Texas micro-market
Healthcare practice financing in Richmond, Texas
Direct answer
A Richmond file is read against 1,430 local clinicians, 1074.8 for every 10,000 of its 13,305 residents, 27 percent of them in home health, plus the 23 SBA healthcare approvals worth $20,084,600 already recorded in Fort Bend County, 26 miles from Houston-Pasadena-The Woodlands, TX.
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. Which programs can be referred from Texas, and which cannot, is set out on the Texas page.
- Population: 13,305 residents (10K-25K band)1
- Healthcare providers registered here: 1,430 across 34 fields2
- Median household income: $68,5643
- Largest provider field: Home health: 383 registered providers2
- Medicare-certified providers in town: 40 across 4 categories4
- Nearest metro: Houston-Pasadena-The Woodlands, TX, 26 miles1
Fields practicing inside Richmond
1074.8 providers per 10,000 residents is what 1,430 enumerations across 34 fields works out to in a town of 13,305
| Practice type | Count | Rate per 10,000 residents | Published by |
|---|---|---|---|
| Home health | 383 | 287.9 | NPPES [2] |
| Physical, occupational, and speech therapy | 184 | 138.3 | NPPES [2] |
| DME and HME suppliers | 100 | 75.2 | NPPES [2] |
| General dentistry | 95 | 71.4 | NPPES [2] |
| Non-medical home care | 81 | 60.9 | NPPES [2] |
| Primary care and family medicine | 62 | 46.6 | NPPES [2] |
| ABA and autism therapy | 61 | 45.8 | NPPES [2] |
| Independent pharmacy | 53 | 39.8 | NPPES [2] |
| Optometry and ophthalmology | 51 | 38.3 | NPPES [2] |
| Hospice and palliative | 49 | 36.8 | NPPES [2] |
| Behavioral and mental health group practices | 44 | 33.1 | NPPES [2] |
| Specialty physician groups | 41 | 30.8 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 34 | 25.6 | NPPES [2] |
| Dental specialties | 33 | 24.8 | NPPES [2] |
| Chiropractic | 29 | 21.8 | NPPES [2] |
| NEMT and ambulance | 22 | 16.5 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 19 | 14.3 | NPPES [2] |
| Clinical and toxicology labs | 14 | 10.5 | NPPES [2] |
| ASCs and OBLs | 13 | 9.8 | NPPES [2] |
| Med spa and aesthetics | 12 | 9.0 | NPPES [2] |
| Telehealth and virtual clinics | 9 | 6.8 | NPPES [2] |
| Occupational health and drug testing | 9 | 6.8 | NPPES [2] |
| Urgent care | 7 | 5.3 | NPPES [2] |
| Dermatology | 4 | 3.0 | NPPES [2] |
| Pain management and interventional | 4 | 3.0 | NPPES [2] |
| Podiatry | 3 | 2.3 | NPPES [2] |
| Hormone, TRT, and men's health clinics | 3 | 2.3 | NPPES [2] |
| Imaging centers | 2 | 1.5 | NPPES [2] |
| Mobile diagnostics | 2 | 1.5 | NPPES [2] |
| Audiology and hearing centers | 2 | 1.5 | NPPES [2] |
| IV hydration and infusion | 2 | 1.5 | NPPES [2] |
| SUD treatment and residential | 1 | 0.8 | NPPES [2] |
| Clinical research sites | 1 | 0.8 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.8 | NPPES [2] |
| Medical equipment suppliers | 26 | CMS [4] | |
| Home health agencies | 22 | CMS [4] | |
| Hospice providers | 16 | CMS [4] | |
| Ambulatory surgical centers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] |
Home health carries 383 of the 1,430 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
Fort Bend County approvals, dollars, and lending establishments
Lenders in Fort Bend County have already closed 23 healthcare approvals, averaging $873,243, which is the size a new file gets read beside
| What it measures | Value | How to read it |
|---|---|---|
| SBA healthcare approvals | 23 | One published fiscal year, healthcare borrowers only [5] |
| Approved dollars | $20,084,600 | Approved, not disbursed, and not net of withdrawals [5] |
| Average approval | $873,243 | A mean, so one large approval moves it [5] |
| Lending establishments in the county | 368 | Credit intermediation offices sited in the county [6] |
Reading Richmond the way a credit committee does
1074.8 per 10,000 is the first number a credit analyst converts into a realistic new-patient count. 23 approvals worth $20,084,600 in Fort Bend County means the size you are asking for has a local precedent to point at. A $68,564 median household income here sets the ceiling on what an elective or cash-pay line can be expected to carry.
