Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT

Public Use Microdata Area (PUMA)

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2022 Population
167,317
19.9% 1-year decline
US Senator
Jon Tester
Democratic Party
US Senator
Steve Daines
Republican Party
2022 Median Age
39.1
3.69% 1-year decrease
2022 Poverty Rate
13.6%
0.668% 1-year increase
2022 Median Household Income
$63,572
8.47% 1-year growth
2022 Median Property Value
$364,000
16.4% 1-year growth
2022 Employed Population
71,935
25% 1-year decline

About

In 2022, Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT had a population of 167k people with a median age of 39.1 and a median household income of $63,572. Between 2021 and 2022 the population of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT declined from 208,987 to 167,317, a −19.9% decrease and its median household income grew from $58,609 to $63,572, a 8.47% increase.

The 5 largest ethnic groups in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT are White (Non-Hispanic) (83.2%), American Indian & Alaska Native (Non-Hispanic) (5.65%), Two+ (Non-Hispanic) (5.02%), White (Hispanic) (1.59%), and Asian (Non-Hispanic) (1.4%).

5.21% of the households in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT reported speaking a non-English language at home as their primary shared language. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

98.6% of the residents in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT are U.S. citizens.

The largest universities in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT are The University of Montana (3,194 degrees awarded in 2022) and Salish Kootenai College (136 degrees).

In 2022, the median property value in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was $364,000, and the homeownership rate was 63.2%.

Most people in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT drove alone to work, and the average commute time was 18.8 minutes. The average car ownership in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was 2 cars per household.

About the photo: Mission Mountains, St. Ignatius, MT

Population & Diversity

Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT is home to a population of 167k people, from which 98.6% are citizens. As of 2022, 2.9% of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT residents were born outside of the country (4.86k people).

In 2022, there were 14.7 times more White (Non-Hispanic) residents (139k people) in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT than any other race or ethnicity. There were 9.45k American Indian & Alaska Native (Non-Hispanic) and 8.4k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

The most common non-English languages spoken as the primary langauge in households in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT are Spanish (2,190 households), German (1,313 households), and Other Native Languages of North America (1,277 households).

Residents by Gender and Age

RACE/ETHNICITY
77,405
Women
50%
77,276
Men
50%

The resident population of United States in 2022 was 154,681 inhabitants, with 50% men, and 50% women.

The visualization shows the distribution of the residents by gender and age in the United States.

With the upper buttons you can add a filter by race.

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Citizenship

98.6%
2022 Citizenship
99%
2021 Citizenship

As of 2022, 98.6% of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT residents were US citizens, which is higher than the national average of 93.5%. In 2021, the percentage of US citizens in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was 99%, meaning that the rate of citizenship has been decreasing.

The following chart shows US citizenship percentages in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT compared to that of it's neighboring and parent geographies.

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Race and Ethnicity

The 3 largest ethnic groups in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT
  1. White (Non-Hispanic)
    139k ± 531
  2. American Indian & Alaska Native (Non-Hispanic)
    9.45k ± 608
  3. Two+ (Non-Hispanic)
    8.4k ± 762
3.76%
Hispanic Population
6.3k people

In 2022, there were 14.7 times more White (Non-Hispanic) residents (139k people) in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT than any other race or ethnicity. There were 9.45k American Indian & Alaska Native (Non-Hispanic) and 8.4k Two+ (Non-Hispanic) residents, the second and third most common ethnic groups.

3.76% of the people in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT are hispanic (6.3k people).

The following chart shows the 7 races represented in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT as a share of the total population.

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Global Diversity

Most Common Origin
  1. Germany
    711 ± 653 people
  2. Canada
    340 ± 452 people
  3. China
    254 ± 391 people

In 2022, the most common birthplace for the foreign-born residents of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was Germany, the natal country of 711 Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT residents, followed by Canada with 340 and China with 254.

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Foreign-Born Population

2.9%
2022 Foreign-Born Population
4.86k people
2.57%
2021 Foreign-Born Population
5.38k people

As of 2022, 2.9% of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT residents (4.86k people) were born outside of the United States, which is lower than the national average of 13.6%. In 2021, the percentage of foreign-born citizens in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was 2.57%, meaning that the rate has been increasing.

The following chart shows the percentage of foreign-born residents in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT compared to that of it's neighboring and parent geographies.

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Non-English Households

Most Common Non-English Languages
  1. Spanish
    2,190 households (1.38%)
  2. German
    1,313 households (0.824%)
  3. Other Native Languages of North America
    1,277 households (0.802%)

5.21% of the households in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT reported speaking a non-English language at home as their primary shared language, which is lower than the national average of 21.7%. This does not consider the potential multi-lingual nature of households, but only the primary self-reported language spoken by all members of the household.

