RANKING · 2024 ACS · 500 SHOWN OF 3,144

Highest Medicaid coverage, US counties

US counties ranked by the share of people covered by Medicaid or other means-tested public insurance, alone or in combination with other coverage (2024 ACS). Kusilvak Census Area, Alaska leads at 73.1%. 3,144 counties qualify in total. Kentucky carries 9 of the top 25 entries. The median across all 3,144 is 21.4%. Biggest climber in the top 100 since 2020: Sioux County, ND, up 487 places to #40.

All statesAll rankings

SAME RANKING BYCities States Metros ZIP codes

YEAR2020 2024

RANKPLACESTATEPOPMEDICAIDVS 2020

USUnited States334,922,49920.9%–

01Kusilvak Census Area, AKAK7,93273.1%+9.3 pts

02Wolfe County, KYKY6,29864.6%+1.4 pts

03▲265Loving County, TXTX5263.6%+31.1 pts

04▲4Bethel Census Area, AKAK18,39160.6%+9.1 pts

05▲2McKinley County, NMNM68,11957.4%+4.3 pts

06▼1Owsley County, KYKY3,93257.1%+2.2 pts

07▲8Breathitt County, KYKY12,55854.5%+6.4 pts

08▲27Tensas Parish, LALA3,70053.5%+9.5 pts

09▲2Luna County, NMNM25,40753.3%+4.4 pts

10▼6East Carroll Parish, LALA6,76052.8%−3.9 pts

11▲2Bronx County, NYNY1,406,33252.5%+4.1 pts

12▲2Knox County, KYKY29,53252.5%+4.2 pts

13▲9Madison Parish, LALA8,84452.0%+5.3 pts

14▼4McCreary County, KYKY17,12451.8%+1.9 pts

15▲9McDowell County, WVWV16,87851.6%+5.3 pts

16▲12Magoffin County, KYKY11,11051.4%+5.7 pts

17▼8Todd County, SDSD8,86350.7%−0.5 pts

18▲152Guadalupe County, NMNM4,34350.5%+15.4 pts

19▲2Imperial County, CACA181,41149.8%+2.9 pts

20▼2Cibola County, NMNM26,80749.6%+2.4 pts

21▲41Perry County, KYKY26,55549.6%+8.8 pts

22▼2Lee County, KYKY7,29749.3%+2.1 pts

23▲149Martin County, KYKY10,69749.0%+13.9 pts

24▲12Northwest Arctic, AKAK7,09548.7%+5.0 pts

25▲5Randolph County, GAGA6,15648.4%+3.4 pts

26▲7Dillingham Census Area, AKAK4,48348.3%+4.2 pts

27▲7Nome Census Area, AKAK9,83048.3%+4.3 pts

28▼22Clay County, KYKY19,46547.6%−6.2 pts

29▼6Phillips County, ARAR14,25547.5%+1.1 pts

30▼3Letcher County, KYKY19,95247.4%+1.4 pts

31▲47Corson County, SDSD3,78147.2%+7.8 pts

32▲259St. Helena Parish, LALA10,75846.7%+14.5 pts

33▼4Harlan County, KYKY24,72546.4%+0.7 pts

34▲71Emporia, VAVA5,44746.3%+8.3 pts

35▼18Clay County, WVWV7,53845.7%−1.8 pts

36▲11Tulare County, CACA485,14645.7%+3.6 pts

37▲86Avoyelles Parish, LALA37,94145.5%+8.8 pts

38▲35Johnson County, KYKY22,05145.4%+5.6 pts

39▲286Glacier County, MTMT13,46345.3%+13.9 pts

40▲487Sioux County, NDND3,66745.1%+17.2 pts

41▼10Leslie County, KYKY9,62745.1%+0.5 pts

42▲171Big Horn County, MTMT12,75245.0%+11.2 pts

43▼3Holmes County, MSMS15,46544.9%+1.7 pts

44▲15Mingo County, WVWV21,45544.9%+3.9 pts

45▲98Apache County, AZAZ64,44544.8%+9.0 pts

46▲25Richland Parish, LALA19,58244.7%+4.9 pts

47▼4Elliott County, KYKY7,26544.7%+1.6 pts

48▼22Humphreys County, MSMS7,00144.6%−1.4 pts

49▼33Knott County, KYKY13,32144.5%−3.6 pts

50▲111Morehouse Parish, LALA23,70544.0%+8.6 pts

51▲109Desha County, ARAR9,98443.7%+8.3 pts

52▲209Dimmit County, TXTX8,02443.7%+11.1 pts

53▼41Bell County, KYKY22,82943.6%−5.2 pts

54▼2Lee County, ARAR8,02943.4%+1.6 pts

55▲84Claiborne Parish, LALA13,35443.4%+7.4 pts

