TX · Healthcare shortage profile
Ellis County, TX
Peak severity leads this reading: Ellis County's highest active HPSA score is 25.0, clearing HRSA's 17-point high-priority line. Population 192,455.
- Active HPSAs
- 4
- Population
- 192,455
- Peak shortage score
- 25.0
- MUA Index
- 55.2
Mid-burden verdict
According to current HRSA Data Warehouse records, Ellis County holds a moderate federal shortage burden - 4 active HPSA designations, more than 44% of the 3,289 real US counties, with mental health the deepest gap.
- 4
- Active HPSA designations
- 1
- Dental shortages
- 25
- Peak severity score (of 26)
- Top 56%
- US counties by volume
Based on HRSA primary/mental/dental shortage severity, Medically Underserved Area status, and estimated unmet provider need -- not patient outcomes, insurance access, facility quality, or wait times.
Dense ZCTA lattice over Ellis County
Ellis County intersects 20 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
8 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 Ellis County, TX 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 25.0 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 Ellis County's active designations would take about 58 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 58 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
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50% of Ellis County's 4 active designations are mental health.
Discipline mix from designated HPSA records only: 1 primary care, 2 mental health, 1 dental (denominator 4).
Corpus placement
Active-designation volume placement
According to current HRSA Data Warehouse records, Ellis County carries 4 active designations, above 44% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.
State peer position. Ellis County falls in the upper half of TX counties by active-designation volume, at rank 92 of 254. 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: 48139. Population: 192,455.
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 4 active (designated) HPSAs in Ellis County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| Ellis County Coalition For Health Options | dental | 25.0 |
| Ellis County Coalition For Health Options | primary_care | 21.0 |
| Ellis County Coalition For Health Options | mental_health | 20.0 |
| LI - Mhca 28 - North Texas | mental_health | 16.0 |
Moderate-burden reading for Ellis County
Peak severity leads this reading: Ellis County's highest active HPSA score is 25.0, clearing HRSA's 17-point high-priority line. Dental care carries Ellis County's deepest shortage reading, 25.0 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 21.0 of 25; Mental health reads 20.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 55.2, and the lower the index, the greater the measured need.
Ellis County sits in the middle of the national designation-volume distribution (above 44% of counties) with 4 active records. That is enough for a formal shortage footprint without landing in the heaviest US tier. Compare the three discipline counts (1/2/1) before assuming every care category is equally short.
Ellis County falls in the upper half of TX counties by active-designation volume, at rank 92 of 254. For moderate counties, the useful move is usually a state peer check plus the score cards above, not a national superlative claim.
Ellis 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
2 designations
- Primary care
Primary care
1 designations
- Dental
Dental
1 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 Ellis County, TX · 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 Ellis County's designations
Ellis County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Ellis County's 4 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 TX before you draw conclusions from a single score. TX 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.
Nearby dental score peers
Closest U.S. counties on active dental HPSA score to Ellis County's 25.0. Open Cook County, IL or Riverside County, CA next.
Showing 3 of 2744 counties nationally with an active designation this severe.
Frequently Asked Questions
- Does Ellis County's MUA standing sit beside its HPSA records?
- Yes - Ellis County carries an MUA designation (index 55.2; 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 Ellis County's peak score of 25.0?
- "Ellis County Coalition For Health Options" leads the active set (score 25.0; dental; 142,936 people in the service area; designated 03/01/2009). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 4 active rows: 1 primary care, 2 mental health, 1 dental.
- Which other active designations sit under Ellis County's severity reading?
- After "Ellis County Coalition For Health Options", the next active names on this release are "Ellis County Coalition For Health Options" and "LI - MHCA 28 - North Texas". Provider need (id-de-duped) totals ~58 FTE across disciplines that still carry a gap.
- Which federal pathways follow Ellis County's high-severity geography?
- Ellis County's 4 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 "Ellis County Coalition For Health Options".
Source: HRSA Data Warehouse. FIPS: 48139. 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 48139 (Ellis County, TX), vintage 2026-08-15. Active designation count 4; peak score 25.0; signature peak score 25.0. This profile is reference material, not professional advice; see methodology.