California micro-market
Healthcare practice financing in Parlier, California
Direct answer
32 healthcare providers hold a Parlier practice address, 22.2 per 10,000 of its 14,429 residents, 34 percent of them in primary care and family medicine. Fresno County recorded 21 SBA healthcare approvals worth $12,310,100, and Fresno, CA sits 18 miles out.
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- Population: 14,429 residents (10K-25K band)1
- Healthcare providers registered here: 32 across 11 fields2
- Median household income: $50,9103
- Largest provider field: Primary care and family medicine: 11 registered providers2
- Nearest metro: Fresno, CA, 18 miles1
- SBA healthcare approvals in the county: 21 approvals totaling $12,310,1004
Who is enumerated in Parlier
22.2 providers per 10,000 residents is what 32 enumerations across 11 fields works out to in a town of 14,429
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Primary care and family medicine | 11 | 7.6 | NPPES [2] |
| General dentistry | 8 | 5.5 | NPPES [2] |
| SUD treatment and residential | 3 | 2.1 | NPPES [2] |
| ASCs and OBLs | 2 | 1.4 | NPPES [2] |
| Independent pharmacy | 2 | 1.4 | NPPES [2] |
| Podiatry | 1 | 0.7 | NPPES [2] |
| Non-medical home care | 1 | 0.7 | NPPES [2] |
| Specialty physician groups | 1 | 0.7 | NPPES [2] |
| Optometry and ophthalmology | 1 | 0.7 | NPPES [2] |
| Behavioral and mental health group practices | 1 | 0.7 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.7 | NPPES [2] |
A single Parlier practice can hold more than one of these numbers. 34 percent sit in primary care and family medicine, counted as clinicians rather than as owners.
What Fresno County credit files already show
The published file shows 21 healthcare approvals in Fresno County, $12,310,100 in total, and that history is what an appraiser and a credit committee reach for
| Line | Amount | Reading and source |
|---|---|---|
| Healthcare files approved | 21 | Fiscal year published in the SBA file [4] |
| Dollars behind them | $12,310,100 | Sum of approvals to healthcare borrowers [4] |
| Typical approval size | $586,195 | Dollars divided by approvals [4] |
| Credit offices operating locally | 379 | Credit intermediation establishments, NAICS 522 [5] |
Reading Parlier the way a credit committee does
22.2 per 10,000 is the first number a credit analyst converts into a realistic new-patient count. 21 approvals worth $12,310,100 in Fresno County means the size you are asking for has a local precedent to point at. A $50,910 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.
Programs the Parlier mix reaches for
- Practice acquisition
- Expansion, relocation, and build-out
- Startup and de novo
- Commercial real estate, owner-occupied
- Equipment financing and leasing
The 11 fields practicing locally set this order. A funding partner, not this list, decides what is available in California.
The first pages of a Parlier file
What a funder opens first depends on the field. In Parlier that means primary care and family medicine, general dentistry, sud treatment and residential.
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Primary care and family medicine (11) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
| General dentistry (8) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
| SUD treatment and residential (3) | Census and level of care mix, In-network versus out-of-network billing history, Utilization review outcomes | Facility real estate |
Local counts come from NPPES. What a file turns on is drawn from how the field is generally reviewed, not from any decision about your practice.
Density beside the neighboring California towns
The neighboring markets below are the ones a valuation borrows from when Parlier has too few sales of its own
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Parlier (current) | 14,429 | 32 | 22.2 | |
| Reedley | 26,138 | 104 | 39.8 | 5 |
| Selma | 24,505 | 135 | 55.1 | 5 |
| Kingsburg | 13,128 | 61 | 46.5 | 6 |
| Sanger | 26,649 | 93 | 34.9 | 6 |
| Dinuba | 25,833 | 84 | 32.5 | 9 |
| Hanford | 60,594 | 350 | 57.8 | 20 |
Distance, income, and the wage floor around Parlier
Fresno, CA lies 18 miles from Parlier, close enough that appraisers price the lease against Fresno, CA rents while 14,429 residents set the revenue ceiling. Households here carry $50,910 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. Referral flow comes from outside Parlier, which a projection needs to state plainly.
Nearby California towns
What owners in Parlier ask
01How many providers practice in Parlier, and in what?
NPPES lists 32 providers at a Parlier practice address, 22.2 per 10,000 residents across 11 tracked fields. Primary care and family medicine accounts for 11 of them, 34 percent of the total, with general dentistry next at 8. Read that as clinicians: 32 enumerations, not 32 owners.
02What does Fresno County's shortage designation change?
Fresno County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Parlier can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
03Is Parlier underwritten as part of Fresno, CA?
Partly. Fresno, CA is 18 miles out, so rent and equipment comparables travel in from there while patients still come from the 14,429 residents around Parlier. Cost side metro, revenue side local.
04What does SBA lending look like around Parlier?
$12,310,100 went to healthcare borrowers in Fresno County across 21 approvals, $586,195 on average. Deals near Parlier get sized against that record before anything else.
05Which fields carry the volume in Parlier?
The 11 enumerated fields are led by primary care and family medicine at 11, with general dentistry at 8 behind it. Those two counts double as the competition you are entering and the bench you would hire from.
06Is there local lending capacity in Fresno County?
County Business Patterns records 379 credit intermediation establishments in Fresno County. That is the local origination bench, and it decides whether a file gets underwritten by somebody who has seen Parlier rents and resale before or by somebody working from a screen.
Sources
- 1U.S. Census Bureau, Population Estimates, vintage 2024
- 2CMS NPPES, monthly full replacement file
- 3U.S. Census Bureau, ACS 5-year 2023, table B19013
- 4U.S. Small Business Administration, 7(a) and 504 approvals
- 5U.S. Census Bureau, County Business Patterns 2022
Our team reviews every request within 1 business day. If a funding partner thinks they can help, a specialist from that partner contacts you to discuss next steps.