Idaho micro-market
Healthcare practice financing in Lewiston, Idaho
Direct answer
Nez Perce County carries 2 SBA healthcare approvals worth $1,412,600, and inside Lewiston the census shows 325 enumerated clinicians against 34,693 residents, 93.7 per 10,000, 22 percent of them in physical, occupational, and speech therapy. Lewiston, ID-WA lies 0 miles away.
A location page indicates that Practition Finance is taking clients in that market. It does not represent a physical office, storefront, or licensed presence in that city or state. All services are delivered remotely by our US-based team. How a referral works in Idaho, and how many partners see it, is set out on the Idaho page.
- Population: 34,693 residents (25K-50K band)1
- Healthcare providers registered here: 325 across 33 fields2
- Median household income: $71,0473
- Largest provider field: Physical, occupational, and speech therapy: 71 registered providers2
- Medicare-certified providers in town: 9 across 4 categories4
- Nearest metro: Lewiston, ID-WA, 0 miles1
The clinical base a lender can verify here
The NPPES file puts 325 enumerated clinicians inside Lewiston, spread over 33 fields at 93.7 per 10,000 residents
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Physical, occupational, and speech therapy | 71 | 20.5 | NPPES [2] |
| Specialty physician groups | 36 | 10.4 | NPPES [2] |
| Primary care and family medicine | 31 | 8.9 | NPPES [2] |
| Optometry and ophthalmology | 25 | 7.2 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 22 | 6.3 | NPPES [2] |
| General dentistry | 18 | 5.2 | NPPES [2] |
| Chiropractic | 15 | 4.3 | NPPES [2] |
| Behavioral and mental health group practices | 15 | 4.3 | NPPES [2] |
| DME and HME suppliers | 12 | 3.5 | NPPES [2] |
| Home health | 12 | 3.5 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 9 | 2.6 | NPPES [2] |
| Dental specialties | 8 | 2.3 | NPPES [2] |
| ASCs and OBLs | 7 | 2.0 | NPPES [2] |
| Independent pharmacy | 6 | 1.7 | NPPES [2] |
| Non-medical home care | 6 | 1.7 | NPPES [2] |
| ABA and autism therapy | 5 | 1.4 | NPPES [2] |
| Occupational health and drug testing | 4 | 1.2 | NPPES [2] |
| Audiology and hearing centers | 3 | 0.9 | NPPES [2] |
| Dialysis and infusion centers | 3 | 0.9 | NPPES [2] |
| Sleep centers | 2 | 0.6 | NPPES [2] |
| Imaging centers | 2 | 0.6 | NPPES [2] |
| Hospice and palliative | 2 | 0.6 | NPPES [2] |
| Podiatry | 1 | 0.3 | NPPES [2] |
| Dermatology | 1 | 0.3 | NPPES [2] |
| Urgent care | 1 | 0.3 | NPPES [2] |
| SUD treatment and residential | 1 | 0.3 | NPPES [2] |
| Mobile diagnostics | 1 | 0.3 | NPPES [2] |
| NEMT and ambulance | 1 | 0.3 | NPPES [2] |
| Med spa and aesthetics | 1 | 0.3 | NPPES [2] |
| Clinical research sites | 1 | 0.3 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.3 | NPPES [2] |
| Plastic and cosmetic surgery | 1 | 0.3 | NPPES [2] |
| Telehealth and virtual clinics | 1 | 0.3 | NPPES [2] |
| Medical equipment suppliers | 13 | CMS [4] | |
| Ambulatory surgical centers | 4 | CMS [4] | |
| Hospice providers | 3 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Physical, occupational, and speech therapy carries 71 of the 325 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
Loan activity in Nez Perce County
2 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set
| What it measures | Value | How to read it |
|---|---|---|
| Healthcare files approved | 2 | One published fiscal year, healthcare borrowers only [5] |
| Dollars behind them | $1,412,600 | Approved, not disbursed, and not net of withdrawals [5] |
| Typical approval size | $706,300 | A mean, so one large approval moves it [5] |
| Credit offices operating locally | 40 | Credit intermediation offices sited in the county [6] |
How this data lands in an underwriting decision
At 93.7 clinicians per 10,000 residents, the catchment radius in a projection has to be defended rather than assumed. Nez Perce County has 2 approvals to compare against, so plan for extra appraisal time and a conservative valuation. Household income of $71,047 in Lewiston is the number a lender uses to sanity check the self-pay share of a revenue projection.
