Montgomery County, VA

County

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2019 Population

98,140

0.146% 1-year growth

US Senator

Mark Warner

Democratic Party

US Senator

Tim Kaine

Democratic Party

2019 Median Age

1.75% 1-year increase

2019 Poverty Rate

23.5%

3.03% 1-year decrease

2019 Median Household Income

$57,977

6.11% 1-year growth

2019 Median Property Value

$227,100

2.34% 1-year growth

2019 Employed Population

45,828

0.76% 1-year decline

About

In 2019, Montgomery County, VA had a population of 98.1k people with a median age of 29 and a median household income of $57,977. Between 2018 and 2019 the population of Montgomery County, VA grew from 97,997 to 98,140, a 0.146% increase and its median household income grew from $54,641 to $57,977, a 6.11% increase.

The 5 largest ethnic groups in Montgomery County, VA are White (Non-Hispanic) (83.3%), Asian (Non-Hispanic) (6.62%), Black or African American (Non-Hispanic) (4.37%), White (Hispanic) (2.28%), and Two+ (Non-Hispanic) (1.49%). 0% of the households in Montgomery County, VA speak a non-English language at home as their primary language.

94.8% of the residents in Montgomery County, VA are U.S. citizens.

The largest universities in Montgomery County, VA are Virginia Polytechnic Institute and State University (9,563 degrees awarded in 2019) and Edward Via College of Osteopathic Medicine (483 degrees).

In 2019, the median property value in Montgomery County, VA was $227,100, and the homeownership rate was 55.4%. Most people in Montgomery County, VA drove alone to work, and the average commute time was 18.1 minutes. The average car ownership in Montgomery County, VA was 2 cars per household.

Montgomery County, VA borders Craig County, VA, Floyd County, VA, Giles County, VA, Pulaski County, VA, Roanoke County, VA, and Radford city, VA.

United States Virginia Blacksburg-Christiansburg-Radford, VA

Diversity

Montgomery County, VA is home to a population of 98.1k people, from which 94.8% are citizens. As of 2019, 11.1% of Montgomery County, VA residents were born outside of the country (10.9k people).

In 2019, there were 12.6 times more White (Non-Hispanic) residents (81.7k people) in Montgomery County, VA than any other race or ethnicity. There were 6.49k Asian (Non-Hispanic) and 4.29k Black or African American (Non-Hispanic) residents, the second and third most common ethnic groups.

Race and Ethnicity

The 3 largest ethnic groups in Montgomery County, VA

White (Non-Hispanic)
81.7k ± 463
Asian (Non-Hispanic)
6.49k ± 223
Black or African American (Non-Hispanic)
4.29k ± 209

3.24%

Hispanic Population

3.18k people

3.24% of the people in Montgomery County, VA are hispanic (3.18k people).

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

Heritage

Foreign-Born Population

11.1%

2019 Foreign-Born Population

10.9k people

7.89%

2018 Foreign-Born Population

7.73k people

As of 2019, 11.1% of Montgomery County, VA residents (10.9k people) were born outside of the United States, which is lower than the national average of 34%. In 2018, the percentage of foreign-born citizens in Montgomery County, VA was 7.89%, meaning that the rate has been increasing.

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

Age by Nativity

Median Native-Born Age

± 0.3

Median Foreign-Born Age

± 2.2

In 2019, the median age of all people in Montgomery County, VA was 29. Native-born citizens, with a median age of 29, were generally younger than foreign-born citizens, with a median age of 32. But people in Montgomery County, VA are getting getting older. In 2018, the average age of all Montgomery County, VA residents was 29.

Global Diversity

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

Most Common Origin

El Salvador
110,628 ± 8,112 people
India
90,134 ± 7,331 people
Mexico
55,497 ± 5,765 people

In 2019, the most common birthplace for the foreign-born residents of Virginia was El Salvador, the natal country of 110,628 Virginia residents, followed by India with 90,134 and Mexico with 55,497.

