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ZipVitals

ZIP code

93274

in Tulare, CaliforniaPopulation 80,026

39.73/ 100

Ranked #26,935 of 32,066 US ZIPs (bottom 16%)

Ranked #1,511 of 1,719 California ZIPs (bottom 12.2%)

Ranked #14 of 31 Visalia, CA ZIPs (top 45%)

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.

Fine-particle (PM2.5) exceedance

10.7%

in the top 0.03% nationally

Lower is healthier

ST99th
US99th
Definition & source ›

The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.

Full methodology ›

Dry extreme heat

115.9 days/year

in the top 0.9% nationally

Lower is healthier

ST97th
US99th
Definition & source ›

The average number of days per year with a modeled daily high of at least 95 °F.

Full methodology ›

Colon-cancer screening

52.6%

in the bottom 3.2% nationally

Higher is healthier

ST15th
US3rd
Definition & source ›

The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.

Full methodology ›

Nitrate in drinking water

21.3%

in the top 2.1% nationally

Lower is healthier

ST92nd
US98th
Definition & source ›

The modeled share of this area’s domestic-well groundwater at or above the federal nitrate limit of 10 milligrams 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 ›

Air-toxics cancer risk

40 per million

in the top 2.5% nationally

Lower is healthier

ST83rd
US98th
Definition & source ›

The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.

Full methodology ›

Outer-floodplain exposure

13.7%

in the top 2.8% nationally

Lower is healthier

ST92nd
US97th
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 ›

Subsidized affordable housing

630 units

in the top 3.3% nationally

Higher is healthier

ST91st
US97th
Definition & source ›

The number of affordable rental units in this ZIP supported by the federal Low-Income Housing Tax Credit program.

Full methodology ›

Tree cover

0.00%

at the national minimum

Higher is healthier

ST1st
US1st
Definition & source ›

The share of this ZIP’s land area covered by forest.

Full methodology ›

Crowded housing

9.4%

in the top 5.1% nationally

Lower is healthier

ST74th
US95th
Definition & source ›

The share of occupied homes with more than one person per room, the Census definition of crowded housing.

Full methodology ›

Uninsured (under 65)

18.2%

in the top 6.3% nationally

Lower is healthier

ST88th
US94th
Definition & source ›

The estimated share of adults aged 18–64 with no current health-insurance coverage.

Full methodology ›

The read

Tulare, California (ZIP 93274) ranks in the bottom 16% nationally (26,935th) and the bottom 12.2% of California (1,511th).

continue reading

The weightiest signals in the profile are worth naming up front: modeled fine-particle registers in the top 0.03% nationally, and extreme heat lies in the top 0.9% nationally. Modeled colon screening is in the bottom 3.2% nationally, and nitrate registers in the top 2.1% nationally. Modeled air-toxics cancer risk lies in the top 2.5% nationally, outer-floodplain exposure is in the top 2.8% nationally, and modeled tree cover registers at the national minimum. Crowded housing lies in the top 5.1% nationally, and modeled uninsured is in the top 6.3% nationally. More positively, subsidized affordable housing registers in the top 3.3% nationally.

Against its neighbors, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. For context, fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Nitrate is a groundwater compound from fertilizer, manure, and sewage, here a modeled estimate of the chance private-well levels exceed a benchmark. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. The closest ZIP that ranks healthier overall is ZIP 93230, 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 Visalia, CA metro area.

Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.

Compare within

Lifting this score

Chronic Disease Burden

healthier than 79%

21%

Healthcare Access

healthier than 83%

5%

Holding it back

Social Need / SDOH

healthier than 8%

16%

Environmental Hazard

healthier than 2%

14%

Preventive Care

healthier than 3%

13%

Risk Behavior

healthier than 36%

11%

Mental Health

healthier than 24%

8%

Disability

healthier than 22%

7%

Climate / Disaster Risk

healthier than 5%

5%

Lifting this score

Healthcare Access

healthier than 63%

5%

About typical

Chronic Disease Burden

healthier than 46%

21%

Holding it back

Social Need / SDOH

healthier than 13%

16%

Environmental Hazard

healthier than 10%

14%

Preventive Care

healthier than 12%

13%

Risk Behavior

healthier than 18%

11%

Mental Health

healthier than 14%

8%

Disability

healthier than 21%

7%

Climate / Disaster Risk

healthier than 6%

5%

Lifting this score

Chronic Disease Burden

healthier than 87%

21%

Social Need / SDOH

healthier than 63%

16%

Preventive Care

healthier than 63%

13%

Disability

healthier than 67%

7%

Healthcare Access

healthier than 87%

5%

About typical

Risk Behavior

healthier than 57%

11%

Holding it back

Environmental Hazard

healthier than 20%

14%

Mental Health

healthier than 23%

8%

Climate / Disaster Risk

healthier than 13%

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 ›

Findings that name this ZIP

2 of our published findings list 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.

  • Heavy environment, light chronic burden

    Where the environment and chronic illness point in opposite directions

    Environmental-hazard standing 1.9 (bottom 10%); chronic-disease standing 79.2 — 77 points apart, heavier on the environment than it is on chronic illness.

    Ranked #17,002 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.

  • Highest-risk tenth

    Air toxics and the years between the two ends of the risk scale

    Modeled air-toxics cancer risk is 40.0 cases per million — among the tenth of compared ZIP codes with the most. Estimated life expectancy is 77.8 ± 1.1 years.

    Ranked #504 of the 4,173 ZIP codes this finding names, ordered by modeled air-toxics risk, highest first.

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 adults20.3%17.7–23.0
High blood pressure among adults30.8%27.2–34.7
Cancer (non-skin) or melanoma among adults5.4%4.9–6.0
Current asthma among adults10.4%9.2–11.8
Coronary heart disease among adults6.0%5.4–6.6
Chronic obstructive pulmonary disease among adults6.2%5.6–6.9
Depression among adults23.2%19.9–27.0
Diagnosed diabetes among adults12.6%11.0–14.4
High cholesterol among adults who have ever been screened33.4%29.4–37.5
Obesity among adults35.3%28.6–42.7
Stroke among adults3.4%3.2–3.7
All teeth lost among adults aged >=65 years15.4%12.7–18.4
PreventionCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Current lack of health insurance among adults aged 18-64 years18.2%16.0–20.5
Taking medicine to control high blood pressure among adults with high blood pressure67.7%64.3–71.0
Visits to doctor for routine checkup within the past year among adults67.5%63.1–71.7
Cholesterol screening among adults80.6%78.4–82.6
Colorectal cancer screening among adults aged 45–75 years52.6%47.5–57.7
Visited dentist or dental clinic in the past year among adults54.3%50.8–57.8
Mammography use among women aged 50-74 years72.0%64.1–79.1
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
MeasureCrude prevalence95% CI
Binge drinking among adults16.5%13.6–19.8
Current cigarette smoking among adults14.7%12.8–16.9
No leisure-time physical activity among adults32.5%28.1–37.2
Short sleep duration among adults34.8%29.2–41.1
Health StatusCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Fair or poor self-rated health status among adults29.5%26.5–32.7
Frequent mental distress among adults19.9%17.7–22.2
Frequent physical distress among adults16.6%14.7–18.5
DisabilityCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Cognitive disability among adults19.6%17.6–21.8
Any disability among adults36.8%32.5–41.3
Hearing disability among adults6.5%5.7–7.2
Independent living disability among adults11.0%10.0–12.2
Mobility disability among adults16.9%15.0–19.0
Self-care disability among adults5.5%5.0–5.9
Vision disability among adults8.4%7.7–9.1
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
MeasureCrude prevalence95% CI
Lack of social and emotional support among adults29.4%25.7–33.2
Food insecurity in the past 12 months among adults28.2%25.2–31.3
Received food stamps in the past 12 months among adults26.9%24.3–29.8
Housing insecurity in the past 12 months among adults22.9%20.4–25.6
Lack of reliable transportation in the past 12 months among adults14.4%13.0–16.1
Loneliness among adults37.5%32.7–42.6
Utility services shut-off threat in the past 12 months among adults12.2%10.7–13.7
Community & economyCensus ACS 5-Year · 2024 release · observed
MeasureValueUS median (p10–p90)CA median (p10–p90)
Poverty rate17.6%10.6% (3.1–25.8%) n=32,36410.6% (4.1–24.9%) n=1,714
Uninsured 18–6415.6%9.0% (1.5–24.3%) n=32,2867.7% (1.7–17.9%) n=1,704
No HS diploma (25+)24.6%7.9% (1.8–20.7%) n=32,5059.8% (1.4–30.9%) n=1,729
Bachelor's or higher (25+)12.1%23.3% (9.2–53.6%) n=32,50531.3% (9.9–68.2%) n=1,729
Unemployment rate (16+)8.2%3.9% (0.0–9.8%) n=32,2746.1% (0.8–12.0%) n=1,714
Households without a vehicle3.8%3.9% (0.0–12.5%) n=32,3224.5% (0.0–12.2%) n=1,708
Broadband subscription91.7%89.3% (75.1–97.1%) n=32,32293.4% (82.1–98.4%) n=1,708
Housing cost burden (≥30% income)38.3%23.7% (10.6–40.0%) n=32,32238.6% (24.4–50.5%) n=1,708
Homeownership rate57.1%78.7% (51.7–94.0%) n=32,32264.1% (31.9–86.4%) n=1,708
Crowded housing (>1 per room)9.4%1.3% (0.0–6.3%) n=32,3224.8% (0.0–15.9%) n=1,708
Foreign-born population21.6%2.6% (0.0–18.6%) n=32,55318.9% (3.0–40.4%) n=1,730
Single-parent households40.8%53.6% (37.3–74.1%) n=32,08748.4% (35.1–72.3%) n=1,692
Population 65+9.5%19.4% (10.8–33.6%) n=32,55317.0% (9.7–35.7%) n=1,730
Median age29.7 yr42.2 yr (33.0–56.3) n=32,29240.1 yr (31.8–57.0) n=1,712
Median household income$72,650$72,070 ($46,039–$118,707) n=30,318$93,448 ($54,188–$159,562) n=1,584
Median home value$329,800$222,200 ($100,300–$579,820) n=30,049$659,800 ($300,520–$1,493,340) n=1,593
Median gross rent$1,407$1,021 ($677–$1,912) n=25,670$1,912 ($1,113–$2,923) n=1,461
Life expectancyNCHS / RWJF USALEEP · model-based
MeasureValueUS median (p10–p90)CA median (p10–p90)
Life expectancy at birth77.8 yr ± 0.5478.9 yr (74.7–82.8) n=31,30880.5 yr (76.7–83.8) n=1,665

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 0.54 years of 77.8, 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