Virginia micro-market
Healthcare practice financing in Fredericksburg, Virginia
Direct answer
A Fredericksburg file is read against 1,524 local clinicians, 508.1 for every 10,000 of its 29,992 residents, 26 percent of them in physical, occupational, and speech therapy, plus the 17 SBA healthcare approvals worth $4,011,500 already recorded in Fredericksburg City County, 49 miles from Washington-Arlington-Alexandria, DC-VA-MD-WV.
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 Virginia, and which cannot, is set out on the Virginia page.
- Population: 29,992 residents (25K-50K band)1
- Healthcare providers registered here: 1,524 across 33 fields2
- Median household income: $85,3683
- Largest provider field: Physical, occupational, and speech therapy: 401 registered providers2
- Medicare-certified providers in town: 24 across 4 categories4
- Nearest metro: Washington-Arlington-Alexandria, DC-VA-MD-WV, 49 miles1
Who is enumerated in Fredericksburg
The NPPES file puts 1,524 enumerated clinicians inside Fredericksburg, spread over 33 fields at 508.1 per 10,000 residents
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Physical, occupational, and speech therapy | 401 | 133.7 | NPPES [2] |
| Specialty physician groups | 135 | 45.0 | NPPES [2] |
| Primary care and family medicine | 118 | 39.3 | NPPES [2] |
| ABA and autism therapy | 104 | 34.7 | NPPES [2] |
| Home health | 99 | 33.0 | NPPES [2] |
| General dentistry | 94 | 31.3 | NPPES [2] |
| Optometry and ophthalmology | 89 | 29.7 | NPPES [2] |
| DME and HME suppliers | 59 | 19.7 | NPPES [2] |
| Chiropractic | 59 | 19.7 | NPPES [2] |
| Behavioral and mental health group practices | 54 | 18.0 | NPPES [2] |
| Dental specialties | 44 | 14.7 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 38 | 12.7 | NPPES [2] |
| Non-medical home care | 35 | 11.7 | NPPES [2] |
| Audiology and hearing centers | 28 | 9.3 | NPPES [2] |
| Med spa and aesthetics | 26 | 8.7 | NPPES [2] |
| Independent pharmacy | 18 | 6.0 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 16 | 5.3 | NPPES [2] |
| Clinical and toxicology labs | 11 | 3.7 | NPPES [2] |
| Telehealth and virtual clinics | 11 | 3.7 | NPPES [2] |
| Urgent care | 10 | 3.3 | NPPES [2] |
| Hospice and palliative | 10 | 3.3 | NPPES [2] |
| Podiatry | 9 | 3.0 | NPPES [2] |
| Dermatology | 8 | 2.7 | NPPES [2] |
| NEMT and ambulance | 7 | 2.3 | NPPES [2] |
| Dialysis and infusion centers | 7 | 2.3 | NPPES [2] |
| Occupational health and drug testing | 6 | 2.0 | NPPES [2] |
| ASCs and OBLs | 5 | 1.7 | NPPES [2] |
| SUD treatment and residential | 5 | 1.7 | NPPES [2] |
| Imaging centers | 5 | 1.7 | NPPES [2] |
| Hormone, TRT, and men's health clinics | 5 | 1.7 | NPPES [2] |
| IV hydration and infusion | 3 | 1.0 | NPPES [2] |
| Plastic and cosmetic surgery | 3 | 1.0 | NPPES [2] |
| Pain management and interventional | 2 | 0.7 | NPPES [2] |
| Medical equipment suppliers | 35 | CMS [4] | |
| Home health agencies | 9 | CMS [4] | |
| Dialysis facilities | 7 | CMS [4] | |
| Hospice providers | 5 | CMS [4] | |
| Ambulatory surgical centers | 3 | CMS [4] |
Several of the 401 physical, occupational, and speech therapy enumerations can belong to one practice, so the column counts clinicians rather than businesses or owners
Fredericksburg City County approvals, dollars, and lending establishments
Lenders in Fredericksburg City County have already closed 17 healthcare approvals, averaging $235,971, which is the size a new file gets read beside
| Measure | Published figure | What sits behind it |
|---|---|---|
| SBA healthcare approvals | 17 | One published fiscal year, healthcare borrowers only [5] |
| Approved dollars | $4,011,500 | Approved, not disbursed, and not net of withdrawals [5] |
| Average approval | $235,971 | A mean, so one large approval moves it [5] |
| Lending establishments in the county | 50 | Credit intermediation offices sited in the county [6] |
The consequence of these numbers
Density of 508.1 per 10,000 sets the patient draw a projection can claim without an argument. Because Fredericksburg City County already carries $4,011,500 across 17 healthcare approvals, a request near that average moves faster than one well above it. With $85,368 as the median household income, the payer mix in a projection has to match what Fredericksburg households actually spend.
