Mifflin County, PA

County

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2020 Population

46,179

0.21% 1-year decline

US Senator

Bob Casey Jr.

Democratic Party

US Senator

Pat Toomey

Republican Party

2020 Median Age

0% 1-year change

2020 Poverty Rate

13.9%

3.11% 1-year increase

2020 Median Household Income

$52,641

4.82% 1-year growth

2020 Median Property Value

$115,400

2.12% 1-year decline

2020 Employed Population

21,834

2.13% 1-year growth

About

In 2020, Mifflin County, PA had a population of 46.2k people with a median age of 44 and a median household income of $52,641. Between 2019 and 2020 the population of Mifflin County, PA declined from 46,276 to 46,179, a −0.21% decrease and its median household income grew from $50,219 to $52,641, a 4.82% increase.

The 5 largest ethnic groups in Mifflin County, PA are White (Non-Hispanic) (95.6%), Two+ (Non-Hispanic) (1.59%), White (Hispanic) (0.793%), Black or African American (Non-Hispanic) (0.576%), and Other (Hispanic) (0.511%).

None of the households in Mifflin County, PA 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.

99.6% of the residents in Mifflin County, PA are U.S. citizens.

The largest universities in Mifflin County, PA are Mifflin County Academy of Science and Technology (28 degrees awarded in 2020) and Geisinger-Lewistown Hospital School of Nursing (14 degrees).

In 2020, the median property value in Mifflin County, PA was $115,400, and the homeownership rate was 73%. Most people in Mifflin County, PA drove alone to work, and the average commute time was 24.1 minutes. The average car ownership in Mifflin County, PA was 2 cars per household.

Mifflin County, PA borders Centre County, PA, Huntingdon County, PA, Juniata County, PA, Snyder County, PA, and Union County, PA.

United States Pennsylvania Lewistown, PA

Diversity

Mifflin County, PA is home to a population of 46.2k people, from which 99.6% are citizens. As of 2020, 0.961% of Mifflin County, PA residents were born outside of the country (444 people).

In 2020, there were 60.2 times more White (Non-Hispanic) residents (44.1k people) in Mifflin County, PA than any other race or ethnicity. There were 733 Two+ (Non-Hispanic) and 366 White (Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

The 3 largest ethnic groups in Mifflin County, PA

White (Non-Hispanic)
44.1k ± 154
Two+ (Non-Hispanic)
733 ± 186
White (Hispanic)
366 ± 184

1.63%

Hispanic Population

751 people

1.63% of the people in Mifflin County, PA are hispanic (751 people).

The following chart shows the 7 races represented in Mifflin County, PA as a share of the total population.

Heritage

Foreign-Born Population

0.961%

2020 Foreign-Born Population

444 people

0.882%

2019 Foreign-Born Population

408 people

As of 2020, 0.961% of Mifflin County, PA residents (444 people) were born outside of the United States, which is lower than the national average of 13.5%. In 2019, the percentage of foreign-born citizens in Mifflin County, PA was 0.882%, meaning that the rate has been increasing.

The following chart shows the percentage of foreign-born residents in Mifflin County, PA compared to that of it's neighboring and parent geographies.

Age by Nativity

Median Native-Born Age

± 0.3

Median Foreign-Born Age

± 8

In 2020, the median age of all people in Mifflin County, PA was 44. Native-born citizens, with a median age of 44, were generally younger than foreign-born citizens, with a median age of 49. But people in Mifflin County, PA are getting staying the same age. In 2019, the average age of all Mifflin County, PA residents was 44.

Global Diversity

The PUMS dataset is not available at the County level, so we are showing data for Pennsylvania.

Most Common Origin

India
92,750 ± 7,450 people
Dominican Republic
72,397 ± 6,587 people
China
65,642 ± 6,274 people

In 2020, the most common birthplace for the foreign-born residents of Pennsylvania was India, the natal country of 92,750 Pennsylvania residents, followed by Dominican Republic with 72,397 and China with 65,642.

Citizenship

99.6%

2020 Citizenship

99.6%

2019 Citizenship

As of 2020, 99.6% of Mifflin County, PA residents were US citizens, which is higher than the national average of 93.4%. In 2019, the percentage of US citizens in Mifflin County, PA was 99.6%, meaning that the rate of citizenship has been decreasing.

The following chart shows US citizenship percentages in Mifflin County, PA compared to that of it's neighboring and parent geographies.

Military

Veterans

Most Common Service Period

Vietnam
1,204 ± 185
Gulf War (1990s)
528 ± 243
Gulf War (2001-)
460 ± 130

Mifflin County, PA has a large population of military personnel who served in Vietnam, 2.28 times greater than any other conflict.

COVID-19

Daily New Cases by Date

Showing data at the state level for Pennsylvania. Hospitalization data for some states may be delayed or not reported.

Y-Axis

This chart shows the number of COVID-19 daily new cases by date in Pennsylvania, as a 7-day rolling average, compared with the four states with the most similar number of confirmed cases.

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Unemployment Insurance Claims

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

This chart shows weekly unemployment insurance claims in Pennsylvania (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 Industry Sector

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

Y-Axis

8.45%

Year-over-year growth

Employment change between May 2020 and May 2021

As of May 2021, there are 145M people employed in Pennsylvania. This represents a 8.45% increase in employment when compared to May 2020.

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

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Community Mobility

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

This chart presents movement trends over time in the state of Pennsylvania across different categories of places such as retail and recreation, groceries and pharmacies, parks, transit stations, workplaces, and residential.

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Economy

Median household income in Mifflin County, PA is $52,641. In 2020, the tract with the highest Median Household Income in Mifflin County, PA was Census Tract 9606 with a value of $61,615, followed by Census Tract 9610 and Census Tract 9605, with respective values of $58,036 and $56,014.

Males in Pennsylvania have an average income that is 1.34 times higher than the average income of females, which is $54,196. The income inequality in Pennsylvania (measured using the Gini index) is 0.466, which is lower than than the national average.

The economy of Mifflin County, PA employs 21.8k people. The largest industries in Mifflin County, PA are Manufacturing (4,608 people), Health Care & Social Assistance (3,772 people), and Retail Trade (2,303 people), and the highest paying industries are Utilities ($78,750), Transportation & Warehousing, & Utilities ($59,375), and Transportation & Warehousing ($57,938).

Wages

Median Household Income

$52,641

2020 value

± $1,778

4.82%

1 Year Growth

± 4.56%

Households in Mifflin County, PA have a median annual income of $52,641, which is less than the median annual income of $64,994 across the entire United States. This is in comparison to a median income of $50,219 in 2019, which represents a 4.82% annual growth.

The following chart shows how the median household income in Mifflin County, PA compares to that of its neighboring and parent geographies.

Wage by Sex in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for Pennsylvania.

$72,428

Average Male Salary in Pennsylvania

± $1,115

$54,196

Average Female Salary in Pennsylvania

± $827

In 2020, full-time male employees in Pennsylvania made 1.34 times more than female employees.

This chart shows the sex-based wage disparity in the 5 most common occupations in Pennsylvania by number of full-time employees.

Wage by Race and Ethnicity in Common Jobs

The PUMS dataset is not available at the County level, so we are showing data for Pennsylvania.

Highest Average Salaries by Race & Ethnicity in Pennsylvania

Asian
$66,664 ± $4,080
Alaska Native
$58,659 ± $80,539
White
$56,784 ± $709

In 2020 the highest paid race/ethnicity of Pennsylvania workers was Asian. These workers were paid 1.14 times more than Alaska Native workers, who made the second highest salary of any race/ethnicity in Pennsylvania.

This chart shows the race- and ethnicity-based wage disparities in the 5 most common occupations in Pennsylvania by number of full-time employees.

Wage Distribution

The closest comparable wage GINI for Mifflin County, PA is from Pennsylvania.

0.466

2020 Wage GINI in Pennsylvania

0.469

2019 Wage GINI in Pennsylvania

In 2020, the income inequality in Pennsylvania was 0.466 according to the GINI calculation of the wage distribution. Income inequality had a 0.614% decline from 2019 to 2020, which means that wage distribution grew somewhat more even. The GINI for Pennsylvania was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Pennsylvania in comparison to the national average.

This chart shows the number of workers in Pennsylvania across various wage buckets compared to the national average.

Income by Location

Use the dropdown to filter by race/ethnicity.

Race/Ethnicity

Highest Median Household Income (Total)

Census Tract 9606
Census Tract 9610
Census Tract 9605

In 2020, the tract with the highest Median Household Income (Total) in Mifflin County, PA was Census Tract 9606 with a value of $61,615, followed by Census Tract 9610 and Census Tract 9605, with respective values of $58,036 and $56,014.

The following map shows all of the tracts in Mifflin County, PA colored by their Median Household Income (Total).

Poverty by Age and Sex

Females 18 - 24

Largest Demographic Living in Poverty

13.9% of the population for whom poverty status is determined in Mifflin County, PA (6.31k out of 45.5k people) live below the poverty line, a number that is higher than the national average of 12.8%. The largest demographic living in poverty are Females 18 - 24, followed by Females < 5 and then Females 25 - 34.

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.

Poverty by Race and Ethnicity

Largest Race or Ethnicity Living in Poverty

White
6,022 ± 522
Hispanic
312 ± 177
Other
124 ± 149

The most common racial or ethnic group living below the poverty line in Mifflin County, PA is White, followed by Hispanic and Other.

Occupations

Employment by Occupations

21.8k

2020 Value

± 959

2.13%

1 Year growth

± 5.81%

From 2019 to 2020, employment in Mifflin County, PA grew at a rate of 2.13%, from 21.4k employees to 21.8k employees.

The most common job groups, by number of people living in Mifflin County, PA, are Office & Administrative Support Occupations (2,417 people), Production Occupations (2,109 people), and Material Moving Occupations (1,882 people). This chart illustrates the share breakdown of the primary jobs held by residents of Mifflin County, PA.

Most Common

The most common jobs held by residents of Mifflin County, PA, by number of employees, are Office & Administrative Support Occupations (2,417 people), Production Occupations (2,109 people), and Material Moving Occupations (1,882 people).

Most Specialized

Compared to other counties, Mifflin County, PA has an unusually high number of residents working as Material Moving Occupations (2.33 times higher than expected), Law Enforcement Workers Including Supervisors (1.94 times), and Health Technologists & Technicians (1.82 times).

Highest Paid

The highest paid jobs held by residents of Mifflin County, PA, by median earnings, are Life, Physical, & Social Science Occupations ($61,047), Law Enforcement Workers Including Supervisors ($53,694), and Health Diagnosing & Treating Practitioners & Other Technical Occupations ($53,150).

Industries

Employment by Industries

21.8k

2020 Value

± 959

2.13%

1 Year growth

± 5.81%

From 2019 to 2020, employment in Mifflin County, PA grew at a rate of 2.13%, from 21.4k employees to 21.8k employees.

The most common employment sectors for those who live in Mifflin County, PA, are Manufacturing (4,608 people), Health Care & Social Assistance (3,772 people), and Retail Trade (2,303 people). This chart shows the share breakdown of the primary industries for residents of Mifflin County, PA, though some of these residents may live in Mifflin County, PA and work somewhere else. Census data is tagged to a residential address, not a work address.

Most Common

The most common industries in Mifflin County, PA, by number of employees, are Manufacturing (4,608 people), Health Care & Social Assistance (3,772 people), and Retail Trade (2,303 people).

Most Specialized

Compared to other counties, Mifflin County, PA has an unusually high number of Manufacturing (2.11 times higher than expected), Agriculture, Forestry, Fishing & Hunting (1.97 times), and Public Administration (1.32 times) industries.