56▼15Menifee County, KYKY6,43043.3%+0.1 pts

57▲11Evangeline Parish, LALA31,98042.9%+2.7 pts

58▼3St. Francis County, ARAR21,80042.8%+1.7 pts

59▲50Concordia Parish, LALA17,83642.6%+4.9 pts

60▲16Fulton County, KYKY6,21842.6%+3.1 pts

61▼17Merced County, CACA297,26042.5%−0.3 pts

62▲71Lincoln County, WVWV19,17742.3%+6.1 pts

63▲45Washington Parish, LALA44,93742.3%+4.5 pts

64▲36Caldwell Parish, LALA9,34442.2%+4.0 pts

65▲406Catahoula Parish, LALA8,22342.2%+13.5 pts

66▲1Franklin Parish, LALA19,00242.1%+1.7 pts

67▲74Russell County, KYKY18,60842.1%+6.2 pts

68▼43Webster County, WVWV7,76042.0%−4.2 pts

69▲43Pulaski County, ILIL4,82042.0%+4.4 pts

70▲61West Carroll Parish, LALA9,15641.9%+5.6 pts

71▲1Socorro County, NMNM15,83841.9%+2.1 pts

72▼30Costilla County, COCO3,67941.9%−1.2 pts

73▲76Lawrence County, KYKY15,76541.6%+5.8 pts

74▲40Bent County, COCO5,71641.5%+4.0 pts

75▼36Floyd County, KYKY34,40141.5%−1.8 pts

76▲3Chaves County, NMNM63,36441.5%+2.1 pts

77▲117Iberia Parish, LALA66,84641.4%+7.1 pts

78▲41San Juan County, NMNM120,34041.4%+4.3 pts

79▼23Estill County, KYKY13,96241.4%+0.3 pts

80▲40Whitley County, KYKY37,29741.3%+4.5 pts

81▲16St. Bernard Parish, LALA45,64241.3%+3.0 pts

82▲225Glascock County, GAGA3,14141.3%+9.4 pts

83▲83Roosevelt County, NMNM18,61541.3%+6.0 pts

84▲400Winn Parish, LALA14,96141.1%+12.6 pts

85▼36Lewis County, KYKY12,90141.1%−0.9 pts

86▲106Bullock County, ALAL9,78041.0%+6.6 pts

87▲66Webster Parish, LALA34,94840.9%+5.2 pts

88▼25Lake County, CACA67,77240.8%+0.1 pts

89▲207Allen Parish, LALA22,67240.8%+8.8 pts

90▼9Bienville Parish, LALA12,26940.8%+1.7 pts

91▼4Leflore County, MSMS25,68640.8%+2.0 pts

92▲163Cumberland County, KYKY5,99240.8%+8.1 pts

93▼39Coahoma County, MSMS19,84940.5%−1.2 pts

94▼14Kern County, CACA927,06840.4%+1.1 pts

95▲27Robertson County, KYKY2,32540.4%+3.7 pts

96▲163Wayne County, KYKY19,59740.3%+7.7 pts

97▲427St. Landry Parish, LALA80,76540.3%+12.4 pts

98▼61San Miguel County, NMNM26,26040.3%−3.4 pts

99▲41Tehama County, CACA64,66540.3%+4.4 pts

100▼34Benson County, NDND5,75940.2%−0.3 pts

101▲89Lake County, TNTN6,24940.1%+5.7 pts

102▼70Clinton County, KYKY9,13940.1%−4.3 pts

103▲26Washington County, MSMS40,44640.0%+3.5 pts

104▲59Metcalfe County, KYKY10,58340.0%+4.6 pts

105▼55St. Mary Parish, LALA46,55239.9%−2.0 pts

106▲42Alamosa County, COCO16,68839.9%+4.1 pts

107▼25Hidalgo County, NMNM3,92939.8%+0.7 pts

108▲46Perry County, ALAL7,42539.7%+4.1 pts

109▲174Trinity County, CACA15,72039.7%+7.4 pts

110▼41Mahnomen County, MNMN5,15339.6%−0.5 pts

111▼9Pemiscot County, MOMO14,46539.6%+1.5 pts

112▼61Chicot County, ARAR9,10739.5%−2.3 pts

113▲211Rolette County, NDND11,68839.5%+8.0 pts

114▼57Madera County, CACA167,92739.4%−1.6 pts

115▼51Quitman County, MSMS5,36439.4%−1.2 pts

116▼51Mora County, NMNM4,05139.4%−1.1 pts

117▲67Randolph County, ARAR18,87639.3%+4.8 pts

118▼34Fresno County, CACA1,035,45639.3%+0.4 pts

119▲160Acadia Parish, LALA57,03239.3%+7.0 pts

120▲184Pondera County, MTMT6,07239.1%+7.2 pts

121▼76Zavala County, TXTX9,03739.1%−3.4 pts

122▲51Powell County, KYKY12,81239.0%+3.9 pts

