City · Madison County, Missouri

Fredericktown, Missouri

Fredericktown is a city in Madison County, Missouri. It has 4,507 residents. Fredericktown, Missouri has a quality-of-life score of 33 out of 100 (low), ranking #10,412 of 15,651 US cities and towns. Within Missouri it ranks #246 of 375 cities and towns. It ranks best on time spent in the emergency room (low), voter turnout (high) and average commute time (low). It ranks worst on average weekly wage (low), access to exercise opportunities (low) and public EV charging ports (low).

33Low

Quality-of-life score: #10,412 of 15,651 cities and towns
Missouri: #246 of 375 in MO
Population: 4,507 (2020-2024)
Land area: 4 mi²
Density: 1,042.0 /mi²
FIPS code: 2925768

Percentile-based score (100 is the best in the country) from 73 of 80 indicators, with the default “Explorer” weights.

Open in the map

Scores by category

Each category averages its indicators' percentile scores among US cities and towns.

Safety48#8,169/15,637
Economy14#13,398/15,631
Housing93#1,059/14,977
Health13#13,650/15,609
Healthcare20#12,535/15,650
Environment57#6,648/15,453
Education51#7,620/15,649
Infrastructure32#10,715/15,650
Community41#9,182/15,651
Leisure & amenities40#9,357/15,651

Strengths · Weaknesses

Indicators where Fredericktown, Missouri ranks highest and lowest among US cities and towns (score = percentile, 100 = best). Values marked “Madison County value” are the county’s: the source publishes no figure for this city or town, and the county holding most of its residents stands in.

Strengths

Time spent in the emergency room · low83 min
99/100Missouri 161 minUnited States 170 minOct 2024–Sep 2025Centers for Medicare & Medicaid ServicesMadison County value
Voter turnout · high82.1%
98/100Missouri 66.7%United States 65.2%2024U.S. Election Assistance CommissionMadison County value
Average commute time · low16.8 min
92/100Missouri 23.5 minUnited States 26.4 min2020-2024U.S. Census Bureau Census table B08013
Distance to an emergency room · low3.1 mi
91/100Missouri 6.6 miUnited States 5.5 miJul 2026Centers for Medicare & Medicaid ServicesMadison County value
New homes permitted · high8.9 /1k
86/100Missouri 3.0 /1kUnited States 4.2 /1kSep 2025–Aug 2026U.S. Census BureauProvisional data
Drinking water violations · low0
86/100Missouri 0United States 02024University of Wisconsin Population Health InstituteMadison County value

Weaknesses

Average weekly wage · low$825
1/100Missouri $1,278United States $1,5142025U.S. Bureau of Labor StatisticsMadison County value
Access to exercise opportunities · low31.4%
3/100Missouri 76.6%United States 84.5%2022 & 2024University of Wisconsin Population Health InstituteMadison County value
Public EV charging ports · low0.0 /10k
3/100Missouri 5.3 /10kUnited States 7.6 /10kOct 2026U.S. Department of EnergyMadison County value
Mammography screening · low33.0%
4/100Missouri 49.0%United States 46.0%2023University of Wisconsin Population Health InstituteMadison County value
Primary care shortage · high18.0
5/100Missouri 10.5United States 6.2Oct 2026Health Resources and Services AdministrationMadison County value
Flu vaccinations · low28.0%
5/100Missouri 44.0%United States 44.0%2023University of Wisconsin Population Health InstituteMadison County value

Trends

The largest changes over about five years, next to the country's over the same periods.

