NAICS 621111 · California overview

Physician Practices in Kings County

Kings County had 67 Medical Practice establishments in 2023, ranking 34 of 54 California counties and accounting for 0.2% of the statewide total.

Establishments (2023)
67
Rank 34 of 54 counties
Employees
384
Mid-March employment
Annual payroll
$24M
All establishments
Per 10k residents
4.3
154,327 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
111
2026Q1
Employment
n/a
Quarter-end level
Average weekly wage
n/a
Per covered worker
Quarterly trend
-1.8%
2025Q2 to 2026Q1
Concentration vs the national averageBLS, 2026Q1

1.03 location quotient. Medical Practice is about as concentrated in Kings 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 Kings County. 15 of 67 establishments (22%) employ 10 or more people, the practical floor for most acquisition financing.

EmployeesEstablishmentsShareDistribution
1-43958.2%
5-91116.4%
10-191522.4%

Establishment trend

Year-over-year establishment counts, County Business Patterns. Net decline of 5.6% since 2020.

YearEstablishmentsChange
202071n/a
202167-4
202264-3
202367+3

How this market compares

Kings 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.

Below average4.3 per 10,000 residents, against a state median of 5.4

Fewer businesses per resident than the typical California market. Often an underserved market, though it can also mean residents buy this service in a neighbouring town.

Vs state median
-20%
Businesses per resident
Rank by count
#34
of 54 counties
Rank by density
#38
of 54 ranked
Since 2020
-6%
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

Kings is more consolidated than California as a whole: fewer micro-operators and a larger share of businesses with real headcount. Fewer targets, but the ones that exist are more likely to be financeable.

Share of establishmentsKingsCaliforniaDifference
Under 5 employeesOwner-operated, often no management layer58.2%66.9%-8.6%
5 to 49 employeesThe range most individual buyers target38.8%31.0%+7.8%
10 or more employeesPractical floor for acquisition financing22.4%16.6%+5.7%

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 Kings

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

Other industries in Kings

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.