Highest Paying

The highest paying industries in Mifflin County, PA, by median earnings, are Utilities ($78,750), Transportation & Warehousing, & Utilities ($59,375), and Transportation & Warehousing ($57,938).

Domestic Trade

Domestic Production & Consumption

Domestic production and consumption consists of products and services shipped from Pennsylvania to other states, or from other states to Pennsylvania.

Top Domestic Production in Dollars

In 2020, the top outbound Pennsylvania product (by dollars) was Pharmaceuticals with $110B, followed by Mixed freight ($74.2B) and Electronics ($44.2B).

The following chart shows the share of these products in relation to all outbound Pennsylvania products.

Domestic Trade Growth

Showing data for Pennsylvania.

$734B

2020 Value in Pennsylvania

$1.46T

Projected 2050 Value in Pennsylvania

99.3% growth

In 2020, total outbound Pennsylvania trade was $734B. This is expected to increase 99.3% to $1.46T by 2050.

The following chart shows how the domestic outbound Pennsylvania trade is projected to change in comparison to its neighboring states.

Interstate Trade

Interstate trade consists of products and services shipped from Pennsylvania to other states, or from other states to Pennsylvania.

Most Common Trade Partners

New Jersey
$73.5B
New York
$71.1B
Ohio
$36.8B

In 2020, the top outbound Pennsylvania domestic partner for goods and services (by dollars) was New Jersey with $73.5B, followed by New York with $71.1B and Ohio and $36.8B.

The following map shows the amount of trade that Pennsylvania shares with each state (excluding itself).

Civics

In the 2020 presidential election, the popular vote in Mifflin County, PA went to Donald J. Trump with 77.5% of the vote. The runner-up was Joseph R Biden Jr. (21.4%), followed by Jo Jorgensen (1.07%). The most partisan county was Fulton County, PA with 85.5% of the vote going to Donald J. Trump running for the Republican Party.

Bob Casey Jr. and Pat Toomey are the senators currently representing the state of Pennsylvania. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Pennsylvania is currently represented by 18 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Popular Vote Over Time

2020 Election Results

Donald J. Trump (77.5%)
Republican Party
Joseph R Biden Jr. (21.4%)
Democratic Party
Jo Jorgensen (1.07%)
Libertarian Party

The following chart shows the popular vote results in Mifflin County, PA for each registered party from 1976 to 2020.

Presidential Popular Vote by County

Presidential voting results are only available at the county level. Showing data for the counties inside of Pennsylvania.

Donald J. Trump

Popular Vote for Mifflin County, PA

77.5% for the Republican Party

Most Partisan Counties in Pennsylvania

Fulton County, PA
85.5% for Donald J. Trump (Republican Party)
Bedford County, PA
83.5% for Donald J. Trump (Republican Party)
Philadelphia County, PA
81.4% for Joseph R Biden Jr. (Democratic Party)

In the 2020 presidential election, the most partisan county in Pennsylvania was Fulton County, PA with 85.5% of the vote going to Donald J. Trump running for the Republican Party.

The following map shows the counties in Pennsylvania colored by their party leaning.

US Senators from Pennsylvania

Senatorial voting results are only available at the state level. Showing data for Pennsylvania.

Bob Casey Jr.

Senator from Pennsylvania

Assumed office on January 3, 2007

Pat Toomey

Senator from Pennsylvania

Assumed office on January 3, 2011

Bob Casey Jr. and Pat Toomey are the senators currently representing Pennsylvania.

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 Pennsylvania over time, excluding special elections, colored by their political party.

US Representatives from Pennsylvania

Pennsylvania is currently represented by 18 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 Pennsylvania have changed over time starting in 2008.

Education

In 2020, universities in Mifflin County, PA awarded 42 degrees. The student population of Mifflin County, PA is skewed towards women, with 5 male students and 66 female students.

Most students graduating from Universities in Mifflin County, PA are White (40 and 95.2%), followed by Hispanic or Latino (2 and 4.76%), Asian (0 and 0%), and Black or African American (0 and 0%).

