The ranking is based on 2018 data from CMS’ Certification and Survey Provider Enhanced Reporting database.
In total, there are 4,528 Medicare-certified rural health clinics in the U.S., according to the Kaiser Family Foundation.
Here’s how each state stacks up:
Note: The list includes ties and results in a numerical listing of 45.
1. Missouri — 369 Medicare-certified rural health clinics
2. Texas — 306
3. California — 282
4. Kentucky — 250
5. Illinois — 241
6. Iowa — 190
7. Michigan — 187
8. Mississippi — 186
9. Kansas — 182
10. Florida — 161
11. Louisiana — 158
12. Nebraska — 144
13. Tennessee — 137
14. Washington — 123
15. Alabama — 115
16. Arkansas — 100
17. Wisconsin — 99
18. Oregon — 98
19. Minnesota — 96
20. Georgia — 90
20. Oklahoma — 90
22. South Carolina — 88
23. Indiana — 76
23. North Carolina — 76
23. Pennsylvania — 76
26. Colorado — 62
27. Montana — 60
28. South Dakota — 57
29. Ohio — 55
30. North Dakota — 53
31. West Virginia — 50
32. Idaho — 47
33. Maine — 39
33. Virginia — 39
35. Arizona — 31
36. Wyoming — 22
37. Nevada — 15
37. New Hampshire — 15
39. New Mexico — 14
39. Utah — 14
41. Hawaii — 11
41. Vermont — 11
43. New York — 10
44. Massachusetts — 3
45. Alaska — 0
45. Connecticut — 0
45. Delaware — 0
45. Maryland — 0
45. New Jersey — 0
45. Rhode Island — 0
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