Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL

Public Use Microdata Area (PUMA)

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2022 Population
120,598
5.82% 1-year growth
US Senator
Marco Rubio
Republican Party
US Senator
Rick Scott
Republican Party
2022 Median Age
40.2
1.01% 1-year increase
2022 Poverty Rate
25.9%
3.6% 1-year decrease
2022 Median Household Income
$41,166
14.1% 1-year growth
2022 Median Property Value
$357,700
13.2% 1-year growth
2022 Employed Population
54,861
9.9% 1-year growth

About

In 2022, Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL had a population of 121k people with a median age of 40.2 and a median household income of $41,166. Between 2021 and 2022 the population of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL grew from 113,964 to 120,598, a 5.82% increase and its median household income grew from $36,092 to $41,166, a 14.1% increase.

The 5 largest ethnic groups in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL are White (Hispanic) (39.4%), Two+ (Hispanic) (36.6%), White (Non-Hispanic) (7.77%), Other (Hispanic) (5.67%), and Black or African American (Non-Hispanic) (5.58%).

84.9% of the households in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL 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.

62.8% of the residents in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL are U.S. citizens.

The largest universities in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL are Miami Dade College (16,153 degrees awarded in 2022), Lindsey Hopkins Technical College (354 degrees), and Atlantis University (485768) (272 degrees).

In 2022, the median property value in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was $357,700, and the homeownership rate was 15%.

Most people in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL drove alone to work, and the average commute time was 28.4 minutes. The average car ownership in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was 1 car per household.

Population & Diversity

Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL is home to a population of 121k people, from which 62.8% are citizens. As of 2022, 66.6% of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL residents were born outside of the country (80.3k people).

In 2022, there were 1.08 times more White (Hispanic) residents (47.5k people) in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL than any other race or ethnicity. There were 44.1k Two+ (Hispanic) and 9.37k White (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 Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL are Spanish (92,292 households), Haitian (655 households), and Portuguese (511 households).

Residents by Gender and Age

RACE/ETHNICITY
55,674
Women
45.9%
65,652
Men
54.1%

The resident population of United States in 2022 was 121,326 inhabitants, with 54.1% men, and 45.9% 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

62.8%
2022 Citizenship
63%
2021 Citizenship

As of 2022, 62.8% of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL residents were US citizens, which is lower than the national average of 93.5%. In 2021, the percentage of US citizens in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was 63%, meaning that the rate of citizenship has been decreasing.

The following chart shows US citizenship percentages in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL compared to that of it's neighboring and parent geographies.

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Race and Ethnicity

The 3 largest ethnic groups in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL
  1. White (Hispanic)
    47.5k ± 2.37k
  2. Two+ (Hispanic)
    44.1k ± 3.01k
  3. White (Non-Hispanic)
    9.37k ± 989
84.1%
Hispanic Population
101k people

In 2022, there were 1.08 times more White (Hispanic) residents (47.5k people) in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL than any other race or ethnicity. There were 44.1k Two+ (Hispanic) and 9.37k White (Non-Hispanic) residents, the second and third most common ethnic groups.

84.1% of the people in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL are hispanic (101k people).

The following chart shows the 7 races represented in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL as a share of the total population.

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Global Diversity

Most Common Origin
  1. Cuba
    31,415 ± 3,746 people
  2. Nicaragua
    10,231 ± 2,376 people
  3. Honduras
    10,169 ± 2,370 people

In 2022, the most common birthplace for the foreign-born residents of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was Cuba, the natal country of 31,415 Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL residents, followed by Nicaragua with 10,231 and Honduras with 10,169.

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Foreign-Born Population

66.6%
2022 Foreign-Born Population
80.3k people
66%
2021 Foreign-Born Population
75.2k people

As of 2022, 66.6% of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL residents (80.3k 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 Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was 66%, meaning that the rate has been increasing.

The following chart shows the percentage of foreign-born residents in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL compared to that of it's neighboring and parent geographies.