PopulationRising
3,999 (2015-2019) → 4,507 (2020-2024)
+13%5 yearsCensus table B01003US 328,329,953 → 340,003,797
Child poverty rateWorsening
15.4% (2015-2019) → 38.1% (2020-2024)
+23 pts5 yearsCensus table B17001US 16.8% → 15.5%
Rent-burdened householdsImproving
62.5% (2015-2019) → 42.2% (2020-2024)
−20 pts5 yearsCensus table B25070US 49.6% → 51.1%
Broadband subscriptionsImproving
71.4% (2015-2019) → 83.1% (2020-2024)
+12 pts5 yearsCensus table B28002US 82.7% → 91.0%
Median household incomeImproving
$35,962 (2015-2019) → $49,375 (2020-2024)
+37%5 yearsCensus table B19013US $65,712 → $81,604
Rent as share of incomeImproving
33.3% (2015-2019) → 27.3% (2020-2024)
−6 pts5 yearsCensus table B25071US 29.8% → 30.6%

What changed in five years

How each measure moved between two periods about five years apart, read against whether more or less is better, the published margin of error and the same change in other places.

Over about five years, Fredericktown, Missouri improved on 1 of 13 measures with a comparison and declined on 1. 11 moved within the margin of error and 0 barely changed.

Earlier (2015-2019)
Latest (2020-2024)
Lower standingHigher standing

Position is the place's standing among cities and towns: further right is better, whichever way the measure counts.

Improved1

Broadband+12 points71.4% → 83.1%

Declined1

Child poverty+23 points15.4% → 38.1%

All 13 measures

Change of every measure of Fredericktown, Missouri between two periods about five years apart
Measure	Before	After	Change	Reading	Favourable vs peers
Average commute time	17.9 min2015-2019	16.8 min2020-2024	−1.1 min	Within the margin of error	62%
Bachelor's degree or higher	20.9%2015-2019	21.4%2020-2024	+0.5 points	Within the margin of error	31%
Broadband subscriptions	71.4%2015-2019	83.1%2020-2024	+12 points	Improved	68%
Child poverty rate	15.4%2015-2019	38.1%2020-2024	+23 points	Declined	3%
Effective property tax rate	1.04%2015-2019	0.73%2020-2024	−0.3 points	Within the margin of error	75%
High school diploma or higher	85.7%2015-2019	90.9%2020-2024	+5.2 points	Within the margin of error	83%
Home price to income ratio	2.4×2015-2019	2.8×2020-2024	+0.4×	Within the margin of error	57%
Income inequality (Gini index)	0.4412015-2019	0.4982020-2024	+0.057	Within the margin of error	14%
Median household income	$35,9622015-2019	$49,3752020-2024	+37%	Within the margin of error	69%
Poverty rate	18.7%2015-2019	16.9%2020-2024	−1.8 points	Within the margin of error	61%
Rent as share of income	33.3%2015-2019	27.3%2020-2024	−6 points	Within the margin of error	86%
Rent-burdened households	62.5%2015-2019	42.2%2020-2024	−20 points	Within the margin of error	94%
Uninsured residents (under 65)	8.1%2015-2019	6.7%2020-2024	−1.4 points	Within the margin of error	63%

“Against peers” compares the change with the same change in the 14640 cities and towns that have the same two periods. It describes how common a change is, not why it happened.

Sources: American Community Survey 5-Year Estimates. Values are the latest and the one five years earlier of the same publisher dataset; datasets that changed publisher in between are never compared.

Survey estimates (American Community Survey) compare the two most recent 5-year windows that do not share years, so the margin of error of the difference holds. The 2015-2019 window predates the pandemic and 2020-2024 includes it.
A change counts only when it is larger than 1.645 times the square root of the two standard errors squared, summed (a 90% margin). Measures published without a margin must change by at least 5% to count.
“Against peers” compares the change with the same change in the 15651 cities and towns that have the same two periods. It describes how common a change is, not why it happened.
Standing is a percentile among the same places: 0 is the lowest value on the measure (or the worst when lower is better), 100 the best.

Cities and towns like Fredericktown, Missouri five years ago that improved

The places whose measures looked most like those of Fredericktown, Missouri in the earlier period, ranked by how many measures improved beyond the margin of error, minus how many declined. A comparison of published data, not a forecast and not advice.