123▲72Otero County, COCO17,68338.9%+4.6 pts

124▲3Kings County, NYNY2,653,96338.8%+2.3 pts

125▼14Poinsett County, ARAR22,48338.8%+1.2 pts

126▲41Sunflower County, MSMS22,89338.8%+3.6 pts

127▲60Valencia County, NMNM82,01338.8%+4.3 pts

128▲295Huerfano County, COCO7,01138.8%+9.2 pts

129▼16Adams County, WAWA21,48838.8%+1.2 pts

130▲81Natchitoches Parish, LALA36,08938.7%+4.8 pts

131▼83Quay County, NMNM8,45438.7%−3.3 pts

132▲76Curry County, NMNM46,65538.6%+4.6 pts

133▼3Torrance County, NMNM16,10038.6%+2.2 pts

134▼45Red River Parish, LALA7,16538.4%−0.3 pts

135▼132Issaquena County, MSMS1,26338.3%−20.5 pts

136▼44Liberty County, MTMT1,95738.3%−0.2 pts

137▼63Santa Cruz County, AZAZ50,02038.2%−1.5 pts

138▲47Colusa County, CACA21,83638.2%+3.7 pts

139▲119Humboldt County, CACA131,64738.2%+5.6 pts

140▲62Dallas County, ALAL35,14038.1%+4.0 pts

141▼4Bolivar County, MSMS28,26238.1%+2.0 pts

142▲419Franklin, VAVA8,47838.0%+10.6 pts

143▲348Union County, NMNM3,84437.9%+9.5 pts

144▲903Galax, VAVA6,67037.9%+14.5 pts

145▲154Turner County, GAGA8,98337.8%+5.8 pts

146▼30Wilcox County, ALAL9,66637.7%+0.4 pts

147▲39Glenn County, CACA28,14137.7%+3.2 pts

148▲354Danville, VAVA41,64737.7%+9.4 pts

149▲151Martinsville, VAVA13,84937.7%+5.7 pts

150▲86Kings County, CACA154,32737.6%+4.2 pts

151▲61Pike County, KYKY54,72137.6%+3.7 pts

152▼75Del Norte County, CACA26,41037.5%−1.9 pts

153▲144Caddo Parish, LALA224,22637.5%+5.5 pts

154▲197Tangipahoa Parish, LALA141,34637.5%+6.8 pts

155▼60Tunica County, MSMS8,81937.5%−0.8 pts

156▲257St. John the Baptist Parish, LALA39,87537.5%+7.7 pts

157▲231Petersburg, VAVA33,73437.4%+7.2 pts

158▲66De Soto Parish, LALA27,38137.3%+3.7 pts

159▼71Dewey County, SDSD5,41937.3%−1.5 pts

160▼54Jackson County, ARAR16,74137.2%−0.6 pts

161▼33Yakima County, WAWA259,18537.2%+0.7 pts

162▲918Sherman County, OROR2,05137.2%+14.1 pts

163▼59Sierra County, NMNM11,39537.1%−0.9 pts

164▼57Hancock County, TNTN7,07537.1%−0.7 pts

165▼41Alexander County, ILIL4,57037.1%+0.5 pts

166▼48Grant County, NMNM27,25237.0%−0.1 pts

167▼8Crittenden County, ARAR46,21036.8%+1.4 pts

168▼78Rockcastle County, KYKY16,14836.8%−1.9 pts

169▼59Colfax County, NMNM12,18436.7%−1.0 pts

170▲72Marlboro County, SCSC25,48836.7%+3.6 pts

171▲134Lincoln County, KYKY25,35336.7%+4.8 pts

172▼76Doña Ana County, NMNM229,09136.6%−1.7 pts

173▲645Conecuh County, ALAL10,89936.5%+11.4 pts

174▲93Lake County, MIMI13,18236.4%+3.9 pts

175▼23Starr County, TXTX66,31936.4%+0.7 pts

176▲41Laurel County, KYKY63,74636.4%+2.6 pts

177▼51Casey County, KYKY16,20536.4%−0.2 pts

178▲1Hart County, KYKY20,11736.4%+1.5 pts

179▼4Van Buren County, ARAR16,23836.3%+1.4 pts

180▲106Sabine Parish, LALA21,83436.3%+4.1 pts

181▲104Jefferson County, ARAR62,98736.2%+4.0 pts

182▼2Mellette County, SDSD2,13736.2%+1.4 pts

183▼123Jackson County, KYKY13,32536.2%−4.7 pts

184▼93Stone County, ARAR12,70336.1%−2.5 pts

185▲178Rapides Parish, LALA125,87736.1%+5.6 pts

186▲294Union Parish, LALA20,56136.1%+7.5 pts

187▲147Lee County, VAVA21,64236.1%+4.9 pts

188▲280Taylor County, GAGA7,81836.1%+7.3 pts

189▼103Sharp County, ARAR18,12236.0%−2.8 pts

