, still below HRSA's 17-point high-priority line. Population 24,754.
- Active HPSAs
- 2
- Population
- 24,754
- Peak shortage score
- 16.0
- MUA Index
- 57.0
Light-burden verdict
According to current HRSA Data Warehouse records, Milam County carries a comparatively light shortage burden - 2 active HPSA designations, more than 10% of the 3,289 real US counties, with primary care the deepest gap.
- 2
- Active HPSA designations
- 1
- Mental-health shortages
- 16
- Peak severity score (of 26)
- Top 90%
- US counties by volume
Based on HRSA primary/mental/dental shortage severity, Medically Underserved Area status, and estimated unmet provider need -- not patient outcomes, insurance access, facility quality, or wait times.
Key findings
What the HRSA Data Warehouse does not surface for Milam 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.
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Closing Milam County's active designations would take about 5.8 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 4.6 primary care, 1.2 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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50% of Milam County's 2 active designations are primary care.
Discipline mix from designated HPSA records only: 1 primary care, 1 mental health, 0 dental (denominator 2).
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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.
Milam County's mid-pack ZIP footprint
14 Census ZCTAs intersect Milam 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
6 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
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Milam County carries 2 active designations, above 10% 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. Milam County falls in the lower half of TX counties by active-designation volume, at rank 204 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: 48331. Population: 24,754.
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 2 active (designated) HPSAs in Milam County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Milam County | mental_health | 16.0 |
| Milam County | primary_care | 14.0 |
Light-burden reading for Milam County
Peak severity leads this reading: Milam County's highest active HPSA score is 16.0, still below HRSA's 17-point high-priority line. Milam County's severest measured gap is in mental health, scored 16.0 of 25, still short of the 17-point priority line, though the designation itself is formal. Primary care reads 14.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 57.0, and the lower the index, the greater the measured need.
Milam County carries 2 active designations and sits below the national mid-pack (above 10% 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.
Milam County falls in the lower half of TX counties by active-designation volume, at rank 204 of 254. 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 Milam County
HRSA providers_needed summed once per HPSA id for Milam County's active designations: about 5.8 FTE, a federal gap estimate, not a headcount of practising clinicians.
Counties near Milam County's mental score of 16.0
One peer set for this severity-led county: nearest active mental HPSA score to 16.0 (severity lead on this page is “Milam County”).
Jefferson County, MO
16.0 mental score · 226,739 pop.
Carroll County, MD
16.0 mental score · 172,891 pop.
Rowan County, NC
16.0 mental score · 146,875 pop.
Bonneville County, ID
16.0 mental score · 123,964 pop.
Rockwall County, TX
16.0 mental score · 107,819 pop.
Wayne County, NY
16.0 mental score · 91,283 pop.
Frequently Asked Questions
- Does Milam County's MUA standing sit beside its HPSA records?
- Yes - Milam County carries an MUA designation (index 57.0; 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 Milam County's peak score of 16.0?
- "Milam County" leads the active set (score 16.0; mental health; 24,754 people in the service area; ~1.2 FTE still needed on the record; designated 06/17/2009). Below 17 the shortage is formal but outside HRSA's high-priority NHSC tier. Discipline mix across 2 active rows: 1 primary care, 1 mental health, 0 dental.
- What provider types does Milam County's severity cover?
- Active rows break down 1 primary care / 1 mental health / 0 dental. Closing published gaps would take about 5.8 additional clinician FTEs on this release.
Source: HRSA Data Warehouse. FIPS: 48331. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) and BCD_HPSA_FCT_DET_MH.csv (mental health) — 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 48331 (Milam County, TX), vintage 2026-08-15. Active designation count 2; peak score 16.0; signature peak score 16.0. This profile is reference material, not professional advice; see methodology.