For comparison, Fredericktown, Missouri itself moved +10.2 points in standing on average over the same 10 measures (standings of all places average about zero).

How the ranking works

Similarity is the root-mean-square difference of standings in the earlier period over the measures most places have. Places are ranked by measures that improved beyond the margin of error minus those that declined (a count that estimation noise in small places cannot inflate), then by the mean change of standing over the measures a place has in both periods. Only places with more improvements than declines and a rise in standing are listed. Standings are relative, so a place can improve in absolute terms and still lose standing.

Who lives here

Age, race and education of residents, from the American Community Survey. Shares are of all residents (age), residents of every origin (race) or adults 25 and over (education).

Age and sex

4,507 residents (±19)

Men
Women

80 and over†
70–79†
60–69†

Income

How household income is spread, not just the middle: each bar is the share of households in that income range.

Household income

1,793 households (±173)

Fredericktown, Missouri
Missouri share

Under $25k17%†297
$25k–50k34%†604
$50k–75k

Homes

Who owns and who rents, what homes cost, and what the housing stock looks like.

Owners and renters

1,793 households (±173)

Fredericktown, Missouri
Missouri share

Own60%1,080
Rent40%713

No change since 2015–2019 is larger than the margin of error.

Table view

Getting to work

How workers travel to their job and how long it takes them.

How people get to work

1,938 workers (±291)

Fredericktown, Missouri
Missouri share

Drive alone74%1,425
Carpool9.3%†181
Public transit2.0%†39

Local businesses

Employer businesses and sole proprietors by industry, per resident and against the state and the nation. Counts of businesses next to counts of people, not a measure of demand.

The Census Bureau publishes business counts by county, not by city, so these are the figures of Madison County, the county holding most of Fredericktown's residents.

Madison County has 231 employer establishments, 182 for every 10,000 residents (0.73× the US rate of 248; 0.74× Missouri's), with 3,148 paid employees at an average annual pay of $40,590. The Census Bureau also counts 918 nonemployer businesses, mostly sole proprietors.

Establishments: 231; 918 nonemployers
Per 10,000 residents: 182; US 248 · Missouri 244
Paid employees: 3,148
Average annual pay: $40,590; US $68,342

Employer establishments, employees, average pay and nonemployers of Madison County by industry, with the density per resident against the nation

Restaurants and other eating places	19	14.9	0.81×About typical	230	$19,961	—
Specialty trade contractors	18	14.1	0.91×About typical	57	$48,474	119
Ambulatory health care services	12	9.4	0.45×Fewer than typical	104	$37,712	21
Limited-service restaurants	10	7.9	0.98×About typical	143	$21,420	—
Religious organizations	10	7.9	1.42×More than typical	157	$34,255	—
Construction of buildings	9	7.1	0.94×Too few to compare	54	$51,222	49
Auto parts, accessories and tire stores	8	6.3	3.60×Too few to compare	105	$55,371	3
Gasoline stations	8	6.3	1.94×Too few to compare	96	$23,292	—
Automotive repair and maintenance	7	5.5	1.09×Too few to compare	40	$34,200	20
Banks and credit unions	7	5.5	1.70×Too few to compare	58	$44,103	—
Foundation, structure and building exterior contractors	7	5.5	1.75×Too few to compare	26	$43,538	25
Individual and family services	7	5.5	1.96×Too few to compare	385	$40,052	9

Rank places for an industry Open Madison County

County Business Patterns (2023); Nonemployer Statistics (2024)

Per-resident figures divide by the population estimate of 2023: 12,727 residents here, 336,755,052 in the United States. County Business Patterns counts establishments in 2023; the Nonemployer Statistics count businesses in 2024.
“More than typical” is a density at least 1.25 times the nation's per resident, “fewer” at most 0.8 times, with at least 10 establishments. It compares counts of businesses with counts of people: it says nothing about demand, incomes, size, quality or profit, and visitors and commuters are not residents.
The Census Bureau adds noise to employment and payroll to protect confidentiality, and withholds some figures: an industry with few establishments can show employees or pay as unavailable.
Industries overlap: a narrower industry (full-service restaurants) is part of a broader one (restaurants), so the rows do not add up.
Industries follow the North American Industry Classification System; the two surveys use different editions (NAICS 2017 and 2022), which this page matches industry by industry.