190▲138Hickman County, KYKY4,37236.0%+4.7 pts

191▲13Josephine County, OROR87,86736.0%+1.9 pts

192▲35Dillon County, SCSC27,45836.0%+2.4 pts

193▲37Yuba County, CACA88,69136.0%+2.4 pts

194▲182Greene County, ALAL7,06735.9%+5.6 pts

195▲210Macon County, GAGA11,75635.9%+6.1 pts

196▲53Ouachita Parish, LALA158,54235.9%+3.1 pts

197▲145Lea County, NMNM74,74935.9%+5.0 pts

198▼64Wyoming County, WVWV19,80135.9%−0.3 pts

199▼64Prowers County, COCO11,88435.9%−0.3 pts

200▲21Pulaski County, KYKY67,38435.9%+2.2 pts

201▲77Cross County, ARAR16,18635.8%+3.5 pts

202▲178Rockland County, NYNY357,39735.8%+5.5 pts

203▲48Roane County, WVWV13,31735.8%+3.0 pts

204▼11Monroe County, KYKY11,19135.8%+1.4 pts

205▲162Hopewell, VAVA23,26135.8%+5.3 pts

206▲42Norton, VAVA3,47735.8%+2.8 pts

207▲122Jefferson Davis County, MSMS10,94135.7%+4.4 pts

208▼83Morgan County, KYKY14,41535.7%−0.9 pts

209▼115Blaine County, MTMT6,86035.5%−2.9 pts

210▲16Meigs County, OHOH21,58735.5%+1.9 pts

211▼6Bennett County, SDSD3,30735.5%+1.4 pts

212▲19Wayne County, MIMI1,769,03835.4%+1.9 pts

213▲25Robeson County, NCNC119,94135.4%+2.2 pts

214▲103Baca County, COCO3,34735.4%+3.7 pts

215▼154Yukon-Koyukuk Census Area, AKAK5,02835.3%−5.5 pts

216▼133Catron County, NMNM3,82735.3%−3.7 pts

217▲71Scotland County, NCNC33,32235.3%+3.1 pts

218▼11Sharkey County, MSMS3,09735.2%+1.2 pts

219▲6Mississippi County, MOMO12,00335.2%+1.6 pts

220▼167Conejos County, COCO7,52935.2%−6.6 pts

221▼89Tallahatchie County, MSMS10,87735.1%−1.1 pts

222▼25Pike County, OHOH27,06135.1%+0.9 pts

223▼125Green County, KYKY11,64435.1%−3.2 pts

224▲16Lawrence County, ARAR16,27335.0%+1.9 pts

225▲32Miller County, ARAR42,35735.0%+2.4 pts

226▲43Sevier County, ARAR15,75835.0%+2.6 pts

227▲258Chouteau County, MTMT5,86535.0%+6.5 pts

228▼82Otero County, NMNM70,36835.0%−0.8 pts

229▼191Oglala Lakota County, SDSD13,33835.0%−8.3 pts

230▲374Mason County, KYKY16,93635.0%+7.9 pts

231▼138Nevada County, ARAR7,94234.9%−3.5 pts

232▼58Searcy County, ARAR7,84834.9%−0.1 pts

233▲419Bracken County, KYKY8,51134.9%+8.3 pts

234▼58Hampden County, MAMA464,33834.9%0.0 pts

235▲611Washington County, NCNC10,63834.9%+10.0 pts

236▼80Summers County, WVWV11,53234.9%−0.7 pts

237▼101Grayson County, KYKY27,40634.9%−1.3 pts

238▲56Dorchester County, MDMD33,62834.9%+2.8 pts

239▼140Navajo County, AZAZ109,94634.7%−3.5 pts

240▼137Monroe County, ARAR6,24434.7%−3.3 pts

241▼18Scott County, ARAR9,96534.7%+1.1 pts

242▲488Thurston County, NENE6,75234.7%+8.8 pts

243▼65Logan County, WVWV30,37534.7%−0.2 pts

244▼24Sutter County, CACA98,78734.7%+1.0 pts

245▼12Hempstead County, ARAR19,08034.6%+1.1 pts

246▲73Woodruff County, ARAR5,71034.6%+3.0 pts

247▼228Crowley County, COCO5,67734.6%−12.6 pts

248▼60Fleming County, KYKY15,78734.6%+0.1 pts

249▼60Mississippi County, ARAR37,82834.5%+0.1 pts

250▲171Richmond County, NCNC42,04134.5%+4.9 pts

251▲76Adair County, KYKY19,42334.5%+3.1 pts

252▲1Marion County, SCSC28,24234.4%+1.7 pts

253▲24Caroline County, MDMD34,11634.4%+2.0 pts

254▼44Ouachita County, ARAR21,73134.3%+0.4 pts

255▲161Grant Parish, LALA22,07534.3%+4.6 pts

256▲143Adair County, OKOK19,82834.3%+4.4 pts