Citizenship

94.8%

2019 Citizenship

94.6%

2018 Citizenship

As of 2019, 94.8% of Montgomery County, VA residents were US citizens, which is higher than the national average of 93.4%. In 2018, the percentage of US citizens in Montgomery County, VA was 94.6%, meaning that the rate of citizenship has been increasing.

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

Military

Veterans

Most Common Service Period

Vietnam
1,500 ± 249
Gulf War (2001-)
912 ± 258
Gulf War (1990s)
642 ± 209

Montgomery County, VA has a large population of military personnel who served in Vietnam, 1.64 times greater than any other conflict.

COVID-19

Daily New Cases by Date

Showing data at the state level for Virginia. 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 Virginia, 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 Virginia.

This chart shows weekly unemployment insurance claims in Virginia (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 Virginia.

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 Virginia. 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 Virginia.

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Community Mobility

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

This chart presents movement trends over time in the state of Virginia 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 Montgomery County, VA is $57,977. In 2019, the tract with the highest median household income in Montgomery County, VA was Census Tract 213 with a value of $87,083, followed by Census Tract 211 and Census Tract 209, with respective values of $73,750 and $71,086.

Males in Virginia have an average income that is 1.34 times higher than the average income of females, which is $58,617. The income inequality in Virginia (measured using the Gini index) is 0.479, which is higher than than the national average.

The economy of Montgomery County, VA employs 45.8k people. The largest industries in Montgomery County, VA are Educational Services (13,274 people), Health Care & Social Assistance (4,608 people), and Accommodation & Food Services (4,573 people), and the highest paying industries are Mining, Quarrying, & Oil & Gas Extraction ($97,663), Management of Companies & Enterprises ($89,922), and Utilities ($63,173).

Wages

Median Household Income

$57,977

2019 value

± $2,295

6.11%

1 Year Growth

± 4.85%

Households in Montgomery County, VA have a median annual income of $57,977, which is less than the median annual income of $65,712 across the entire United States. This is in comparison to a median income of $54,641 in 2018, which represents a 6.11% annual growth.

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

Wage by Gender in Common Jobs

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

$78,421

Average Male Salary in Virginia

± $1,407

$58,617

Average Female Salary in Virginia

± $1,090

In 2019, full-time male employees in Virginia made 1.34 times more than female employees.

This chart shows the gender-based wage disparity in the 5 most common occupations in Virginia 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 Virginia.

Highest Average Salaries by Race & Ethnicity in Virginia

Asian
$72,838 ± $3,429
White
$64,618 ± $1,052
Two or More Races
$51,601 ± $4,191

In 2019 the highest paid race/ethnicity of Virginia workers was Asian. These workers were paid 1.13 times more than White workers, who made the second highest salary of any race/ethnicity in Virginia.

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

Wage Distribution

The closest comparable wage GINI for Montgomery County, VA is from Virginia.

0.479

2019 Wage GINI in Virginia

0.479

2018 Wage GINI in Virginia

In 2019, the income inequality in Virginia was 0.479 according to the GINI calculation of the wage distribution. Income inequality had a 0.00766% decline from 2018 to 2019, which means that wage distribution grew somewhat more even. The GINI for Virginia was higher than than the national average of 0.478. In other words, wages are distributed less evenly in Virginia in comparison to the national average.

This chart shows the number of workers in Virginia 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 213
Census Tract 211
Census Tract 209

In 2019, the tract with the highest Median Household Income (Total) in Montgomery County, VA was Census Tract 213 with a value of $87,083, followed by Census Tract 211 and Census Tract 209, with respective values of $73,750 and $71,086.

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

Poverty by Age and Gender

Males 18 - 24

Largest Demographic Living in Poverty

23.5% of the population for whom poverty status is determined in Montgomery County, VA (20.9k out of 88.8k people) live below the poverty line, a number that is higher than the national average of 12.3%. The largest demographic living in poverty are Males 18 - 24, followed by Females 18 - 24 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
16,551 ± 969
Asian
2,111 ± 329
Black
1,325 ± 283

The most common racial or ethnic group living below the poverty line in Montgomery County, VA is White, followed by Asian and Black.