The largest universities in Mifflin County, PA by number of degrees awarded are Mifflin County Academy of Science and Technology (28 and 66.7%) and Geisinger-Lewistown Hospital School of Nursing (14 and 33.3%).

The most popular majors in Mifflin County, PA are Licensed Practical & Vocational Nurse Training (28 and 66.7%) and Registered Nursing (14 and 33.3%).

Concentrations

Most Common

N/A
N/A degree-majorss awarded
Licensed Practical & Vocational Nurse Training
28 degree-majorss awarded
N/A
N/A degree-majorss awarded

In 2020, the most common concentation for 1 to 2 Year Postsecondary Certificate recipients in Mifflin County, PA was N/A with N/A degrees awarded.

This visualization illustrates the percentage of students graduating with a 1 to 2 Year Postsecondary Certificate from schools in Mifflin County, PA according to their major.

Universities

Largest Universities by degrees awarded

Mifflin County Academy of Science and Technology
28 degrees awarded
Geisinger-Lewistown Hospital School of Nursing
14 degrees awarded

In 2020, the Mifflin County, PA institution with the largest number of graduating students was Mifflin County Academy of Science and Technology with 28 degrees awarded.

Student Sex for Common Institutions

Degrees Awarded to Men

Degrees Awarded to Women

In 2020, 2 men were awarded degrees from institutions in Mifflin County, PA, which is 0.05 times less than the 40 female students who received degrees in the same year.

This chart displays the sex disparity between the institutions in Mifflin County, PA by degrees awarded.

Student Race and Ethnicity

Most Common Student Race or Ethnicity

White
40 degrees awarded
Hispanic or Latino
2 degrees awarded
Asian
0 degrees awarded

In 2020 the most common race/ethnicity group awarded degrees at institutions in Mifflin County, PA was White students. These 40 degrees mean that there were 20 times more degrees awarded to White students then the next closest race/ethnicity group, Hispanic or Latino, with 2 degrees awarded.

Housing & Living

The median property value in Mifflin County, PA was $115,400 in 2020, which is 0.502 times smaller than the national average of $229,800. Between 2019 and 2020 the median property value increased from $117,900 to $115,400, a 2.12% decrease. The homeownership rate in Mifflin County, PA is 73%, which is higher than the national average of 64.4%. People in Mifflin County, PA have an average commute time of 24.1 minutes, and they drove alone to work. Car ownership in Mifflin County, PA is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$115,400

2020 Median

± $5,164

$117,900

2019 Median

± $4,463

In 2020, the median property value in Mifflin County, PA declined from to $115,400 from the previous year's value of $117,900.

The following charts display, first, the property values in Mifflin County, PA compared to it's parent and neighbor geographies and, second, owner-occupied housing units distributed between a series of property value buckets compared to the national averages for each bucket. In Mifflin County, PA the largest share of households have a property value in the $150k - $175k range.

Household Income

Please note that the buckets used in this visualization were not evenly distributed by ACS when publishing the data.

$52,641

Median Household Income

± $1,778

19.1k

Number of Households

± 912

In 2020, the median household income of the 19.1k households in Mifflin County, PA grew to $52,641 from the previous year's value of $50,219.

The following chart displays the households in Mifflin County, PA 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.

Property Taxes

$800 - $1,499

Average Range

This chart shows the households in Mifflin County, PA distributed between a series of property tax buckets compared to the national averages for each bucket. In Mifflin County, PA the largest share of households pay taxes in the $800 - $1,499 range.

Rent vs Own

73%

2020 Homeownership

71.3%

2019 Homeownership

In 2020, 73% of the housing units in Mifflin County, PA were occupied by their owner. This percentage grew from the previous year's rate of 71.3%.

This percentage of owner-occupation is higher than the national average of 64.4%. This chart shows the ownership percentage in Mifflin County, PA compared it's parent and neighboring geographies.

