Oatmeal Healthoatmealhealth.com · public-data estimate, October 2026

Lifepoint Health

Lung screening gap across 123 counties in Alabama, Arizona, Arkansas, California, Illinois, Indiana, Iowa, Kentucky, Michigan, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington and West Virginia

880,000to1.7Madults in its service area qualify for lung cancer screening and are not being screened

About 14,800 people here are diagnosed with lung cancer each year, and 63% are found at a late stage, when it is hardest to treat.

Explore the screening network
TXCANVCOUTNMAZ
123 counties61 acute care hospitalsService areaShowing the Arizona, California and New Mexico region; all regions are mapped below.
1M to 2Madults likely qualify under USPSTF 2021 criteria (estimate)
9,100lung cancer deaths a year in these counties, 2020 to 2024
15.9%of eligible adults screened in these states, vs 18.2% nationally

Estimates from public data only; no patient information. Sources and method below.

Where the eligible adults live

The counties where most of Lifepoint Health's Medicare inpatients live. Darker areas hold more adults who likely qualify, which is where outreach would start. Hover or tap any area for its estimate.

Arizona, California and New Mexico

Alabama, Indiana, Kentucky, North Carolina, Tennessee, Virginia and West Virginia

Arkansas, Oklahoma and Texas

Pennsylvania and Virginia

Illinois

Washington

Plus 8 smaller areas listed in the table.