Occupations

Employment by Occupations

45.8k

2019 Value

± 1,722

−0.76%

1 Year decline

± 5.29%

From 2018 to 2019, employment in Montgomery County, VA declined at a rate of −0.76%, from 46.2k employees to 45.8k employees.

The most common job groups, by number of people living in Montgomery County, VA, are Education Instruction, & Library Occupations (6,983 people), Management Occupations (4,412 people), and Sales & Related Occupations (4,300 people). This chart illustrates the share breakdown of the primary jobs held by residents of Montgomery County, VA.

Most Common

The most common jobs held by residents of Montgomery County, VA, by number of employees, are Education Instruction, & Library Occupations (6,983 people), Management Occupations (4,412 people), and Sales & Related Occupations (4,300 people).

Most Specialized

Compared to other counties, Montgomery County, VA has an unusually high number of residents working as Life, Physical, & Social Science Occupations (3.34 times higher than expected), Education Instruction, & Library Occupations (2.51 times), and Personal Care & Service Occupations (1.49 times).

Highest Paid

The highest paid jobs held by residents of Montgomery County, VA, by median earnings, are Health Diagnosing & Treating Practitioners & Other Technical Occupations ($75,409), Architecture & Engineering Occupations ($70,788), and Management Occupations ($63,371).

Industries

Employment by Industries

45.8k

2019 Value

± 1,722

−0.76%

1 Year decline

± 5.29%

From 2018 to 2019, employment in Montgomery County, VA declined at a rate of −0.76%, from 46.2k employees to 45.8k employees.

The most common employment sectors for those who live in Montgomery County, VA, are Educational Services (13,274 people), Health Care & Social Assistance (4,608 people), and Accommodation & Food Services (4,573 people). This chart shows the share breakdown of the primary industries for residents of Montgomery County, VA, though some of these residents may live in Montgomery County, VA and work somewhere else. Census data is tagged to a residential address, not a work address.

Most Common

The most common industries in Montgomery County, VA, by number of employees, are Educational Services (13,274 people), Health Care & Social Assistance (4,608 people), and Accommodation & Food Services (4,573 people).

Most Specialized

Compared to other counties, Montgomery County, VA has an unusually high number of Educational Services (3.12 times higher than expected), Management of Companies & Enterprises (1.38 times), and Accommodation & Food Services (1.32 times) industries.

Highest Paying

The highest paying industries in Montgomery County, VA, by median earnings, are Mining, Quarrying, & Oil & Gas Extraction ($97,663), Management of Companies & Enterprises ($89,922), and Utilities ($63,173).

Domestic Trade

Domestic Production & Consumption

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

Top Domestic Production in Dollars

In 2018, the top outbound Virginia product (by dollars) was Mixed freight with $35.1B, followed by Motorized vehicles ($31.5B) and Electronics ($30.5B).

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

Domestic Trade Growth

Showing data for Virginia.

$307B

2018 Value in Virginia

$648B

Projected 2045 Value in Virginia

111% growth

In 2018, total outbound Virginia trade was $307B. This is expected to increase 111% to $648B by 2045.

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

Interstate Trade

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

Most Common Trade Partners

In 2018, the top outbound Virginia domestic partner for goods and services (by dollars) was Maryland with $21.8B, followed by North Carolina with $20B and Pennsylvania and $11.7B.

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

Civics

In the 2016 presidential election, the popular vote in Montgomery County, VA went to Hillary Rodham Clinton with 46.5% of the vote. The runner-up was Donald J. Trump (45.2%), followed by Other (8.25%). The most partisan county was Petersburg city, VA with 87.2% of the vote going to Hillary Rodham Clinton running for the Democratic Party.

Mark Warner and Tim Kaine are the senators currently representing the state of Virginia. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Virginia is currently represented by 11 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Presidential Popular Vote Over Time

Showing data up to the 2016 election. Updated election results are currently being processed, and will be released in the coming months.

