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ZipVitals

ZIP code

20645

in Issue, MarylandPopulation 814

53.98/ 100

Ranked #10,716 of 32,066 US ZIPs (top 33%)

Ranked #323 of 458 Maryland ZIPs (bottom 29%)

Ranked #253 of 308 Washington-Arlington-Alexandria, DC-VA-MD-WV ZIPs (bottom 18%)

Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.

Robust across all 9 health domains

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.

Median household income

$191,429

in the top 1.3% nationally

Higher is healthier

ST93rd
US99th
Definition & source ›

The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.

Full methodology ›

Transportation noise

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
Definition & source ›

The modeled share of residents exposed to average road, rail, and aviation noise at or above 55 decibels — a noticeable background presence.

Full methodology ›

Poverty rate

0.00%

at the national minimum

Lower is healthier

ST1st
US1st
Definition & source ›

The share of residents whose income is below the federal poverty line, from the Census Bureau’s American Community Survey.

Full methodology ›

Recreation access

1.3 per 1,000 residents

in the top 4.9% nationally

Higher is healthier

ST97th
US95th
Definition & source ›

The number of places for physical recreation — gyms, sports, and fitness venues — 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 ›

Expected annual disaster loss

$0

in the bottom 5.3% nationally

Lower is healthier

ST6th
US5th
Definition & source ›

FEMA’s modeled estimate, in dollars per year, of the average harm to people expected from natural hazards — an annualized average, not a forecast for any single year.

Full methodology ›

Homeownership rate

96.3%

in the top 7.1% nationally

Higher is healthier

ST86th
US93rd
Definition & source ›

The share of occupied homes that are owned, rather than rented, by the people living in them.

Full methodology ›

Floodplain exposure

32.7%

in the top 8.8% nationally

Lower is healthier

ST91st
US91st
Definition & source ›

The share of this ZIP’s land area inside FEMA’s 1%-annual-chance floodplain — the “100-year” flood zone, where flooding has about a 1-in-100 chance in any given year.

Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.

Full methodology ›

Distance to a hazardous-chemical facility

13.2 mi

in the top 9.7% nationally

Higher is healthier

ST96th
US90th
Definition & source ›

The distance in miles from this ZIP’s edge to the nearest facility that handles enough hazardous chemicals to require an EPA risk-management plan for accidental releases.

Full methodology ›

Natural-disaster risk

in the bottom 9.8% nationally

Lower is healthier

ST10th
US10th
Definition & source ›

This area’s national rank on its single highest non-flood natural hazard — such as wildfire, tornado, or earthquake — in FEMA’s modeled National Risk Index; flooding is shown separately.

Full methodology ›

Outer-floodplain exposure

2.9%

in the top 11.3% nationally

Lower is healthier

ST91st
US89th
Definition & source ›

The share of this ZIP’s land area inside FEMA’s 0.2%-annual-chance flood band — the “500-year” zone, a lower but real 1-in-500 yearly chance.

Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.

Full methodology ›

The read

Judged by its overall standing, Issue, Maryland (ZIP 20645) sits in the top 33% healthiest ZIPs nationally (10,716th) and the bottom 29% of Maryland (323rd).

continue reading

A balanced showing across the data, with a few readings each side: household income lands in the top 1.3% nationally, modeled transportation noise rests at the national minimum, and poverty settles at the national minimum. Recreation lands in the top 4.9% nationally, modeled expected annual loss rests in the bottom 5.3% nationally, and homeownership settles in the top 7.1% nationally. Unemployment lands at the national minimum, shared with about 15% of ZIPs. Households without a vehicle rests at the national minimum, shared with about 16% of ZIPs. On the other hand, floodplain exposure settles in the top 8.8% nationally. Fiber broadband lands at the national minimum, shared with about 19% of ZIPs.

Placed beside its immediate neighbors, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. Put plainly, expected annual loss is FEMA's modeled estimate, in dollars, of average yearly harm to people from natural hazards. Transportation noise is the modeled share of an area exposed to average road, rail, and air noise at or above 55 decibels. Floodplain exposure is land with about a 1-in-100 chance of flooding each year, nicknamed the "100-year floodplain". A healthier nearby ZIP overall is ZIP 20625, 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.

Compare within

Lifting this score

Social Need / SDOH

healthier than 81%

16%

Environmental Hazard

healthier than 78%

14%

Preventive Care

healthier than 82%

13%

Risk Behavior

healthier than 74%

11%

Mental Health

healthier than 79%

8%

Disability

healthier than 63%

7%

Holding it back

Chronic Disease Burden

healthier than 31%

21%

Climate / Disaster Risk

healthier than 17%

5%

Healthcare Access

healthier than 15%

5%

Lifting this score

Social Need / SDOH

healthier than 61%

16%

Environmental Hazard

healthier than 73%

14%

About typical

Preventive Care

healthier than 52%

13%

Risk Behavior

healthier than 52%

11%

Mental Health

healthier than 55%

8%

Holding it back

Chronic Disease Burden

healthier than 17%

21%

Disability

healthier than 29%

7%

Climate / Disaster Risk

healthier than 8%

5%

Healthcare Access

healthier than 3%

5%

Lifting this score

Environmental Hazard

healthier than 87%

14%

About typical

Social Need / SDOH

healthier than 43%

16%

Preventive Care

healthier than 58%

13%

Holding it back

Chronic Disease Burden

healthier than 5%

21%

Risk Behavior

healthier than 35%

11%

Mental Health

healthier than 39%

8%

Disability

healthier than 18%

7%

Climate / Disaster Risk

healthier than 3%

5%

Healthcare Access

healthier than 11%

5%

“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 ›

Nearby & similar ZIPs

Editorially selected — see how this ZIP compares to nearby and similar places.

