ZIP code
65438
in Birch Tree, MissouriPopulation 2,363
40.57/ 100
Ranked #26,355 of 32,066 US ZIPs (bottom 18%)
Ranked #665 of 993 Missouri ZIPs (bottom 33%)
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.
Arsenic in groundwater
1.1%
in the bottom 3.1% nationally
Lower is healthier
ST5thUS3rdDefinition & 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 ›Industrial-pollution burden
in the bottom 6.4% nationally
Lower is healthier
ST7thUS6thDefinition & source ›
The EPA’s modeled screening score for industrial chemical releases, weighting the amounts released by their toxicity and how many people live nearby — a relative comparison score, not a measured exposure.
Full methodology ›Distance to a hazardous-chemical facility
16.9 mi
in the top 6.6% nationally
Higher is healthier
ST95thUS93rdDefinition & 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 ›PFAS in drinking water
8.9%
in the bottom 6.7% nationally
Lower is healthier
ST14thUS7thDefinition & source ›
The modeled probability that PFAS “forever chemicals” would be detected in untreated groundwater in this area, the source private wells draw on.
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 ›Hearing disability
11.3%
in the top 7.5% nationally
Lower is healthier
ST80thUS93rdDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›Park land
17.1%
in the top 8.0% nationally
Higher is healthier
ST93rdUS92ndDefinition & source ›
The share of this ZIP’s land area that is public parkland.
Full methodology ›Tree cover
71.2%
in the top 8.6% nationally
Higher is healthier
ST93rdUS91stDefinition & source ›
The share of this ZIP’s land area covered by forest.
Full methodology ›Distance to a Superfund site
58.7 mi
in the top 9.0% nationally
Higher is healthier
ST88thUS91stDefinition & source ›
The distance in miles from this ZIP’s edge to the nearest Superfund site — an abandoned or uncontrolled hazardous-waste site the EPA has listed for cleanup.
Full methodology ›Expected annual disaster loss
$0
in the top 9.2% nationally
Lower is healthier
ST91stUS91stDefinition & 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 ›Energy-cost burden
5.0%
in the top 9.2% nationally
Lower is healthier
ST88thUS91stDefinition & 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 ›The read
Birch Tree, Missouri (ZIP 65438), on the composite measure, lands in the bottom 18% nationally (26,355th) and the bottom 33% of Missouri (665th), based on limited data; treat as directional.
The profile cuts both ways, and the readings bear that out: modeled arsenic lies in the bottom 3.1% nationally, modeled industrial-pollution burden settles in the bottom 6.4% nationally, and distance to a hazardous-chemical facility stands in the top 6.6% nationally. Modeled pfas is in the bottom 6.7% nationally, park land rests in the top 8.0% nationally, and modeled tree cover sits in the top 8.6% nationally. Distance to a Superfund site registers in the top 9.0% nationally. Working the other way, modeled hearing disability lands in the top 7.5% nationally, and expected annual loss resides in the top 9.2% nationally. Modeled cognitive disability lies in the top 11.1% nationally.
Set against the neighboring ZIPs, park land runs far higher than the surrounding ZIPs on this measure. In everyday language, arsenic is a natural groundwater contaminant, here a modeled estimate of the chance private-well levels exceed a benchmark. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. Distance to a hazardous-chemical facility is a plant handling large amounts of hazardous chemicals that must file an EPA risk-management plan for accidental releases. A healthier neighbor overall sits at ZIP 65588, 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.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Environmental Hazard
healthier than 84%
14%
Healthcare Access
healthier than 68%
5%
Holding it back
Chronic Disease Burden
healthier than 15%
21%
Social Need / SDOH
healthier than 17%
16%
Preventive Care
healthier than 35%
13%
Risk Behavior
healthier than 15%
11%
Mental Health
healthier than 28%
8%
Disability
healthier than 13%
7%
Climate / Disaster RiskPartial
healthier than 30%
5%
Lifting this score
Environmental Hazard
healthier than 87%
14%
Healthcare Access
healthier than 75%
5%
About typical
Preventive Care
healthier than 44%
13%
Mental Health
healthier than 47%
8%
Holding it back
Chronic Disease Burden
healthier than 19%
21%
Social Need / SDOH
healthier than 16%
16%
Risk Behavior
healthier than 35%
11%
Disability
healthier than 22%
7%
Climate / Disaster RiskPartial
healthier than 30%
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
65466
