NAICS 621111 · California overview

Physician Practices in Merced County

Merced County had 125 Medical Practice establishments in 2023, ranking 27 of 54 California counties and accounting for 0.4% of the statewide total.

Establishments (2023)
125
Rank 27 of 54 counties
Employees
903
Mid-March employment
Annual payroll
$71M
All establishments
Per 10k residents
4.2
297,260 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
138
2026Q1
Employment
957
Quarter-end level
Average weekly wage
$1,496
Per covered worker
Quarterly trend
+3.0%
2025Q2 to 2026Q1
Concentration vs the national averageBLS, 2026Q1

0.61 location quotient. Medical Practice employment in Merced County is about 1.6 times less concentrated than in the United States as a whole.

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 Merced County. 23 of 125 establishments (18%) employ 10 or more people, the practical floor for most acquisition financing.

EmployeesEstablishmentsShareDistribution
1-47257.6%
5-92822.4%
10-191411.2%
20-4997.2%

Establishment trend

Year-over-year establishment counts, County Business Patterns. Net growth of 4.2% since 2020.

YearEstablishmentsChange
2020120n/a
2021112-8
2022115+3
2023125+10

How this market compares

Merced 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 average4.2 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
-22%
Businesses per resident
Rank by count
#27
of 54 counties
Rank by density
#40
of 54 ranked
Since 2020
+4%
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

Merced 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 establishmentsMercedCaliforniaDifference
Under 5 employeesOwner-operated, often no management layer57.6%66.9%-9.3%
5 to 49 employeesThe range most individual buyers target40.8%31.0%+9.8%
10 or more employeesPractical floor for acquisition financing18.4%16.6%+1.8%

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 Merced

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

Other industries in Merced

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.