Prevention

Annual Routine Checkup by County — US Rankings

CDC PLACES 2023 · Age-adjusted prevalence · All 3,144 US counties

PLACES tracks the share of adults who report having had a routine checkup in the past 12 months — a standard primary-care engagement measure. The county-level pattern is shaped by primary-care provider density (which is also reported on each county page), insurance coverage, and care-seeking culture. Some high-checkup counties are not in good general health; they are in good clinical-engagement health. The two are different and the rankings here should be read for the engagement signal, not as a health-outcome surface.

How this ranking is built

Source: CDC PLACES 2023 release. Methodology: BRFSS survey responses pooled across years, fitted with a small-area statistical model, age-adjusted to the 2000 US standard population. Confidence intervals (95%) are shown for each county — wider intervals indicate more uncertainty in the modeled estimate, typically driven by smaller populations.

Highest Annual Routine Checkup Rates — Top 100 Counties

Counties with the highest reported annual routine checkup rates — these counties lead the nation on this measure.

#	County	Rate	95% CI	State
1	Bristol County	84.0%	80.7 – 87.0	Rhode Island
2	Kent County	83.7%	80.7 – 86.3	Rhode Island
3	Claiborne County	83.4%	80.1 – 86.3	Mississippi
4	Washington County	83.2%	80.3 – 85.9	Rhode Island
5	Leflore County	83.2%	80.0 – 86.2	Mississippi
6	Holmes County	83.1%	79.9 – 86.1	Mississippi
7	Coahoma County	83.0%	79.8 – 85.9	Mississippi
8	Jefferson County	82.9%	79.6 – 85.9	Mississippi
9	Bolivar County	82.8%	79.5 – 85.8	Mississippi
10	Tunica County	82.7%	79.3 – 85.7	Mississippi
11	Hinds County	82.6%	79.4 – 85.5	Mississippi
12	Newport County	82.5%	79.3 – 85.4	Rhode Island
13	Humphreys County	82.5%	79.1 – 85.5	Mississippi
14	St. John the Baptist Parish	82.4%	79.3 – 85.3	Louisiana
15	Sumter County	82.3%	78.9 – 85.4	Alabama
16	Providence County	82.2%	79.5 – 84.8	Rhode Island
17	Caddo Parish	82.2%	78.8 – 85.3	Louisiana
18	Macon County	82.2%	78.8 – 85.2	Alabama
19	Quitman County	82.1%	78.9 – 85.1	Mississippi
20	Sunflower County	82.0%	78.5 – 85.0	Mississippi
21	Sharkey County	82.0%	79.5 – 84.1	Mississippi
22	Madison Parish	82.0%	78.6 – 85.2	Louisiana
23	Montgomery County	82.0%	78.7 – 85.0	Alabama
24	Perry County	81.9%	78.5 – 85.1	Alabama
25	Greene County	81.9%	78.4 – 85.1	Alabama
26	Orangeburg County	81.8%	78.7 – 84.7	South Carolina
27	Pike County	81.8%	78.2 – 85.0	Mississippi
28	Dallas County	81.8%	78.3 – 84.7	Alabama
29	Clay County	81.7%	78.6 – 84.8	Mississippi
30	Petersburg city	81.6%	78.4 – 84.7	Virginia
31	Washington County	81.6%	78.2 – 84.8	Mississippi
32	St. James Parish	81.6%	78.2 – 84.7	Louisiana
33	Jefferson Davis County	81.5%	78.0 – 84.6	Mississippi
34	East Baton Rouge Parish	81.5%	78.6 – 84.3	Louisiana
35	Wilkinson County	81.4%	77.7 – 84.4	Mississippi
36	Noxubee County	81.4%	77.9 – 84.5	Mississippi
37	Lowndes County	81.4%	77.7 – 84.4	Alabama
38	Darlington County	81.3%	78.0 – 84.3	South Carolina