Where a file from this town usually lands
- Medical receivables factoring
- Practice acquisition
- Working capital term loan
- Healthcare AR line and payroll funding
- Startup and de novo
Built from what is enumerated here rather than from a national list, so a field with no presence in Richmond does not appear. Availability is still a Texas question.
Underwriting by field in Richmond
Drawn from the fields that actually practice here: home health, physical, occupational, and speech therapy, dme and hme suppliers
| Field | What the file turns on | The capital event behind most requests |
|---|---|---|
| Home health (383) | Medicare certification first, Payer mix second, Days in accounts receivable third | Payroll between visit and remittance |
| Physical, occupational, and speech therapy (184) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| DME and HME suppliers (100) | Accreditation and surety bond status, Rental versus sale revenue split, Denial rate and documentation quality | Inventory and rental fleet |
The first column is Richmond's own NPPES count. The rest is how the field is generally underwritten, whether the address is Richmond or anywhere else.
Density beside the neighboring Texas towns
Comparables travel. These are the Texas towns whose density, at 1074.8 per 10,000 here, gets weighed beside this one.
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Richmond (current) | 13,305 | 1,430 | 1074.8 | |
| Rosenberg | 42,571 | 377 | 88.6 | 4 |
| Fulshear | 54,629 | 134 | 24.5 | 11 |
| Stafford | 17,555 | 643 | 366.3 | 12 |
| Missouri | 78,582 | 2 | 0.3 | 14 |
| Katy | 27,741 | 2,947 | 1062.3 | 15 |
| Bellaire | 17,439 | 686 | 393.4 | 20 |
Distance, income, and the wage floor around Richmond
Distance to Houston-Pasadena-The Woodlands, TX is 26 miles. That is close enough for rent in Richmond to be compared against the metro and far enough that patient draw is not. Median household income runs $68,564, which is the number a funder converts into case acceptance on anything elective or cash-pay. The Medicare-certified hospital in Richmond sets the local wage floor before you hire against it. Richmond is the Fort Bend County seat, so county employment steadies the payer mix.
More of Texas
What owners in Richmond ask
01How many providers practice in Richmond, and in what?
Across 34 fields, Richmond carries 1,430 enumerated clinicians, 1074.8 per 10,000 of the 13,305 people living here. The concentration is in home health, 383 of the total, then physical, occupational, and speech therapy at 184. Count practices from that only with care.
02How many Medicare-certified providers are based in Richmond?
The town carries 40 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.
03Which fields carry the volume in Richmond?
The 34 enumerated fields are led by home health at 383, with physical, occupational, and speech therapy at 184 behind it. Those two counts double as the competition you are entering and the bench you would hire from.
04Is Richmond underwritten as part of Houston-Pasadena-The Woodlands, TX?
Comparables and demand split at 26 miles. An appraiser prices the lease and the equipment off Houston-Pasadena-The Woodlands, TX; the revenue line has to hold up against 13,305 local residents.
05What does SBA lending look like around Richmond?
$20,084,600 went to healthcare borrowers in Fort Bend County across 23 approvals, $873,243 on average. Deals near Richmond get sized against that record before anything else.
06What does Fort Bend County's shortage designation change?
The primary care, dental, mental health designation HRSA carries on Fort Bend County is a recruiting instrument: it puts repayment incentives in front of candidates, which is how a hiring plan for 13,305 residents gets past the question of who would take the job.
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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