Paradise (Northwest) & Winchester PUMA, NV

Public Use Microdata Area (PUMA)

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2020 Population

158,349

0.422% 1-year growth

US Senator

Catherine Cortez Masto

Democratic Party

US Senator

Jacky Rosen

Democratic Party

2020 Median Age

36.9

0.272% 1-year increase

2020 Poverty Rate

20.8%

7.01% 1-year decrease

2020 Median Household Income

$40,350

5.09% 1-year growth

2020 Median Property Value

$206,700

12.7% 1-year growth

2020 Employed Population

74,389

0.824% 1-year decline

About

In 2020, Paradise (Northwest) & Winchester PUMA, NV had a population of 158k people with a median age of 36.9 and a median household income of $40,350. Between 2019 and 2020 the population of Paradise (Northwest) & Winchester PUMA, NV grew from 157,683 to 158,349, a 0.422% increase and its median household income grew from $38,397 to $40,350, a 5.09% increase.

The 5 largest ethnic groups in Paradise (Northwest) & Winchester PUMA, NV are White (Non-Hispanic) (30.1%), Other (Hispanic) (20.1%), White (Hispanic) (14.7%), Black or African American (Non-Hispanic) (12.8%), and Asian (Non-Hispanic) (10.4%).

47.2% of the households in Paradise (Northwest) & Winchester PUMA, NV 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.

78.8% of the residents in Paradise (Northwest) & Winchester PUMA, NV are U.S. citizens.

The largest universities in Clark County (Central)--Paradise (Northwest) & Winchester PUMA, NV are University of Nevada-Las Vegas (5,992 degrees awarded in 2020), Pima Medical Institute-Las Vegas (468 degrees), and Advanced Training Institute (421 degrees).

In 2020, the median property value in Paradise (Northwest) & Winchester PUMA, NV was $206,700, and the homeownership rate was 26%.

Most people in Paradise (Northwest) & Winchester PUMA, NV drove alone to work, and the average commute time was 23.4 minutes. The average car ownership in Paradise (Northwest) & Winchester PUMA, NV was 1 car per household.

Paradise (Northwest) & Winchester PUMA, NV borders Las Vegas City (Southeast) PUMA, NV, Las Vegas City (South Central) PUMA, NV, Spring Valley & Summerlin South PUMA, NV, Whitney, Sunrise Manor (South) & Paradise (Northeast) PUMA, NV, and Paradise (South) & Enterprise PUMA, NV.

Population & Diversity

Paradise (Northwest) & Winchester PUMA, NV is home to a population of 158k people, from which 78.8% are citizens. As of 2020, 34.4% of Paradise (Northwest) & Winchester PUMA, NV residents were born outside of the country (54.5k people).

In 2020, there were 1.5 times more White (Non-Hispanic) residents (47.6k people) in Paradise (Northwest) & Winchester PUMA, NV than any other race or ethnicity. There were 31.8k Other (Hispanic) and 23.3k White (Hispanic) residents, the second and third most common ethnic groups.

The most common non-English languages spoken as the primary langauge in households in Paradise (Northwest) & Winchester PUMA, NV are Spanish (49,501 households), Tagalog (Incl. Filipino) (5,708 households), and Chinese (Incl. Mandarin, Cantonese) (2,287 households).

Population & Diversity

Residents by Gender and Age

RACE/ETHNICITY

75,652

Women

47.8%

82,577

Men

52.2%

The resident population of United States in 2020 was 158,229 inhabitants, with 52.2% men, and 47.8% 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.

Citizenship

78.8%

2020 Citizenship

76.3%

2019 Citizenship

As of 2020, 78.8% of Paradise (Northwest) & Winchester PUMA, NV residents were US citizens, which is lower than the national average of 93.4%. In 2019, the percentage of US citizens in Paradise (Northwest) & Winchester PUMA, NV was 76.3%, meaning that the rate of citizenship has been increasing.

The following chart shows US citizenship percentages in Paradise (Northwest) & Winchester PUMA, NV compared to that of it's neighboring and parent geographies.

Diversity

Race and Ethnicity

The 3 largest ethnic groups in Paradise (Northwest) & Winchester PUMA, NV

White (Non-Hispanic)
47.6k ± 2.07k
Other (Hispanic)
31.8k ± 2.48k
White (Hispanic)
23.3k ± 1.89k

41.2%

Hispanic Population

65.2k people

41.2% of the people in Paradise (Northwest) & Winchester PUMA, NV are hispanic (65.2k people).

