Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD

Public Use Microdata Area (PUMA)

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2022 Population
103,878
11.3% 1-year decline
US Senator
Ben Cardin
Democratic Party
US Senator
Chris Van Hollen
Democratic Party
2022 Median Age
39.1
1.26% 1-year decrease
2022 Poverty Rate
9.55%
14.5% 1-year increase
2022 Median Household Income
$90,313
8.61% 1-year growth
2022 Median Property Value
$286,400
14.8% 1-year growth
2022 Employed Population
52,883
11.6% 1-year decline

About

In 2022, Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD had a population of 104k people with a median age of 39.1 and a median household income of $90,313. Between 2021 and 2022 the population of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD declined from 117,148 to 103,878, a −11.3% decrease and its median household income grew from $83,150 to $90,313, a 8.61% increase.

The 5 largest ethnic groups in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD are White (Non-Hispanic) (51.9%), Black or African American (Non-Hispanic) (29.1%), Asian (Non-Hispanic) (8.67%), Two+ (Non-Hispanic) (2.97%), and Other (Hispanic) (2.2%).

18.8% of the households in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD 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.

93.9% of the residents in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD are U.S. citizens.

The largest universities in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD are Community College of Baltimore County (2,520 degrees awarded in 2022) and Montgomery Beauty School-Baltimore Beauty & Barber School (103 degrees).

In 2022, the median property value in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was $286,400, and the homeownership rate was 70.5%.

Most people in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD drove alone to work, and the average commute time was 29.7 minutes. The average car ownership in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was 2 cars per household.

Population & Diversity

Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD is home to a population of 104k people, from which 93.9% are citizens. As of 2022, 14.5% of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD residents were born outside of the country (15.1k people).

In 2022, there were 1.78 times more White (Non-Hispanic) residents (53.9k people) in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD than any other race or ethnicity. There were 30.2k Black or African American (Non-Hispanic) and 9k Asian (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 Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD are Spanish (4,057 households), Tagalog (Incl. Filipino) (2,485 households), and Yoruba, Twi, Igbo, or Other Languages of Western Africa (2,358 households).

Residents by Gender and Age

RACE/ETHNICITY
53,891
Women
51.7%
50,386
Men
48.3%

The resident population of United States in 2022 was 104,277 inhabitants, with 48.3% men, and 51.7% 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

93.9%
2022 Citizenship
94.1%
2021 Citizenship

As of 2022, 93.9% of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD residents were US citizens, which is higher than the national average of 93.5%. In 2021, the percentage of US citizens in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was 94.1%, meaning that the rate of citizenship has been decreasing.

The following chart shows US citizenship percentages in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD compared to that of it's neighboring and parent geographies.

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Race and Ethnicity

The 3 largest ethnic groups in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD
  1. White (Non-Hispanic)
    53.9k ± 2.08k
  2. Black or African American (Non-Hispanic)
    30.2k ± 2.43k
  3. Asian (Non-Hispanic)
    9k ± 1.25k
6.46%
Hispanic Population
6.71k people

In 2022, there were 1.78 times more White (Non-Hispanic) residents (53.9k people) in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD than any other race or ethnicity. There were 30.2k Black or African American (Non-Hispanic) and 9k Asian (Non-Hispanic) residents, the second and third most common ethnic groups.

6.46% of the people in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD are hispanic (6.71k people).

The following chart shows the 7 races represented in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD as a share of the total population.

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Global Diversity

Most Common Origin
  1. Philippines
    2,813 ± 1,284 people
  2. Nigeria
    1,709 ± 1,007 people
  3. Nepal
    1,211 ± 849 people

In 2022, the most common birthplace for the foreign-born residents of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was Philippines, the natal country of 2,813 Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD residents, followed by Nigeria with 1,709 and Nepal with 1,211.

