IA · Healthcare shortage profile
Decatur County, IA
Peak severity leads this reading: Decatur County's highest active HPSA score is 20.0, clearing HRSA's 17-point high-priority line. Population 7,645.
- Active HPSAs
- 6
- Population
- 7,645
- Peak shortage score
- 20.0
- MUA Index
- 58.0
Mid-burden verdict
According to current HRSA Data Warehouse records, Decatur 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
- Mental-health shortages
- 20
- Peak severity score (of 26)
- Top 46%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Decatur County, IA 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 20.0 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 Decatur County's active designations would take about 2.1 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 0.4 primary care, 1.1 mental health, 0.6 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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33.3% of Decatur 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).
Decatur County's mid-pack ZIP footprint
11 Census ZCTAs intersect Decatur 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
3 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.
Decatur County vs. every real US county
Total active HPSA designations, including counties with none
6 Top 46% higher than 54% of 3,289 real US counties
Each bar is a band; taller bars hold more real US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source HRSA Data Warehouse, designated HPSAs · 2026
State peer position. Decatur County falls in the upper half of IA counties by active-designation volume, at rank 26 of 99. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 19053. Population: 7,645.
Single high-priority discipline
Decatur County's only high-priority (≥17) footprint is mental health
Current HRSA Data Warehouse rows attribute 2 active mental health designations to Decatur County , with a peak score of 20.0. Other care categories may still be designated here, but none of them clear HRSA's high-priority score line of 17 on the current release, NHSC and related instruments concentrate on the mental health records.
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 6 active (designated) HPSAs in Decatur County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Infinity Health | mental_health | 20.0 |
| Infinity Health | primary_care | 16.0 |
| Infinity Health | dental | 15.0 |
| LI - Decatur County | primary_care | 14.0 |
| Mhca-14 | mental_health | 13.0 |
| LI - Decatur County | dental | 13.0 |
Moderate-burden reading for Decatur County
Peak severity leads this reading: Decatur County's highest active HPSA score is 20.0, clearing HRSA's 17-point high-priority line. Decatur County's severest measured gap is in mental health, scored 20.0 of 25, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 16.0 of 25; Dental care reads 15.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 58.0, and the lower the index, the greater the measured need.
Decatur 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.
Decatur County falls in the upper half of IA counties by active-designation volume, at rank 26 of 99. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.
Mid-pack clinician FTE gap for Decatur County
HRSA providers_needed summed once per HPSA id for Decatur County's active designations: about 2.1 FTE, a federal gap estimate, not a headcount of practising clinicians.
Acting on Decatur County's high-priority mental health
Decatur County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Decatur County's high-priority mental health designations are where NHSC placement geography concentrates, estimate the award and service terms. NHSC estimator
- See how the county's mental health burden compares with the rest of IA before drawing conclusions from a single score. IA overview
- Check the provider-to-population ratio behind an HPSA score against HRSA's designation thresholds. 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 mental-health score peers
Closest U.S. counties on active mental-health HPSA score to Decatur County's 20.0. Open Buncombe County, NC or Mohave County, AZ next.
Showing 3 of 3081 counties nationally with an active designation this severe.
Counties near Decatur County's mental score of 20.0
One peer set for this severity-led county: nearest active mental HPSA score to 20.0 (severity lead on this page is “INFINITY HEALTH”).
Buncombe County, NC
20.0 mental score · 269,452 pop.
Mohave County, AZ
20.0 mental score · 213,267 pop.
Portage County, OH
20.0 mental score · 161,791 pop.
Washington County, TN
20.0 mental score · 133,001 pop.
Fort Bend County, TX
20.0 mental score · 822,779 pop.
Onondaga County, NY
20.0 mental score · 476,516 pop.
Frequently Asked Questions
- Does Decatur County's MUA standing sit beside its HPSA records?
- Yes - Decatur County carries an MUA designation (index 58.0; 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 Decatur County's peak score of 20.0?
- "INFINITY HEALTH" leads the active set (score 20.0; mental health; 14,227 people in the service area; designated 10/26/2002). 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 Decatur County's severity reading?
- After "INFINITY HEALTH", the next active names on this release are "INFINITY HEALTH", "INFINITY HEALTH", "INFINITY HEALTH" and "LI - Decatur County". Provider need (id-de-duped) totals ~2.1 FTE across disciplines that still carry a gap.
- Which federal pathways follow Decatur County's high-severity geography?
- Decatur 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 "INFINITY HEALTH".
Source: HRSA Data Warehouse. FIPS: 19053. 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 19053 (Decatur County, IA), vintage 2026-08-15. Active designation count 6; peak score 20.0; signature peak score 20.0. This profile is reference material, not professional advice; see methodology.