The following chart shows the 7 races represented in Paradise (Northwest) & Winchester PUMA, NV as a share of the total population.

Global Diversity

Most Common Origin

Mexico
18,576 ± 3,144 people
Philippines
7,130 ± 2,026 people
Cuba
5,604 ± 1,805 people

In 2020, the most common birthplace for the foreign-born residents of Paradise (Northwest) & Winchester PUMA, NV was Mexico, the natal country of 18,576 Paradise (Northwest) & Winchester PUMA, NV residents, followed by Philippines with 7,130 and Cuba with 5,604.

Foreign-Born Population

34.4%

2020 Foreign-Born Population

54.5k people

36%

2019 Foreign-Born Population

56.7k people

As of 2020, 34.4% of Paradise (Northwest) & Winchester PUMA, NV residents (54.5k people) were born outside of the United States, which is higher than the national average of 13.5%. In 2019, the percentage of foreign-born citizens in Paradise (Northwest) & Winchester PUMA, NV was 36%, meaning that the rate has been decreasing.

The following chart shows the percentage of foreign-born residents in Paradise (Northwest) & Winchester PUMA, NV compared to that of it's neighboring and parent geographies.

Non-English Households

Most Common Non-English Languages

Spanish
49,501 households (33.2%)
Tagalog (Incl. Filipino)
5,708 households (3.83%)
Chinese (Incl. Mandarin, Cantonese)
2,287 households (1.53%)

47.2% of the households in Paradise (Northwest) & Winchester PUMA, NV reported speaking a non-English language at home as their primary shared language, which is higher than the national average of 21.5%. 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 2020, the most common non-English language spoken in households in Paradise (Northwest) & Winchester PUMA, NV was Spanish. 33.2% of the households in Paradise (Northwest) & Winchester PUMA, NV reported speaking Spanish at home as the primary shared language between all members living in the household.

Military

Veterans

Most Common Service Period

Vietnam
2,645 ± 327
Gulf War (2001-)
1,703 ± 326
Gulf War (1990s)
939 ± 250

Paradise (Northwest) & Winchester PUMA, NV has a large population of military personnel who served in Vietnam, 1.55 times greater than any other conflict.

Economy

The economy of Paradise (Northwest) & Winchester PUMA, NV employs 74.4k people. The largest industries in Paradise (Northwest) & Winchester PUMA, NV are Traveler accommodation (9,559 people), Restaurants & Food Services (9,055 people), and Amusement & Recreation (5,934 people), and the highest paying industries are Scientific research & development services ($127,944), Offices of physicians ($101,967), and Legal services ($90,308).

Males in Paradise (Northwest) & Winchester PUMA, NV have an average income that is 1.14 times higher than the average income of females, which is $39,481. The income inequality in Paradise (Northwest) & Winchester PUMA, NV (measured using the Gini index) is 0.41, which is lower than than the national average.

Employment

Workforce Diversity

Measure

RACE/ETHNICITY

32,371

Women

43.5%

42,018

Men

56.5%

The workforce of Paradise (Northwest) & Winchester PUMA, NV in 2020 was 74,389 people, with 43.5% woman, and 56.5% men.

The visualization shows the distribution of the workforce by gender and age in Paradise (Northwest) & Winchester PUMA, NV.

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

Occupations

74.4k

2020 Value

−0.824%

1 Year decline

± −0.824%

From 2019 to 2020, employment in Paradise (Northwest) & Winchester PUMA, NV declined at a rate of −0.824%, from 75k employees to 74.4k employees.

The most common job groups, by number of people living in Paradise (Northwest) & Winchester PUMA, NV, are Cooks (3,966 people), Maids & housekeeping cleaners (3,817 people), and Cashiers (2,987 people). This chart illustrates the share breakdown of the primary jobs held by residents of Paradise (Northwest) & Winchester PUMA, NV.

Unemployment Insurance Claims

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

This chart shows weekly unemployment insurance claims in Nevada (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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Industries

Employment by Industries

74.4k

2020 Value

−0.824%

1 Year decline

± −0.824%

From 2019 to 2020, employment in Paradise (Northwest) & Winchester PUMA, NV declined at a rate of −0.824%, from 75k employees to 74.4k employees.

