Massachusetts micro-market
Healthcare practice financing in Melrose, Massachusetts
Direct answer
Density decides a lot here. Melrose runs 65.5 providers per 10,000 residents, 196 clinicians against 29,938 people, 29 percent of them in physical, occupational, and speech therapy, while Middlesex County lenders have approved 28 healthcare files worth $9,517,000 and the nearest metro is 8 miles out.
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- Population: 29,938 residents (25K-50K band)1
- Healthcare providers registered here: 196 across 22 fields2
- Median household income: $126,8543
- Largest provider field: Physical, occupational, and speech therapy: 57 registered providers2
- Nearest metro: Boston-Cambridge-Newton, MA-NH, 8 miles1
- Hospital: A Medicare-certified hospital operates in the town4
The provider census in Melrose
The NPPES file puts 196 enumerated clinicians inside Melrose, spread over 22 fields at 65.5 per 10,000 residents
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Physical, occupational, and speech therapy | 57 | 19.0 | NPPES [2] |
| General dentistry | 25 | 8.4 | NPPES [2] |
| Specialty physician groups | 25 | 8.4 | NPPES [2] |
| Dental specialties | 13 | 4.3 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 10 | 3.3 | NPPES [2] |
| Optometry and ophthalmology | 8 | 2.7 | NPPES [2] |
| Med spa and aesthetics | 7 | 2.3 | NPPES [2] |
| Dermatology | 6 | 2.0 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 6 | 2.0 | NPPES [2] |
| Chiropractic | 5 | 1.7 | NPPES [2] |
| Primary care and family medicine | 5 | 1.7 | NPPES [2] |
| DME and HME suppliers | 4 | 1.3 | NPPES [2] |
| Home health | 4 | 1.3 | NPPES [2] |
| Hormone, TRT, and men's health clinics | 4 | 1.3 | NPPES [2] |
| Behavioral and mental health group practices | 4 | 1.3 | NPPES [2] |
| Podiatry | 3 | 1.0 | NPPES [2] |
| Independent pharmacy | 2 | 0.7 | NPPES [2] |
| Non-medical home care | 2 | 0.7 | NPPES [2] |
| ABA and autism therapy | 2 | 0.7 | NPPES [2] |
| Telehealth and virtual clinics | 2 | 0.7 | NPPES [2] |
| NEMT and ambulance | 1 | 0.3 | NPPES [2] |
| Occupational health and drug testing | 1 | 0.3 | NPPES [2] |
| Medical equipment suppliers | 3 | CMS [4] |
Several of the 57 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
Loan activity in Middlesex County
Lenders in Middlesex County have already closed 28 healthcare approvals, averaging $339,893, which is the size a new file gets read beside
| Measure | Published figure | What sits behind it |
|---|---|---|
| Healthcare files approved | 28 | Fiscal year published in the SBA file [5] |
| Dollars behind them | $9,517,000 | Sum of approvals to healthcare borrowers [5] |
| Typical approval size | $339,893 | Dollars divided by approvals [5] |
| Credit offices operating locally | 840 | Credit intermediation establishments, NAICS 522 [6] |
Reading Melrose the way a credit committee does
Underwriting starts with 65.5 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. Because Middlesex County already carries $9,517,000 across 28 healthcare approvals, a request near that average moves faster than one well above it. Household income of $126,854 in Melrose is the number a lender uses to sanity check the self-pay share of a revenue projection.
The programs this provider mix points at
- Practice acquisition
- Startup and de novo
- Expansion, relocation, and build-out
- Equipment financing and leasing
- Working capital term loan
Built from what is enumerated here rather than from a national list, so a field with no presence in Melrose does not appear. Availability is still a Massachusetts question.
The first pages of a Melrose file
What a funder opens first depends on the field. In Melrose that means physical, occupational, and speech therapy, general dentistry, specialty physician groups.
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Physical, occupational, and speech therapy (57) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| General dentistry (25) | Three years of collections history, Hygiene as a share of collections, Overhead ratio and owner add-backs | Acquisition of an established practice |
| Specialty physician groups (25) | Ancillary revenue contribution, Provider productivity, Payer contracts | Ancillary build-out |
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.
How Melrose prices against its neighbors
Density is the number that moves an appraisal: 65.5 per 10,000 here
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Melrose (current) | 29,938 | 196 | 65.5 | |
| Malden | 66,693 | 444 | 66.6 | 2 |
| Everett | 51,825 | 157 | 30.3 | 3 |
| Medford | 59,898 | 458 | 76.5 | 3 |
| Chelsea | 40,245 | 428 | 106.3 | 4 |
| Revere | 60,702 | 195 | 32.1 | 4 |
| Somerville | 82,149 | 534 | 65.0 | 5 |
Distance, income, and the wage floor around Melrose
Boston-Cambridge-Newton, MA-NH lies 8 miles from Melrose, close enough that appraisers price the lease against Boston-Cambridge-Newton, MA-NH rents while 29,938 residents set the revenue ceiling. At $126,854 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Because a certified hospital sits inside the town, both the referral path and the pay a clinical hire expects are already observable.
Nearby Massachusetts towns
What owners in Melrose ask
01How many providers practice in Melrose, and in what?
196 enumerations sit at Melrose addresses in the monthly NPPES file, working out to 65.5 for every 10,000 residents. 29 percent of them are physical, occupational, and speech therapy, and general dentistry follows with 25. An enumeration is a clinician, so the 196 here cover fewer than 196 practices.
02What does Middlesex County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Middlesex County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 29,938 residents gets past the question of who would take the job.
03How does the hospital in Melrose affect a practice file?
Referral flow, coverage, and the local pay scale all trace back to it. A Melrose projection that names the call arrangement reads better than one that assumes it.
04What does SBA lending look like around Melrose?
The county file behind Melrose holds 28 healthcare approvals totaling $9,517,000, an average of $339,893. Those are the loan sizes lenders in Middlesex County have already carried.
05Is Melrose underwritten as part of Boston-Cambridge-Newton, MA-NH?
Comparables and demand split at 8 miles. An appraiser prices the lease and the equipment off Boston-Cambridge-Newton, MA-NH; the revenue line has to hold up against 29,938 local residents.
06What does a $126,854 median income mean for case acceptance?
Median household income in Melrose runs $126,854. On elective and cash-pay work that is the number a funder converts into case acceptance, and it sets how much of a treatment plan a projection can assume gets started rather than deferred.
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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