NE · Healthcare shortage profile
Madison County, NE
Designation volume is the standout signal for Madison County: 10 active HPSA records, above 83% of real US counties. Population 35,585.
- Active HPSAs
- 10
- Population
- 35,585
- Peak shortage score
- 20.0
- MUA Index
- 60.0
Heavy-burden verdict
According to current HRSA Data Warehouse records, Madison County ranks among the most underserved counties in the country - 10 active HPSA designations, more than 83% of the 3,289 real US counties, with mental health the deepest gap.
- 10
- Active HPSA designations
- 3
- Dental shortages
- 20
- Peak severity score (of 26)
- Top 17%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Madison County, NE 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 Madison County's active designations would take about 7.1 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 7.1 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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40% of Madison County's 10 active designations are mental health.
Discipline mix from designated HPSA records only: 3 primary care, 4 mental health, 3 dental (denominator 10).
Few Census ZCTAs touch Madison County
The Census ZCTA-county crosswalk lists only 8 ZIP Code Tabulation Areas intersecting Madison County, a sparse footprint relative to most US counties in this mirror (at or below the 9-ZIP tercile cut).
Intersecting ZCTA
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.
Madison County vs. every real US county
Total active HPSA designations, including counties with none
10 Top 17% higher than 83% 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. Madison County falls in the upper quarter of NE counties by active-designation volume, at rank 8 of 92. Ties share a rank; the comparison uses the same current designated records as the national chart.
Healthcare shortage designations from HRSA. FIPS: 31119. Population: 35,585.
Medically Underserved Area
Peak severity 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 10 active (designated) HPSAs in Madison County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Midtown Health Center, Inc. | dental | 20.0 |
| Midtown Health Center, Inc. | mental_health | 19.0 |
| Ponca Hills Health/Wellness Center | dental | 18.0 |
| Catchment Area 4 | mental_health | 17.0 |
| Newman Grove Medical Clinic | mental_health | 17.0 |
| Ponca Hills Health/Wellness Center | primary_care | 14.0 |
| Midtown Health Center, Inc. | primary_care | 13.0 |
| Ponca Hills Health/Wellness Center | mental_health | 12.0 |
| Newman Grove Medical Clinic | primary_care | 11.0 |
| Newman Grove Medical Clinic | dental | 11.0 |
Heavy-burden reading for Madison County
Designation volume is the standout signal for Madison County: 10 active HPSA records, above 83% of real US counties. Dental care carries Madison County's deepest shortage reading, 20.0 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 14.0 of 25; Mental health reads 19.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 60.0, and the lower the index, the greater the measured need.
Volume places Madison County above 83% of real US counties (10 active designations: 3 primary care, 4 mental health, 3 dental). Peak severity on the current designated set is 20.0. 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 quarter of NE counties by active-designation volume, at rank 8 of 92. 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).
- Mental health
Mental health
4 designations
- Dental
Dental
3 designations
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, NE · 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 10 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 mental health burden compares with the rest of NE before you draw conclusions from a single score. NE 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 20.0. This compares the designation score only, not local appointment availability or care quality. Start with Tehama County, CA and Darke County, OH.
Showing 6 of 2744 counties nationally with an active designation this severe.
High-volume peers of Madison County (10 active)
One peer set for this volume-led county: nearest active designation count to 10 across the national corpus.
Frequently Asked Questions
- Does Madison County's MUA standing sit beside its HPSA records?
- Yes - Madison County carries an MUA designation (index 60.0; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- What makes up Madison County's 10 active HPSA designations?
- 10 Designated rows (3 primary care, 4 mental health, 3 dental). Highest-scored name on this release: "MIDTOWN HEALTH CENTER, INC." (score 20.0; dental; 10,257 people in the service area; designated 08/01/2008). Also active: "MIDTOWN HEALTH CENTER, INC.", "Ponca Hills Health/Wellness Center", "Catchment Area 4". Above 83% of real US counties by volume.
- What does volume-plus-score look like for Madison County?
- Peak active score 20.0 in dental care clears the 17-point line while volume sits at 10 rows.
- What clinician need sits behind Madison County's designation volume?
- Closing published gaps would take about 7.1 additional clinician FTEs (id-de-duped providers_needed). "MIDTOWN HEALTH CENTER, INC." is the severity lead inside that inventory.
- Which federal programs follow Madison County's designation volume?
- 10 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 NE?
- 10 active HPSA rows · peak 20.0. Madison County falls in the upper quarter of NE counties by active-designation volume, at rank 8 of 92. Score-nearest counties on this release include Tehama County, CA and Darke County, OH.
Source: HRSA Data Warehouse. FIPS: 31119. 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 31119 (Madison County, NE), vintage 2026-08-15. Active designation count 10; peak score 20.0; signature 10 active designations. This profile is reference material, not professional advice; see methodology.