ZIP code
20190
in Reston, VirginiaPopulation 22,012
71.22/ 100
Ranked #388 of 32,066 US ZIPs (top 1.3%)
Ranked #25 of 873 Virginia ZIPs (top 2.9%)
Ranked #47 of 308 Washington-Arlington-Alexandria, DC-VA-MD-WV ZIPs (top 15%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Dental provider access
2.1 per 1,000 residents
in the top 1.1% nationally
Higher is healthier
ST99thUS99thDefinition & source ›
The number of dental offices located inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Physician access
4.4 per 1,000 residents
in the top 1.7% nationally
Higher is healthier
ST99thUS98thDefinition & source ›
The number of physicians’ offices located inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Obesity
24%
in the bottom 4.2% nationally
Lower is healthier
ST3rdUS4thDefinition & source ›
The estimated share of adults with obesity, defined as a body-mass index of 30 or higher.
Full methodology ›Mental-health provider access
0.24 per 1,000 residents
in the top 3.1% nationally
Higher is healthier
ST96thUS97thDefinition & source ›
The number of mental-health clinics located inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Child-care access
0.76 per 1,000 residents
in the top 4.3% nationally
Higher is healthier
ST97thUS96thDefinition & source ›
The number of child day-care services inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Energy-cost burden
1.1%
in the bottom 1.3% nationally
Lower is healthier
ST3rdUS1stDefinition & source ›
The modeled share of household income spent on home energy bills — electricity, gas, and heating fuels.
A modeled share of household income spent on home energy. Estimates that hit the model’s 100% ceiling are suppressed rather than published, because at that point the figure reflects the model’s limit rather than a measured burden.
Full methodology ›Median household income
$134,746
in the top 6.1% nationally
Higher is healthier
ST88thUS94thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›Outpatient-care access
0.62 per 1,000 residents
in the top 5.1% nationally
Higher is healthier
ST95thUS95thDefinition & source ›
The number of outpatient clinics located inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›Food insecurity
7.5%
in the bottom 5.4% nationally
Lower is healthier
ST7thUS5thDefinition & source ›
The estimated share of adults who experienced food insecurity in the past 12 months.
Full methodology ›Civic-institution access
0.86 per 1,000 residents
in the top 5.5% nationally
Higher is healthier
ST96thUS95thDefinition & source ›
The number of civic and social organizations inside this ZIP’s boundary, per 1,000 residents.
Counted from establishments located inside this ZIP’s boundary, so one just across the line is not counted. Where a ZIP has too few residents for the density to be reliable, no value is published rather than an unreliable one.
Full methodology ›The read
By its overall health score, ZIP 20190, one of several in Reston, Virginia lands in the top 1.3% healthiest ZIPs nationally (388th) and the top 2.9% of Virginia (25th).
The measures split the difference for this area: dental providers resides in the top 1.1% nationally, and physicians lands in the top 1.7% nationally. Modeled obesity registers in the bottom 4.2% nationally, and mental-health providers sits in the top 3.1% nationally. Childcare rests in the top 4.3% nationally, modeled energy burden is in the bottom 1.3% nationally, and household income stands in the top 6.1% nationally. Outpatient settles in the top 5.1% nationally, and modeled food insecurity lies in the bottom 5.4% nationally. Distance to an emergency room resides at the national minimum, shared with about 11% of ZIPs.
Weighed against the ZIPs nearby, park land runs far higher than the surrounding ZIPs on this measure. To translate a couple of terms, energy burden is the share of household income that goes to home energy bills. Overall, the nearest healthier neighbor is ZIP 20194, just across the boundary.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts. Compare it against the US, this state and the Washington-Arlington-Alexandria, DC-VA-MD-WV metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Chronic Disease Burden
healthier than 94%
21%
Social Need / SDOH
in the top 0.6%
16%
Environmental Hazard
healthier than 62%
14%
Preventive Care
healthier than 87%
13%
Risk Behavior
healthier than 94%
11%
Mental Health
healthier than 92%
8%
Disability
healthier than 96%
7%
Healthcare Access
healthier than 72%
5%
About typical
Climate / Disaster Risk
healthier than 58%
5%
Nothing measured is holding this score back.
Lifting this score
Chronic Disease Burden
healthier than 93%
21%
Social Need / SDOH
in the top 1.0%
16%
Preventive Care
healthier than 79%
13%
Risk Behavior
healthier than 93%
11%
Mental Health
healthier than 96%
8%
Disability
healthier than 95%
7%
Climate / Disaster Risk
healthier than 68%
5%
Healthcare Access
healthier than 81%
5%
About typical
Environmental Hazard
healthier than 41%
14%
Nothing measured is holding this score back.
Lifting this score
Chronic Disease Burden
healthier than 79%
21%
Social Need / SDOH
healthier than 94%
16%
Preventive Care
healthier than 71%
13%
Risk Behavior
healthier than 77%
11%
Mental Health
healthier than 70%
8%
Disability
healthier than 76%
7%
Climate / Disaster Risk
healthier than 65%
5%
About typical
Environmental Hazard
healthier than 56%
14%
Healthcare Access
healthier than 59%
5%
Nothing measured is holding this score back.
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Findings that name this ZIP
One of our published findings lists this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.
Above what income predicts
The ZIP codes that outlive their incomes
Estimated life expectancy is 85.0 ± 2.1 years. A median household income of $134,746 predicts 81.3 years — 3.7 years above.