The most common employment sectors for those who live in Paradise (Northwest) & Winchester PUMA, NV, are Traveler accommodation (9,559 people), Restaurants & Food Services (9,055 people), and Amusement & Recreation (5,934 people). This chart shows the share breakdown of the primary industries for residents of Paradise (Northwest) & Winchester PUMA, NV, though some of these residents may live in Paradise (Northwest) & Winchester PUMA, NV and work somewhere else. Census data is tagged to a residential address, not a work address.

Median Earnings by Industry

$31,480

Median earning men ± $622

$27,673

Median earning women ± $1,463

The industries with the best median earnings for men in 2020 are Public Administration ($55,893), Finance & Insurance, & Real Estate & Rental & Leasing ($41,379), and Educational Services, & Health Care & Social Assistance ($40,496).

The industries with the best median earnings for women in 2020 are Information ($51,106), Public Administration ($46,429), and Construction ($41,375).

Employment by Industry Sector

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

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 Nevada. 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 Nevada.

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Domestic Trade

Domestic Production & Consumption

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

Top Domestic Production in Dollars

In 2020, the top outbound Nevada product (by dollars) was Misc. mfg. prods. with $11.8B, followed by Electronics ($7.88B) and Textiles/leather ($5.77B).

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

Domestic Trade Growth

Showing data for Nevada.

$74.7B

2020 Value in Nevada

$145B

Projected 2050 Value in Nevada

94.1% growth

In 2020, total outbound Nevada trade was $74.7B. This is expected to increase 94.1% to $145B by 2050.

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

Interstate Trade

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

Most Common Trade Partners

California
$17.5B
Utah
$2.92B
New York
$2.88B

In 2020, the top outbound Nevada domestic partner for goods and services (by dollars) was California with $17.5B, followed by Utah with $2.92B and New York and $2.88B.

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

Civics

Catherine Cortez Masto and Jacky Rosen are the senators currently representing the state of Nevada. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Nevada is currently represented by 4 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

Senators Elections

US Senators from Nevada

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

Catherine Cortez Masto

Senator from Nevada

Assumed office on January 3, 2017

Jacky Rosen

Senator from Nevada

Assumed office on January 3, 2019

Catherine Cortez Masto and Jacky Rosen are the senators currently representing Nevada.

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

US Representatives Elections

US Representatives from Nevada

Nevada is currently represented by 4 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 Nevada have changed over time starting in 2008.

Education

In 2020, universities in Paradise (Northwest) & Winchester PUMA, NV awarded 7,451 degrees. The student population of Paradise (Northwest) & Winchester PUMA, NV in 2020 is skewed towards women, with 14,295 male students and 19,230 female students.

Most students graduating from Universities in Paradise (Northwest) & Winchester PUMA, NV are White (2,528 and 35.6%), followed by Hispanic or Latino (2,005 and 28.2%), Asian (1,034 and 14.6%), and Two or More Races (668 and 9.4%).

The largest universities in Paradise (Northwest) & Winchester PUMA, NV by number of degrees awarded are University of Nevada-Las Vegas (5,992 and 80.4%), Pima Medical Institute-Las Vegas (468 and 6.28%), and Advanced Training Institute (421 and 5.65%).

The most popular majors in Clark County (Central)--Paradise (Northwest) & Winchester PUMA, NV are General Hospitality Management (564 and 7.57%), General Psychology (386 and 5.18%), and Criminal Justice - Safety Studies (277 and 3.72%).

The median tuition cost in Clark County (Central)--Paradise (Northwest) & Winchester PUMA, NV for a public four year colleges is $7,747 for in-state students and $23,398 for out-of-state students.

Admissions & Enrollments

Applicants, Admissions & Enrolled

University

Measure

In 2020 in Paradise (Northwest) & Winchester PUMA, NV, the percentage of applicants admitted was 81%, while the percentage of admitted who enrolled was 41.7%. The number of students enrolled in 2020 was 33,525 (42.6% men and 57.4% 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.

Enrollments by Gender and Races

Universities

In 2020 there were 33,525 students enrolled in Paradise (Northwest) & Winchester PUMA, NV, 42.6% men and 57.4% women.

By race, the largest number of students enrolled was concentrated in White with 10,284 records, of which 54.7% were women and 45.3% men.