Missourishares a border
Score 36.33
Closest healthier
65588
Missourishares a border
Score 40.80
Similar health profile
65674
Missouri100% similar profile
Score 38.39
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 | 35.7% | 32.4–39.0 |
| High blood pressure among adults | 42.3% | 38.4–46.2 |
| Cancer (non-skin) or melanoma among adults | 10.7% | 9.8–11.7 |
| Current asthma among adults | 11.1% | 9.9–12.4 |
| Coronary heart disease among adults | 9.5% | 8.5–10.5 |
| Chronic obstructive pulmonary disease among adults | 11.7% | 10.3–13.3 |
| Depression among adults | 24.9% | 21.6–28.3 |
| Diagnosed diabetes among adults | 15.0% | 13.2–17.0 |
| High cholesterol among adults who have ever been screened | 41.2% | 37.3–45.2 |
| Obesity among adults | 36.7% | 30.0–44.0 |
| Stroke among adults | 4.9% | 4.5–5.4 |
| All teeth lost among adults aged >=65 years | 21.0% | 17.7–24.6 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 10.1% | 8.4–12.0 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 80.5% | 78.1–82.7 |
| Visits to doctor for routine checkup within the past year among adults | 79.3% | 76.2–82.1 |
| Cholesterol screening among adults | 84.6% | 82.8–86.3 |
| Colorectal cancer screening among adults aged 45–75 years | 63.7% | 59.1–68.2 |
| Visited dentist or dental clinic in the past year among adults | 55.7% | 52.3–59.1 |
| Mammography use among women aged 50-74 years | 72.6% | 65.6–79.0 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 14.4% | 12.1–16.9 |
| Current cigarette smoking among adults | 20.2% | 17.6–23.1 |
| No leisure-time physical activity among adults | 34.3% | 29.6–39.2 |
| Short sleep duration among adults | 38.3% | 32.2–44.9 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 25.6% | 22.7–28.9 |
| Frequent mental distress among adults | 18.1% | 16.3–20.2 |
| Frequent physical distress among adults | 17.7% | 15.8–19.8 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 19.6% | 17.5–21.8 |
| Any disability among adults | 42.6% | 38.4–47.3 |
| Hearing disability among adults | 11.3% | 10.2–12.6 |
| Independent living disability among adults | 11.3% | 10.1–12.7 |
| Mobility disability among adults | 21.3% | 18.8–24.0 |
| Self-care disability among adults | 5.2% | 4.6–5.9 |
| Vision disability among adults | 6.5% | 5.8–7.3 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 20.5% | 17.5–23.6 |
| Food insecurity in the past 12 months among adults | 15.5% | 13.0–17.8 |
| Received food stamps in the past 12 months among adults | 12.6% | 10.5–14.7 |
| Housing insecurity in the past 12 months among adults | 12.0% | 10.2–13.8 |
| Lack of reliable transportation in the past 12 months among adults | 8.9% | 7.8–10.0 |
| Loneliness among adults | 32.6% | 27.9–37.5 |
| Utility services shut-off threat in the past 12 months among adults | 8.9% | 7.7–10.0 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | MO median (p10–p90) |
|---|---|---|---|
| Poverty rate | 23.6% | 10.6% (3.1–25.8%) n=32,364 | 12.3% (3.2–26.0%) n=1,009 |
| Uninsured 18–64 | 21.9% | 9.0% (1.5–24.3%) n=32,286 | 13.2% (3.5–28.4%) n=1,006 |
| No HS diploma (25+) | 14.5% | 7.9% (1.8–20.7%) n=32,505 | 9.5% (2.5–20.5%) n=1,009 |
| Bachelor's or higher (25+) | 10.8% | 23.3% (9.2–53.6%) n=32,505 | 18.1% (7.2–40.2%) n=1,009 |
| Unemployment rate (16+) | 0.5% | 3.9% (0.0–9.8%) n=32,274 | 2.9% (0.0–8.5%) n=1,003 |
| Households without a vehicle | 7.2% | 3.9% (0.0–12.5%) n=32,322 | 4.1% (0.0–11.9%) n=1,009 |
| Broadband subscription | 79.9% | 89.3% (75.1–97.1%) n=32,322 | 86.3% (72.7–95.2%) n=1,009 |
| Housing cost burden (≥30% income) | 11.2% | 23.7% (10.6–40.0%) n=32,322 | 20.7% (8.4–33.9%) n=1,009 |
| Homeownership rate | 92.2% | 78.7% (51.7–94.0%) n=32,322 | 79.4% (56.0–94.3%) n=1,009 |
| Crowded housing (>1 per room) | 0.0% | 1.3% (0.0–6.3%) n=32,322 | 1.1% (0.0–5.1%) n=1,009 |
| Foreign-born population | 0.3% | 2.6% (0.0–18.6%) n=32,553 | 0.8% (0.0–6.4%) n=1,010 |
| Single-parent households | 75.5% | 53.6% (37.3–74.1%) n=32,087 | 55.0% (39.5–75.6%) n=1,005 |
| Population 65+ | 25.1% | 19.4% (10.8–33.6%) n=32,553 | 19.2% (11.7–31.1%) n=1,010 |
| Median age | 54.3 yr | 42.2 yr (33.0–56.3) n=32,292 | 41.5 yr (33.3–55.9) n=1,005 |
| Median household income | $54,028 | $72,070 ($46,039–$118,707) n=30,318 | $61,740 ($42,457–$95,231) n=948 |
| Median home value | $117,400 | $222,200 ($100,300–$579,820) n=30,049 | $174,150 ($91,880–$309,500) n=930 |
| Median gross rent | $559 | $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 | 75.9 yr ± 1.16 | 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 1.16 years of 75.9, 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