ZIP code
78023
in Helotes, TexasPopulation 28,462
64.15/ 100
Ranked #2,367 of 32,066 US ZIPs (top 7.4%)
Ranked #72 of 1,868 Texas ZIPs (top 3.9%)
Ranked #6 of 117 San Antonio-New Braunfels, TX ZIPs (top 5.2%)
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.
Dry extreme heat
88.7 days/year
in the top 3.4% nationally
Lower is healthier
ST66thUS97thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Median household income
$134,007
in the top 6.2% nationally
Higher is healthier
ST96thUS94thDefinition & source ›
The middle household income in this ZIP — half of households earn more, half earn less — in dollars per year.
Full methodology ›PFAS in drinking water
100%
at the national maximum
Lower is healthier
ST99thUS99thDefinition & source ›
The share of residents served by public water systems where PFAS — man-made “forever chemicals” that build up in the body and environment instead of breaking down — were detected in EPA testing.
Measured from EPA records for the public water systems that serve this ZIP. Households on private wells — roughly 30% of the US population — are not covered by this measure, and this figure says nothing about their water.
Full methodology ›Coronary heart disease
4.3%
in the bottom 4.6% nationally
Lower is healthier
ST10thUS5thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have coronary heart disease or angina.
Full methodology ›Park land
22.2%
in the top 6.3% nationally
Higher is healthier
ST99thUS94thDefinition & source ›
The share of this ZIP’s land area that is public parkland.
Full methodology ›Independent-living disability
5.1%
in the bottom 3.1% nationally
Lower is healthier
ST3rdUS3rdDefinition & source ›
The estimated share of adults who have difficulty doing errands alone, such as visiting a doctor’s office, because of a physical, mental, or emotional condition.
Full methodology ›Humid extreme heat
142.6 days/year
in the top 6.7% nationally
Lower is healthier
ST62ndUS93rdDefinition & source ›
The average number of days per year when modeled heat stress — temperature, humidity, sun, and wind combined — reaches levels hard on the body outdoors.
Full methodology ›Stroke
2.3%
in the bottom 4.3% nationally
Lower is healthier
ST8thUS4thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have had a stroke.
Full methodology ›Tooth loss
5.0%
in the bottom 2.2% nationally
Lower is healthier
ST1stUS2ndDefinition & source ›
The estimated share of adults aged 65 and older who have lost all of their natural teeth.
Full methodology ›Hearing disability
5.0%
in the bottom 6.4% nationally
Lower is healthier
ST11thUS6thDefinition & source ›
The estimated share of adults who are deaf or have serious difficulty hearing.
Full methodology ›The read
On the composite measure, Helotes, Texas (ZIP 78023) stands in the top 7.4% healthiest ZIPs nationally (2,367th) and the top 3.9% of Texas (72nd).
The strongest marks in the data are worth naming first: household income settles in the top 6.2% nationally, and modeled coronary heart disease rests in the bottom 4.6% nationally. Park land lands in the top 6.3% nationally, and modeled independent living disability settles in the bottom 3.1% nationally. Modeled stroke rests in the bottom 4.3% nationally, tooth loss lands in the bottom 2.2% nationally, and hearing disability settles in the bottom 6.4% nationally. On the other side, modeled extreme heat rests in the top 3.4% nationally, PFAS in drinking water lands at the national maximum, and modeled humid heat settles in the top 6.7% nationally.
Set beside the wider area around it, park land runs far higher than the surrounding ZIPs on this measure. For clarity, PFAS in drinking water is the family of man-made "forever chemicals" that build up in the body and environment instead of breaking down. Extreme heat is a modeled count of days a year reaching a dangerously high temperature, a leading weather hazard. Humid heat is a modeled heat-stress measure combining temperature, humidity, sun, and wind to gauge heat on the body outdoors. ZIP 78255, 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. Compare it against the US, this state and the San Antonio-New Braunfels, TX 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 95%
21%
Social Need / SDOH
healthier than 89%
16%
Environmental Hazard
healthier than 88%
14%
Risk Behavior
healthier than 77%
11%
Mental Health
healthier than 84%
8%
Disability
healthier than 94%
7%
Healthcare Access
healthier than 71%
5%
About typical
Preventive Care
healthier than 49%
13%
Holding it back
Climate / Disaster Risk
healthier than 11%
5%
Lifting this score
Chronic Disease Burden
healthier than 90%
21%
Social Need / SDOH
healthier than 91%
16%
Environmental Hazard
healthier than 81%
14%
Preventive Care
healthier than 89%
13%
Risk Behavior
healthier than 90%
11%
Mental Health
healthier than 91%
8%
Disability
healthier than 93%
7%
Climate / Disaster Risk
healthier than 60%
5%
Healthcare Access
healthier than 64%
5%
Nothing measured is holding this score back.
