Michigan micro-market
Healthcare practice financing in Madison Heights, Michigan
Direct answer
Density decides a lot here. Madison Heights runs 148.5 providers per 10,000 residents, 425 clinicians against 28,626 people, 28 percent of them in physical, occupational, and speech therapy, while Oakland County lenders have approved 53 healthcare files worth $30,622,600 and the nearest metro is 9 miles out.
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 Michigan, and how many partners see it, is set out on the Michigan page.
- Population: 28,626 residents (25K-50K band)1
- Healthcare providers registered here: 425 across 30 fields2
- Median household income: $66,7263
- Largest provider field: Physical, occupational, and speech therapy: 118 registered providers2
- Medicare-certified providers in town: 11 across 3 categories4
- Nearest metro: Detroit-Warren-Dearborn, MI, 9 miles1
Who is enumerated in Madison Heights
425 providers across 30 fields, 148.5 per 10,000 residents, counted at Madison Heights addresses in the NPPES monthly file
| Specialty | Enumerated clinicians | Density per 10,000 | Where it comes from |
|---|---|---|---|
| Physical, occupational, and speech therapy | 118 | 41.2 | NPPES [2] |
| Home health | 44 | 15.4 | NPPES [2] |
| ABA and autism therapy | 38 | 13.3 | NPPES [2] |
| DME and HME suppliers | 32 | 11.2 | NPPES [2] |
| Primary care and family medicine | 28 | 9.8 | NPPES [2] |
| Optometry and ophthalmology | 22 | 7.7 | NPPES [2] |
| General dentistry | 19 | 6.6 | NPPES [2] |
| Specialty physician groups | 17 | 5.9 | NPPES [2] |
| Independent pharmacy | 15 | 5.2 | NPPES [2] |
| Chiropractic | 14 | 4.9 | NPPES [2] |
| Behavioral and mental health group practices | 14 | 4.9 | NPPES [2] |
| Dental specialties | 8 | 2.8 | NPPES [2] |
| Non-medical home care | 8 | 2.8 | NPPES [2] |
| Podiatry | 7 | 2.4 | NPPES [2] |
| Urgent care | 7 | 2.4 | NPPES [2] |
| Hospice and palliative | 7 | 2.4 | NPPES [2] |
| ASCs and OBLs | 3 | 1.0 | NPPES [2] |
| Med spa and aesthetics | 3 | 1.0 | NPPES [2] |
| Clinical and toxicology labs | 3 | 1.0 | NPPES [2] |
| Telehealth and virtual clinics | 3 | 1.0 | NPPES [2] |
| Dermatology | 2 | 0.7 | NPPES [2] |
| Audiology and hearing centers | 2 | 0.7 | NPPES [2] |
| Clinical research sites | 2 | 0.7 | NPPES [2] |
| Occupational health and drug testing | 2 | 0.7 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 2 | 0.7 | NPPES [2] |
| SUD treatment and residential | 1 | 0.3 | NPPES [2] |
| Imaging centers | 1 | 0.3 | NPPES [2] |
| NEMT and ambulance | 1 | 0.3 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 1 | 0.3 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.3 | NPPES [2] |
| Medical equipment suppliers | 14 | CMS [4] | |
| Home health agencies | 7 | CMS [4] | |
| Hospice providers | 3 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Several of the 118 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
What lenders have already approved in Oakland County
53 healthcare approvals averaging $577,785 set the deal shape lenders in Oakland County have already underwritten
| Measure | Published figure | What sits behind it |
|---|---|---|
| Approvals on record | 53 | One published fiscal year, healthcare borrowers only [5] |
| Total approved capital | $30,622,600 | Approved, not disbursed, and not net of withdrawals [5] |
| Mean deal size | $577,785 | A mean, so one large approval moves it [5] |
| Lenders sited in the county | 814 | Credit intermediation offices sited in the county [6] |
The consequence of these numbers
Underwriting starts with 148.5 providers per 10,000 residents, because that ratio caps how fast a chair or a room fills. Because Oakland County already carries $30,622,600 across 53 healthcare approvals, a request near that average moves faster than one well above it. Household income of $66,726 in Madison Heights 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
- Working capital term loan
- Startup and de novo
- Medical receivables factoring
- Equipment financing and leasing
Weighted by how often each of the 30 local fields reaches for a program, not by what is easiest to refer. Michigan rules and the partner decide availability.