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Non-English Households

Most Common Non-English Languages
  1. Spanish
    92,292 households (80.8%)
  2. Haitian
    655 households (0.574%)
  3. Portuguese
    511 households (0.447%)

84.9% of the households in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL reported speaking a non-English language at home as their primary shared language, which is higher 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 Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was Spanish. 80.8% of the households in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL 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. Gulf War (2001-)
    608 ± 222
  2. Gulf War (1990s)
    471 ± 322
  3. Vietnam
    242 ± 113

Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL has a large population of military personnel who served in Gulf War (2001-), 1.29 times greater than any other conflict.

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Economy

The economy of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL employs 54.9k people. The largest industries in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL are Construction (8,123 people), Restaurants & Food Services (5,145 people), and General medical and surgical hospitals, and specialty (except psychiatric and substance abuse) hospitals (2,183 people), and the highest paying industries are Broadcasting (except internet) ($289,574), Offices of physicians ($183,584), and Management, scientific & technical consulting services ($172,317).

Males in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL have an average income that is 1.35 times higher than the average income of females, which is $47,222. The income inequality in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL (measured using the Gini index) is 0.485, which is higher than than the national average.

Workforce Diversity

Measure
RACE/ETHNICITY
21,138
Women
41.6%
29,674
Men
58.4%

The workforce of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL in 2020 was 50,812 people, with 41.6% woman, and 58.4% men.

The visualization shows the distribution of the workforce by gender and age in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL.

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

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Occupations

54.9k
2022 Value
9.9%
1 Year growth
± 9.9%

From 2021 to 2022, employment in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL grew at a rate of 9.9%, from 49.9k employees to 54.9k employees.

The most common job groups, by number of people living in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL, are Construction laborers (2,545 people), Carpenters (1,719 people), and Maids & housekeeping cleaners (1,597 people). This chart illustrates the share breakdown of the primary jobs held by residents of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL.

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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 Florida (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

54.9k
2022 Value
9.9%
1 Year growth
± 9.9%

From 2021 to 2022, employment in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL grew at a rate of 9.9%, from 49.9k employees to 54.9k employees.

The most common employment sectors for those who live in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL, are Construction (8,123 people), Restaurants & Food Services (5,145 people), and General medical and surgical hospitals, and specialty (except psychiatric and substance abuse) hospitals (2,183 people). This chart shows the share breakdown of the primary industries for residents of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL, though some of these residents may live in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL and work somewhere else. Census data is tagged to a residential address, not a work address.

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Median Earnings by Industry

$33,719
Median earning men ± $1,059
$25,420
Median earning women ± $1,996

The industries with the best median earnings for men in 2022 are Information ($61,984), Finance & Insurance, & Real Estate & Rental & Leasing ($58,425), and Educational Services, & Health Care & Social Assistance ($51,775).

The industries with the best median earnings for women in 2022 are Public Administration ($41,410), Finance & Insurance, & Real Estate & Rental & Leasing ($36,321), and Information ($34,116).

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Employment by Industry Sector

Data is only available at the state level. Showing data for Florida.
Y-Axis
4.23%
Year-over-year growth
Employment change between February 2022 and February 2023

As of February 2023, there are 9.69M people employed in Florida. This represents a 4.23% 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 12.6%.

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

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Civics

In the 2020 presidential election, the popular vote in Florida went to Donald J. Trump with 51.2% of the vote. The runner-up was Joseph R Biden Jr. (47.9%), followed by Jo Jorgensen (0.635%).

Marco Rubio and Rick Scott are the senators currently representing the state of Florida. In the United States, senators are elected to 6-year terms with the terms for individual senators staggered.

Florida is currently represented by 28 members in the U.S. house, and members of the House of Representives are elected to 2-year terms.

US Senators from Florida

Senatorial voting results are only available at the state level. Showing data for Florida.
Marco Rubio
Senator from Florida3
Assumed office on January 3, 2011
Rick Scott
Senator from Florida1
Assumed office on January 8, 2019
Inauguration delayed in order to finish his term as Governor of Florida.

