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Missouri micro-market

Healthcare practice financing in Hannibal, Missouri

Direct answer

A Hannibal file is read against 257 local clinicians, 152.9 for every 10,000 of its 16,809 residents, 24 percent of them in physical, occupational, and speech therapy, plus the 0 SBA healthcare approvals worth $0 already recorded in Marion County, 73 miles from Columbia, MO.

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  • Population: 16,809 residents (10K-25K band)1
  • Healthcare providers registered here: 257 across 29 fields2
  • Median household income: $54,0713
  • Largest provider field: Physical, occupational, and speech therapy: 61 registered providers2
  • Medicare-certified providers in town: 4 across 3 categories4
  • Nearest metro: Columbia, MO, 73 miles1

Hannibal clinicians, by field

The NPPES file puts 257 enumerated clinicians inside Hannibal, spread over 29 fields at 152.9 per 10,000 residents

Enumerated clinicians at Hannibal addresses
FieldProvidersPer 10,000 residentsSource
Physical, occupational, and speech therapy6136.3NPPES [2]
Specialty physician groups3420.2NPPES [2]
Primary care and family medicine2112.5NPPES [2]
Chiropractic1810.7NPPES [2]
Optometry and ophthalmology158.9NPPES [2]
General dentistry137.7NPPES [2]
DME and HME suppliers95.4NPPES [2]
Ketamine, TMS, and interventional psychiatry95.4NPPES [2]
Skilled nursing, assisted living, and memory care95.4NPPES [2]
Independent pharmacy84.8NPPES [2]
Non-medical home care74.2NPPES [2]
Home health63.6NPPES [2]
SUD treatment and residential63.6NPPES [2]
Med spa and aesthetics63.6NPPES [2]
Behavioral and mental health group practices53.0NPPES [2]
Occupational health and drug testing53.0NPPES [2]
Audiology and hearing centers42.4NPPES [2]
Dermatology31.8NPPES [2]
Dental specialties31.8NPPES [2]
ABA and autism therapy31.8NPPES [2]
Podiatry21.2NPPES [2]
ASCs and OBLs21.2NPPES [2]
NEMT and ambulance21.2NPPES [2]
Clinical research sites10.6NPPES [2]
Hormone, TRT, and men's health clinics10.6NPPES [2]
Clinical and toxicology labs10.6NPPES [2]
Plastic and cosmetic surgery10.6NPPES [2]
Dialysis and infusion centers10.6NPPES [2]
Telehealth and virtual clinics10.6NPPES [2]
Medical equipment suppliers6CMS [4]
Ambulatory surgical centers2CMS [4]
Dialysis facilities1CMS [4]
Home health agencies1CMS [4]

A single Hannibal practice can hold more than one of these numbers. 24 percent sit in physical, occupational, and speech therapy, counted as clinicians rather than as owners.

What lenders have already approved in Marion County

The county file holds 0 healthcare approvals, which is a thin comparable set for anyone pricing collateral

Approvals recorded in Marion County
LineAmountReading and source
Approvals on record0Fiscal year published in the SBA file [5]
Total approved capital$0Sum of approvals to healthcare borrowers [5]
Mean deal sizeNo approvals recordedDollars divided by approvals [5]
Lenders sited in the county36Credit intermediation establishments, NAICS 522 [6]

What the two tables above change about a file

Density of 152.9 per 10,000 sets the patient draw a projection can claim without an argument. With 0 approvals on record in Marion County, expect a longer appraisal and a wider collateral discount. A $54,071 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.

Programs the Hannibal mix reaches for

Weighted by how often each of the 29 local fields reaches for a program, not by what is easiest to refer. Missouri rules and the partner decide availability.

What a funder reads first in Hannibal

physical, occupational, and speech therapy, specialty physician groups, primary care and family medicine account for most of what is enumerated in Hannibal, so those are the files funders see from this town

What each Hannibal field turns on
Practice typeThe pages that decide itTypical capital event
Physical, occupational, and speech therapy (61)Visits per case, Referral source concentration, Payer mix and authorization rulesStartup or expansion clinic
Specialty physician groups (34)Ancillary revenue contribution, Provider productivity, Payer contractsAncillary build-out
Primary care and family medicine (21)Panel size, Value-based contract exposure, Provider productivityAcquisition

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.

Hannibal against nearby Missouri markets

Set Hannibal's 152.9 per 10,000 against the towns an appraiser would reach for next

Hannibal and its nearest Missouri comparables
ComparablePeopleEnumerationsPer 10,000 residentsMiles
Hannibal (current)16,809257152.9
Mexico11,482135117.646
Troy14,963177118.356
Moberly13,337151113.259
Fulton12,573153121.766
Wentzville48,64640583.368
Kirksville17,841273153.071

What the geography does to a Hannibal projection

73 miles separate Hannibal from Columbia, MO. Equipment sold at that distance has no local buyer, and the advance rate carries the discount. Median household income runs $54,071, which is the number a funder converts into case acceptance on anything elective or cash-pay. Hospital coverage inside Hannibal means a call schedule can be evidenced rather than described. Higher education here explains why summer looks unlike the rest of the year.

Other Missouri markets

What owners in Hannibal ask

01

How many providers practice in Hannibal, and in what?

NPPES lists 257 providers at a Hannibal practice address, 152.9 per 10,000 residents across 29 tracked fields. Physical, occupational, and speech therapy accounts for 61 of them, 24 percent of the total, with specialty physician groups next at 34. Read that as clinicians: 257 enumerations, not 257 owners.

02

Does being 73 miles out change the underwriting?

At 73 miles from Columbia, MO, collateral is priced without a nearby resale market. Expect a longer appraisal window in Marion County and a wider discount on used equipment than a metro practice would see on the same list.

03

What does Marion County's shortage designation change?

The primary care, dental, mental health designation HRSA carries on Marion County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 16,809 residents gets past the question of who would take the job.

04

Why does Marion County show so little SBA activity?

Only 0 healthcare approvals appear for Marion County in the published 7(a) and 504 file. Thin volume in Marion County is a transaction count, not a verdict on borrowers here. The county still holds 36 credit intermediation establishments.

05

How does the hospital in Hannibal affect a practice file?

Referral flow, coverage, and the local pay scale all trace back to it. The town carries 4 Medicare-certified providers in total. A Hannibal projection that names the call arrangement reads better than one that assumes it.

06

What does a $54,071 median income mean for case acceptance?

Median household income in Hannibal runs $54,071. 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

  1. 1U.S. Census Bureau, Population Estimates, vintage 2024
  2. 2CMS NPPES, monthly full replacement file
  3. 3U.S. Census Bureau, ACS 5-year 2023, table B19013
  4. 4CMS Care Compare provider datasets
  5. 5U.S. Small Business Administration, 7(a) and 504 approvals
  6. 6U.S. Census Bureau, County Business Patterns 2022

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