What a funder reads first in Madison Heights
What a funder opens first depends on the field. In Madison Heights that means physical, occupational, and speech therapy, home health, aba and autism therapy.
| Practice type | The pages that decide it | Typical capital event |
|---|---|---|
| Physical, occupational, and speech therapy (118) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Home health (44) | Medicare certification first, Payer mix second, Days in accounts receivable third | Payroll between visit and remittance |
| ABA and autism therapy (38) | Authorized hours against delivered hours, Payer mix stability, Billing compliance history | Working capital against authorization and billing lag |
The first column is Madison Heights's own NPPES count. The rest is how the field is generally underwritten, whether the address is Madison Heights or anywhere else.
Madison Heights against nearby Michigan markets
Comparables travel. These are the Michigan towns whose density, at 148.5 per 10,000 here, gets weighed beside this one.
| Town | Residents | Providers | Per 10,000 | Miles away |
|---|---|---|---|---|
| Madison Heights (current) | 28,626 | 425 | 148.5 | |
| Clawson | 11,440 | 119 | 104.0 | 3 |
| Hazel Park | 15,064 | 87 | 57.8 | 3 |
| Royal Oak | 58,251 | 1,246 | 213.9 | 3 |
| Berkley | 15,313 | 174 | 113.6 | 4 |
| Ferndale | 19,431 | 204 | 105.0 | 4 |
| Oak Park | 29,402 | 321 | 109.2 | 5 |
What the geography does to a Madison Heights projection
9 miles separate Madison Heights from Detroit-Warren-Dearborn, MI. Lease pricing follows Detroit-Warren-Dearborn, MI, while revenue stays capped by the 28,626 residents here. At $66,726 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Referral flow comes from outside Madison Heights, which a projection needs to state plainly. A college in Madison Heights puts a term-shaped curve into monthly collections.
More of Michigan
Questions from Madison Heights
01How many providers practice in Madison Heights, and in what?
425 enumerations sit at Madison Heights addresses in the monthly NPPES file, working out to 148.5 for every 10,000 residents. 28 percent of them are physical, occupational, and speech therapy, and home health follows with 44. An enumeration is a clinician, so the 425 here cover fewer than 425 practices.
02What does SBA lending look like around Madison Heights?
The county file behind Madison Heights holds 53 healthcare approvals totaling $30,622,600, an average of $577,785. Those are the loan sizes lenders in Oakland County have already carried.
03Is Madison Heights underwritten as part of Detroit-Warren-Dearborn, MI?
Detroit-Warren-Dearborn, MI sits 9 miles away, close enough that appraisers reach into that market for rent and resale comparables while your patient draw stays local. The comparables read Detroit-Warren-Dearborn, MI; the 28,626 residents set the ceiling a projection can defend.
04What does Oakland County's shortage designation change?
Oakland County holds a HRSA designation covering primary care, dental, mental health. A pro forma for Madison Heights can cite it as the reason a vacancy is fillable, which is usually the weakest line in a ramp schedule.
05How many Medicare-certified providers are based in Madison Heights?
Care Compare lists 11 certified providers with a Madison Heights address. That count is a proxy for how much of the local revenue arrives on a federal payment cycle rather than at the front desk.
06Which fields carry the volume in Madison Heights?
Volume concentrates in physical, occupational, and speech therapy, 118 of them, ahead of home health at 44, across 30 fields. A thin second field usually means a longer search for staff than a pro forma allows for.
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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