Kentucky micro-market
Healthcare practice financing in La Grange, Kentucky
Direct answer
194 healthcare providers hold a La Grange practice address, 184.0 per 10,000 of its 10,541 residents, 56 percent of them in physical, occupational, and speech therapy. Oldham County recorded 6 SBA healthcare approvals worth $5,028,300, and Louisville/Jefferson County, KY-IN sits 22 miles out.
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- Population: 10,541 residents (10K-25K band)1
- Healthcare providers registered here: 194 across 21 fields2
- Median household income: $86,2223
- Largest provider field: Physical, occupational, and speech therapy: 108 registered providers2
- Medicare-certified providers in town: 1 across 1 categories4
- Nearest metro: Louisville/Jefferson County, KY-IN, 22 miles1
The provider census in La Grange
Counted at the town's own addresses: 194 providers, 21 fields, 184.0 clinicians per 10,000 of the 10,541 residents here
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 108 | 102.5 | NPPES [2] |
| Specialty physician groups | 16 | 15.2 | NPPES [2] |
| Primary care and family medicine | 14 | 13.3 | NPPES [2] |
| Behavioral and mental health group practices | 12 | 11.4 | NPPES [2] |
| DME and HME suppliers | 6 | 5.7 | NPPES [2] |
| Chiropractic | 6 | 5.7 | NPPES [2] |
| Independent pharmacy | 6 | 5.7 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 4 | 3.8 | NPPES [2] |
| General dentistry | 3 | 2.8 | NPPES [2] |
| Dental specialties | 3 | 2.8 | NPPES [2] |
| ABA and autism therapy | 3 | 2.8 | NPPES [2] |
| Non-medical home care | 2 | 1.9 | NPPES [2] |
| Optometry and ophthalmology | 2 | 1.9 | NPPES [2] |
| Dialysis and infusion centers | 2 | 1.9 | NPPES [2] |
| SUD treatment and residential | 1 | 0.9 | NPPES [2] |
| Imaging centers | 1 | 0.9 | NPPES [2] |
| Mobile diagnostics | 1 | 0.9 | NPPES [2] |
| NEMT and ambulance | 1 | 0.9 | NPPES [2] |
| Clinical and toxicology labs | 1 | 0.9 | NPPES [2] |
| Occupational health and drug testing | 1 | 0.9 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 1 | 0.9 | NPPES [2] |
| Medical equipment suppliers | 8 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
A single La Grange practice can hold more than one of these numbers. 56 percent sit in physical, occupational, and speech therapy, counted as clinicians rather than as owners.
Oldham County approvals, dollars, and lending establishments
With 6 healthcare approvals recorded, Oldham County gives a valuation almost nothing local to lean on
| Line | Amount | Reading and source |
|---|---|---|
| Healthcare files approved | 6 | One published fiscal year, healthcare borrowers only [5] |
| Dollars behind them | $5,028,300 | Approved, not disbursed, and not net of withdrawals [5] |
| Typical approval size | $838,050 | A mean, so one large approval moves it [5] |
| Credit offices operating locally | 24 | Credit intermediation offices sited in the county [6] |
How this data lands in an underwriting decision
At 184.0 clinicians per 10,000 residents, the catchment radius in a projection has to be defended rather than assumed. A short county record of 6 approvals usually means more documentation and a lower advance against the same collateral. A $86,222 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.
Programs the La Grange mix reaches for
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Medical receivables factoring
- Expansion, relocation, and build-out
Built from what is enumerated here rather than from a national list, so a field with no presence in La Grange does not appear. Availability is still a Kentucky question.
Underwriting by field in La Grange
physical, occupational, and speech therapy, specialty physician groups, primary care and family medicine account for most of what is enumerated in La Grange, so those are the files funders see from this town
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Physical, occupational, and speech therapy (108) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Specialty physician groups (16) | Ancillary revenue contribution, Provider productivity, Payer contracts | Ancillary build-out |
| Primary care and family medicine (14) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
The first column is La Grange's own NPPES count. The rest is how the field is generally underwritten, whether the address is La Grange or anywhere else.
Density beside the neighboring Kentucky towns
184.0 per 10,000 is the figure a neighboring town gets compared against when an appraiser prices La Grange
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| La Grange (current) | 10,541 | 194 | 184.0 | |
| Shelbyville | 18,048 | 409 | 226.6 | 15 |
| Jeffersontown | 29,388 | 27 | 9.2 | 17 |
| Mount Washington | 18,863 | 29 | 15.4 | 26 |
| Shively | 15,850 | 8 | 5.0 | 27 |
| Frankfort | 28,610 | 303 | 105.9 | 31 |
| Shepherdsville | 14,837 | 146 | 98.4 | 34 |
Distance, income, and the wage floor around La Grange
Louisville/Jefferson County, KY-IN lies 22 miles from La Grange, close enough that appraisers price the lease against Louisville/Jefferson County, KY-IN rents while 10,541 residents set the revenue ceiling. Households here carry $86,222 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. The Medicare-certified hospital in La Grange sets the local wage floor before you hire against it. La Grange is the Oldham County seat, so county employment steadies the payer mix.
More of Kentucky
- Shelbyville 18,048 residents
- Jeffersontown 29,388 residents
- Mount Washington 18,863 residents
- Shively 15,850 residents
- Frankfort 28,610 residents
- Shepherdsville 14,837 residents
La Grange owners, answered
01How many providers practice in La Grange, and in what?
NPPES lists 194 providers at a La Grange practice address, 184.0 per 10,000 residents across 21 tracked fields. Physical, occupational, and speech therapy accounts for 108 of them, 56 percent of the total, with specialty physician groups next at 16. Read that as clinicians: 194 enumerations, not 194 owners.
02Why does Oldham County show so little SBA activity?
The published file records 6 7(a) and 504 approvals to healthcare borrowers in Oldham County. That tracks how few Oldham County practices changed hands that year, not credit quality. 24 credit intermediation establishments operate in Oldham County, so the lending capacity is local even where the healthcare history is not.
03Is La Grange underwritten as part of Louisville/Jefferson County, KY-IN?
Partly. Louisville/Jefferson County, KY-IN is 22 miles out, so rent and equipment comparables travel in from there while patients still come from the 10,541 residents around La Grange. Cost side metro, revenue side local.
04How does the hospital in La Grange affect a practice file?
It makes the staffing and referral lines checkable. 1 Medicare-certified providers hold La Grange addresses, and the hospital sets the wage a clinical hire is bid against in a 184.0 per 10,000 market.
05What does Oldham County's shortage designation change?
Designated for primary care, mental health, Oldham 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.
06Does being the Oldham County seat change anything?
La Grange is the Oldham County seat, so county payroll steadies the payer mix and courthouse traffic keeps the daytime population above the 10,541 residents on the census. Both show up as a flatter seasonal curve in a collections history.
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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