Marco Rubio and Rick Scott are the senators currently representing Florida.

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

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US Representatives from Florida

Florida is currently represented by 28 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 Florida have changed over time starting in 2008.

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Education

In 2022, universities in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL awarded 16,820 degrees. The student population of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL in 2022 is skewed towards women, with 20,554 male students and 28,257 female students.

Most students graduating from Universities in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL are Hispanic or Latino (11,702 and 75.1%), followed by Black or African American (2,531 and 16.2%), White (823 and 5.28%), and Asian (196 and 1.26%).

The largest universities in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL by number of degrees awarded are Miami Dade College (16,153 and 96%), Lindsey Hopkins Technical College (354 and 2.1%), and Atlantis University (485768) (272 and 1.62%).

The most popular majors in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL are Liberal Arts & Sciences (8,584 and 51%), General Business Administration & Management (2,613 and 15.5%), and Registered Nursing (744 and 4.42%).

The median tuition cost in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL for a public four year colleges is $1,987 for in-state students and $7,947 for out-of-state students.

Enrollments by Gender and Races

In 2022 there were 48,811 students enrolled in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL, 42.1% men and 57.9% women.

By race, the largest number of students enrolled was concentrated in Hispanic or Latino with 34,362 records, of which 57.2% were women and 42.8% men.

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Concentrations

Most Common
  1. 8,584 degrees awarded
  2. 538 degrees awarded
  3. 83 degrees awarded

In 2022, the most common concentation for Associates Degree recipients in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was Liberal Arts & Sciences with 8,584 degrees awarded.

This visualization illustrates the percentage of students graduating with a Associates Degree from schools in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL according to their major.

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Universities

Gender
Race
Largest Universities by degrees awarded
  1. 16,153 degrees awarded
  2. 354 degrees awarded
  3. 272 degrees awarded

In 2022, the institution with the largest number of graduating students was Miami Dade College with 16,153 degrees awarded.

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Student Diversity

In 2022, 6,682 men were awarded degrees from institutions in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL, which is 0.659 times less than the 10,138 female students who received degrees in the same year.

In 2022 the most common race/ethnicity group awarded degrees at institutions was Hispanic or Latino students. These 11,702 degrees mean that there were 4.62 times more degrees awarded to Hispanic or Latino students then the next closest race/ethnicity group, Black or African American, with 2,531 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

Private for-profit, 4-year or above ($10,800) is the sector with the highest median state tuition in 2022.

Private for-profit, 4-year or above ($1,920) is the sector with the highest median state fee in 2022.

Public, 4-year or above ($1,500) 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, 2.66% of men over 25 years of age had not completed any academic degree (no schooling), while 3.16% 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 Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL in 2022 were High School or Equivalent (29k), Primary Education (18.2k), and Secondary Education (17.2k).

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 Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was $357,700 in 2022, which is 1.27 times larger than the national average of $281,900. Between 2021 and 2022 the median property value increased from $316,000 to $357,700, a 13.2% increase. The homeownership rate in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL is 15%, which is approximately the same as the national average of 64.8%.

People in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL have an average commute time of 28.4 minutes, and they drove alone to work. Car ownership in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL is lower than the national average, with an average of 1 car per household.

Median household income in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL is $41,166. In 2022, the PUMA with the highest Median Household Income in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was Broward County (West) Weston, Sunrise (S), Davie (W) Cities & Southwest Ranches Town PUMA, FL with a value of $132,692, followed by St. Johns County (Northwest) PUMA, FL and Broward County (NNW)--Coral Springs (North), Parkland, & Coconut Creek (North) Cities PUMA, FL, with respective values of $130,719 and $119,820.

Property

$357,700
Median Property Value 2022
±$25,036
$7,644
Median Property Taxes
±$671

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 Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL the largest share of households pay taxes in the $3k+ range.

The chart underneath the paragraph shows the property taxes in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL compared to it's parent and neighbor geographies.