The programs this provider mix points at
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Expansion, relocation, and build-out
- Medical receivables factoring
Built from what is enumerated here rather than from a national list, so a field with no presence in Fredericksburg does not appear. Availability is still a Virginia question.
The first pages of a Fredericksburg file
physical, occupational, and speech therapy, specialty physician groups, primary care and family medicine account for most of what is enumerated in Fredericksburg, so those are the files funders see from this town
| Field | What the file turns on | The capital event behind most requests |
|---|---|---|
| Physical, occupational, and speech therapy (401) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Specialty physician groups (135) | Ancillary revenue contribution, Provider productivity, Payer contracts | Ancillary build-out |
| Primary care and family medicine (118) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
Column one counts Fredericksburg clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Fredericksburg file differently.
Density beside the neighboring Virginia towns
Comparables travel. These are the Virginia towns whose density, at 508.1 per 10,000 here, gets weighed beside this one.
| Market | Population | Clinicians | Density per 10,000 | Distance in miles |
|---|---|---|---|---|
| Fredericksburg (current) | 29,992 | 1,524 | 508.1 | |
| Culpeper | 21,464 | 220 | 102.5 | 30 |
| Manassas | 43,616 | 1,105 | 253.3 | 31 |
| Manassas Park | 16,611 | 30 | 18.1 | 33 |
| Warrenton | 10,224 | 303 | 296.4 | 33 |
| Fairfax | 26,340 | 2,773 | 1052.8 | 40 |
| Vienna | 16,562 | 774 | 467.3 | 43 |
How Fredericksburg sits against the nearest metro
Distance to Washington-Arlington-Alexandria, DC-VA-MD-WV is 49 miles. That is close enough for rent in Fredericksburg to be compared against the metro and far enough that patient draw is not. Households here carry $85,368 in median income, and that ceiling decides how much of a treatment plan gets started rather than deferred. Wages here are anchored by the Medicare-certified hospital in town, which is what a staffing line gets measured against. A degree-granting institution here moves volume on the academic calendar.
More of Virginia
Questions from Fredericksburg
01How many providers practice in Fredericksburg, and in what?
1,524 enumerations sit at Fredericksburg addresses in the monthly NPPES file, working out to 508.1 for every 10,000 residents. 26 percent of them are physical, occupational, and speech therapy, and specialty physician groups follows with 135. An enumeration is a clinician, so the 1,524 here cover fewer than 1,524 practices.
02How many Medicare-certified providers are based in Fredericksburg?
Care Compare lists 24 certified providers with a Fredericksburg 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.
03Which fields carry the volume in Fredericksburg?
Volume concentrates in physical, occupational, and speech therapy, 401 of them, ahead of specialty physician groups at 135, across 33 fields. A thin second field usually means a longer search for staff than a pro forma allows for.
04Is Fredericksburg underwritten as part of Washington-Arlington-Alexandria, DC-VA-MD-WV?
Partly. Washington-Arlington-Alexandria, DC-VA-MD-WV is 49 miles out, so rent and equipment comparables travel in from there while patients still come from the 29,992 residents around Fredericksburg. Cost side metro, revenue side local.
05What does SBA lending look like around Fredericksburg?
The county file behind Fredericksburg holds 17 healthcare approvals totaling $4,011,500, an average of $235,971. Those are the loan sizes lenders in Fredericksburg City County have already carried.
06How does the hospital in Fredericksburg affect a practice file?
It makes the staffing and referral lines checkable. 24 Medicare-certified providers hold Fredericksburg addresses, and the hospital sets the wage a clinical hire is bid against in a 508.1 per 10,000 market.
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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