39	Jefferson Parish	81.3%	78.5 – 83.9	Louisiana
40	Iberia Parish	81.3%	78.0 – 84.3	Louisiana
41	West Baton Rouge Parish	81.2%	77.8 – 84.3	Louisiana
42	Tensas Parish	81.2%	77.6 – 84.4	Louisiana
43	St. Helena Parish	81.2%	77.7 – 84.4	Louisiana
44	Erie County	81.1%	78.4 – 83.8	New York
45	Warren County	81.1%	77.6 – 84.2	Mississippi
46	Madison County	81.1%	77.5 – 84.0	Mississippi
47	Kemper County	81.1%	77.5 – 84.4	Mississippi
48	Morehouse Parish	81.1%	76.9 – 84.7	Louisiana
49	Wilcox County	81.1%	77.7 – 84.4	Alabama
50	Tuscaloosa County	81.1%	77.9 – 84.1	Alabama
51	Winston County	81.0%	77.5 – 84.3	Mississippi
52	Natchitoches Parish	81.0%	77.2 – 84.1	Louisiana
53	Lafayette Parish	81.0%	78.0 – 83.8	Louisiana
54	East Carroll Parish	81.0%	77.4 – 84.3	Louisiana
55	Jasper County	80.9%	77.4 – 84.2	Mississippi
56	Richland County	80.8%	77.9 – 83.4	South Carolina
57	Marion County	80.8%	77.4 – 84.0	South Carolina
58	Bronx County	80.8%	78.5 – 83.1	New York
59	Copiah County	80.8%	77.2 – 83.9	Mississippi
60	Ouachita Parish	80.8%	77.7 – 83.8	Louisiana
61	Lincoln Parish	80.8%	77.5 – 84.0	Louisiana
62	Claiborne Parish	80.8%	77.3 – 84.3	Louisiana
63	Bienville Parish	80.8%	77.1 – 84.0	Louisiana
64	Dougherty County	80.8%	77.4 – 83.8	Georgia
65	Kent County	80.8%	77.2 – 83.8	Delaware
66	Williamsburg County	80.7%	77.4 – 83.7	South Carolina
67	St. Landry Parish	80.7%	77.4 – 83.7	Louisiana
68	Bossier Parish	80.7%	77.5 – 83.8	Louisiana
69	Ascension Parish	80.7%	77.3 – 83.6	Louisiana
70	Hampton city	80.6%	77.3 – 83.7	Virginia
71	Florence County	80.6%	77.4 – 83.4	South Carolina
72	Oktibbeha County	80.6%	77.4 – 83.7	Mississippi
73	Adams County	80.6%	77.0 – 83.9	Mississippi
74	De Soto Parish	80.6%	77.1 – 84.0	Louisiana
75	Concordia Parish	80.6%	77.2 – 84.4	Louisiana
76	Phillips County	80.6%	77.1 – 83.8	Arkansas
77	Jefferson County	80.6%	77.3 – 83.5	Arkansas
78	Marengo County	80.6%	76.9 – 83.8	Alabama
79	Shelby County	80.5%	77.6 – 83.3	Tennessee
80	Sumter County	80.5%	77.4 – 83.5	South Carolina
81	Hertford County	80.5%	77.2 – 83.8	North Carolina
82	Panola County	80.5%	76.9 – 83.8	Mississippi
83	Lowndes County	80.5%	77.0 – 83.6	Mississippi
84	Livingston Parish	80.5%	77.1 – 83.7	Louisiana
85	Vanderburgh County	80.5%	77.3 – 83.6	Indiana
86	Bamberg County	80.4%	76.9 – 83.5	South Carolina
87	Northampton County	80.4%	76.5 – 83.6	North Carolina
88	Durham County	80.4%	77.2 – 83.5	North Carolina
89	St. Charles Parish	80.4%	76.8 – 83.6	Louisiana
90	Richland Parish	80.4%	76.7 – 83.8	Louisiana
91	Pointe Coupee Parish	80.4%	76.8 – 83.6	Louisiana
92	Orleans Parish	80.4%	77.4 – 83.1	Louisiana
93	Iberville Parish	80.4%	76.3 – 83.9	Louisiana
94	Hale County	80.4%	76.7 – 83.7	Alabama
95	Lee County	80.3%	76.8 – 83.5	South Carolina
96	Vance County	80.3%	76.6 – 83.7	North Carolina
97	Onondaga County	80.3%	77.4 – 82.9	New York
98	St. Louis city	80.3%	77.2 – 83.0	Missouri
99	Montgomery County	80.3%	76.7 – 83.7	Mississippi
100	Lauderdale County	80.3%	76.6 – 83.4	Mississippi

Lowest Annual Routine Checkup Rates — Bottom 100 CountiesCounties with the lowest reported annual routine checkup rates.

