Provider Shortages & Access Gaps

Pulse Atlas combines HRSA Health Professional Shortage Area (HPSA) primary-care scores with PCP and mental health provider supply per 100,000 residents to identify the U.S. counties with the most severe access gaps. The 100 counties below have the country's worst combined provider shortages, where federal designation and population-adjusted supply both signal critical undersupply.

Top 100 counties by hpsa score

  1. Arthur County, NE — 14.0
  2. McPherson County, NE — 14.0
  3. Kemper County, MS — 21.0
  4. Smith County, MS — 20.0
  5. Clinch County, GA — 22.0
  6. Ozark County, MO — 19.0
  7. Twiggs County, GA — 20.0
  8. Wibaux County, MT — 10.0
  9. Jones County, SD — 10.0
  10. Haywood County, TN — 18.0
  11. Leake County, MS — 20.0
  12. Macon County, TN — 16.0
  13. Bracken County, KY — 18.0
  14. Hamilton County, FL — 22.0
  15. Telfair County, GA — 22.0
  16. Jefferson County, GA — 15.0
  17. Keokuk County, IA — 16.0
  18. Lowndes County, AL — 16.0
  19. Calhoun County, MS — 20.0
  20. Esmeralda County, NV — 8.0
  21. Harding County, NM — 8.0
  22. Bullock County, AL — 22.0
  23. Bristol Bay Borough, AK — 7.0
  24. Clark County, ID — 7.0
  25. Treasure County, MT — 7.0
  26. Banner County, NE — 7.0
  27. Grant County, NE — 7.0
  28. Hayes County, NE — 7.0
  29. Logan County, NE — 7.0
  30. Loup County, NE — 7.0
  31. Thomas County, NE — 7.0
  32. Slope County, ND — 7.0
  33. Borden County, TX — 7.0
  34. Kent County, TX — 7.0
  35. Roberts County, TX — 7.0
  36. Terrell County, TX — 7.0
  37. Daggett County, UT — 7.0
  38. Falls County, TX — 17.0
  39. Deaf Smith County, TX — 15.0
  40. Irwin County, GA — 20.0
  41. Shannon County, MO — 17.0
  42. Hancock County, GA — 21.0
  43. San Jacinto County, TX — 17.0
  44. Macon County, GA — 17.0
  45. Parmer County, TX — 14.0
  46. Keya Paha County, NE — 6.0
  47. King County, TX — 6.0
  48. Amite County, MS — 18.0
  49. Crawford County, GA — 14.0
  50. Grainger County, TN — 19.0
  51. Franklin County, MS — 22.0
  52. Newton County, IN — 11.0
  53. McDonald County, MO — 18.0
  54. Terry County, TX — 18.0
  55. Morgan County, TN — 19.0
  56. Petroleum County, MT — 5.0
  57. Blaine County, NE — 5.0
  58. Wheeler County, NE — 5.0
  59. Kenedy County, TX — 5.0
  60. Loving County, TX — 5.0
  61. Ward County, TX — 16.0
  62. Little River County, AR — 13.0
  63. Greene County, AL — 21.0
  64. Worth County, GA — 19.0
  65. Doddridge County, WV — 14.0
  66. Tunica County, MS — 23.0
  67. Osage County, KS — 12.0
  68. Marion County, AR — 17.0
  69. Oglethorpe County, GA — 15.0
  70. Yalobusha County, MS — 22.0
  71. Trousdale County, TN — 16.0
  72. Dixie County, FL — 18.0
  73. Wilcox County, AL — 21.0
  74. Newton County, TX — 18.0
  75. Union County, IN — 14.0
  76. Newton County, MS — 21.0
  77. Calhoun County, SC — 19.0
  78. Owyhee County, ID — 13.0
  79. Bleckley County, GA — 21.0
  80. Evans County, GA — 21.0
  81. Dawson County, TX — 16.0
  82. Wilcox County, GA — 16.0
  83. Jenkins County, GA — 16.0
  84. Milam County, TX — 14.0
  85. Robertson County, TX — 16.0
  86. Fulton County, KY — 21.0
  87. New Madrid County, MO — 19.0
  88. Bacon County, GA — 17.0
  89. Hamilton County, IL — 17.0
  90. Jones County, TX — 16.0
  91. Jasper County, MS — 15.0
  92. Douglas County, IL — 15.0
  93. Meigs County, TN — 14.0
  94. Walthall County, MS — 17.0
  95. Sequatchie County, TN — 14.0
  96. Talbot County, GA — 18.0
  97. Prairie County, AR — 16.0
  98. Shelby County, MO — 13.0
  99. Crittenden County, KY — 17.0
  100. Sharkey County, MS — 22.0

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