In 2022, the most common non-English language spoken in households in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was Spanish. 1.38% of the households in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT reported speaking Spanish at home as the primary shared language between all members living in the household.

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Veterans

Most Common Service Period
  1. Vietnam
    4,796 ± 397
  2. Gulf War (2001-)
    2,668 ± 532
  3. Gulf War (1990s)
    1,801 ± 345

Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT has a large population of military personnel who served in Vietnam, 1.8 times greater than any other conflict.

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Economy

The economy of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT employs 71.9k people. The largest industries in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT are Restaurants & Food Services (5,591 people), Construction (4,921 people), and General medical and surgical hospitals, and specialty (except psychiatric and substance abuse) hospitals (4,027 people), and the highest paying industries are Offices of physicians ($210,238), Electric power generation, transmission & distribution ($142,850), and Offices of dentists ($128,815).

Males in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT have an average income that is 1.33 times higher than the average income of females, which is $53,085. The income inequality in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT (measured using the Gini index) is 0.489, which is higher than than the national average.

Workforce Diversity

Measure
RACE/ETHNICITY
46,648
Women
48.8%
48,974
Men
51.2%

The workforce of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT in 2020 was 95,622 people, with 48.8% woman, and 51.2% men.

The visualization shows the distribution of the workforce by gender and age in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT.

With the upper buttons you can see the distribution of the average salary and add a filter by race.

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Occupations

71.9k
2022 Value
−25%
1 Year decline
± −25%

From 2021 to 2022, employment in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT declined at a rate of −25%, from 95.9k employees to 71.9k employees.

The most common job groups, by number of people living in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT, are Retail salespersons (2,258 people), Registered nurses (1,835 people), and Cooks (1,825 people). This chart illustrates the share breakdown of the primary jobs held by residents of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT.

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Unemployment Insurance Claims

Data is only available at the state level. Showing data for false.

This chart shows weekly unemployment insurance claims in Montana (not-seasonally adjusted) compared with the four states with the most similar impact.

The most recent data point uses Advance State Claims data, which can be revised in subsequent weeks.

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Employment by Industries

71.9k
2022 Value
−25%
1 Year decline
± −25%

From 2021 to 2022, employment in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT declined at a rate of −25%, from 95.9k employees to 71.9k employees.

The most common employment sectors for those who live in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT, are Restaurants & Food Services (5,591 people), Construction (4,921 people), and General medical and surgical hospitals, and specialty (except psychiatric and substance abuse) hospitals (4,027 people). This chart shows the share breakdown of the primary industries for residents of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT, though some of these residents may live in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT and work somewhere else. Census data is tagged to a residential address, not a work address.

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Median Earnings by Industry

$42,269
Median earning men ± $1,498
$32,980
Median earning women ± $1,379

The industries with the best median earnings for men in 2022 are Public Administration ($55,293), Wholesale Trade ($53,750), and Professional, Scientific, & Management, & Administrative & Waste Management Services ($53,338).

The industries with the best median earnings for women in 2022 are Public Administration ($53,073), Construction ($46,334), and Wholesale Trade ($46,217).

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Employment by Industry Sector

Data is only available at the state level. Showing data for Idaho.
Y-Axis
3.01%
Year-over-year growth
Employment change between February 2022 and February 2023

As of February 2023, there are 836k people employed in Idaho. This represents a 3.01% increase in employment when compared to February 2022.

Right after the beginning of the COVID-19 pandemic, during April 2020, a general dip can be seen across industry sectors, resulting in an overall decline in employment by 8.06%.

The following chart shows monthly employment numbers for each industry sector in Idaho.

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Civics

In the 2020 presidential election, the popular vote in Montana went to Donald J. Trump with 56.9% of the vote. The runner-up was Joseph R Biden Jr. (40.5%), followed by Jo Jorgensen (2.53%).

Jon Tester and Steve Daines are the senators currently representing the state of Montana. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Montana is currently represented by 2 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

US Senators from Montana

Senatorial voting results are only available at the state level. Showing data for Montana.
Jon Tester
Senator from Montana1
Assumed office on January 3, 2007
Steve Daines
Senator from Montana2
Assumed office on January 3, 2015

Jon Tester and Steve Daines are the senators currently representing Montana.

In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

The following chart shows elected senators in Montana over time, excluding special elections, colored by their political party.