#	County	Rate	95% CI	State
1	Kalawao County	60.2%	55.8 – 64.1	Hawaii
2	Kenai Peninsula Borough	62.4%	58.4 – 66.2	Alaska
3	Fremont County	63.1%	58.8 – 67.6	Wyoming
4	Dillingham Census Area	63.5%	58.9 – 68.1	Alaska
5	Southeast Fairbanks Census Area	64.2%	59.7 – 68.4	Alaska
6	Big Horn County	64.4%	59.7 – 68.8	Wyoming
7	Weston County	64.5%	59.6 – 68.9	Wyoming
8	Aleutians East Borough	64.6%	59.9 – 69.4	Alaska
9	Guadalupe County	64.6%	59.2 – 69.3	New Mexico
10	Lewis County	64.6%	60.5 – 68.7	Washington
11	Washakie County	64.7%	59.7 – 69.2	Wyoming
12	Bristol Bay Borough	64.8%	60.1 – 69.3	Alaska
13	Aleutians West Census Area	64.9%	60.2 – 69.7	Alaska
14	Bethel Census Area	64.9%	60.8 – 69.4	Alaska
15	Petersburg Borough	64.9%	60.3 – 69.6	Alaska
16	Roosevelt County	64.9%	59.9 – 69.6	New Mexico
17	Yakutat City and Borough	65.0%	60.1 – 69.8	Alaska
18	Union County	65.0%	60.2 – 70.0	New Mexico
19	Eddy County	65.1%	60.2 – 69.7	New Mexico
20	Sierra County	65.1%	60.1 – 69.9	New Mexico
21	Taos County	65.1%	60.1 – 69.7	New Mexico
22	Uinta County	65.1%	60.5 – 69.5	Wyoming
23	Wrangell City and Borough	65.2%	60.7 – 69.8	Alaska
24	Lea County	65.2%	60.3 – 69.9	New Mexico
25	Luna County	65.2%	60.3 – 69.9	New Mexico
26	McKinley County	65.2%	60.5 – 69.7	New Mexico
27	Nome Census Area	65.3%	60.6 – 69.4	Alaska
28	North Slope Borough	65.3%	60.7 – 69.7	Alaska
29	Torrance County	65.3%	60.1 – 70.1	New Mexico
30	San Juan County	65.4%	61.1 – 69.3	Washington
31	Sanders County	65.5%	60.9 – 69.7	Montana
32	Bernalillo County	65.5%	61.6 – 69.4	New Mexico
33	Platte County	65.5%	60.7 – 70.1	Wyoming
34	Clallam County	65.6%	61.7 – 69.6	Washington
35	Johnson County	65.6%	60.8 – 70.1	Wyoming
36	Chugach Census Area	65.7%	61.1 – 70.0	Alaska
37	De Baca County	65.7%	60.8 – 70.6	New Mexico
38	Socorro County	65.7%	60.7 – 70.5	New Mexico
39	Grays Harbor County	65.7%	61.7 – 69.5	Washington
40	Catron County	65.8%	61.1 – 70.3	New Mexico
41	Lincoln County	65.8%	60.7 – 70.6	Wyoming
42	Denali Borough	65.9%	61.3 – 70.4	Alaska
43	Kusilvak Census Area	66.0%	61.5 – 70.8	Alaska
44	Harding County	66.0%	60.9 – 70.8	New Mexico
45	Hidalgo County	66.0%	60.8 – 70.7	New Mexico
46	Santa Fe County	66.0%	62.0 – 70.1	New Mexico
47	Copper River Census Area	66.1%	61.4 – 70.5	Alaska
48	Colfax County	66.1%	61.2 – 70.9	New Mexico
49	Grant County	66.1%	61.1 – 70.8	New Mexico
50	Hoonah-Angoon Census Area	66.2%	61.2 – 70.7	Alaska
51	Skagway Municipality	66.2%	61.1 – 70.7	Alaska
52	Toole County	66.2%	61.4 – 70.6	Montana
53	Campbell County	66.2%	61.9 – 70.5	Wyoming
54	Park County	66.2%	61.9 – 70.6	Wyoming
55	Cibola County	66.3%	61.6 – 70.9	New Mexico
56	Sandoval County	66.3%	61.7 – 70.6	New Mexico
57	Klickitat County	66.3%	61.7 – 70.5	Washington
58	Carbon County	66.3%	61.7 – 70.8	Wyoming
59	Prince of Wales-Hyder Census Area	66.4%	61.5 – 70.8	Alaska
60	San Miguel County	66.4%	61.6 – 71.0	New Mexico
61	Ferry County	66.4%	62.3 – 70.9	Washington
62	Lake and Peninsula Borough	66.5%	61.6 – 71.1	Alaska
63	Sitka City and Borough	66.5%	62.0 – 70.7	Alaska
