VA · Healthcare shortage profile
Spotsylvania County, VA
Peak severity leads this reading: Spotsylvania County's highest active HPSA score is 15.0, still below HRSA's 17-point high-priority line. Population 140,032.
- Active HPSAs
- 2
- Population
- 140,032
- Peak shortage score
- 15.0
- MUA Index
- 58.5
Light-burden verdict
According to current HRSA Data Warehouse records, Spotsylvania County carries a comparatively light shortage burden - 2 active HPSA designations, more than 10% of the 3,289 real US counties, with mental health the deepest gap.
- 2
- Active HPSA designations
- 1
- Mental-health shortages
- 15
- Peak severity score (of 26)
- Top 90%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Spotsylvania County, VA 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 Spotsylvania County's active designations would take about 5.3 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 3.1 mental health, 2.2 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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50% of Spotsylvania County's 2 active designations are mental health.
Discipline mix from designated HPSA records only: 0 primary care, 1 mental health, 1 dental (denominator 2).
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Peak HPSA score 15.0 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.
Spotsylvania County's mid-pack ZIP footprint
13 Census ZCTAs intersect Spotsylvania 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
5 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, Spotsylvania 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. Spotsylvania County falls in the lower half of VA counties by active-designation volume, at rank 102 of 133. 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: 51177. Population: 140,032.
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 Spotsylvania County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| LI - Rappahannock Area Mhca | mental_health | 15.0 |
| MI - Fredericksburg/Spotsylvania | dental | 15.0 |
Light-burden reading for Spotsylvania County
Peak severity leads this reading: Spotsylvania County's highest active HPSA score is 15.0, still below HRSA's 17-point high-priority line. Spotsylvania County's shortage runs equally deep in mental health and dental care: both scored 15.0 by HRSA, still short of the 17-point priority line, though the designation itself is formal. The county also sits inside a Medically Underserved Area, indexed at 58.5, and the lower the index, the greater the measured need.
Spotsylvania 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.
Spotsylvania County falls in the lower half of VA counties by active-designation volume, at rank 102 of 133. 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 Spotsylvania County
HRSA providers_needed summed once per HPSA id for Spotsylvania County's active designations: about 5.3 FTE, a federal gap estimate, not a headcount of practising clinicians.
Counties near Spotsylvania County's mental score of 15.0
One peer set for this severity-led county: nearest active mental HPSA score to 15.0 (severity lead on this page is “LI - Rappahannock Area MHCA”).
Caldwell County, TX
15.0 mental score · 45,883 pop.
Travis County, TX
15.0 mental score · 1,290,188 pop.
Anoka County, MN
15.0 mental score · 363,887 pop.
Delaware County, OH
15.0 mental score · 214,124 pop.
Clark County, IN
15.0 mental score · 121,093 pop.
Otero County, NM
15.0 mental score · 67,839 pop.
Frequently Asked Questions
- Does Spotsylvania County's MUA standing sit beside its HPSA records?
- Yes - Spotsylvania County carries an MUA designation (index 58.5; 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 Spotsylvania County's peak score of 15.0?
- "LI - Rappahannock Area MHCA" leads the active set (score 15.0; mental health; 27,710 people in the service area; ~3.1 FTE still needed on the record; designated 12/10/2021). Below 17 the shortage is formal but outside HRSA's high-priority NHSC tier. Discipline mix across 2 active rows: 0 primary care, 1 mental health, 1 dental.
- Which other active designations sit under Spotsylvania County's severity reading?
- After "LI - Rappahannock Area MHCA", the next active names on this release are "LI - Rappahannock Area MHCA" and "MI - Fredericksburg/Spotsylvania". Provider need (id-de-duped) totals ~5.3 FTE across disciplines that still carry a gap.
Source: HRSA Data Warehouse. FIPS: 51177. This county’s designations come from 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 51177 (Spotsylvania County, VA), vintage 2026-08-15. Active designation count 2; peak score 15.0; signature peak score 15.0. This profile is reference material, not professional advice; see methodology.