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
MeasureCrude prevalence95% CI
Arthritis among adults33.0%30.1–35.9
High blood pressure among adults44.2%40.8–47.5
Cancer (non-skin) or melanoma among adults10.7%9.6–11.8
Current asthma among adults10.0%8.9–11.2
Coronary heart disease among adults7.6%6.7–8.7
Chronic obstructive pulmonary disease among adults8.3%6.9–9.9
Depression among adults20.1%17.5–22.8
Diagnosed diabetes among adults14.0%12.3–16.0
High cholesterol among adults who have ever been screened43.1%39.9–46.6
Obesity among adults39.2%34.6–43.9
Stroke among adults4.0%3.5–4.6
All teeth lost among adults aged >=65 years12.8%10.5–15.2
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years6.7%5.1–8.6
Taking medicine to control high blood pressure among adults with high blood pressure80.4%77.9–83.0
Visits to doctor for routine checkup within the past year among adults81.0%78.4–83.4
Cholesterol screening among adults91.0%89.5–92.5
Colorectal cancer screening among adults aged 45–75 years66.2%62.4–69.6
Visited dentist or dental clinic in the past year among adults64.3%61.5–67.1
Mammography use among women aged 50-74 years77.2%71.8–81.8
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults14.1%12.0–16.4
Current cigarette smoking among adults14.0%11.1–17.0
No leisure-time physical activity among adults24.5%20.5–28.7
Short sleep duration among adults34.4%30.7–38.1
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults18.7%15.7–21.9
Frequent mental distress among adults15.5%13.5–17.4
Frequent physical distress among adults14.2%12.2–16.3
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults12.4%10.5–14.4
Any disability among adults29.4%25.4–33.5
Hearing disability among adults8.0%7.0–9.1
Independent living disability among adults7.5%6.3–8.8
Mobility disability among adults14.9%12.6–17.5
Self-care disability among adults3.8%3.3–4.5
Vision disability among adults4.6%4.0–5.4
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults22.2%19.1–25.8
Food insecurity in the past 12 months among adults11.6%9.2–14.4
Received food stamps in the past 12 months among adults8.9%6.9–11.2
Housing insecurity in the past 12 months among adults9.5%7.7–11.4
Lack of reliable transportation in the past 12 months among adults6.1%5.1–7.2
Loneliness among adults31.4%27.5–35.6
Utility services shut-off threat in the past 12 months among adults6.4%5.3–7.6
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)MD median (p10–p90)
Poverty rate0.0%10.6% (3.1–25.8%) n=32,3646.7% (1.1–19.3%) n=459
Uninsured 18–640.0%9.0% (1.5–24.3%) n=32,2864.8% (0.0–13.1%) n=459
No HS diploma (25+)0.0%7.9% (1.8–20.7%) n=32,5056.3% (0.5–16.6%) n=463
Bachelor's or higher (25+)46.1%23.3% (9.2–53.6%) n=32,50537.3% (15.0–64.4%) n=463
Unemployment rate (16+)0.0%3.9% (0.0–9.8%) n=32,2743.9% (0.0–8.6%) n=457
Households without a vehicle0.0%3.9% (0.0–12.5%) n=32,3223.2% (0.0–12.4%) n=457
Broadband subscription89.6%89.3% (75.1–97.1%) n=32,32293.3% (81.2–100.0%) n=457
Housing cost burden (≥30% income)11.4%23.7% (10.6–40.0%) n=32,32227.0% (12.0–41.8%) n=457
Homeownership rate96.3%78.7% (51.7–94.0%) n=32,32282.1% (49.9–98.5%) n=457
Crowded housing (>1 per room)0.0%1.3% (0.0–6.3%) n=32,3220.7% (0.0–4.0%) n=457
Foreign-born population1.6%2.6% (0.0–18.6%) n=32,5536.2% (0.0–26.4%) n=464
Single-parent households69.5%53.6% (37.3–74.1%) n=32,08750.9% (34.0–73.3%) n=450
Population 65+23.3%19.4% (10.8–33.6%) n=32,55318.0% (10.9–33.1%) n=464
Median age50.9 yr42.2 yr (33.0–56.3) n=32,29241.8 yr (34.2–57.2) n=460
Median household income$191,429$72,070 ($46,039–$118,707) n=30,318$106,181 ($62,879–$172,423) n=419
Median home value$531,500$222,200 ($100,300–$579,820) n=30,049$423,400 ($215,180–$683,660) n=427
Median gross rent$1,021 ($677–$1,912) n=25,670$1,626 ($958–$2,415) n=339
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)MD median (p10–p90)
Life expectancy at birth81.1 yr ± 1.9578.9 yr (74.7–82.8) n=31,30879.5 yr (75.7–82.7) n=451

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 1.95 years of 81.1, and it’s very unlikely to be off by more than twice that.

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