64	Valencia County	66.5%	61.7 – 71.1	New Mexico
65	Mora County	66.6%	61.4 – 71.5	New Mexico
66	Rio Arriba County	66.6%	61.8 – 71.1	New Mexico
67	Haines Borough	66.7%	62.0 – 71.3	Alaska
68	Juneau City and Borough	66.7%	62.7 – 70.3	Alaska
69	Yukon-Koyukuk Census Area	66.7%	62.1 – 71.2	Alaska
70	Thurston County	66.7%	63.7 – 69.6	Washington
71	Fairbanks North Star Borough	66.8%	63.0 – 70.2	Alaska
72	Pend Oreille County	66.8%	62.7 – 70.9	Washington
73	Ketchikan Gateway Borough	66.9%	62.5 – 71.0	Alaska
74	Northwest Arctic Borough	66.9%	62.2 – 71.5	Alaska
75	Crowley County	66.9%	62.1 – 71.5	Colorado
76	Quay County	66.9%	61.9 – 71.6	New Mexico
77	Clark County	66.9%	64.1 – 69.5	Washington
78	Pacific County	66.9%	62.6 – 71.0	Washington
79	Niobrara County	66.9%	62.2 – 71.5	Wyoming
80	Dawson County	67.0%	62.5 – 71.2	Montana
81	Curry County	67.0%	62.4 – 71.6	New Mexico
82	Skagit County	67.0%	63.3 – 70.6	Washington
83	Kodiak Island Borough	67.1%	62.3 – 71.4	Alaska
84	Fallon County	67.1%	62.0 – 72.0	Montana
85	Lincoln County	67.1%	62.4 – 71.6	New Mexico
86	Adams County	67.1%	62.9 – 71.3	Washington
87	Teton County	67.1%	62.4 – 71.4	Wyoming
88	Powell County	67.2%	62.4 – 71.9	Montana
89	Stevens County	67.2%	63.5 – 70.7	Washington
90	Crook County	67.2%	62.4 – 71.7	Wyoming
91	Prairie County	67.3%	62.6 – 71.8	Montana
92	Teton County	67.3%	62.8 – 71.8	Montana
93	Sublette County	67.3%	62.5 – 71.6	Wyoming
94	Bent County	67.4%	62.5 – 71.9	Colorado
95	Weld County	67.4%	63.6 – 71.0	Colorado
96	Deer Lodge County	67.4%	62.9 – 71.8	Montana
97	Yakima County	67.4%	63.8 – 70.7	Washington
98	Hot Springs County	67.4%	62.7 – 71.6	Wyoming
99	Flathead County	67.5%	63.9 – 71.1	Montana
100	Petroleum County	67.5%	62.9 – 72.1	Montana

What this ranking suggests

A high checkup rate is the prerequisite for every downstream prevention measure on this site — cholesterol screening, colorectal screening, mammography, BP medication. Counties scoring high here tend to score consistently across the other Prevention rankings. The opposite is also true: low checkup rates predict low everything-else-preventive.

Methodology notes & limitations

Estimates are statistical model outputs, not direct measurements. Small counties have wider confidence intervals; treat narrow rank differences in those rows as within-noise. Counties where the underlying population is too small to support modeling are suppressed entirely (about 1% of US counties). All measures are age-adjusted to the 2000 US standard population. The PLACES dataset uses BRFSS self-reported data — self-report introduces known direction-of-bias in some measures (BMI is under-reported; binge drinking is under-reported), but the bias is roughly uniform across counties so ranking comparability is preserved. See the methodology page for full data-pipeline documentation.

By Logan Johnson, Founder & Data EditorPublished May 15, 2026Reviewed by Logan Johnson, Founder & Data Editor

Data source: CDC PLACES 2023 release. Measure ID: CHECKUP.

← All rankings