Where a file from this town usually lands
- Practice acquisition
- Startup and de novo
- Expansion, relocation, and build-out
- Working capital term loan
- Equipment financing and leasing
Built from what is enumerated here rather than from a national list, so a field with no presence in Lewiston does not appear. Availability is still a Idaho question.
What a funder reads first in Lewiston
What a funder opens first depends on the field. In Lewiston that means physical, occupational, and speech therapy, specialty physician groups, primary care and family medicine.
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Physical, occupational, and speech therapy (71) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Specialty physician groups (36) | Ancillary revenue contribution, Provider productivity, Payer contracts | Ancillary build-out |
| Primary care and family medicine (31) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
Column one counts Lewiston clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Lewiston file differently.
Lewiston against nearby Idaho markets
The neighboring markets below are the ones a valuation borrows from when Lewiston has too few sales of its own
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Lewiston (current) | 34,693 | 325 | 93.7 | |
| Moscow | 26,894 | 213 | 79.2 | 23 |
| Coeur d'Alene | 57,355 | 37 | 6.5 | 91 |
| Post Falls | 45,800 | 344 | 75.1 | 92 |
| Hayden | 16,924 | 191 | 112.9 | 95 |
| Rathdrum | 12,626 | 53 | 42.0 | 97 |
| Sandpoint | 10,444 | 242 | 231.7 | 132 |
Distance, income, and the wage floor around Lewiston
Lewiston, ID-WA lies 0 miles from Lewiston, close enough that appraisers price the lease against Lewiston, ID-WA rents while 34,693 residents set the revenue ceiling. At $71,047 median household income, the elective and cash-pay share of a projection is the line that gets tested first. A Medicare-certified hospital operates here, so referral flow is verifiable and the clinical wage floor is already set. Campus terms, not calendar quarters, set the busy months in Lewiston. Lewiston is the Nez Perce County seat, so county employment steadies the payer mix.
Other Idaho markets
- Moscow 26,894 residents
- Coeur d'Alene 57,355 residents
- Post Falls 45,800 residents
- Hayden 16,924 residents
- Rathdrum 12,626 residents
- Sandpoint 10,444 residents
Lewiston owners, answered
01How many providers practice in Lewiston, and in what?
Across 33 fields, Lewiston carries 325 enumerated clinicians, 93.7 per 10,000 of the 34,693 people living here. The concentration is in physical, occupational, and speech therapy, 71 of the total, then specialty physician groups at 36. Count practices from that only with care.
02Why does Nez Perce County show so little SBA activity?
The published file records 2 7(a) and 504 approvals to healthcare borrowers in Nez Perce County. That tracks how few Nez Perce County practices changed hands that year, not credit quality. 40 credit intermediation establishments operate in Nez Perce County, so the lending capacity is local even where the healthcare history is not.
03Is Lewiston underwritten as part of Lewiston, ID-WA?
Partly. Lewiston, ID-WA is 0 miles out, so rent and equipment comparables travel in from there while patients still come from the 34,693 residents around Lewiston. Cost side metro, revenue side local.
04What does Nez Perce County's shortage designation change?
Designated for primary care, dental, mental health, Nez Perce County qualifies its clinicians for federal repayment support. On a file that turns on adding staff, that is the difference between a hiring assumption and a hiring plan.
05How does the hospital in Lewiston affect a practice file?
It makes the staffing and referral lines checkable. 9 Medicare-certified providers hold Lewiston addresses, and the hospital sets the wage a clinical hire is bid against in a 93.7 per 10,000 market.
06How many Medicare-certified providers are based in Lewiston?
9 Medicare-certified providers hold an address in the town across the Care Compare categories. Certified volume this close matters on a working-capital file, because it shows the payer-mix and the reimbursement lag a funder will price into a 34,693 resident market.
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
- 4CMS Care Compare provider datasets
- 5U.S. Small Business Administration, 7(a) and 504 approvals
- 6U.S. Census Bureau, County Business Patterns 2022
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