257▼56Philadelphia County, PAPA1,574,28134.3%+0.1 pts

258▼23Ashley County, ARAR17,83134.2%+0.8 pts

259▲173Drew County, ARAR17,05434.2%+4.8 pts

260▼110Mendocino County, CACA88,12234.2%−1.5 pts

261▼90Lee County, SCSC15,73034.2%−0.9 pts

262▲217Taliaferro County, GAGA1,66234.2%+5.5 pts

263▲69Orangeburg County, SCSC83,17734.2%+2.9 pts

264▲97Cameron County, PAPA4,21134.1%+3.5 pts

265▲263Clay County, TNTN7,82134.1%+6.2 pts

266▲277Yalobusha County, MSMS12,37534.0%+6.4 pts

267▲53Wayne County, MOMO10,78234.0%+2.4 pts

268▲4Vance County, NCNC42,63834.0%+1.6 pts

269▲189Fulton County, ARAR12,49233.9%+5.0 pts

270▼185Jefferson County, MSMS6,82533.9%−5.0 pts

271▼126Noxubee County, MSMS9,79833.9%−1.9 pts

272▼89Scioto County, OHOH71,36533.9%−0.7 pts

273▲83Klamath County, OROR70,27433.9%+3.2 pts

274▲604Hampton County, SCSC18,17433.9%+9.3 pts

275▼66Stanislaus County, CACA557,71933.9%−0.1 pts

276▼42Ohio County, KYKY23,93433.9%+0.4 pts

277▲628Wise County, VAVA34,82433.8%+9.4 pts

278▲241LaSalle Parish, LALA15,15433.8%+5.8 pts

279▼141Malheur County, OROR32,26133.8%−2.3 pts

280▲150Halifax County, NCNC46,53433.8%+4.3 pts

281▼126Conway County, ARAR21,39333.7%−1.9 pts

282▲41St. Martin Parish, LALA51,10633.7%+2.2 pts

283▼168Yazoo County, MSMS22,94733.7%−3.7 pts

284▼43Adams County, OHOH27,86533.7%+0.6 pts

285▲437Morrow County, OROR12,60233.6%+7.6 pts

286▲82Monterey County, CACA433,72933.5%+3.1 pts

287▼7Baltimore, MDMD569,99733.5%+1.2 pts

288▼90Essex County, VTVT6,05133.5%−0.7 pts

289▲44Yell County, ARAR19,95633.4%+2.2 pts

290▲8Claiborne County, MSMS8,05833.4%+1.4 pts

291▼48Pocahontas County, WVWV7,60233.4%+0.3 pts

292▲30Chattooga County, GAGA25,30033.4%+1.8 pts

293▲110Dougherty County, GAGA82,61633.3%+3.4 pts

294▼236Nicholas County, KYKY7,94933.3%−7.7 pts

295▲236Prince of Wales-Hyder Census Area, AKAK5,77733.2%+5.4 pts

296▼226Calhoun County, WVWV5,97833.2%−6.6 pts

297▼4Fayette County, WVWV38,16533.2%+1.1 pts

298▲214Vermilion Parish, LALA57,67133.2%+5.0 pts

299▼84Pueblo County, COCO169,27733.2%−0.6 pts

300▼55Wadena County, MNMN14,38833.1%+0.1 pts

301▲77Dunklin County, MOMO26,85533.1%+2.8 pts

302▼96Ziebach County, SDSD2,38933.1%−1.0 pts

303▼11Zapata County, TXTX13,75333.1%+1.0 pts

304▼142Boone County, WVWV20,25133.1%−2.3 pts

305▼31San Bernardino County, CACA2,224,09133.1%+0.7 pts

306▼148Carlisle County, KYKY4,74733.1%−2.4 pts

307▼165Ferry County, WAWA7,51733.1%−2.8 pts

308▼139Wilkinson County, MSMS7,58233.0%−2.1 pts

309▲124Queens County, NYNY2,358,18233.0%+3.6 pts

310▼82Jackson County, SDSD2,66633.0%−0.6 pts

311▲164Hardeman County, TNTN25,27433.0%+4.3 pts

312▲345McCurtain County, OKOK30,74432.9%+6.3 pts

313▲89Terrell County, GAGA8,65632.9%+3.0 pts

314▲16Jefferson County, OROR25,74032.9%+1.6 pts

315▼5Jackson Parish, LALA15,83432.8%+1.0 pts

316▲399Cochran County, TXTX2,54632.8%+6.7 pts

317▲187Hopkins County, KYKY45,12732.8%+4.5 pts

318▼217Bath County, KYKY13,17632.7%−5.4 pts

319▼5Clare County, MIMI31,54332.7%+1.0 pts

320▲339Union County, ILIL16,65632.7%+6.1 pts

321▲25Montgomery County, KYKY28,82232.7%+1.8 pts