Ranked #232 of the 5,842 ZIP codes this finding names, ordered by years above what income predicts, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
20170
Virginiashares a border
Score 67.03
Closest healthier
20194
Virginiashares a border
Score 74.08
Similar health profile
30030
Georgia100% similar profile
Score 70.94
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 21.5% | 19.3–23.9 |
| High blood pressure among adults | 28.1% | 25.4–31.1 |
| Cancer (non-skin) or melanoma among adults | 7.8% | 7.1–8.6 |
| Current asthma among adults | 9.5% | 8.4–10.7 |
| Coronary heart disease among adults | 4.7% | 4.2–5.2 |
| Chronic obstructive pulmonary disease among adults | 3.9% | 3.4–4.4 |
| Depression among adults | 20.0% | 17.5–22.8 |
| Diagnosed diabetes among adults | 9.1% | 8.0–10.4 |
| High cholesterol among adults who have ever been screened | 36.2% | 33.0–39.6 |
| Obesity among adults | 24.0% | 20.4–28.3 |
| Stroke among adults | 2.4% | 2.2–2.6 |
| All teeth lost among adults aged >=65 years | 5.1% | 4.2–6.2 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 6.1% | 5.3–7.2 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 75.3% | 72.5–78.0 |
| Visits to doctor for routine checkup within the past year among adults | 77.3% | 74.3–80.2 |
| Cholesterol screening among adults | 89.6% | 88.1–90.8 |
| Colorectal cancer screening among adults aged 45–75 years | 70.0% | 66.5–73.4 |
| Visited dentist or dental clinic in the past year among adults | 76.2% | 73.8–78.5 |
| Mammography use among women aged 50-74 years | 81.3% | 76.3–85.7 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 15.5% | 13.2–18.1 |
| Current cigarette smoking among adults | 7.2% | 6.1–8.5 |
| No leisure-time physical activity among adults | 16.8% | 14.4–19.4 |
| Short sleep duration among adults | 32.8% | 29.4–36.3 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 12.1% | 10.6–13.8 |
| Frequent mental distress among adults | 12.4% | 11.0–14.0 |
| Frequent physical distress among adults | 9.6% | 8.5–10.9 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 10.4% | 9.2–11.7 |
| Any disability among adults | 21.9% | 19.3–24.8 |
| Hearing disability among adults | 5.2% | 4.6–5.8 |
| Independent living disability among adults | 5.1% | 4.5–5.7 |
| Mobility disability among adults | 8.8% | 7.7–10.0 |
| Self-care disability among adults | 2.1% | 1.9–2.4 |
| Vision disability among adults | 3.1% | 2.8–3.4 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 19.1% | 16.5–21.8 |
| Food insecurity in the past 12 months among adults | 7.5% | 6.4–8.7 |
| Received food stamps in the past 12 months among adults | 5.1% | 4.3–5.9 |
| Housing insecurity in the past 12 months among adults | 6.9% | 6.0–8.0 |
| Lack of reliable transportation in the past 12 months among adults | 4.8% | 4.2–5.4 |
| Loneliness among adults | 31.6% | 27.7–35.5 |
| Utility services shut-off threat in the past 12 months among adults | 4.4% | 3.8–5.0 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | VA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 7.2% | 10.6% (3.1–25.8%) n=32,364 | 9.2% (2.0–22.9%) n=863 |
| Uninsured 18–64 | 6.7% | 9.0% (1.5–24.3%) n=32,286 | 8.3% (0.0–19.2%) n=861 |
| No HS diploma (25+) | 3.2% | 7.9% (1.8–20.7%) n=32,505 | 9.2% (1.9–20.7%) n=872 |
| Bachelor's or higher (25+) | 73.5% | 23.3% (9.2–53.6%) n=32,505 | 26.0% (9.2–59.8%) n=872 |
| Unemployment rate (16+) | 3.9% | 3.9% (0.0–9.8%) n=32,274 | 3.2% (0.0–8.2%) n=860 |
| Households without a vehicle | 6.1% | 3.9% (0.0–12.5%) n=32,322 | 3.6% (0.0–11.3%) n=862 |
| Broadband subscription | 95.7% | 89.3% (75.1–97.1%) n=32,322 | 87.9% (69.5–97.9%) n=862 |
| Housing cost burden (≥30% income) | 29.5% | 23.7% (10.6–40.0%) n=32,322 | 23.1% (10.8–38.1%) n=862 |
| Homeownership rate | 48.3% | 78.7% (51.7–94.0%) n=32,322 | 78.1% (52.2–95.9%) n=862 |
| Crowded housing (>1 per room) | 1.8% | 1.3% (0.0–6.3%) n=32,322 | 0.7% (0.0–4.0%) n=862 |
| Foreign-born population | 24.7% | 2.6% (0.0–18.6%) n=32,553 | 2.9% (0.0–17.0%) n=874 |
| Single-parent households | 54.2% | 53.6% (37.3–74.1%) n=32,087 | 54.3% (38.2–78.2%) n=855 |
| Population 65+ | 15.1% | 19.4% (10.8–33.6%) n=32,553 | 20.5% (10.8–37.3%) n=874 |
| Median age | 40.5 yr | 42.2 yr (33.0–56.3) n=32,292 | 43.6 yr (34.0–59.2) n=864 |
| Median household income | $134,746 | $72,070 ($46,039–$118,707) n=30,318 | $73,854 ($46,504–$141,698) n=804 |
| Median home value | $581,400 | $222,200 ($100,300–$579,820) n=30,049 | $274,800 ($123,240–$642,380) n=789 |
| Median gross rent | $2,307 | $1,021 ($677–$1,912) n=25,670 | $1,144 ($742–$2,191) n=615 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | VA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 85.0 yr ± 1.08 | 78.9 yr (74.7–82.8) n=31,308 | 77.6 yr (74.5–81.4) n=826 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 1.08 years of 85.0, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured