ZIP code
95461
in Middletown, CaliforniaPopulation 3,422
51.27/ 100
Ranked #14,453 of 32,066 US ZIPs (top 45%)
Ranked #983 of 1,719 California ZIPs (bottom 43%)
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.
Fatal road crashes
58.4 per 100,000 residents per year
in the top 2.5% nationally
Lower is healthier
ST96thUS98thDefinition & source ›
The annual rate of fatal road crashes per 100,000 residents, pooled over a ten-year window.
A rate per resident population. Where a ZIP has too few residents for the rate to be reliable — about 30% of US ZIPs — no value is published rather than an unstable one; those ZIPs are absent from this comparison, not counted as crash-free.
Full methodology ›Natural-disaster risk
in the top 4.9% nationally
Lower is healthier
ST80thUS95thDefinition & 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 ›Housing-cost burden
43.9%
in the top 6.3% nationally
Lower is healthier
ST74thUS94thDefinition & source ›
The share of households spending 30% or more of their income on housing.
Full methodology ›Slow internet speeds
1.6%
in the top 7.2% nationally
Lower is healthier
ST88thUS93rdDefinition & source ›
The share of homes whose fastest available download speed is under 10 Mbps.
Full methodology ›Unemployment rate
11.1%
in the top 7.7% nationally
Lower is healthier
ST88thUS92ndDefinition & source ›
The share of the civilian labor force that is unemployed.
Full methodology ›Fine-particle (PM2.5) exceedance
1.1%
in the top 7.9% nationally
Lower is healthier
ST55thUS92ndDefinition & 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 ›The read
Middletown, California (ZIP 95461), on the composite measure, lands in the top 45% healthiest ZIPs nationally (14,453rd) and the bottom 43% of California (983rd).
Where the data leans one way, another reading answers it: dental providers registers in the top 12.6% nationally, outpatient lands in the top 13.2% nationally, and modeled industrial-pollution burden resides in the bottom 14.9% nationally. On the other hand, fatal road crashes lies in the top 2.5% nationally, modeled disaster risk settles in the top 4.9% nationally, and housing-cost burden stands in the top 6.3% nationally. Slow internet speeds is in the top 7.2% nationally, and unemployment rests in the top 7.7% nationally. Modeled fine-particle sits in the top 7.9% nationally. Fiber broadband registers at the national minimum, shared with about 19% of ZIPs.
Set against the neighboring ZIPs, park land runs far lower than the surrounding ZIPs on this measure. In everyday language, disaster risk is the area's national rank on its highest non-flood peril in FEMA's modeled Risk Index, like wildfire or quake. Fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Industrial-pollution burden is the EPA's modeled screening score weighting industrial chemical releases by their toxicity and how many people live nearby. A healthier neighbor overall sits at ZIP 94515, 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
Risk Behavior
healthier than 68%
11%
About typical
Chronic Disease Burden
healthier than 56%
21%
Social Need / SDOH
healthier than 51%
16%
Environmental Hazard
healthier than 45%
14%
Mental Health
healthier than 42%
8%
Disability
healthier than 46%
7%
Climate / Disaster Risk
healthier than 50%
5%
Holding it back
Preventive Care
healthier than 36%
13%
Healthcare Access
healthier than 30%
5%
Lifting this score
Environmental Hazard
healthier than 71%
14%
About typical
Social Need / SDOH
healthier than 51%
16%
Preventive Care
healthier than 59%
13%
Risk Behavior
healthier than 44%
11%
Disability
healthier than 44%
7%
Holding it back
Chronic Disease Burden
healthier than 23%
21%
Mental Health
healthier than 33%
8%
Climate / Disaster Risk
healthier than 38%
5%
Healthcare Access
healthier than 19%
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
94515
Californiashares a border
Score 56.44
Closest healthier
94558
Californiashares a border
Score 58.10
Similar health profile
84720
Utah98% similar profile
Score 58.60
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 | 28.3% | 25.0–31.7 |
| High blood pressure among adults | 37.2% | 33.0–41.5 |
| Cancer (non-skin) or melanoma among adults | 9.9% | 8.9–10.9 |
| Current asthma among adults | 10.7% | 9.5–12.0 |
| Coronary heart disease among adults | 7.6% | 6.8–8.5 |
| Chronic obstructive pulmonary disease among adults | 7.7% | 6.7–8.8 |
| Depression among adults | 23.7% | 20.3–27.4 |
| Diagnosed diabetes among adults | 12.3% | 10.7–14.1 |
| High cholesterol among adults who have ever been screened | 38.6% | 34.2–43.2 |
| Obesity among adults | 30.7% | 23.7–38.5 |
| Stroke among adults | 4.0% | 3.6–4.4 |
| All teeth lost among adults aged >=65 years | 9.4% | 7.6–11.6 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 7.7% | 6.4–9.2 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 75.0% | 71.5–78.2 |
| Visits to doctor for routine checkup within the past year among adults | 74.2% | 70.3–77.9 |
| Cholesterol screening among adults | 87.9% | 86.4–89.3 |
| Colorectal cancer screening among adults aged 45–75 years | 63.7% | 58.5–68.7 |
| Visited dentist or dental clinic in the past year among adults | 62.4% | 58.8–65.9 |
| Mammography use among women aged 50-74 years | 74.1% | 66.0–81.2 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 16.3% | 13.5–19.6 |
| Current cigarette smoking among adults | 13.4% | 11.4–15.7 |
| No leisure-time physical activity among adults | 23.3% | 19.4–27.7 |
| Short sleep duration among adults | 34.2% | 28.1–40.9 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 22.2% | 19.3–25.2 |
| Frequent mental distress among adults | 17.2% | 15.2–19.3 |
| Frequent physical distress among adults | 15.5% | 13.7–17.5 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 14.8% | 13.1–16.7 |
| Any disability among adults | 33.1% | 28.8–37.6 |
| Hearing disability among adults | 7.7% | 6.9–8.7 |
| Independent living disability among adults | 8.8% | 7.8–9.9 |
| Mobility disability among adults | 16.4% | 14.3–18.8 |
| Self-care disability among adults | 4.3% | 3.9–4.9 |
| Vision disability among adults | 5.2% | 4.7–5.8 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 24.8% | 21.3–28.6 |
| Food insecurity in the past 12 months among adults | 13.4% | 11.2–15.9 |
| Received food stamps in the past 12 months among adults | 12.8% | 10.8–15.2 |
| Housing insecurity in the past 12 months among adults | 11.5% | 9.9–13.5 |
| Lack of reliable transportation in the past 12 months among adults | 7.7% | 6.7–8.8 |
| Loneliness among adults | 34.1% | 29.0–39.6 |
| Utility services shut-off threat in the past 12 months among adults | 6.3% | 5.4–7.3 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | CA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 9.5% | 10.6% (3.1–25.8%) n=32,364 | 10.6% (4.1–24.9%) n=1,714 |
| Uninsured 18–64 | 10.6% | 9.0% (1.5–24.3%) n=32,286 | 7.7% (1.7–17.9%) n=1,704 |
| No HS diploma (25+) | 13.1% | 7.9% (1.8–20.7%) n=32,505 | 9.8% (1.4–30.9%) n=1,729 |
| Bachelor's or higher (25+) | 31.3% | 23.3% (9.2–53.6%) n=32,505 | 31.3% (9.9–68.2%) n=1,729 |
| Unemployment rate (16+) | 11.1% | 3.9% (0.0–9.8%) n=32,274 | 6.1% (0.8–12.0%) n=1,714 |
| Households without a vehicle | 1.3% | 3.9% (0.0–12.5%) n=32,322 | 4.5% (0.0–12.2%) n=1,708 |
| Broadband subscription | 83.6% | 89.3% (75.1–97.1%) n=32,322 | 93.4% (82.1–98.4%) n=1,708 |
| Housing cost burden (≥30% income) | 43.9% | 23.7% (10.6–40.0%) n=32,322 | 38.6% (24.4–50.5%) n=1,708 |
| Homeownership rate | 68.5% | 78.7% (51.7–94.0%) n=32,322 | 64.1% (31.9–86.4%) n=1,708 |
| Crowded housing (>1 per room) | 3.3% | 1.3% (0.0–6.3%) n=32,322 | 4.8% (0.0–15.9%) n=1,708 |
| Foreign-born population | 17.6% | 2.6% (0.0–18.6%) n=32,553 | 18.9% (3.0–40.4%) n=1,730 |
| Single-parent households | 47.6% | 53.6% (37.3–74.1%) n=32,087 | 48.4% (35.1–72.3%) n=1,692 |
| Population 65+ | 17.0% | 19.4% (10.8–33.6%) n=32,553 | 17.0% (9.7–35.7%) n=1,730 |
| Median age | 45.5 yr | 42.2 yr (33.0–56.3) n=32,292 | 40.1 yr (31.8–57.0) n=1,712 |
| Median household income | $78,667 | $72,070 ($46,039–$118,707) n=30,318 | $93,448 ($54,188–$159,562) n=1,584 |
| Median home value | $387,400 | $222,200 ($100,300–$579,820) n=30,049 | $659,800 ($300,520–$1,493,340) n=1,593 |
| Median gross rent | $2,107 | $1,021 ($677–$1,912) n=25,670 | $1,912 ($1,113–$2,923) n=1,461 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | CA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 80.1 yr ± 1.58 | 78.9 yr (74.7–82.8) n=31,308 | 80.5 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 1.58 years of 80.1, 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