322▼205Taos County, NMNM34,56432.6%−4.7 pts

323▲445Sullivan County, NYNY80,58632.5%+6.9 pts

324▲48Barnwell County, SCSC20,65332.5%+2.1 pts

325▼59Scott County, TNTN22,67132.4%−0.1 pts

326▲218Cattaraugus County, NYNY75,39032.4%+4.8 pts

327▼159Atkinson County, GAGA8,45432.4%−2.8 pts

328▲63Emanuel County, GAGA23,14732.4%+2.3 pts

329▼111Lowndes County, ALAL9,35932.3%−1.4 pts

330▼18Yuma County, AZAZ224,44932.3%+0.6 pts

331▼22Johnson County, ARAR26,22532.3%+0.5 pts

332▲22Pike County, MSMS38,71232.3%+1.6 pts

333▼182Rio Arriba County, NMNM39,83232.3%−3.4 pts

334▲252Douglas County, OROR111,95132.3%+5.1 pts

335▲94Braxton County, WVWV11,88532.3%+2.8 pts

336▲21Edmonson County, KYKY12,74932.3%+1.6 pts

337▲38Carroll County, KYKY11,14132.3%+1.9 pts

338▲59Breckinridge County, KYKY21,50332.2%+2.3 pts

339▲134Winston County, MSMS17,47332.2%+3.5 pts

340▲196Chautauqua County, NYNY124,12632.2%+4.5 pts

341▲114Putnam County, FLFL77,73432.2%+3.2 pts

342▲89Washington County, MEME31,33432.2%+2.7 pts

343▲23Lenoir County, NCNC55,83732.2%+1.7 pts

344▼144Grant County, WAWA105,72732.2%−2.0 pts

345▲120Amite County, MSMS12,48732.1%+3.3 pts

346▲298Okfuskee County, OKOK11,45132.1%+5.4 pts

347Decatur County, GAGA29,43232.1%+1.2 pts

348▲352New Madrid County, MOMO15,08632.0%+5.8 pts

349▲735Taylor County, WVWV16,28732.0%+8.9 pts

350▲748Montgomery County, IAIA10,00232.0%+9.0 pts

351▲38Greene County, ARAR47,41131.9%+1.8 pts

352▼81Adams County, MSMS30,06131.9%−0.5 pts

353▲128Scott County, MSMS28,07331.9%+3.3 pts

354▼46Barren County, KYKY45,64131.9%0.0 pts

355▲72Taylor County, KYKY26,76331.9%+2.3 pts

356▲1,967Garfield County, WAWA2,41631.9%+16.4 pts

357▼8Butte County, CACA209,21131.8%+1.0 pts

358▼22Genesee County, MIMI401,09331.8%+0.7 pts

359▼33Clarendon County, SCSC31,04331.8%+0.4 pts

360▲64Evans County, GAGA11,02831.8%+2.2 pts

361▲986Carter County, MOMO5,41831.7%+10.4 pts

362▼59Orleans Parish, LALA362,15431.7%−0.2 pts

363▲232Anson County, NCNC21,75831.7%+4.6 pts

364▲599Logan County, COCO20,65431.7%+7.7 pts

365▲97Hertford County, NCNC19,01531.7%+2.8 pts

366▼53Polk County, ARAR19,48631.6%−0.1 pts

367▲26Greenbrier County, WVWV31,57831.6%+1.6 pts

368▼93Las Animas County, COCO14,39131.6%−0.8 pts

369▲495Charlton County, GAGA13,12131.6%+6.8 pts

370▼106Somerset County, MDMD24,97331.6%−1.0 pts

371▼76Boyd County, KYKY47,75131.5%−0.5 pts

372▼135Brooks County, TXTX6,57931.5%−1.8 pts

373▲228Montezuma County, COCO26,67831.5%+4.4 pts

374▼9Franklin County, ILIL36,91631.5%+1.0 pts

375▲527Garrard County, KYKY18,20731.5%+7.0 pts

376▼106San Joaquin County, CACA823,81531.4%−1.0 pts

377▲192Wexford County, MIMI34,44531.4%+4.1 pts

378▼164Williamsburg County, SCSC29,66231.4%−2.4 pts

379▼6Lauderdale County, TNTN24,61731.4%+1.0 pts

380▼216Okanogan County, WAWA45,23031.4%−4.0 pts

381▼159Lake and Peninsula, AKAK1,35731.3%−2.3 pts

382▼20Jefferson Davis Parish, LALA31,47131.3%+0.8 pts

383▲156Alpena County, MIMI28,85331.3%+3.7 pts

384▲102Fulton County, NYNY52,21631.3%+2.8 pts

385▼30Edgecombe County, NCNC49,12131.3%+0.6 pts

386▲915Tillman County, OKOK6,78031.3%+9.7 pts

387▲105Mitchell County, GAGA20,46731.3%+2.9 pts

