NAICS 621111 · California overview

Physician Practices in Butte County

Butte County had 123 Medical Practice establishments in 2023, ranking 28 of 54 California counties and accounting for 0.4% of the statewide total.

Establishments (2023)
123
Rank 28 of 54 counties
Employees
885
Mid-March employment
Annual payroll
$126M
All establishments
Per 10k residents
5.9
209,211 residents

More recent reading

BLS QCEW, 2026Q1

The figures above are County Business Patterns, which carries the size distribution but runs about two years behind. The Bureau of Labor Statistics publishes quarterly, so this is the same industry roughly 3 years later. The two count different universes, Census counts establishments with paid employees in the March pay period and BLS counts worksites covered by unemployment insurance during the quarter, so the numbers are not directly comparable and either can be the larger.

Establishments
155
2026Q1
Employment
1,333
Quarter-end level
Average weekly wage
$2,380
Per covered worker
Quarterly trend
+2.6%
2025Q2 to 2026Q1
Concentration vs the national averageBLS, 2026Q1

0.90 location quotient. Medical Practice is about as concentrated in Butte County as it is nationally.

Computed by the Bureau of Labor Statistics, not derived here. Above 1.0 means the industry is a larger share of local employment than of national employment.

Establishments by size

Employee-count distribution for Medical Practice in Butte County. 22 of 123 establishments (18%) employ 10 or more people, the practical floor for most acquisition financing.

EmployeesEstablishmentsShareDistribution
1-48468.3%
5-91713.8%
10-1986.5%
20-49118.9%
50-9932.4%

Establishment trend

Year-over-year establishment counts, County Business Patterns. Net decline of 12.8% since 2020.

YearEstablishmentsChange
2020141n/a
2021122-19
2022116-6
2023123+7

How this market compares

Butte County against every other county in California on the same measure. The median excludes places under 2,000 residents, where per-capita figures are arithmetically true but analytically useless.

Typical5.9 per 10,000 residents, against a state median of 5.4

Close to the state median for this industry. Provision is roughly what the population would predict.

Vs state median
+9%
Businesses per resident
Rank by count
#28
of 54 counties
Rank by density
#23
of 54 ranked
Since 2020
-13%
Change in establishments

Density compares physician practices provision per resident. It does not measure revenue, profitability or whether a market is worth entering.

Business size mix

Butte tracks the California size distribution closely.

Share of establishmentsButteCaliforniaDifference
Under 5 employeesOwner-operated, often no management layer68.3%66.9%+1.4%
5 to 49 employeesThe range most individual buyers target29.3%31.0%-1.7%
10 or more employeesPractical floor for acquisition financing17.9%16.6%+1.2%

What acquirers look at

California’s corporate practice of medicine doctrine restricts lay ownership, so deals are structured as MSO arrangements. Not a first acquisition for an unlicensed buyer.

Cities in Butte

The figures above cover the county as a whole. These are the places within it.

Other industries in Butte

Sources

  1. U.S. Census Bureau, 2023 County Business Patterns. Establishment counts, employment and annual payroll by NAICS. Retrieved 2026-09-08.
  2. U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages (2026Q1). Quarterly establishment counts and employment for employers covered by unemployment insurance. Retrieved 2026-09-08.