TX · Healthcare shortage profile
Madison County, TX
Peak severity leads this reading: Madison County's highest active HPSA score is 16.0, still below HRSA's 17-point high-priority line. Population 13,455.
- Active HPSAs
- 2
- Population
- 13,455
- Peak shortage score
- 16.0
- MUA Index
- 59.0
Light-burden verdict
According to current HRSA Data Warehouse records, Madison County carries a comparatively light shortage burden - 2 active HPSA designations, more than 10% of the 3,289 real US counties, with primary care the deepest gap.
- 2
- Active HPSA designations
- 1
- Primary-care shortages
- 16
- Peak severity score (of 26)
- Top 90%
- US counties by volume
Few Census ZCTAs touch Madison County
The Census ZCTA-county crosswalk lists only 5 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
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, 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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Closing Madison County's active designations would take about 1.7 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 1 primary care, 0.8 mental health. This is the federal gap estimate, not a headcount of practising clinicians.
-
50% of Madison County's 2 active designations are primary care.
Discipline mix from designated HPSA records only: 1 primary care, 1 mental health, 0 dental (denominator 2).
-
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.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Madison County carries 2 active designations, above 10% 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. Madison County falls in the lower half of TX counties by active-designation volume, at rank 204 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: 48313. Population: 13,455.
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 2 active (designated) HPSAs in Madison County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| LI-Madison County | primary_care | 16.0 |
| Madison County | mental_health | 16.0 |
Light-burden reading for Madison County
Peak severity leads this reading: Madison County's highest active HPSA score is 16.0, still below HRSA's 17-point high-priority line. Madison 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. The county also sits inside a Medically Underserved Area, indexed at 59.0, and the lower the index, the greater the measured need.
Madison County carries 2 active designations and sits below the national mid-pack (above 10% of counties). A light footprint still matters: a single high-score dental or mental-health record can open program geography even when the county total looks small next to heavy peers.
Madison County falls in the lower half of TX counties by active-designation volume, at rank 204 of 254. Read the active scores and the deepest-care guide link below before collapsing this county into a "no shortage" story.
Light-volume FTE gap for Madison County
HRSA providers_needed summed once per HPSA id for Madison County's active designations: about 1.7 FTE, a federal gap estimate, not a headcount of practising clinicians.
Counties near Madison County's primary score of 16.0
One peer set for this severity-led county: nearest active primary HPSA score to 16.0 (severity lead on this page is “LI-Madison County”).
Madera County, CA
16.0 primary score · 156,255 pop.
Hardin County, KY
16.0 primary score · 110,702 pop.
Garland County, AR
16.0 primary score · 100,180 pop.
San Francisco County, CA
16.0 primary score · 873,965 pop.
Clackamas County, OR
16.0 primary score · 421,401 pop.
Norfolk City County, VA
16.0 primary score · 238,005 pop.
Frequently Asked Questions
- Does Madison County's MUA standing sit beside its HPSA records?
- Yes - Madison County carries an MUA designation (index 59.0; 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 Madison County's peak score of 16.0?
- "LI-Madison County" leads the active set (score 16.0; primary care; 888 people in the service area; ~1 FTE still needed on the record; designated 10/29/2010). Below 17 the shortage is formal but outside HRSA's high-priority NHSC tier. Discipline mix across 2 active rows: 1 primary care, 1 mental health, 0 dental.
- Which other active designations sit under Madison County's severity reading?
- After "LI-Madison County", the next active names on this release are "LI-Madison County" and "Madison County". Provider need (id-de-duped) totals ~1.7 FTE across disciplines that still carry a gap.
Source: HRSA Data Warehouse. FIPS: 48313. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) and BCD_HPSA_FCT_DET_MH.csv (mental health) — 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 48313 (Madison County, TX), vintage 2026-08-15. Active designation count 2; peak score 16.0; signature peak score 16.0. This profile is reference material, not professional advice; see methodology.