Commute Time

24.1 minutes

Average Travel Time

Using averages, employees in Mifflin County, PA have a shorter commute time (24.1 minutes) than the normal US worker (26.9 minutes). Additionally, 3.32% of the workforce in Mifflin County, PA have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Mifflin County, PA compares to that of it's neighboring and parent geographies.

Commuter Transportation

Most Common Commute in 2020

Drove Alone (81%)
Carpooled (11.1%)
Worked At Home (4.79%)

In 2020, 81% of workers in Mifflin County, PA drove alone to work, followed by those who carpooled to work (11.1%) and those who worked at home (4.79%).

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.

Transportation

Car Ownership

2 cars

Average Number

The following chart displays the households in Mifflin County, PA distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Mifflin County, PA have 2 cars, followed by false.

Health

87.7% of the population of Mifflin County, PA has health coverage, with 41.7% on employee plans, 16.9% on Medicaid, 15.2% on Medicare, 13.2% on non-group plans, and 0.724% on military or VA plans.

Per capita personal health care spending in Pennsylvania was $9,258 in 2014. This is a 4.29% increase from the previous year ($8,877).

Primary care physicians in Mifflin County, PA see 1849 patients per year on average, which represents a 4.35% decrease from the previous year (1933 patients). Compare this to dentists who see 2714 patients per year, and mental health providers who see 1099 patients per year.

Comparing across all counties in the state, Huntingdon County has the highest prevalence of diabetes (20.6%). Additionally, Armstrong County has the highest prevalence of adult obesity (44%)

Patient to Clinician Ratios

1,849 to 1

Patient to Primary Care Physician Ratio in Mifflin County, PA

Primary care physicians in Mifflin County, PA see an average of 1,849 patients per year. This represents a 4.35% decrease from the previous year (1,933 patients).

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

Behavioral Health Conditions

Data only available at the state level.

State with the Highest Prevalence

West Virginia
8.26% of the population affected
Arkansas
8.13% of the population affected
New Hampshire
7.98% of the population affected

In 2016, West Virginia had the highest prevalence of adults with major depressive episode, with 8.26% of the population affected. The second highest is Arkansas (8.13%), followed by New Hampshire (7.98%).

The following map shows the percent of individuals with major depressive episode by state over multiple years.

Social Needs

Data only available at the state level.

Most prevalent states

California
35,798 individuals
New York
5,087 individuals
Florida
4,915 individuals

In 2017, California had the highest estimated number of chronically homeless individuals in the nation, at 35,798. New York has the second highest (5,087), followed by Florida (4,915).

The following map shows the estimated number of chronically homeless individuals by state over multiple years.

Access and Quality

Data only available at state level.

Most prevalent states

Mississippi
19.2% of adults
Texas
17.9% of adults
Louisiana
17.6% of adults

In 2016, Mississippi had the highest prevalence of adults who haven't seen a doctor in the past 12 months due to cost, at 19.2%. It is followed by Texas (17.9%) and Louisiana (17.6%).

The following map shows the prevalence of adults who haven't seen a doctor in the past 12 months due to cost by state over multiple years.

Health Care Spending

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

$9,258

Total Per Capita Spending on Personal Health Care in Pennsylvania

$4,634

Per Enrollee Private Health Insurance Spending on Personal Health Care

$9,407

Per Enrollee Medicaid Spending on Personal Health Care

$11,243

Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in Pennsylvania (including private, Medicare, and Medicaid) grew 4.29%, from $8,877 to $9,258.

The following chart shows how this spending changed over time in comparison to Medicaid, Medicare, and private insurance spending, per enrollee.

Health Care Coverage

12.3%

Uninsured

41.7%

Employer Coverage

16.9%

Medicaid

15.2%

Medicare

13.2%

Non-Group

0.724%

Military or VA

Between 2019 and 2020, the percent of uninsured citizens in Mifflin County, PA grew by 0.0945% from 12.3% to 12.3%.

The following chart shows how the percent of uninsured individuals in Mifflin County, PA changed over time compared with the percent of individuals enrolled in various types of health insurance.