Kentucky micro-market
Healthcare practice financing in Nicholasville, Kentucky
Direct answer
33,458 residents, 307 enumerated clinicians, 91.8 per 10,000, 43 percent of them in physical, occupational, and speech therapy: that is the Nicholasville market a funder prices. Jessamine County adds 1 healthcare approvals worth $1,669,000 and 12 miles of distance to Lexington-Fayette, KY.
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 Kentucky, and how many partners see it, is set out on the Kentucky page.
- Population: 33,458 residents (25K-50K band)1
- Healthcare providers registered here: 307 across 27 fields2
- Median household income: $67,5143
- Largest provider field: Physical, occupational, and speech therapy: 131 registered providers2
- Medicare-certified providers in town: 2 across 2 categories4
- Nearest metro: Lexington-Fayette, KY, 12 miles1
What NPPES records at Nicholasville addresses
The NPPES file puts 307 enumerated clinicians inside Nicholasville, spread over 27 fields at 91.8 per 10,000 residents
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Physical, occupational, and speech therapy | 131 | 39.2 | NPPES [2] |
| General dentistry | 26 | 7.8 | NPPES [2] |
| Primary care and family medicine | 23 | 6.9 | NPPES [2] |
| Chiropractic | 19 | 5.7 | NPPES [2] |
| Specialty physician groups | 15 | 4.5 | NPPES [2] |
| Optometry and ophthalmology | 11 | 3.3 | NPPES [2] |
| Behavioral and mental health group practices | 10 | 3.0 | NPPES [2] |
| Independent pharmacy | 8 | 2.4 | NPPES [2] |
| DME and HME suppliers | 7 | 2.1 | NPPES [2] |
| SUD treatment and residential | 7 | 2.1 | NPPES [2] |
| Clinical and toxicology labs | 7 | 2.1 | NPPES [2] |
| Dental specialties | 6 | 1.8 | NPPES [2] |
| ABA and autism therapy | 6 | 1.8 | NPPES [2] |
| Non-medical home care | 4 | 1.2 | NPPES [2] |
| Med spa and aesthetics | 4 | 1.2 | NPPES [2] |
| Podiatry | 3 | 0.9 | NPPES [2] |
| Home health | 3 | 0.9 | NPPES [2] |
| Urgent care | 3 | 0.9 | NPPES [2] |
| Dermatology | 2 | 0.6 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 2 | 0.6 | NPPES [2] |
| Dialysis and infusion centers | 2 | 0.6 | NPPES [2] |
| Telehealth and virtual clinics | 2 | 0.6 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 2 | 0.6 | NPPES [2] |
| NEMT and ambulance | 1 | 0.3 | NPPES [2] |
| Audiology and hearing centers | 1 | 0.3 | NPPES [2] |
| Hormone, TRT, and men's health clinics | 1 | 0.3 | NPPES [2] |
| Occupational health and drug testing | 1 | 0.3 | NPPES [2] |
| Medical equipment suppliers | 12 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
A single Nicholasville practice can hold more than one of these numbers. 43 percent sit in physical, occupational, and speech therapy, counted as clinicians rather than as owners.
The lending record behind Nicholasville
1 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set
| Measure | Published figure | What sits behind it |
|---|---|---|
| SBA healthcare approvals | 1 | Fiscal year published in the SBA file [5] |
| Approved dollars | $1,669,000 | Sum of approvals to healthcare borrowers [5] |
| Average approval | $1,669,000 | Dollars divided by approvals [5] |
| Lending establishments in the county | 26 | Credit intermediation establishments, NAICS 522 [6] |
How this data lands in an underwriting decision
A file from here opens on 91.8 providers per 10,000 residents, and everything about volume follows from it. A short county record of 1 approvals usually means more documentation and a lower advance against the same collateral. With $67,514 as the median household income, the payer mix in a projection has to match what Nicholasville households actually spend.
Programs the Nicholasville mix reaches for
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Expansion, relocation, and build-out
- Equipment financing and leasing
Ranked from the 27 fields that actually practice in Nicholasville, weighted toward physical, occupational, and speech therapy. Availability still depends on Kentucky and on the funding partner.
What a funder reads first in Nicholasville
What a funder opens first depends on the field. In Nicholasville that means physical, occupational, and speech therapy, general dentistry, primary care and family medicine.
| Field | What the file turns on | The capital event behind most requests |
|---|---|---|
| Physical, occupational, and speech therapy (131) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| General dentistry (26) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
| Primary care and family medicine (23) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
NPPES supplies the Nicholasville counts. The reading columns describe the field in general, and no partner reviewing a Nicholasville file is bound by them.
How Nicholasville prices against its neighbors
Density is the number that moves an appraisal: 91.8 per 10,000 here
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Nicholasville (current) | 33,458 | 307 | 91.8 | |
| Versailles | 10,656 | 133 | 124.8 | 14 |
| Richmond | 39,581 | 615 | 155.4 | 18 |
| Danville | 17,562 | 293 | 166.8 | 21 |
| Lawrenceburg | 12,189 | 61 | 50.0 | 21 |
| Winchester | 19,413 | 275 | 141.7 | 22 |
| Georgetown | 40,518 | 346 | 85.4 | 25 |
How Nicholasville sits against the nearest metro
Distance to Lexington-Fayette, KY is 12 miles. Appraisers borrow Lexington-Fayette, KY rents, and the 33,458 residents set the ceiling on collections. Households here carry $67,514 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. No hospital operates here, so the referral sources and the call arrangement have to be named rather than assumed. Nicholasville is the Jessamine County seat, so county employment steadies the payer mix.
Nearby Kentucky towns
- Versailles 10,656 residents
- Richmond 39,581 residents
- Danville 17,562 residents
- Lawrenceburg 12,189 residents
- Winchester 19,413 residents
- Georgetown 40,518 residents
What owners in Nicholasville ask
01How many providers practice in Nicholasville, and in what?
Across 27 fields, Nicholasville carries 307 enumerated clinicians, 91.8 per 10,000 of the 33,458 people living here. The concentration is in physical, occupational, and speech therapy, 131 of the total, then general dentistry at 26. Count practices from that only with care.
02Why does Jessamine County show so little SBA activity?
Only 1 healthcare approvals appear for Jessamine County in the published 7(a) and 504 file. Thin volume in Jessamine County is a transaction count, not a verdict on borrowers here. The county still holds 26 credit intermediation establishments.
03Is Nicholasville underwritten as part of Lexington-Fayette, KY?
Partly. Lexington-Fayette, KY is 12 miles out, so rent and equipment comparables travel in from there while patients still come from the 33,458 residents around Nicholasville. Cost side metro, revenue side local.
04What does Jessamine County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Jessamine County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 33,458 residents gets past the question of who would take the job.
05Which fields carry the volume in Nicholasville?
The 27 enumerated fields are led by physical, occupational, and speech therapy at 131, with general dentistry at 26 behind it. Those two counts double as the competition you are entering and the bench you would hire from.
06How many Medicare-certified providers are based in Nicholasville?
The town carries 2 Medicare-certified providers. On a receivables request that number sets the expected collection lag, which is priced before anything about the practice itself is read.
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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