Lifting this score
Chronic Disease Burden
healthier than 86%
21%
Social Need / SDOH
healthier than 85%
16%
Environmental Hazard
healthier than 77%
14%
Preventive Care
healthier than 82%
13%
Risk Behavior
healthier than 88%
11%
Mental Health
healthier than 91%
8%
Disability
healthier than 95%
7%
Climate / Disaster Risk
healthier than 81%
5%
About typical
Healthcare Access
healthier than 44%
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 ›
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
78006
Texasshares a border
Score 59.95
Closest healthier
78255
Texasshares a border
Score 64.34
Similar health profile
32256
Florida100% similar profile
Score 61.60
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 | 21.8% | 19.6–24.1 |
| High blood pressure among adults | 30.8% | 28.0–33.8 |
| Cancer (non-skin) or melanoma among adults | 6.8% | 6.2–7.5 |
| Current asthma among adults | 8.6% | 7.7–9.7 |
| Coronary heart disease among adults | 4.3% | 3.9–4.8 |
| Chronic obstructive pulmonary disease among adults | 3.6% | 3.2–4.0 |
| Depression among adults | 21.3% | 18.7–24.0 |
| Diagnosed diabetes among adults | 10.7% | 9.5–12.1 |
| High cholesterol among adults who have ever been screened | 33.7% | 30.7–36.9 |
| Obesity among adults | 28.8% | 25.1–32.9 |
| Stroke among adults | 2.3% | 2.1–2.5 |
| All teeth lost among adults aged >=65 years | 5.0% | 4.1–6.1 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 11.2% | 9.9–12.6 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 74.4% | 71.4–77.3 |
| Visits to doctor for routine checkup within the past year among adults | 74.9% | 71.8–77.8 |
| Cholesterol screening among adults | 89.1% | 87.8–90.4 |
| Colorectal cancer screening among adults aged 45–75 years | 65.6% | 62.0–69.2 |
| Visited dentist or dental clinic in the past year among adults | 69.7% | 67.3–72.2 |
| Mammography use among women aged 50-74 years | 77.0% | 71.8–81.9 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.5% | 15.1–20.2 |
| Current cigarette smoking among adults | 8.0% | 6.9–9.2 |
| No leisure-time physical activity among adults | 20.2% | 17.7–22.9 |
| Short sleep duration among adults | 36.7% | 33.4–40.3 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 14.0% | 12.5–15.8 |
| Frequent mental distress among adults | 13.7% | 12.2–15.3 |
| Frequent physical distress among adults | 10.5% | 9.4–11.8 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 10.5% | 9.4–11.8 |
| Any disability among adults | 23.1% | 20.6–25.8 |
| Hearing disability among adults | 5.0% | 4.5–5.6 |
| Independent living disability among adults | 5.1% | 4.6–5.7 |
| Mobility disability among adults | 9.7% | 8.6–10.9 |
| Self-care disability among adults | 2.5% | 2.3–2.7 |
| Vision disability among adults | 3.5% | 3.2–3.9 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Poverty rate | 5.2% | 10.6% (3.1–25.8%) n=32,364 | 12.4% (3.5–26.4%) n=1,869 |
| Uninsured 18–64 | 6.6% | 9.0% (1.5–24.3%) n=32,286 | 22.3% (8.2–41.5%) n=1,862 |
| No HS diploma (25+) | 3.6% | 7.9% (1.8–20.7%) n=32,505 | 12.2% (2.5–30.0%) n=1,881 |
| Bachelor's or higher (25+) | 57.5% | 23.3% (9.2–53.6%) n=32,505 | 21.9% (9.0–51.4%) n=1,881 |
| Unemployment rate (16+) | 4.0% | 3.9% (0.0–9.8%) n=32,274 | 4.2% (0.0–9.4%) n=1,865 |
| Households without a vehicle | 1.4% | 3.9% (0.0–12.5%) n=32,322 | 3.7% (0.0–10.8%) n=1,868 |
| Broadband subscription | 96.7% | 89.3% (75.1–97.1%) n=32,322 | 89.2% (75.0–97.3%) n=1,868 |
| Housing cost burden (≥30% income) | 25.0% | 23.7% (10.6–40.0%) n=32,322 | 26.2% (8.8–40.3%) n=1,868 |
| Homeownership rate | 89.1% | 78.7% (51.7–94.0%) n=32,322 | 75.0% (46.4–92.3%) n=1,868 |
| Crowded housing (>1 per room) | 1.9% | 1.3% (0.0–6.3%) n=32,322 | 3.1% (0.0–9.0%) n=1,868 |
| Foreign-born population | 10.6% | 2.6% (0.0–18.6%) n=32,553 | 8.1% (0.1–26.4%) n=1,886 |
| Single-parent households | 51.3% | 53.6% (37.3–74.1%) n=32,087 | 48.5% (34.3–70.6%) n=1,861 |
| Population 65+ | 15.9% | 19.4% (10.8–33.6%) n=32,553 | 16.1% (8.6–30.1%) n=1,886 |
| Median age | 42.2 yr | 42.2 yr (33.0–56.3) n=32,292 | 38.3 yr (30.9–52.3) n=1,866 |
| Median household income | $134,007 | $72,070 ($46,039–$118,707) n=30,318 | $69,983 ($46,006–$112,413) n=1,737 |
| Median home value | $412,900 | $222,200 ($100,300–$579,820) n=30,049 | $210,500 ($97,060–$429,760) n=1,693 |
| Median gross rent | $1,685 | $1,021 ($677–$1,912) n=25,670 | $1,154 ($764–$1,815) n=1,508 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | TX median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 82.2 yr ± 1.26 | 78.9 yr (74.7–82.8) n=31,308 | 78.2 yr (75.1–81.7) n=1,772 |
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 1.26 years of 82.2, 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