TX · Healthcare shortage profile
Randall County, TX
Peak severity leads this reading: Randall County's highest active HPSA score is 14.0, still below HRSA's 17-point high-priority line. Population 140,753.
- Active HPSAs
- 2
- Population
- 140,753
- Peak shortage score
- 14.0
- MUA Index
- 58.1
Light-burden verdict
According to current HRSA Data Warehouse records, Randall 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
- 2
- Primary-care shortages
- 14
- Peak severity score (of 26)
- Top 90%
- 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.
Key findings
What the HRSA Data Warehouse does not surface for Randall 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 Randall County's active designations would take about 4.5 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 4.5 primary care. This is the federal gap estimate, not a headcount of practising clinicians.
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100% of Randall County's 2 active designations are primary care.
Discipline mix from designated HPSA records only: 2 primary care, 0 mental health, 0 dental (denominator 2).
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Peak HPSA score 14.0 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.
Randall County's mid-pack ZIP footprint
15 Census ZCTAs intersect Randall 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
7 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.
Corpus placement
Designated volume without a high-priority score
According to current HRSA Data Warehouse records, Randall 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. Randall 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: 48381. Population: 140,753.
Medically Underserved Area
Active HPSA scores
Current designated records only · primary care only on this FIPS. 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 Randall County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| South Randall County SA - Randall County | primary_care | 14.0 |
| Potter County/N Randall Co SA | primary_care | 10.0 |
Light-burden reading for Randall County
Peak severity leads this reading: Randall County's highest active HPSA score is 14.0, still below HRSA's 17-point high-priority line. Primary care is where Randall County is stretched thinnest: HRSA scores it 14.0 of 25, the county's highest severity reading and 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 58.1, and the lower the index, the greater the measured need.
Randall 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.
Randall 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.
Counties near Randall County's primary score of 14.0
One peer set for this severity-led county: nearest active primary HPSA score to 14.0 (severity lead on this page is “South Randall County SA - Randall County”).
Parker County, TX
14.0 primary score · 148,222 pop.
Craven County, NC
14.0 primary score · 100,720 pop.
Hancock County, OH
14.0 primary score · 74,920 pop.
Lee County, NC
14.0 primary score · 63,285 pop.
Seneca County, OH
14.0 primary score · 55,069 pop.
Loudoun County, VA
14.0 primary score · 420,959 pop.
Frequently Asked Questions
- Does Randall County's MUA standing sit beside its HPSA records?
- Yes - Randall County carries an MUA designation (index 58.1; 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 Randall County's peak score of 14.0?
- "South Randall County SA - Randall County" leads the active set (score 14.0; primary care; 8,662 people in the service area; ~2.4 FTE still needed on the record; designated 04/21/2026). Below 17 the shortage is formal but outside HRSA's high-priority NHSC tier. Discipline mix across 2 active rows: 2 primary care, 0 mental health, 0 dental.
- Which other active designations sit under Randall County's severity reading?
- After "South Randall County SA - Randall County", the next active names on this release are "South Randall County SA - Randall County" and "Potter County/N Randall Co SA". Provider need (id-de-duped) totals ~4.5 FTE across disciplines that still carry a gap.
Source: HRSA Data Warehouse. FIPS: 48381. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) — 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 48381 (Randall County, TX), vintage 2026-08-15. Active designation count 2; peak score 14.0; signature peak score 14.0. This profile is reference material, not professional advice; see methodology.