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US Representatives from Montana

Montana is currently represented by 2 members in the U.S. house.

Members of the House of Representives are elected to 2-year terms, and the following chart shows the how the members for Montana have changed over time starting in 2008.

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Education

In 2022, universities in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT awarded 3,330 degrees. The student population of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT in 2022 is skewed towards women, with 4,140 male students and 6,434 female students.

Most students graduating from Universities in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT are White (2,334 and 72.1%), followed by Asian (322 and 9.95%), American Indian or Alaska Native (157 and 4.85%), and Unknown (144 and 4.45%).

The largest universities in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT by number of degrees awarded are The University of Montana (3,194 and 95.9%) and Salish Kootenai College (136 and 4.08%).

The most popular majors in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT are Physical Therapy (424 and 12.7%), General Business Administration & Management (134 and 4.02%), and General Psychology (120 and 3.6%).

The median tuition cost in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT for a public four year colleges is $5,296 for in-state students and $18,714 for out-of-state students.

Applicants, Admissions & Enrolled

University
Measure

In 2022 in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT, the percentage of applicants admitted was 95.4%, while the percentage of admitted who enrolled was 19%. The number of students enrolled in 2022 was 10,574 (39.2% men and 60.8% women).

The line chart  shows the evolution of the percentage of applicants admitted, admitted who enrolled or the number of students enrolled according to the option selected in the upper button.

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Enrollments by Gender and Races

Universities

In 2022 there were 10,574 students enrolled in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT, 39.2% men and 60.8% women.

By race, the largest number of students enrolled was concentrated in White with 7,093 records, of which 60.6% were women and 39.4% men.

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Concentrations

Most Common
  1. 102 degrees awarded
  2. 67 degrees awarded
  3. 59 degrees awarded

In 2022, the most common concentation for Bachelors Degree recipients in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was General Psychology with 102 degrees awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT according to their major.

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Universities

Gender
Race
Largest Universities by degrees awarded
  1. 3,194 degrees awarded
  2. 136 degrees awarded

In 2022, the institution with the largest number of graduating students was The University of Montana with 3,194 degrees awarded.

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Student Diversity

University

In 2022, 1,300 men were awarded degrees from institutions in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT, which is 0.64 times less than the 2,030 female students who received degrees in the same year.

In 2022 the most common race/ethnicity group awarded degrees at institutions was White students. These 2,334 degrees mean that there were 7.25 times more degrees awarded to White students then the next closest race/ethnicity group, Asian, with 322 degrees awarded.

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Awarded Degrees over Time

The graph shows the evolution of awarded degrees by degrees. Under the paragraphs, the average number of awarded degrees by university in each degree is shown.

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Average Net Price by Sector

Universities

Public, 4-year or above ($5,296) is the sector with the highest median state tuition in 2022.

Public, 4-year or above ($1,764) is the sector with the highest median state fee in 2022.

Public, 4-year or above ($1,300) is the sector with the highest average net price of books and supplies.

The graph shows the average net price by sector and year.

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Educational Pyramid

Measure

In 2022, 0.273% of men over 25 years of age had not completed any academic degree (no schooling), while 0.463% of women were in the same situation.

This visualization shows the gender distribution of the population according to the academic level reached.

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Educational Attainment

Race

The most common educational levels obtained by the working population of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT in 2022 were High School or Equivalent (32.7k), Some college (30.7k), and Bachelors Degree (27.4k).

This visualization illustrates the percentage distribution of the population according to the highest educational level reached. You can filter the data by race by using the selector above.

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Housing & Living

The median property value in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was $364,000 in 2022, which is 1.29 times larger than the national average of $281,900. Between 2021 and 2022 the median property value increased from $312,700 to $364,000, a 16.4% increase. The homeownership rate in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT is 63.2%, which is approximately the same as the national average of 64.8%.

People in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT have an average commute time of 18.8 minutes, and they drove alone to work. Car ownership in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT is $63,572. In 2022, the PUMA with the highest Median Household Income in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was Gallatin County--Bozeman City PUMA, MT with a value of $83,434, followed by Eastern Montana--Sidney & Miles City PUMA, MT and Billings City PUMA, MT, with respective values of $68,779 and $67,650.

Property

$364,000
Median Property Value 2022
±$8,269
$44,242
Median Property Taxes
±$1,334

The following chart display owner-occupied housing units distributed between a series of property tax buckets compared to the national averages for each bucket. In Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT the largest share of households pay taxes in the $3k+ range.

The chart underneath the paragraph shows the property taxes in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT compared to it's parent and neighbor geographies.

