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ZipVitals

Insights & Rankings Compare

Compare ZIP codes side by side

Line up 2–5 ZIP codes and read the ZipVitals Score, both ranks, and every scoring domain against the same national scale. Descriptive of documented conditions — never a verdict on the people who live there.

Comparing45044Middletown, OH45356Piqua, OH
2–5 ZIPs · 2 selected
ZipVitals Score and its national and state ranks, compared across 2 ZIP codes. Higher is healthier. The nine scoring domains follow, one table each.
Metric
ZipVitals Score44.07 Leads43.52
National rank#23,345of 32,066 US ZIPs Leads#23,886of 32,066 US ZIPs
State rank#793of 1,176 OH ZIPs#821of 1,176 OH ZIPs
Metro rank#118of 156 ZIPs in its metro area#46of 57 ZIPs in its metro area

ZipVitals ScoreComposite of 9 scoring domainsNational rank, State rank and Metro rankAmong ZIPs with a computed score

Metro areas 45044: Cincinnati, OH-KY-IN · 45356: Dayton-Kettering-Beavercreek, OH.

Where these ZIPs differ, domain by domain

Nine domains make up the ZipVitals Score. Each one is placed on the same national scale, and the domains where these ZIPs are furthest apart come first. Higher is healthier in every one.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes. How the score works, and who it compares you with ›

Every ranking, bar and gap below is measured against the same national group. Where a ZIP’s line also mentions its state or its metro area, that figure is measured against a different group — its own — so it is context for that one ZIP and never a comparison between them.

Furthest apart first

all 2 ZIPs can be placed on these 9 domains
Healthcare Access5% of the score 45044 leads · 54-point gap
45044Middletownhealthier than 92% · 92% in Ohio, 91% in its metro area1 of 2
45356Piquahealthier than 38% · 28% in Ohio, 14% in its metro area2 of 2
Climate / Disaster Risk5% of the score 45356 leads · 12-point gap
45356Piquahealthier than 66% · 39% in Ohio, 54% in its metro area1 of 2
45044Middletownhealthier than 54% · 20% in Ohio, 34% in its metro area2 of 2
Chronic Disease Burden21% of the score 45044 leads · 10-point gap
45044Middletownhealthier than 46% · 62% in Ohio, 46% in its metro area1 of 2
45356Piquahealthier than 36% · 48% in Ohio, 25% in its metro area2 of 2
Disability7% of the score 45044 leads · 5-point gap
45044Middletownhealthier than 50% · 43% in Ohio, 36% in its metro area1 of 2
45356Piquahealthier than 45% · 37% in Ohio, 23% in its metro area2 of 2
Preventive Care13% of the score 45044 leads · 4-point gap
45044Middletownhealthier than 39% · 26% in Ohio, 17% in its metro area1 of 2
45356Piquahealthier than 35% · 20% in Ohio, 18% in its metro area2 of 2
Social Need / SDOH16% of the score 45356 leads · 2-point gap
45356Piquahealthier than 50% · 57% in Ohio, 25% in its metro area1 of 2
45044Middletownhealthier than 48% · 55% in Ohio, 36% in its metro area2 of 2
Environmental Hazard14% of the score 45356 leads · 2-point gap
45356Piquahealthier than 3% · 5% in Ohio, 13% in its metro area1 of 2
45044Middletownin the bottom 1.0% · 1% in Ohio, 3% in its metro area2 of 2
Risk Behavior11% of the score 45356 leads · 2-point gap
45356Piquahealthier than 16% · 32% in Ohio, 20% in its metro area1 of 2
45044Middletownhealthier than 14% · 28% in Ohio, 21% in its metro area2 of 2
Mental Health8% of the score 45356 leads · 1-point gap
45356Piquahealthier than 16% · 33% in Ohio, 23% in its metro area1 of 2
45044Middletownhealthier than 15% · 31% in Ohio, 28% in its metro area2 of 2

“Of the score” is the domain’s weight in the ZipVitals Score — a property of the score itself, the same on every ZIP. A gap is the distance between the highest and lowest of these ZIPs on that domain’s national scale. Percentages are rounded; higher is healthier in every domain.

Data release 2026 · higher is healthier on every row. How the ZipVitals Score is calculated →

The State rank and Metro rank rows show no “Leads” marker: each ZIP is ranked against the ZIPs in its own state and the ZIPs in its own metro area, so those ranks are not ordered against one another.

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Middletown vs. Piqua

Middletown 45044 · OHLEADS44.07
Piqua 45356 · OH43.52

Data release 2026 · public federal and academic sources · higher is healthier

Preview of the auto-generated share card · ZipVitals Score, 0–100