NY · Healthcare shortage profile
Madison County, NY
Designation volume is the standout signal for Madison County: 9 active HPSA records, above 75% of real US counties. Population 68,016.
- Active HPSAs
- 9
- Population
- 68,016
- Peak shortage score
- 18.0
- MUA Index
- -
Heavy-burden verdict
According to current HRSA Data Warehouse records, Madison 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
- Dental shortages
- 18
- Peak severity score (of 26)
- Top 25%
- US counties by volume
Dense ZCTA lattice over Madison County
Madison County intersects 31 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.
Largest land-share ZCTAs in this county
19 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 Madison County, NY 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 18.0 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 Madison County's active designations would take about 9.5 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 4.8 primary care, 1.1 mental health, 3.6 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Madison 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).
Corpus placement
Active-designation volume placement
According to current HRSA Data Warehouse records, Madison County carries 9 active designations, above 75% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.
State peer position. Madison County falls in the upper half of NY counties by active-designation volume, at rank 17 of 62. 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: 36053. Population: 68,016.
Peak severity scores
Current designated records only. No Medically Underserved Area designation covers Madison 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 Madison County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Oneida Indian Nation Health Services | dental | 18.0 |
| Oneida Indian Nation Health Services | primary_care | 17.0 |
| ME - Madison County | mental_health | 17.0 |
| Oneida Indian Nation Health Services | mental_health | 17.0 |
| Oneida | dental | 17.0 |
| ME - Madison County | dental | 16.0 |
| ME - Madison County | primary_care | 15.0 |
| Oneida | primary_care | 14.0 |
| Oneida | mental_health | 13.0 |
Heavy-burden reading for Madison County
Designation volume is the standout signal for Madison County: 9 active HPSA records, above 75% of real US counties. Dental care carries Madison County's deepest shortage reading, 18.0 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 17.0 of 25. No Medically Underserved Area designation covers Madison County, so federal support here runs through the HPSA route alone.
Volume places Madison 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 18.0. 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.
Madison County falls in the upper half of NY counties by active-designation volume, at rank 17 of 62. 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.
Madison County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Primary care
Primary care
3 designations
- Mental health
Mental health
3 designations
- Dental
Dental
3 designations
Heavy-volume FTE gap in Madison County
HRSA providers_needed summed once per HPSA id for Madison County's active designations: about 9.5 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 Madison County, NY · 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 a heavy-burden county
Madison County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Madison County's 9 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 NY before you draw conclusions from a single score. NY 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.
Counties With a Similar Dental Shortage Score
Other U.S. counties whose active HRSA dental HPSA score is closest to Madison County's 18.0. This compares the designation score only, not local appointment availability or care quality. Start with Cleveland County, OK and Arecibo County, PR.
Showing 6 of 2744 counties nationally with an active designation this severe.
High-volume peers of Madison 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 Madison County's 9 active HPSA designations?
- 9 Designated rows (3 primary care, 3 mental health, 3 dental). Highest-scored name on this release: "Oneida Indian Nation Health Services" (score 18.0; dental; 9,430 people in the service area; designated 08/18/2019). Also active: "Oneida Indian Nation Health Services", "ME - Madison County", "Oneida Indian Nation Health Services". Above 75% of real US counties by volume.
- Why is Madison County not listed as a Medically Underserved Area?
- Madison 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 Madison County?
- Peak active score 18.0 in dental care clears the 17-point line while volume sits at 9 rows.
- What clinician need sits behind Madison County's designation volume?
- Closing published gaps would take about 9.5 additional clinician FTEs (id-de-duped providers_needed). "Oneida Indian Nation Health Services" is the severity lead inside that inventory.
- Which federal programs follow Madison 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 Madison County's volume compare inside NY?
- 9 active HPSA rows · peak 18.0. Madison County falls in the upper half of NY counties by active-designation volume, at rank 17 of 62. Score-nearest counties on this release include Cleveland County, OK and Arecibo County, PR.
Source: HRSA Data Warehouse. FIPS: 36053. 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 36053 (Madison County, NY), vintage 2026-08-15. Active designation count 9; peak score 18.0; signature 9 active designations. This profile is reference material, not professional advice; see methodology.