VA · Healthcare shortage profile
Lexington City County, VA
Designation volume is the standout signal for Lexington City County: 9 active HPSA records, above 75% of real US counties. Population 7,320.
- Active HPSAs
- 9
- Population
- 7,320
- Peak shortage score
- 16.0
- MUA Index
- -
Heavy-burden verdict
According to current HRSA Data Warehouse records, Lexington City County carries a heavier shortage burden than most US counties - 9 active HPSA designations, more than 75% of the 3,289 real US counties, with primary care the deepest gap.
- 9
- Active HPSA designations
- 3
- Primary-care shortages
- 16
- Peak severity score (of 26)
- Top 25%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Lexington City 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 Lexington City County's active designations would take about 4.5 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 2.1 primary care, 0.8 mental health, 1.6 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Lexington City County's 9 active designations are primary care.
Discipline mix from designated HPSA records only: 3 primary care, 3 mental health, 3 dental (denominator 9).
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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.
Few Census ZCTAs touch Lexington City County
The Census ZCTA-county crosswalk lists only 1 ZIP Code Tabulation Area intersecting Lexington City County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).
Intersecting ZCTA
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, Lexington City County carries 9 active designations, above 75% 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. Lexington City County falls in the upper quarter of VA counties by active-designation volume, at rank 8 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: 51678. Population: 7,320.
Below high-priority line
Lexington City County is designated, but no active score clears 17
9 active designations sit on this FIPS (3 primary care, 3 mental health, 3 dental), and the peak severity is 16.0. That is a formal shortage footprint without HRSA's high-priority (≥17) tier, so NHSC placement geography is usually weaker here than on counties whose lead score clears the line.
Peak severity scores
Current designated records only. No Medically Underserved Area designation covers Lexington City County in the current HRSA release, federal support here runs through the HPSA route alone. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 9 active (designated) HPSAs in Lexington City County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Carilion Clinic Internal Medicine | primary_care | 16.0 |
| Carilion Clinic Family Medicine | primary_care | 16.0 |
| Carilion Clinic Internal Medicine | mental_health | 16.0 |
| LI - Rockbridge Service Area | mental_health | 16.0 |
| Carilion Clinic Family Medicine | mental_health | 16.0 |
| Carilion Clinic Internal Medicine | dental | 15.0 |
| Carilion Clinic Family Medicine | dental | 15.0 |
| LI - Rockbridge County/Lexington City/BuenaVista City | dental | 15.0 |
| LI - Rockbridge Area | primary_care | 13.0 |
Heavy-burden reading for Lexington City County
Designation volume is the standout signal for Lexington City County: 9 active HPSA records, above 75% of real US counties. Lexington City County's shortage runs equally deep in primary care and mental health: both scored 16.0 by HRSA, still short of the 17-point priority line, though the designation itself is formal. Dental care reads 15.0 of 26. No Medically Underserved Area designation covers Lexington City County, so federal support here runs through the HPSA route alone.
Volume places Lexington City County above 75% of real US counties (9 active designations: 3 primary care, 3 mental health, 3 dental). Peak severity on the current designated set is 16.0. 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.
Lexington City County falls in the upper quarter of VA counties by active-designation volume, at rank 8 of 133. 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.
Heavy-volume FTE gap in Lexington City County
HRSA providers_needed summed once per HPSA id for Lexington City County's active designations: about 4.5 FTE, a federal gap estimate, not a headcount of practising clinicians.
High-volume peers of Lexington City County (9 active)
One peer set for this volume-led county: nearest active designation count to 9 across the national corpus.
Frequently Asked Questions
- What makes up Lexington City County's 9 active HPSA designations?
- 9 Designated rows (3 primary care, 3 mental health, 3 dental). Highest-scored name on this release: "CARILION CLINIC INTERNAL MEDICINE" (score 16.0; primary care; 23,855 people in the service area; designated 11/24/2025). Also active: "CARILION CLINIC FAMILY MEDICINE", "CARILION CLINIC INTERNAL MEDICINE", "LI - Rockbridge Service Area". Above 75% of real US counties by volume.
- Why is Lexington City County not listed as a Medically Underserved Area?
- Lexington City County has no MUA designation on this release. Federal shortage support here runs through the active HPSA record set alone.
- What does volume-plus-score look like for Lexington City County?
- Peak active score 16.0 in primary care and mental health stays under the 17-point line while volume sits at 9 rows.
- What clinician need sits behind Lexington City County's designation volume?
- Closing published gaps would take about 4.5 additional clinician FTEs (id-de-duped providers_needed). "CARILION CLINIC INTERNAL MEDICINE" is the severity lead inside that inventory.
- Which federal programs follow Lexington City County's designation volume?
- 9 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, by designated area and provider type, not by county line alone.
- How does Lexington City County's volume compare inside VA?
- 9 active HPSA rows · peak 16.0. Lexington City County falls in the upper quarter of VA counties by active-designation volume, at rank 8 of 133. Score-nearest counties on this release include Cumberland County, ME and Deschutes County, OR.
Source: HRSA Data Warehouse. FIPS: 51678. 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 51678 (Lexington City County, VA), vintage 2026-08-15. Active designation count 9; peak score 16.0; signature 9 active designations. This profile is reference material, not professional advice; see methodology.