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Rent vs Own

63.2%
Homeownership
2022
65.4%
Homeowners with Mortgage
2022

In 2022, 63.2% of the housing units in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT were occupied by their owner. This percentage declined from the previous year's rate of 65.8%.

This chart shows the percentage of owner in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT compared it's parent and neighboring geographies.

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Income by Location

Use the dropdown to filter by race/ethnicity.
Race/Ethnicity

In 2022, the PUMA with the highest Median Household Income (Total) in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was Gallatin County--Bozeman City PUMA, MT with a value of $83,434, followed by Eastern Montana--Sidney & Miles City PUMA, MT and Billings City PUMA, MT, with respective values of $68,779 and $67,650.

The following map shows all of the PUMAs in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT colored by their Median Household Income (Total).

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Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.
$63,572
Median Household Income
± $1,981
70k
Number of Households
± 1,912

In 2022, the median household income of the 70k households in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT grew to $63,572 from the previous year's value of $58,609.

The following chart displays the households in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT distributed between a series of income buckets compared to the national averages for each bucket. The largest share of households have an income in the $75k - $100k range.

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Wage Distribution

0.489
2022 Wage GINI in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT
0.49
2021 Wage GINI in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT

In 2022, the income inequality in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was 0.489 according to the GINI calculation of the wage distribution. Income inequality had a 0.304% decline from 2021 to 2022, which means that wage distribution grew somewhat more even. The GINI for Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT was higher than than the national average of 0.478. In other words, wages are distributed less evenly in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT in comparison to the national average.

This chart shows the number of workers in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT across various wage buckets compared to the national average.

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Commuter Transportation

Most Common Commute in 2022
  1. Drove Alone (70.9%)
  2. Worked At Home (10.5%)
  3. Carpooled (9.38%)

In 2022, 70.9% of workers in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT drove alone to work, followed by those who worked at home (10.5%) and those who carpooled to work (9.38%).

The following chart shows the number of households using each mode of transportation over time, using a logarithmic scale on the y-axis to help better show variations in the smaller means of commuting.

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Commute Time

18.8 minutes
Average Travel Time

Using averages, employees in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT have a shorter commute time (18.8 minutes) than the normal US worker (26.7 minutes). Additionally, 1.55% of the workforce in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT compares to that of it's neighboring and parent geographies.

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Car Ownership

2 cars
Average Number

The following chart displays the households in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT have 2 cars.

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Poverty & Diversity

13.6% of the population for whom poverty status is determined in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT (22.3k out of 164k people) live below the poverty line, a number that is higher than the national average of 12.5%. The largest demographic living in poverty are Males 18 - 24, followed by Females 18 - 24 and then Females 25 - 34.

The most common racial or ethnic group living below the poverty line in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT is White, followed by Native American and Two Or More.

The Census Bureau uses a set of money income thresholds that vary by family size and composition to determine who classifies as impoverished. If a family's total income is less than the family's threshold than that family and every individual in it is considered to be living in poverty.

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Health

91.4% of the population of Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT has health coverage, with 41.3% on employee plans, 17.4% on Medicaid, 14.3% on Medicare, 16% on non-group plans, and 2.45% on military or VA plans.

Primary care physicians in Montana see 1210 patients per year on average, which represents a 0.412% decrease from the previous year (1215 patients). Compare this to dentists who see 1355 patients per year, and mental health providers who see 282 patients per year.

Patient to Clinician Ratios

Data is only available at the state level. Showing data for Montana.
1,210 to 1
Patient to Primary Care Physician Ratio in Montana

Primary care physicians in Montana see an average of 1,210 patients per year. This represents a 0.412% decrease from the previous year (1,215 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Montana in comparison to its neighboring geographies.

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Health Care Diversity

In 2022, insured persons according to age ranges were distributed in 20.6% under 18 years, 24% between 18 and 34 years, 36.4% between 35 and 64 years, and 19% over 64 years.

By gender, of the total number of insured persons, 49.8% were men and 50.2% were women.

The following chart shows the number of people with health coverage by gender.

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Uninsured People

8.65%
Uninsured
41.3%
Employer Coverage
17.4%
Medicaid
14.3%
Medicare
16%
Non-Group
2.45%
Military or VA

Between 2021 and 2022, the percent of uninsured citizens in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT declined by 0.072% from 8.65% to 8.65%.

The following chart shows how the percent of uninsured individuals in Lake, Mineral, Missoula & Sanders Counties--Missoula City PUMA, MT changed over time compared with the percent of individuals enrolled in various types of health insurance.

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