Adults likely eligible, per county

0+2,000+2,700+4,100+5,900+8,700+20,900+

Acute care hospital in this system

Counties in the service area

CountyStateAdults likely eligibleLung cancer deaths per 100kMedicare screens billed locally, 2024
Maricopa CountyArizona154,600 to 342,70023.52,977
Dallas CountyTexas88,000 to 187,00026.52,029
Tarrant CountyTexas79,500 to 146,80027.7789
San Bernardino CountyCalifornia77,900 to 132,20024.3219
Pima CountyArizona39,300 to 92,70022.81,678
Travis CountyTexas32,400 to 84,30018.51,171
Jefferson CountyKentucky41,600 to 81,60039.61,854
Wake CountyNorth Carolina34,700 to 80,90024.72,791
Davidson CountyTennessee26,500 to 56,90033.33,252
Pinal CountyArizona22,200 to 39,60023.9None billed locally
Pulaski CountyArkansas17,300 to 36,40036.81,926
Fayette CountyKentucky14,400 to 29,60032.31,771
Buncombe CountyNorth Carolina12,500 to 24,40028.21,096
Mohave CountyArizona17,300 to 23,70039.1119
Benton CountyArkansas10,500 to 22,90030.983
Bell CountyTexas13,900 to 22,40034.722
Doña Ana CountyNew Mexico8,500 to 21,30021.482
Madison CountyIllinois12,000 to 20,90043.943
Sumner CountyTennessee10,900 to 18,40039.412
Catawba CountyNorth Carolina9,100 to 14,80033.5707
Sandoval CountyNew Mexico6,300 to 14,50018.6None billed locally
Johnson CountyTexas9,200 to 13,80036.6None billed locally
Benton CountyWashington6,700 to 13,20028.114
Yellowstone CountyMontana7,700 to 13,20026.3115
Cambria CountyPennsylvania9,300 to 13,20031.6172
Cochise CountyArizona6,300 to 12,50029.884
Saline CountyArkansas6,300 to 12,00040.5None billed locally
Blair CountyPennsylvania8,600 to 11,60035.9170
Garland CountyArkansas6,100 to 11,60038.5185
Clark CountyIndiana7,000 to 11,10045.9647
Harnett CountyNorth Carolina6,500 to 9,90047.218
Lauderdale CountyAlabama4,800 to 9,30035.996
Gregg CountyTexas5,900 to 9,20035.5369
Missoula CountyMontana4,400 to 9,00024.5170
Burke CountyNorth Carolina5,800 to 8,90043.7283
Nash CountyNorth Carolina5,700 to 8,70035.5210
Raleigh CountyWest Virginia5,400 to 8,60053.568
Lincoln CountyNorth Carolina5,400 to 8,50034.938
Yamhill CountyOregon4,300 to 8,40028.4None billed locally
Caldwell CountyNorth Carolina5,400 to 8,20049.6None billed locally
Floyd CountyIndiana4,100 to 7,70044.9None billed locally
Pulaski CountyKentucky5,500 to 7,50055.8None billed locally
Indiana CountyPennsylvania4,500 to 7,50027.138
Wilson CountyNorth Carolina5,100 to 7,40040.0101
Somerset CountyPennsylvania5,400 to 7,40029.2None billed locally
Rutherford CountyNorth Carolina4,500 to 6,90041.296
Haywood CountyNorth Carolina3,700 to 6,70036.055
Marquette CountyMichigan3,100 to 6,40033.4101
Franklin CountyNorth Carolina4,300 to 6,30036.7None billed locally
Otero CountyNew Mexico3,300 to 6,20025.1None billed locally
Fauquier CountyVirginia3,100 to 5,90030.741
Pope CountyArkansas3,400 to 5,90040.572
Pittsylvania CountyVirginia4,500 to 5,90035.4None billed locally
McMinn CountyTennessee4,100 to 5,80052.9102
Colbert CountyAlabama3,400 to 5,70040.054
Lee CountyNorth Carolina3,600 to 5,50036.546
Fayette CountyWest Virginia3,200 to 5,30056.0None billed locally
Scott CountyKentucky2,900 to 5,30043.8None billed locally
Bedford CountyPennsylvania3,600 to 4,90030.6None billed locally
Franklin CountyWashington2,900 to 4,90026.6None billed locally
Henry CountyVirginia3,600 to 4,80037.0None billed locally
Ravalli CountyMontana2,600 to 4,70022.7None billed locally
Franklin CountyTennessee3,000 to 4,50040.8None billed locally
Greenbrier CountyWest Virginia2,700 to 4,50049.521
Lawrence CountyTennessee3,400 to 4,40044.1None billed locally
Elko CountyNevada2,700 to 4,20025.0None billed locally
Lamar CountyTexas2,900 to 4,10046.0256
Graves CountyKentucky2,500 to 4,10051.9None billed locally
Clark CountyKentucky2,500 to 4,10047.8None billed locally
Macon CountyNorth Carolina2,600 to 4,10036.4None billed locally
Vance CountyNorth Carolina2,600 to 4,10043.8None billed locally
Delta CountyMichigan2,500 to 4,00044.183
Person CountyNorth Carolina2,600 to 3,90042.9None billed locally
Jackson CountyNorth Carolina2,200 to 3,80024.340
Tazewell CountyVirginia2,800 to 3,70042.564
Alexander CountyNorth Carolina2,400 to 3,60041.8None billed locally
Hot Spring CountyArkansas2,200 to 3,60046.6None billed locally
Grant CountyNew Mexico1,500 to 3,50017.0None billed locally
Lawrence CountyAlabama2,300 to 3,40052.5None billed locally
Giles CountyTennessee2,300 to 3,30055.3None billed locally
Woodford CountyKentucky1,300 to 3,20039.6None billed locally
McCurtain CountyOklahoma2,100 to 3,10060.5None billed locally
Montgomery CountyKentucky2,100 to 3,00064.9None billed locally
Wapello CountyIowa2,100 to 3,00052.7None billed locally
Houghton CountyMichigan1,400 to 2,90033.922
Carroll CountyVirginia2,300 to 2,90035.1None billed locally
Franklin CountyAlabama2,000 to 2,90054.6None billed locally
Winston CountyAlabama1,900 to 2,70042.9None billed locally
Luna CountyNew Mexico1,400 to 2,60026.0None billed locally
Wyoming CountyWest Virginia2,000 to 2,60056.8None billed locally
Wythe CountyVirginia1,900 to 2,60039.0None billed locally
Russell CountyVirginia1,900 to 2,50039.9None billed locally
La Paz CountyArizona1,100 to 2,50036.2None billed locally
Wayne CountyKentucky1,900 to 2,50051.8None billed locally
Scott CountyIndiana1,700 to 2,40069.3None billed locally
McDowell CountyWest Virginia1,900 to 2,40059.8None billed locally
Macon CountyTennessee2,100 to 2,40063.1None billed locally
Caswell CountyNorth Carolina1,600 to 2,40051.6None billed locally
Bourbon CountyKentucky1,400 to 2,40042.3None billed locally
Marion CountyKentucky1,500 to 2,20049.4None billed locally
Yell CountyArkansas1,200 to 2,20043.3None billed locally
Warren CountyNorth Carolina1,500 to 2,10037.7None billed locally
Russell CountyKentucky1,800 to 2,10064.1None billed locally
Smith CountyTennessee1,400 to 2,10054.7None billed locally
Buchanan CountyVirginia1,700 to 2,00047.5None billed locally
Mason CountyKentucky1,300 to 2,00050.740
McCreary CountyKentucky1,500 to 1,90082.1None billed locally
Patrick CountyVirginia1,300 to 1,90041.7None billed locally
Wayne CountyTennessee1,500 to 1,80059.2None billed locally
Fleming CountyKentucky1,300 to 1,70048.1None billed locally
Grayson CountyVirginia1,300 to 1,60043.027
Choctaw CountyOklahoma1,100 to 1,60051.4None billed locally
Sierra CountyNew Mexico870 to 1,40031.8None billed locally
Grundy CountyTennessee1,300 to 1,40054.0None billed locally
Swain CountyNorth Carolina1,000 to 1,40042.2None billed locally
Uintah CountyUtah1,200 to 1,30020.7None billed locally
Powell CountyKentucky910 to 1,30079.8None billed locally
Red River CountyTexas840 to 1,20045.5None billed locally
Alger CountyMichigan600 to 1,10026.7None billed locally
Carbon CountyUtah780 to 1,10032.1None billed locally
Trousdale CountyTennessee800 to 91086.6None billed locally
Fulton CountyKentucky580 to 73080.0None billed locally
Emery CountyUtah350 to 500—None billed locally

71 of the 123 counties had no Medicare lung screening reads billed from a local address in 2024. County names link to their Missing Millions page.