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Foreign-Born Population

14.5%
2022 Foreign-Born Population
15.1k people
13.6%
2021 Foreign-Born Population
15.9k people

As of 2022, 14.5% of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD residents (15.1k people) were born outside of the United States, which is higher than the national average of 13.6%. In 2021, the percentage of foreign-born citizens in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was 13.6%, meaning that the rate has been increasing.

The following chart shows the percentage of foreign-born residents in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD compared to that of it's neighboring and parent geographies.

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Non-English Households

Most Common Non-English Languages
  1. Spanish
    4,057 households (4.17%)
  2. Tagalog (Incl. Filipino)
    2,485 households (2.56%)
  3. Yoruba, Twi, Igbo, or Other Languages of Western Africa
    2,358 households (2.43%)

18.8% of the households in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD 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 Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was Spanish. 4.17% of the households in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD 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
    1,786 ± 475
  2. Gulf War (2001-)
    1,117 ± 302
  3. Gulf War (1990s)
    574 ± 222

Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD has a large population of military personnel who served in Vietnam, 1.6 times greater than any other conflict.

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Economy

The economy of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD employs 52.9k people. The largest industries in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD are General medical and surgical hospitals, and specialty (except psychiatric and substance abuse) hospitals (3,940 people), Elementary & secondary schools (3,695 people), and Construction (2,798 people), and the highest paying industries are Broadcasting (except internet) ($190,698), Industrial & miscellaneous chemicals ($147,192), and Navigational, measuring, electromedical, & control instruments manufacturing ($137,827).

Males in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD have an average income that is 1.19 times higher than the average income of females, which is $69,820. The income inequality in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD (measured using the Gini index) is 0.412, which is lower than than the national average.

Workforce Diversity

Measure
RACE/ETHNICITY
28,525
Women
48.9%
29,850
Men
51.1%

The workforce of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD in 2020 was 58,375 people, with 48.9% woman, and 51.1% men.

The visualization shows the distribution of the workforce by gender and age in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD.

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

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Occupations

52.9k
2022 Value
−11.6%
1 Year decline
± −11.6%

From 2021 to 2022, employment in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD declined at a rate of −11.6%, from 59.8k employees to 52.9k employees.

The most common job groups, by number of people living in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD, are Registered nurses (1,700 people), Elementary & middle school teachers (1,410 people), and Other managers (1,240 people). This chart illustrates the share breakdown of the primary jobs held by residents of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD.

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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 Maryland (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

52.9k
2022 Value
−11.6%
1 Year decline
± −11.6%

From 2021 to 2022, employment in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD declined at a rate of −11.6%, from 59.8k employees to 52.9k employees.

The most common employment sectors for those who live in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD, are General medical and surgical hospitals, and specialty (except psychiatric and substance abuse) hospitals (3,940 people), Elementary & secondary schools (3,695 people), and Construction (2,798 people). This chart shows the share breakdown of the primary industries for residents of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD, though some of these residents may live in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD and work somewhere else. Census data is tagged to a residential address, not a work address.

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Median Earnings by Industry

$65,230
Median earning men ± $3,004
$50,366
Median earning women ± $2,134

The industries with the best median earnings for men in 2022 are Public Administration ($100,621), Finance & Insurance, & Real Estate & Rental & Leasing ($92,315), and Professional, Scientific, & Management, & Administrative & Waste Management Services ($75,988).

The industries with the best median earnings for women in 2022 are Public Administration ($69,088), Finance & Insurance, & Real Estate & Rental & Leasing ($68,624), and Construction ($65,275).

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Employment by Industry Sector

Data is only available at the state level. Showing data for Maryland.
Y-Axis
0.617%
Year-over-year growth
Employment change between February 2022 and February 2023

As of February 2023, there are 2.69M people employed in Maryland. This represents a 0.617% 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 13.9%.

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

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Civics

In the 2020 presidential election, the popular vote in Maryland went to Joseph R Biden Jr. with 65.4% of the vote. The runner-up was Donald J. Trump (32.2%), followed by Jo Jorgensen (1.1%).