Completions

Concentrations

Most Common

General Hospitality Management
520 degree-majors awarded
General Psychology
368 degree-majors awarded
Criminal Justice - Safety Studies
268 degree-majors awarded

In 2020, the most common concentation for Bachelors Degree recipients in Clark County (Central)--Paradise (Northwest) & Winchester PUMA, NV was General Hospitality Management with 520 degrees awarded.

This visualization illustrates the percentage of students graduating with a Bachelors Degree from schools in Clark County (Central)--Paradise (Northwest) & Winchester PUMA, NV according to their major.

Universities

Gender

Race

Largest Universities by degrees awarded

University of Nevada-Las Vegas
5,992 degrees awarded
Pima Medical Institute-Las Vegas
468 degrees awarded
Advanced Training Institute
421 degrees awarded

In 2020, the institution with the largest number of graduating students was University of Nevada-Las Vegas with 5,992 degrees awarded.

Student Diversity

University

In 2020, 3,077 men were awarded degrees from institutions in Paradise (Northwest) & Winchester PUMA, NV, which is 0.703 times less than the 4,374 female students who received degrees in the same year.

In 2020 the most common race/ethnicity group awarded degrees at institutions was White students. These 2,528 degrees mean that there were 1.26 times more degrees awarded to White students then the next closest race/ethnicity group, Hispanic or Latino, with 2,005 degrees awarded.

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.

Tuition

Average Net Price by Sector

Universities

Private for-profit, 2-year ($16,520) is the sector with the highest median state tuition in 2020.

Public, 4-year or above ($718) is the sector with the highest median state fee in 2020.

Public, 4-year or above ($1,250) is the sector with the highest average net price of books and supplies.

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

Working Population

Educational Pyramid

Measure

In 2020, 2.02% of men over 25 years of age had not completed any academic degree (no schooling), while 2.04% of women were in the same situation.

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

Educational Attainment

Race

The most common educational levels obtained by the working population of Paradise (Northwest) & Winchester PUMA, NV in 2020 were High School or Equivalent (40.8k), Some college (32.7k), and Secondary Education (19.9k).

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.

Housing & Living

The median property value in Paradise (Northwest) & Winchester PUMA, NV was $206,700 in 2020, which is 0.899 times smaller than the national average of $229,800. Between 2019 and 2020 the median property value increased from $183,400 to $206,700, a 12.7% increase. The homeownership rate in Paradise (Northwest) & Winchester PUMA, NV is 26%, which is approximately the same as the national average of 64.4%.

People in Paradise (Northwest) & Winchester PUMA, NV have an average commute time of 23.4 minutes, and they drove alone to work. Car ownership in Paradise (Northwest) & Winchester PUMA, NV is lower than the national average, with an average of 1 car per household.

Median household income in Paradise (Northwest) & Winchester PUMA, NV is $40,350. In 2020, the PUMA with the highest Median Household Income in Paradise (Northwest) & Winchester PUMA, NV was Washoe County (South) PUMA, NV with a value of $92,861, followed by Las Vegas (Northeast) & North Las Vegas (Outer) Cities PUMA, NV and Henderson City (West) PUMA, NV, with respective values of $80,766 and $78,324.

Housing

Property

$206,700

Median Property Value 2020

±$8,171

$17,464

Median Property Taxes

±$952

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 Paradise (Northwest) & Winchester PUMA, NV the largest share of households pay taxes in the $800 - $1,499 range.

The chart underneath the paragraph shows the property taxes in Paradise (Northwest) & Winchester PUMA, NV compared to it's parent and neighbor geographies.

Rent vs Own

26%

Homeownership

2020

68.5%

Homeowners with Mortgage

2020

In 2020, 26% of the housing units in Paradise (Northwest) & Winchester PUMA, NV were occupied by their owner. This percentage grew from the previous year's rate of 25.7%.

This chart shows the percentage of owner in Paradise (Northwest) & Winchester PUMA, NV compared it's parent and neighboring geographies.

Equity

Income by Location

Use the dropdown to filter by race/ethnicity.

Race/Ethnicity

Highest Median Household Income (Total)

In 2020, the PUMA with the highest Median Household Income (Total) in Paradise (Northwest) & Winchester PUMA, NV was Washoe County (South) PUMA, NV with a value of $92,861, followed by Las Vegas (Northeast) & North Las Vegas (Outer) Cities PUMA, NV and Henderson City (West) PUMA, NV, with respective values of $80,766 and $78,324.

The following map shows all of the PUMAs in Paradise (Northwest) & Winchester PUMA, NV colored by their Median Household Income (Total).