388▼70Washington County, GAGA19,45331.3%−0.4 pts

389▼245Howard County, ARAR12,30631.2%−4.6 pts

390▼130Neshoba County, MSMS28,73231.2%−1.4 pts

391▼32Lawrence County, OHOH55,71031.2%+0.6 pts

392▲388Curry County, OROR22,62131.2%+5.7 pts

393▲18Pickett County, TNTN5,21931.2%+1.4 pts

394▲565Buchanan County, VAVA18,49231.2%+7.2 pts

395▼54Raleigh County, WVWV71,77531.2%+0.2 pts

396▼193Lafayette County, ARAR5,88831.1%−3.0 pts

397▼147Hill County, MTMT16,16731.1%−1.7 pts

398▲400Sequoyah County, OKOK40,84231.1%+5.8 pts

399▲199Maverick County, TXTX58,82331.1%+4.0 pts

400▼135Arkansas County, ARAR15,83631.0%−1.5 pts

401▲154Lawrence County, MSMS11,81931.0%+3.6 pts

402▲949Russell County, VAVA25,33231.0%+9.7 pts

403▼246Saguache County, COCO6,73231.0%−4.5 pts

404▼6Terrebonne Parish, LALA104,16330.9%+1.0 pts

405▲147Luce County, MIMI6,33930.9%+3.5 pts

406▼133Franklin County, WAWA102,61230.9%−1.5 pts

407▼96Toombs County, GAGA27,54530.9%−0.9 pts

408▼287Menominee County, WIWI4,19930.9%−5.9 pts

409▼108Bradley County, ARAR9,82830.8%−1.1 pts

410▲184Lafourche Parish, LALA95,50530.8%+3.7 pts

411▲277Oneida County, NYNY226,39230.8%+4.5 pts

412▲37Vermilion County, ILIL71,25930.8%+1.7 pts

413▲748Southeast Fairbanks Census Area, AKAK7,27030.7%+8.2 pts

414▲82Duval County, TXTX9,40230.7%+2.4 pts

415▼9Butler County, KYKY12,52030.7%+0.9 pts

416▲396Johnston County, OKOK10,44830.7%+5.5 pts

417▼57Coos County, OROR63,99230.7%+0.1 pts

418▼199Orleans County, VTVT27,60030.7%−3.0 pts

419▼45Graham County, AZAZ40,15730.7%+0.3 pts

420▲307Union County, ARAR36,92630.6%+4.7 pts

421▲221Crawford County, MIMI13,72230.6%+3.9 pts

422▼170Marion County, MSMS24,00130.6%−2.1 pts

423▲162Chenango County, NYNY45,71530.6%+3.4 pts

424▼259Fentress County, TNTN20,32230.6%−4.7 pts

425▲449Fayette County, ININ23,53330.6%+5.9 pts

426▲37Haywood County, TNTN17,04230.6%+1.7 pts

427▼35Montgomery County, ARAR8,57930.5%+0.5 pts

428▲197Grenada County, MSMS20,86830.5%+3.7 pts

429▼1Wayne County, MSMS19,80730.5%+1.0 pts

430▼239Jim Hogg County, TXTX4,55530.5%−3.9 pts

431▼96Pointe Coupee Parish, LALA19,52030.5%−0.7 pts

432▲28Washington County, COCO4,73230.5%+1.6 pts

433▲625Madison County, FLFL18,75930.5%+7.2 pts

434▼9Gallatin County, ILIL4,61630.5%+0.9 pts

435▲481Jay County, ININ20,11830.5%+6.1 pts

436▲46Henderson County, KYKY44,25530.5%+1.9 pts

437▼241Sumter County, ALAL11,58830.4%−3.8 pts

438▲111Oceana County, MIMI27,17730.4%+2.9 pts

439▲81Oscoda County, MIMI8,72330.4%+2.4 pts

440▲47Choctaw County, OKOK14,05930.4%+1.9 pts

441▲204Dickenson County, VAVA13,23630.4%+3.7 pts

442▲275Henry County, VAVA49,24230.4%+4.3 pts

443▼21Lewis County, WVWV16,39430.4%+0.8 pts

444▲67Clark County, KYKY37,88830.4%+2.2 pts

445▲640Ben Hill County, GAGA17,09930.4%+7.3 pts

446▲228Grays Harbor County, WAWA78,14430.4%+3.9 pts

447▲23Madison County, ARAR18,41030.3%+1.6 pts

448▲92Beltrami County, MNMN47,05530.3%+2.7 pts

449▲158Marion County, OHOH65,11530.3%+3.3 pts

450▲164Umatilla County, OROR81,11930.3%+3.4 pts

451▲16Darlington County, SCSC62,88830.3%+1.5 pts

452▼170Siskiyou County, CACA42,01330.3%−2.0 pts