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Rent vs Own

15%
Homeownership
2022
69.2%
Homeowners with Mortgage
2022

In 2022, 15% of the housing units in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL were occupied by their owner. This percentage grew from the previous year's rate of 14.5%.

This chart shows the percentage of owner in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL 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 Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was Broward County (West) Weston, Sunrise (S), Davie (W) Cities & Southwest Ranches Town PUMA, FL with a value of $132,692, followed by St. Johns County (Northwest) PUMA, FL and Broward County (NNW)--Coral Springs (North), Parkland, & Coconut Creek (North) Cities PUMA, FL, with respective values of $130,719 and $119,820.

The following map shows all of the PUMAs in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL 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.
$41,166
Median Household Income
± $2,195
51.1k
Number of Households
± 2,058

In 2022, the median household income of the 51.1k households in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL grew to $41,166 from the previous year's value of $36,092.

The following chart displays the households in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL 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.

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Wage Distribution

0.485
2022 Wage GINI in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL
0.475
2021 Wage GINI in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL

In 2022, the income inequality in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was 0.485 according to the GINI calculation of the wage distribution. Income inequality had a 2.01% growth from 2021 to 2022, which means that wage distribution grew somewhat less even. The GINI for Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL was higher than than the national average of 0.478. In other words, wages are distributed less evenly in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL in comparison to the national average.

This chart shows the number of workers in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL across various wage buckets compared to the national average.

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Commuter Transportation

Most Common Commute in 2022
  1. Drove Alone (60.9%)
  2. Carpooled (10.3%)
  3. Public Transit (9.54%)

In 2022, 60.9% of workers in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL drove alone to work, followed by those who carpooled to work (10.3%) and those who used public transit to get to work (9.54%).

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

28.4 minutes
Average Travel Time

Using averages, employees in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL have a longer commute time (28.4 minutes) than the normal US worker (26.7 minutes). Additionally, 1.32% of the workforce in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL have "super commutes" in excess of 90 minutes.

The chart below shows how the median household income in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL compares to that of it's neighboring and parent geographies.

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Car Ownership

1 car
Average Number

The following chart displays the households in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL distributed between a series of car ownership buckets compared to the national averages for each bucket. The largest share of households in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL have 1 car.

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Poverty & Diversity

25.9% of the population for whom poverty status is determined in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL (30.1k out of 116k people) live below the poverty line, a number that is higher than the national average of 12.5%. The largest demographic living in poverty are Females 75+, followed by Females 65 - 74 and then Females 55 - 64.

The most common racial or ethnic group living below the poverty line in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL is Hispanic, followed by White and Two Or More.

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

73.6% of the population of Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL has health coverage, with 21.7% on employee plans, 28% on Medicaid, 4.38% on Medicare, 19% on non-group plans, and 0.512% on military or VA plans.

Primary care physicians in Florida see 1376 patients per year on average, which represents a 0.292% increase from the previous year (1372 patients). Compare this to dentists who see 1583 patients per year, and mental health providers who see 514 patients per year.

Patient to Clinician Ratios

Data is only available at the state level. Showing data for Florida.
1,376 to 1
Patient to Primary Care Physician Ratio in Florida

Primary care physicians in Florida see an average of 1,376 patients per year. This represents a 0.292% increase from the previous year (1,372 patients).

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

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Health Care Diversity

In 2022, insured persons according to age ranges were distributed in 16.2% under 18 years, 25.1% between 18 and 34 years, 43.1% between 35 and 64 years, and 15.7% over 64 years.

By gender, of the total number of insured persons, 50.6% were men and 49.4% were women.

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

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Uninsured People

26.4%
Uninsured
21.7%
Employer Coverage
28%
Medicaid
4.38%
Medicare
19%
Non-Group
0.512%
Military or VA

Between 2021 and 2022, the percent of uninsured citizens in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL grew by 2.96% from 25.6% to 26.4%.

The following chart shows how the percent of uninsured individuals in Miami-Dade County (Northeast Central)--Miami City (Downtown) PUMA, FL changed over time compared with the percent of individuals enrolled in various types of health insurance.

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