ZIP code
63654
in Lesterville, MissouriPopulation 752
37.62/ 100
Ranked #28,230 of 32,066 US ZIPs (bottom 12.0%)
Ranked #779 of 993 Missouri ZIPs (bottom 22%)
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.
Tree cover
87%
in the top 2.3% nationally
Higher is healthier
ST99thUS98thDefinition & source ›
The share of this ZIP’s land area covered by forest.
Full methodology ›Distance to an emergency room
25.5 mi
in the top 2.9% nationally
Lower is healthier
ST97thUS97thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare-certified hospital with an emergency room.
Full methodology ›Hearing disability
12.1%
in the top 4.2% nationally
Lower is healthier
ST89thUS96thDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›Arsenic in groundwater
1.1%
in the bottom 3.9% nationally
Lower is healthier
ST7thUS4thDefinition & source ›
The modeled probability that untreated groundwater in this area — the source private wells draw on — exceeds the federal arsenic limit of 10 micrograms per liter.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›Mobility disability
22.8%
in the top 7.3% nationally
Lower is healthier
ST85thUS93rdDefinition & source ›
The estimated share of adults with serious difficulty walking or climbing stairs.
Full methodology ›Coronary heart disease
10.4%
in the top 7.1% nationally
Lower is healthier
ST89thUS93rdDefinition & source ›
The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.
Full methodology ›Unemployment rate
11.0%
in the top 7.9% nationally
Lower is healthier
ST95thUS92ndDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›Cognitive disability
20.1%
in the top 9.0% nationally
Lower is healthier
ST73rdUS91stDefinition & source ›
The estimated share of adults with serious difficulty concentrating, remembering, or making decisions.
Full methodology ›Median household income
$36,607
in the bottom 4.0% nationally
Higher is healthier
ST4thUS4thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›Distance to a nursing home
10.2 mi
in the top 10.7% nationally
Lower is healthier
ST96thUS89thDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Medicare- or Medicaid-certified nursing home.
Full methodology ›The read
On the composite measure, Lesterville, Missouri (ZIP 63654) stands in the bottom 12.0% nationally (28,230th) and the bottom 22% of Missouri (779th), based on limited data; treat as directional.
A balanced set of signals defines this area, not any single one: modeled tree cover settles in the top 2.3% nationally, and arsenic rests in the bottom 3.9% nationally. By contrast, distance to an emergency room lands in the top 2.9% nationally, and modeled hearing disability settles in the top 4.2% nationally. Modeled mobility disability rests in the top 7.3% nationally, modeled coronary heart disease lands in the top 7.1% nationally, and unemployment settles in the top 7.9% nationally. Modeled cognitive disability rests in the top 9.0% nationally. Fiber broadband lands at the national minimum, shared with about 19% of ZIPs. Household income settles in the bottom 4.0% nationally.
Set beside the wider area around it, park land runs far lower than the surrounding ZIPs on this measure. For clarity, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. ZIP 63625, just across the boundary, ranks better overall among the ZIPs nearby.
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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 88%
14%
Holding it back
Chronic Disease Burden
healthier than 8%
21%
Social Need / SDOH
healthier than 18%
16%
Preventive Care
healthier than 38%
13%
Risk Behavior
healthier than 11%
11%
Mental Health
healthier than 23%
8%
Disability
healthier than 8%
7%
Climate / Disaster RiskPartial
healthier than 33%
5%
Healthcare Access
healthier than 17%
5%
Lifting this score
Environmental Hazard
healthier than 90%
14%
About typical
Preventive Care
healthier than 51%
13%
Holding it back
Chronic Disease Burden
healthier than 10%
21%
Social Need / SDOH
healthier than 17%
16%
Risk Behavior
healthier than 23%
11%
Mental Health
healthier than 35%
8%
Disability
healthier than 11%
7%
Climate / Disaster RiskPartial
healthier than 39%
5%
Healthcare Access
healthier than 9%
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.
Nearby
63620
Missourishares a border
Score 37.27
Closest healthier
63625
Missourishares a border
Score 37.84
Similar health profile
63543
Missouri100% similar profile
Score 40.83
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 | 37.1% | 33.2–41.0 |
| High blood pressure among adults | 44.0% | 39.5–48.5 |
| Cancer (non-skin) or melanoma among adults | 10.8% | 9.6–11.9 |
| Current asthma among adults | 11.1% | 9.8–12.6 |
| Coronary heart disease among adults | 10.4% | 9.0–11.9 |
| Chronic obstructive pulmonary disease among adults | 13.1% | 10.8–15.6 |
| Depression among adults | 25.6% | 21.8–29.6 |
| Diagnosed diabetes among adults | 16.4% | 14.0–18.9 |
| High cholesterol among adults who have ever been screened | 42.9% | 38.3–47.6 |
| Obesity among adults | 41.7% | 33.3–50.9 |
| Stroke among adults | 5.3% | 4.6–6.1 |
| All teeth lost among adults aged >=65 years | 18.9% | 15.3–22.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 10.8% | 8.4–13.5 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 81.3% | 78.4–83.8 |
| Visits to doctor for routine checkup within the past year among adults | 79.8% | 76.3–83.0 |
| Cholesterol screening among adults | 84.7% | 82.4–86.9 |
| Colorectal cancer screening among adults aged 45–75 years | 64.4% | 59.2–69.3 |
| Visited dentist or dental clinic in the past year among adults | 55.6% | 51.8–59.2 |
| Mammography use among women aged 50-74 years | 73.3% | 64.9–80.3 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 13.8% | 11.3–16.6 |
| Current cigarette smoking among adults | 21.8% | 17.9–25.9 |
| No leisure-time physical activity among adults | 36.9% | 30.5–43.0 |
| Short sleep duration among adults | 38.3% | 31.4–45.2 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 27.9% | 23.3–32.6 |
| Frequent mental distress among adults | 18.3% | 16.0–20.7 |
| Frequent physical distress among adults | 18.9% | 16.0–21.6 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 20.1% | 17.1–23.0 |
| Any disability among adults | 44.7% | 38.5–50.4 |
| Hearing disability among adults | 12.1% | 10.5–13.6 |
| Independent living disability among adults | 12.1% | 10.2–14.2 |
| Mobility disability among adults | 22.8% | 19.0–26.5 |
| Self-care disability among adults | 5.9% | 4.8–7.0 |
| Vision disability among adults | 7.2% | 6.0–8.4 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.2% | 16.9–23.9 |
| Food insecurity in the past 12 months among adults | 17.5% | 14.0–21.5 |
| Received food stamps in the past 12 months among adults | 15.3% | 12.1–18.9 |
| Housing insecurity in the past 12 months among adults | 13.1% | 10.8–15.6 |
| Lack of reliable transportation in the past 12 months among adults | 9.8% | 8.3–11.5 |
| Loneliness among adults | 30.5% | 25.5–35.8 |
| Utility services shut-off threat in the past 12 months among adults | 10.0% | 8.5–11.7 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 13.6% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 21.7% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 13.3% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 15.6% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 11.0% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 1.5% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 90.9% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 20.1% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 91.2% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 3.5% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.0% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 82.7% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 28.9% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 51.3 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $36,607 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $188,200 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $675 | $1,021 ($677–$1,912) n=25,670 | $813 ($553–$1,265) n=786 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 78.5 yr ± 1.49 | 78.9 yr (74.7–82.8) n=31,308 | 77.6 yr (74.6–81.0) n=995 |
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 1.49 years of 78.5, 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