2016 Election Results

Hillary Rodham Clinton (46.5%)
Democratic Party
Donald J. Trump (45.2%)
Republican Party
Other (8.25%)
Other Party

In the 2016 presidential election, the popular vote in Virginia went to Hillary Rodham Clinton with 46.5% of the vote. The runner-up was Donald J. Trump (45.2%), followed by Other (8.25%).

The following chart shows the popular vote results in Virginia for each registered party from 1976 to 2016.

Presidential Popular Vote by County

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

Showing data up to the 2016 election. Updated election results are currently being processed, and will be released in the coming months.

Hillary Rodham Clinton

Popular Vote for Montgomery County, VA

46.5% for the Democratic Party

Most Partisan Counties in Virginia

Petersburg city, VA
87.2% for Hillary Rodham Clinton (Democratic Party)
Bland County, VA
82% for Donald J. Trump (Republican Party)
Tazewell County, VA
81.7% for Donald J. Trump (Republican Party)

In the 2016 presidential election, the most partisan county in Virginia was Petersburg city, VA with 87.2% of the vote going to Hillary Rodham Clinton running for the Democratic Party.

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

US Senators from Virginia

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

Mark Warner

Senator from Virginia

Assumed office on January 3, 2009

Tim Kaine

Senator from Virginia

Assumed office on January 3, 2013

Mark Warner and Tim Kaine are the senators currently representing Virginia.

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

US Representatives from Virginia

Virginia is currently represented by 11 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 Virginia have changed over time starting in 2008.

Education

In 2019, universities in Montgomery County, VA awarded 10,046 degrees. The student population of Montgomery County, VA is skewed towards men, with 21,733 male students and 16,645 female students.

Most students graduating from Universities in Montgomery County, VA are White (6,421 and 71.3%), followed by Asian (907 and 10.1%), Hispanic or Latino (549 and 6.09%), and Black or African American (403 and 4.47%).

The largest universities in Montgomery County, VA by number of degrees awarded are Virginia Polytechnic Institute and State University (9,563 and 95.2%) and Edward Via College of Osteopathic Medicine (483 and 4.81%).

The most popular majors in Montgomery County, VA are Osteopathic Medicine (483 and 4.81%), Mechanical Engineering (460 and 4.58%), and General Computer & Information Sciences (385 and 3.83%).

The median tuition cost in Montgomery County, VA for a public four year colleges is $11,420 for in-state students and $29,960 for out-of-state students.

Concentrations

Most Common

Mechanical Engineering
384 degree-majorss awarded
Management Science
381 degree-majorss awarded
General Finance
325 degree-majorss awarded

In 2019, the most common concentation for Bachelors Degree recipients in Montgomery County, VA was Mechanical Engineering with 384 degrees awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Montgomery County, VA according to their major.

Universities

Largest Universities by degrees awarded

Virginia Polytechnic Institute and State University
9,563 degrees awarded
Edward Via College of Osteopathic Medicine
483 degrees awarded

$11,420

Median In-State Public

In 2019, the Montgomery County, VA institution with the largest number of graduating students was Virginia Polytechnic Institute and State University with 9,563 degrees awarded.

Student Gender for Common Institutions

5,521

Degrees Awarded to Men

4,525

Degrees Awarded to Women

In 2019, 5,521 men were awarded degrees from institutions in Montgomery County, VA, which is 1.22 times more than the 4,525 female students who received degrees in the same year.

This chart displays the gender disparity between the institutions in Montgomery County, VA by degrees awarded.

Student Race and Ethnicity

Most Common Student Race or Ethnicity

White
6,421 degrees awarded
Asian
907 degrees awarded
Hispanic or Latino
549 degrees awarded

In 2019 the most common race/ethnicity group awarded degrees at institutions in Montgomery County, VA was White students. These 6,421 degrees mean that there were 7.08 times more degrees awarded to White students then the next closest race/ethnicity group, Asian, with 907 degrees awarded.