What closing the gap would mean

If screening in these counties rose from 15.9% to the national rate of 18.2%, about 23,600 to 45,000 more people would be screened each year.

In the National Lung Screening Trial, low-dose CT screening lowered lung cancer deaths by 20% compared with chest X-ray. Today about 63% of lung cancers here are found at a late stage.

Illustrative estimate: eligible adults (range) times the change in screening rate. Not a forecast or a guarantee.

Each year in these counties

14,800new lung cancers
9,300found at a late stage
9,100lung cancer deaths

NCI and CDC State Cancer Profiles, annual averages.

Screening at Lifepoint Health today

Clinicians at Lifepoint Health locations billed 1,070 low-dose CT lung screening reads to Medicare fee-for-service in 2024. Including Medicare Advantage and other insurers, we estimate about 2,300 to 6,600 screenings a year.

Most adults who qualify see a primary care clinician every year. We count 2,600 primary care clinicians, 51 pulmonologists and 16 thoracic surgeons practicing at Lifepoint Health locations. A 20 pack-year smoking history is often missing from structured EHR fields, so many eligible patients are never flagged.

CMS Medicare Physician and Other Practitioners 2024 (CPT 71271); clinicians matched to Lifepoint Health by practice address using the AHRQ Compendium of U.S. Health Systems 2023, so reads billed by outside radiology groups are not included. The all-payer estimate scales Medicare fee-for-service by the local Medicare Advantage share (54%, CMS) and, at the high end, by the share of eligible adults under 65 (64%).

61 acute care hospitals

  • Raleigh General HospitalBeckley, WV
  • Memorial Medical CenterJohnstown, PA
  • Frye Regional Medical CenterHickory, NC
  • North Alabama Medical CenterFlorence, AL
  • Danville Regional Medical CenterDanville, VA
  • Memorial Medical CenterLas Cruces, NM
  • Lake Cumberland Regional HospSomerset, KY
  • Athens Regional Medical CenterAthens, TN
  • Marquette General HospitalMarquette, MI
  • Clark Memorial HospitalJeffersonville, IN
  • Clinch Valley Medical CenterRichlands, VA
  • Havasu Regional Medical CenterLake Havasu City, AZ

And 49 more acute care hospitals.

Find them, reach them, give radiologists a second opinion

LungIQ Find

Reads clinical notes, diagnoses and medications in the EHR and returns a ranked list of patients likely eligible, including those whose pack-year history is missing. Start with a CSV export refreshed every 1, 3 or 6 months, or connect through FHIR or HL7.

LungNAV Reach

An AI patient navigator that texts and calls patients in 70+ languages, answers questions about the scan, and hands each patient to your scheduling team or nurse navigators with a call summary.

LungAI Second opinion

Gives radiologists a malignancy risk score for each nodule, factoring in change since the prior scan, inside the PACS and CADe software they already use. The radiologist makes the final call.

LungAI is an investigational medical device and has not been cleared by FDA. It is not commercially available in the United States.

How we estimate the gap

Modeled estimates from public data. They are not a count of Lifepoint Health patients and contain no patient information.

  • Service area: CMS Hospital Service Area File 2025 (counties within 120 miles of a system hospital holding 80% of its Medicare inpatients, plus any county with at least 1%); hospitals from the AHRQ Compendium of U.S. Health Systems, 2023.
  • Eligible adults, low estimate: Oatmeal Health Missing Millions (Census 2025 population, CDC PLACES smoking, USPSTF 2021).
  • Eligible adults, high estimate: University of Minnesota National Lung Cancer Screening Estimates (Haynes 2026), which also counts former smokers.
  • Screening rate: American Lung Association, State of Lung Cancer 2025.
  • Lung cancer cases and deaths: NCI and CDC State Cancer Profiles (incidence 2019 to 2023, deaths 2020 to 2024).
  • Screening volume: CMS Medicare Physician and Other Practitioners, 2024; CMS Medicare Advantage State/County Penetration, September 2026.

LungAI is an investigational medical device and has not been cleared by FDA. Oatmeal Health is preparing a 510(k) premarket notification. LungAI is not commercially available in the United States.

See Lifepoint Health's own numbers

In a 30 minute review we replace these public estimates with counts from your own records and agree on what a first program would look like.

Request a private screening review