453▲271Taylor County, FLFL21,21030.3%+4.3 pts

454▲2,681Kalawao County, HIHI8230.3%+29.1 pts

455▲205Clay County, ILIL12,79330.3%+3.7 pts

456▲484Vernon Parish, LALA45,09130.2%+6.1 pts

457▲261Clarke County, ALAL22,01430.2%+4.1 pts

458▼196Jenkins County, GAGA8,84330.2%−2.4 pts

459▼6Los Angeles County, CACA9,694,93430.1%+1.1 pts

460▲238Tyler County, WVWV7,88130.1%+3.9 pts

461▲654Washington County, KYKY12,36830.0%+7.2 pts

462▼175Ogemaw County, MIMI21,12130.0%−2.2 pts

463▼25Cumberland County, NJNJ157,14830.0%+0.7 pts

464▲235Wheeler County, GAGA7,57030.0%+3.8 pts

465▲11Hendry County, FLFL48,27630.0%+1.3 pts

466▼182Vinton County, OHOH12,64530.0%−2.3 pts

467▼15Independence County, ARAR38,78529.9%+0.9 pts

468▲408Gogebic County, MIMI14,28529.9%+5.3 pts

469▼223Panola County, MSMS32,69129.9%−3.1 pts

470▲393Candler County, GAGA11,27529.9%+5.1 pts

471▼75Hardin County, ILIL3,58829.9%−0.1 pts

472▼15Graves County, KYKY37,05029.9%+0.9 pts

473▲132Muhlenberg County, KYKY30,63429.9%+2.8 pts

474▼38Somerset County, MEME51,62029.9%+0.5 pts

475▼117Hardin County, TNTN27,98329.9%−0.8 pts

476▲232Lincoln Parish, LALA48,36029.8%+3.7 pts

477▼5Chickasaw County, MSMS16,73029.8%+1.1 pts

478▲72Jasper County, MSMS15,78529.8%+2.3 pts

479▲53Hocking County, OHOH27,51229.8%+2.0 pts

480▼137Buffalo County, SDSD1,80229.8%−1.1 pts

481▲167Fayette County, PAPA123,02129.8%+3.1 pts

482▲604Roanoke, VAVA99,11129.8%+6.7 pts

483▼68Stevens County, WAWA49,66829.8%0.0 pts

484▼228Barbour County, ALAL24,60729.7%−2.9 pts

485▼78Suffolk County, MAMA791,89129.7%−0.1 pts

486▼39Appling County, GAGA19,10029.7%+0.6 pts

487▲529Sumter County, GAGA28,80129.7%+6.1 pts

488▲783Livingston County, KYKY8,86329.7%+7.9 pts

489▲196Pend Oreille County, WAWA14,45729.7%+3.3 pts

490▼120Montgomery County, NYNY50,04629.6%−0.8 pts

491▲60Jefferson County, OKOK5,43129.6%+2.1 pts

492▲381Colleton County, SCSC39,38229.6%+4.9 pts

493▼81Monroe County, WVWV12,49129.6%−0.2 pts

494▲678Portsmouth, VAVA96,77729.6%+7.1 pts

495▼219Willacy County, TXTX19,97129.6%−2.8 pts

496▼146Crawford County, ARAR62,65729.5%−1.2 pts

497Columbus County, NCNC50,48729.5%+1.2 pts

498▲245Carroll County, MSMS9,22629.5%+3.7 pts

499▲194Greene County, NCNC20,70029.5%+3.3 pts

500▼284Rio Grande County, COCO11,08729.5%−4.3 pts

SHOWING 1–500 OF 3,144

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Download CSV (full list, 3,144 rows)

UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

Which county has the highest medicaid?

Kusilvak Census Area, Alaska ranks #1 with 73.1% (2024 American Community Survey).

What are the top 5 counties by medicaid?

Kusilvak Census Area, Alaska, Wolfe County, Kentucky, Loving County, Texas, Bethel Census Area, Alaska, McKinley County, New Mexico.

How many counties are in this ranking?

3,144 counties qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is medicaid measured?

Share of the civilian noninstitutionalized population with Medicaid or other means-tested public coverage, alone or in combination (ACS S2704). Source: US Census Bureau, American Community Survey 5-year estimates (2024).