Housing & Living

The median property value in Montgomery County, VA was $227,100 in 2019, which is 0.944 times smaller than the national average of $240,500. Between 2018 and 2019 the median property value increased from $221,900 to $227,100, a 2.34% increase. The homeownership rate in Montgomery County, VA is 55.4%, which is lower than the national average of 64.1%. People in Montgomery County, VA have an average commute time of 18.1 minutes, and they drove alone to work. Car ownership in Montgomery County, VA is approximately the same as the national average, with an average of 2 cars per household.

Housing

Property Value

$227,100

2019 Median

± $8,063

$221,900

2018 Median

± $7,840

In 2019, the median property value in Montgomery County, VA grew to to $227,100 from the previous year's value of $221,900.

The following charts display, first, the property values in Montgomery County, VA 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 Montgomery County, VA the largest share of households have a property value in the $200k - $250k range.

Household Income

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

$57,977

Median Household Income

± $2,295

35.7k

Number of Households

± 1,459

In 2019, the median household income of the 35.7k households in Montgomery County, VA grew to $57,977 from the previous year's value of $54,641.

The following chart displays the households in Montgomery County, VA 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 Montgomery County, VA distributed between a series of property tax buckets compared to the national averages for each bucket. In Montgomery County, VA the largest share of households pay taxes in the $800 - $1,499 range.

Rent vs Own

55.4%

2019 Homeownership

55%

2018 Homeownership

In 2019, 55.4% of the housing units in Montgomery County, VA were occupied by their owner. This percentage grew from the previous year's rate of 55%.

This percentage of owner-occupation is lower than the national average of 64.1%. This chart shows the ownership percentage in Montgomery County, VA compared it's parent and neighboring geographies.

Commute Time

18.1 minutes

Average Travel Time

Using averages, employees in Montgomery County, VA have a shorter commute time (18.1 minutes) than the normal US worker (25.5 minutes). Additionally, 0.862% of the workforce in Montgomery County, VA have "super commutes" in excess of 90 minutes.

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

Commuter Transportation

Most Common Commute in 2019

Drove Alone (76.9%)
Carpooled (6.95%)
Walked (5.38%)

In 2019, 76.9% of workers in Montgomery County, VA drove alone to work, followed by those who carpooled to work (6.95%) and those who walked to work (5.38%).

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.

Transportation

Car Ownership

2 cars

Average Number

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

Health

93.9% of the population of Montgomery County, VA has health coverage, with 59.6% on employee plans, 6.83% on Medicaid, 10.1% on Medicare, 15.7% on non-group plans, and 1.7% on military or VA plans.

Per capita personal health care spending in Virginia was $7,556 in 2014. This is a 3.42% increase from the previous year ($7,306).

Primary care physicians in Montgomery County, VA see 1456 patients per year on average, which represents a 1.96% increase from the previous year (1428 patients). Compare this to dentists who see 1971 patients per year, and mental health providers who see 421 patients per year.

Comparing across all counties in the state, Nottoway County and Bristol city have the highest prevalence of diabetes (22.5%). Additionally, King and Queen County has the highest prevalence of adult obesity (48.7%)

Patient to Clinician Ratios

1,456 to 1

Patient to Primary Care Physician Ratio in Montgomery County, VA

Primary care physicians in Montgomery County, VA see an average of 1,456 patients per year. This represents a 1.96% increase from the previous year (1,428 patients).

The following chart shows how the number of patients seen by primary care physicians has been changing over time in Montgomery County, VA 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 Virginia.

$7,556

Total Per Capita Spending on Personal Health Care in Virginia

$4,218

Per Enrollee Private Health Insurance Spending on Personal Health Care

$7,361

Per Enrollee Medicaid Spending on Personal Health Care

$9,677

Per Enrollee Medicare Spending on Personal Health Care

Between 2013 and 2014, all personal health care spending per capita in Virginia (including private, Medicare, and Medicaid) grew 3.42%, from $7,306 to $7,556.

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

Health Care Coverage

6.15%

Uninsured

59.6%

Employer Coverage

6.83%

Medicaid

10.1%

Medicare

15.7%

Non-Group

1.7%

Military or VA

Between 2018 and 2019, the percent of uninsured citizens in Montgomery County, VA declined by 4.59% from 6.44% to 6.15%.

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