Ben Cardin and Chris Van Hollen are the senators currently representing the state of Maryland. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Maryland is currently represented by 8 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

US Senators from Maryland

Senatorial voting results are only available at the state level. Showing data for Maryland.
Ben Cardin
Senator from Maryland1
Assumed office on January 3, 2007
Chris Van Hollen
Senator from Maryland3
Assumed office on January 3, 2017

Ben Cardin and Chris Van Hollen are the senators currently representing Maryland.

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

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US Representatives from Maryland

Maryland is currently represented by 8 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 Maryland have changed over time starting in 2008.

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Education

In 2022, universities in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD awarded 2,623 degrees. The student population of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD in 2022 is skewed towards women, with 5,723 male students and 9,805 female students.

Most students graduating from Universities in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD are White (1,071 and 45.1%), followed by Black or African American (885 and 37.2%), Asian (147 and 6.18%), and Hispanic or Latino (138 and 5.81%).

The largest universities in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD by number of degrees awarded are Community College of Baltimore County (2,520 and 96.1%) and Montgomery Beauty School-Baltimore Beauty & Barber School (103 and 3.93%).

The most popular majors in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD are Other Liberal Arts & Sciences, General Studies, & Humanities (567 and 21.6%), Corrections (218 and 8.31%), and Registered Nursing (183 and 6.98%).

Enrollments by Gender and Races

In 2022 there were 15,528 students enrolled in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD, 36.9% men and 63.1% women.

By race, the largest number of students enrolled was concentrated in Black or African American with 6,031 records, of which 67.7% were women and 32.3% men.

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Concentrations

Most Common
  1. 566 degrees awarded
  2. 183 degrees awarded
  3. 125 degrees awarded

In 2022, the most common concentation for Associates Degree recipients in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was Other Liberal Arts & Sciences, General Studies, & Humanities with 566 degrees awarded.

This visualization illustrates the percentage of students graduating with a Associates Degree from schools in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD according to their major.

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Universities

Gender
Race
Largest Universities by degrees awarded
  1. 2,520 degrees awarded
  2. 103 degrees awarded

In 2022, the institution with the largest number of graduating students was Community College of Baltimore County with 2,520 degrees awarded.

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Student Diversity

In 2022, 1,027 men were awarded degrees from institutions in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD, which is 0.643 times less than the 1,596 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 1,071 degrees mean that there were 1.21 times more degrees awarded to White students then the next closest race/ethnicity group, Black or African American, with 885 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

Public, 2-year ($5,784) is the sector with the highest median state tuition in 2022.

Public, 2-year ($1,134) is the sector with the highest median state fee in 2022.

Public, 2-year ($1,430) 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, 1.53% of men over 25 years of age had not completed any academic degree (no schooling), while 1.25% 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 Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD in 2022 were High School or Equivalent (22.7k), Some college (17.3k), and Bachelors Degree (17.3k).

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 Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was $286,400 in 2022, which is 1.02 times larger than the national average of $281,900. Between 2021 and 2022 the median property value increased from $249,500 to $286,400, a 14.8% increase. The homeownership rate in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD is 70.5%, which is approximately the same as the national average of 64.8%.

People in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD have an average commute time of 29.7 minutes, and they drove alone to work. Car ownership in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD is approximately the same as the national average, with an average of 2 cars per household.

Median household income in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD is $90,313. In 2022, the PUMA with the highest Median Household Income in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was South Montgomery County--South Bethesda & Chevy Chase PUMA, MD with a value of $195,376, followed by West Howard County--Ellicott City (North & West), Fulton & Highland PUMA, MD and North Montgomery County--Olney, Damascus & Darnestown PUMA, MD, with respective values of $169,655 and $168,773.

Property

$286,400
Median Property Value 2022
±$5,536
$27,995
Median Property Taxes
±$1,294

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 Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD the largest share of households pay taxes in the $3k+ range.

The chart underneath the paragraph shows the property taxes in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD compared to it's parent and neighbor geographies.