Federal contracts performed here

In FY2026, an estimated $11.3K of federal contract obligations were for work performed in Fredericktown, Missouri: $2.50 per resident (US $1,994).

Obligations: $11.3K; −15% vs FY2025
Per resident: $2.50; US $1,994
Sole-source: 0.0%; US 30%
Single offer: 100%; US 8.8%

A signal is a reason to look closer, not evidence of wrongdoing: most sole-source awards are lawful and justified.

Top buying agencies

Environmental Protection Agency$11.3K100%

Top recipients

Spending by fiscal year

26.7KFY2017
77.6KFY2018
67.5KFY2019
34.5KFY2020
12.8KFY2021
42.4KFY2022
43.7KFY2023
20.3KFY2024

Top industries (NAICS)

Remediation and other waste management services · 5629$17K100%

Source: Federal contract transactions (Federal Procurement Data System) (U.S. Department of the Treasury, USAspending.gov), data current to Oct 3, 2026, loaded Oct 3, 2026.

How this is estimated

Agencies report each contract action's place of performance as a county and a ZIP code. A ZIP code's money is split among the cities it covers by the share of its land inside each (Census 2020 ZIP code tabulation areas); the part outside city limits stays with the county.

The place of performance is what the contracting agency reports, often the contractor's office rather than where the work happens.
Shares are of land, not of people or businesses: a ZIP code that is mostly rural land but has its offices in town gives the town less than it should.
ZIP codes that are not mapped areas (post office boxes, the unique ZIP codes of large federal sites and companies) stay with their county, unless one city covers nearly all of it.
Counts of actions and awards include those only partly in Fredericktown, Missouri, so they do not add up across cities.

Fredericktown, Missouri's figures are part of those of Madison County, MO ($1.2M in FY2026), never added to them: 0.9% of that total.

Grants and other federal assistance are counted by county here, not split among cities: Fredericktown is mostly in Madison County.

See federal money in Madison County

Representation in Congress

Members serving today, with their record in the current Congress (party-unity votes cast with their caucus, roll calls missed). Not a grade.

Fredericktown, Missouri is represented in the 119th Congress by these members.

House

Jason SmithR-MO-8 · 100% of residentsWith party 99%Missed 1.3%

Senate

Explore Congress The 2026 races

County

A city can lie in several counties. Some indicators are published for counties only: the page marks them.

Madison County33100% of residents

Other cities and towns in Madison County

Largest first.

Similar cities and towns

Closest indicator profiles across the country (no model: score distances).

Data and sources

Latest published value of each indicator; periods differ by source. Values flagged by their publisher are marked.

PLACES: Local Data for Better HealthCenters for Disease Control and Prevention · release 2025
Local Area Unemployment StatisticsU.S. Bureau of Labor Statistics · release 2025
American Community Survey 5-Year EstimatesU.S. Census Bureau · release 2017-2024
Building Permits SurveyU.S. Census Bureau · release 2026-08
Population Estimates ProgramU.S. Census Bureau · release 2025
Small Area Health Insurance EstimatesU.S. Census Bureau · release 2024
Small Area Income and Poverty EstimatesU.S. Census Bureau · release 2024
County Health Rankings & RoadmapsUniversity of Wisconsin Population Health Institute · release 2022-2025+2026-03-supplement

JSON · /api/v1/places/2925768

Scores by category

Strengths · Weaknesses

Strengths

Weaknesses

Trends