Household Income

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

$40,350

Median Household Income

± $1,129

67.2k

Number of Households

± 2,058

In 2020, the median household income of the 67.2k households in Paradise (Northwest) & Winchester PUMA, NV grew to $40,350 from the previous year's value of $38,397.

The following chart displays the households in Paradise (Northwest) & Winchester PUMA, NV 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 < $10k range.

Wage Distribution

0.41

2020 Wage GINI in Paradise (Northwest) & Winchester PUMA, NV

0.401

2019 Wage GINI in Paradise (Northwest) & Winchester PUMA, NV

In 2020, the income inequality in Paradise (Northwest) & Winchester PUMA, NV was 0.41 according to the GINI calculation of the wage distribution. Income inequality had a 2.29% growth from 2019 to 2020, which means that wage distribution grew somewhat less even. The GINI for Paradise (Northwest) & Winchester PUMA, NV was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Paradise (Northwest) & Winchester PUMA, NV in comparison to the national average.

This chart shows the number of workers in Paradise (Northwest) & Winchester PUMA, NV across various wage buckets compared to the national average.

Transportation

Commuter Transportation

Most Common Commute in 2018

Drove Alone (66.9%)
Public Transit (11.5%)
Carpooled (10.2%)

In 2018, 66.9% of workers in Paradise (Northwest) & Winchester PUMA, NV drove alone to work, followed by those who used public transit to get to work (11.5%) and those who carpooled to work (10.2%).

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.

Commute Time

23.4 minutes

Average Travel Time

Using averages, employees in Paradise (Northwest) & Winchester PUMA, NV have a shorter commute time (23.4 minutes) than the normal US worker (26.9 minutes). Additionally, 2.32% of the workforce in Paradise (Northwest) & Winchester PUMA, NV have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Paradise (Northwest) & Winchester PUMA, NV compares to that of it's neighboring and parent geographies.

Car Ownership

1 car

Average Number

The following chart displays the households in Paradise (Northwest) & Winchester PUMA, NV distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Paradise (Northwest) & Winchester PUMA, NV have 1 car.

Poverty

Poverty & Diversity

20.8% of the population for whom poverty status is determined in Paradise (Northwest) & Winchester PUMA, NV (32.4k out of 156k 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 25 - 34, followed by Males 25 - 34 and then Females 35 - 44.

The most common racial or ethnic group living below the poverty line in Paradise (Northwest) & Winchester PUMA, NV is Hispanic, followed by White and Other.

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.

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.

Health

80.7% of the population of Paradise (Northwest) & Winchester PUMA, NV has health coverage, with 36.2% on employee plans, 23.6% on Medicaid, 9.65% on Medicare, 9.27% on non-group plans, and 1.9% on military or VA plans.

Per capita personal health care spending in Nevada was $6,714 in 2014. This is a 7% increase from the previous year ($6,275).

Primary care physicians in Nevada see 1712 patients per year on average, which represents a 3.17% decrease from the previous year (1768 patients). Compare this to dentists who see 1585 patients per year, and mental health providers who see 456 patients per year.

COVID-19

Daily New Cases by Date

Showing data at the state level for Nevada. 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 Nevada, as a 7-day rolling average, compared with the four states with the most similar number of confirmed cases.

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Patient to Clinician Ratios

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

1,712 to 1

Patient to Primary Care Physician Ratio in Nevada

Primary care physicians in Nevada see an average of 1,712 patients per year. This represents a 3.17% decrease from the previous year (1,768 patients).

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

Community Mobility

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

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

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Coverage

Health Care Diversity

In 2020, insured persons according to age ranges were distributed in 20.9% under 18 years, 25.9% between 18 and 34 years, 39% between 35 and 64 years, and 14.1% over 64 years.

By gender, of the total number of insured persons, 51.3% were men and 48.7% were women.

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

Uninsured People

19.3%

Uninsured

36.2%

Employer Coverage

23.6%

Medicaid

9.65%

Medicare

9.27%

Non-Group

1.9%

Military or VA

Between 2019 and 2020, the percent of uninsured citizens in Paradise (Northwest) & Winchester PUMA, NV declined by 4.69% from 20.3% to 19.3%.

The following chart shows how the percent of uninsured individuals in Paradise (Northwest) & Winchester PUMA, NV changed over time compared with the percent of individuals enrolled in various types of health insurance.