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Rent vs Own

70.5%
Homeownership
2022
66.1%
Homeowners with Mortgage
2022

In 2022, 70.5% of the housing units in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD were occupied by their owner. This percentage declined from the previous year's rate of 70.6%.

This chart shows the percentage of owner in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD compared it's parent and neighboring geographies.

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Income by Location

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Race/Ethnicity

In 2022, the PUMA with the highest Median Household Income (Total) in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was South Montgomery County--South Bethesda & Chevy Chase PUMA, MD with a value of $195,376, followed by West Howard County--Ellicott City (North & West), Fulton & Highland PUMA, MD and North Montgomery County--Olney, Damascus & Darnestown PUMA, MD, with respective values of $169,655 and $168,773.

The following map shows all of the PUMAs in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD 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.
$90,313
Median Household Income
± $2,944
39.7k
Number of Households
± 1,686

In 2022, the median household income of the 39.7k households in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD grew to $90,313 from the previous year's value of $83,150.

The following chart displays the households in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD 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

0.412
2022 Wage GINI in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD
0.393
2021 Wage GINI in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD

In 2022, the income inequality in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was 0.412 according to the GINI calculation of the wage distribution. Income inequality had a 4.79% growth from 2021 to 2022, which means that wage distribution grew somewhat less even. The GINI for Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD was lower than than the national average of 0.478. In other words, wages are distributed more evenly in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD in comparison to the national average.

This chart shows the number of workers in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD across various wage buckets compared to the national average.

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Commuter Transportation

Most Common Commute in 2022
  1. Drove Alone (75.2%)
  2. Worked At Home (9.67%)
  3. Carpooled (8.42%)

In 2022, 75.2% of workers in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD drove alone to work, followed by those who worked at home (9.67%) and those who carpooled to work (8.42%).

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

29.7 minutes
Average Travel Time

Using averages, employees in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD have a longer commute time (29.7 minutes) than the normal US worker (26.7 minutes). Additionally, 3.34% of the workforce in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD 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 Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD have 2 cars.

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Poverty & Diversity

9.55% of the population for whom poverty status is determined in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD (9.86k out of 103k people) live below the poverty line, a number that is lower than the national average of 12.5%. The largest demographic living in poverty are Females 35 - 44, followed by Females 6 - 11 and then Females 25 - 34.

The most common racial or ethnic group living below the poverty line in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD is Black, followed by White and Asian.

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

94.9% of the population of Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD has health coverage, with 55% on employee plans, 15.4% on Medicaid, 11.8% on Medicare, 11.9% on non-group plans, and 0.79% on military or VA plans.

Primary care physicians in Maryland see 1118 patients per year on average, which represents a 0.974% decrease from the previous year (1129 patients). Compare this to dentists who see 1256 patients per year, and mental health providers who see 335 patients per year.

Patient to Clinician Ratios

Data is only available at the state level. Showing data for Maryland.
1,118 to 1
Patient to Primary Care Physician Ratio in Maryland

Primary care physicians in Maryland see an average of 1,118 patients per year. This represents a 0.974% decrease from the previous year (1,129 patients).

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

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Health Care Diversity

In 2022, insured persons according to age ranges were distributed in 22.1% under 18 years, 21.5% between 18 and 34 years, 40.5% between 35 and 64 years, and 15.9% over 64 years.

By gender, of the total number of insured persons, 47.4% were men and 52.6% were women.

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

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Uninsured People

5.14%
Uninsured
55%
Employer Coverage
15.4%
Medicaid
11.8%
Medicare
11.9%
Non-Group
0.79%
Military or VA

Between 2021 and 2022, the percent of uninsured citizens in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD declined by 5.9% from 5.47% to 5.14%.

The following chart shows how the percent of uninsured individuals in Inner East Baltimore County--Middle River, Rosedale & White Marsh PUMA, MD changed over time compared with the percent of individuals enrolled in various types of health insurance.

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