United States · Pay by job · Healthcare Practitioners
Internal Medicine Physician salary and take-home pay
The typical US internal medicine physician earns $256,560 a year, or $123.35 an hour (BLS, May 2025). In Texas, where the median for this job is $269,110, a single filer keeps about $195,728 a year after federal income tax, Social Security and Medicare.
BLS title: General Internal Medicine Physicians (SOC 29-1216). Source: U.S. Bureau of Labor Statistics, OEWS May 2025.
How much does an internal medicine physician earn?
| Percentile | Bar | A year | An hour |
|---|---|---|---|
| 10th | $73,570 | $35.37 | |
| 25th | $124,470 | $59.84 | |
| Median | $256,560 | $123.35 | |
| 75th | $374,850 | $180.22 | |
| 90th | $475,430 | $228.57 |
The middle half of people in this job earn $124,470 to $374,850 a year, and about 67,150 people do it across the US (BLS, May 2025).
Take-home pay tool
Internal Medicine Physician · Texas · single · median
$195,727.72 a year after tax
$16,310.64 a month · $7,527.99 a paycheck (every two weeks)
| Pay before tax | $269,110.00 |
|---|---|
| Federal income tax | −$57,419.20 |
| Social Security and Medicare | −$15,963.09 |
| Texas tax and payroll contributions | none |
| Take-home pay | $195,727.72 |
Pay: the median for this job in Texas, $269,110 a year (BLS). One job, standard deduction, nothing taken before tax, the year’s tax spread over 26 paychecks.
What does an internal medicine physician take home at each pay point?
A single filer on the national figures, paid every two weeks, with nothing taken before tax:
| Pay a year | Texas | California | New York | |
|---|---|---|---|---|
| 10th | $73,570 | $60,586 | $57,079 | $56,862 |
| 25th | $124,470 | $96,341 | $87,537 | $89,403 |
| Median | $256,560 | $187,489 | $164,682 | $170,381 |
| 75th | $374,850 | $262,070 | $226,725 | $236,498 |
| 90th | $475,430 | $325,084 | $278,137 | $292,622 |
Take-home after federal income tax, Social Security, Medicare and state tax for 2026. New York is outside New York City.
Where does an internal medicine physician keep the most after tax?
Our 19 states, ranked by take-home pay on each state’s own median for this job (single filer). Only these 19 states have take-home figures so far.
| Rank | State | Median pay | Take-home |
|---|---|---|---|
| 1 | Georgia | $425,460 | $273,295 |
| 2 | Alaska | $366,080 | $256,305 |
| 3 | Washington | $340,010 | $236,782 |
| 4 | South Dakota | $280,520 | $202,973 |
| 5 | North Carolina | $289,780 | $197,720 |
| 6 | Texas | $269,110 | $195,728 |
| 7 | California | $313,890 | $194,996 |
| 8 | Ohio | $249,990 | $176,737 |
| 9 | Tennessee | $232,220 | $171,509 |
| 10 | New Hampshire | $229,210 | $169,533 |
| 11 | Florida | $222,600 | $165,194 |
| 12 | Pennsylvania | $213,310 | $152,032 |
| 13 | New York | $183,460 | $125,866 |
| 14 | Michigan | $149,990 | $107,660 |
| 15 | Illinois | $140,680 | $100,602 |
| 16 | Nevada | $114,090 | $89,092 |
| 17 | New Jersey | $89,990 | $68,027 |
Not ranked, because BLS released no median there: Virginia, Wyoming.
How much does an internal medicine physician earn in each state?
| State | Median pay | People in the job | Take-home (single) |
|---|---|---|---|
| Alabama | $311,180 | 310 | not yet |
| Alaska | $366,080 | 110 | $256,305 (#2) |
| Arizona | $259,320 | 2,570 | not yet |
| Arkansas | $233,130 | 290 | not yet |
| California | $313,890 | 6,370 | $194,996 (#7) |
| Colorado | $299,990 | 450 | not yet |
| Connecticut | $208,000 | 980 | not yet |
| Delaware | not released | not released | not yet |
| District of Columbia | $223,250 | 490 | not yet |
| Florida | $222,600 | 2,390 | $165,194 (#11) |
| Georgia | $425,460 | 5,440 | $273,295 (#1) |
| Hawaii | $239,200 or more | 220 | not yet |
| Idaho | $355,390 | 130 | not yet |
| Illinois | $140,680 | 1,130 | $100,602 (#15) |
| Indiana | $314,390 | 2,380 | not yet |
| Iowa | $122,920 | 380 | not yet |
| Kansas | not released | not released | not yet |
| Kentucky | $241,530 | 1,060 | not yet |
| Louisiana | $210,390 | not released | not yet |
| Maine | $316,880 | 270 | not yet |
| Maryland | $260,410 | 3,250 | not yet |
| Massachusetts | $285,250 | 1,590 | not yet |
| Michigan | $149,990 | 2,060 | $107,660 (#14) |
| Minnesota | $373,700 | 2,270 | not yet |
| Mississippi | $325,610 | 390 | not yet |
| Missouri | $216,570 | 160 | not yet |
| Montana | not released | not released | not yet |
| Nebraska | $221,360 | 900 | not yet |
| Nevada | $114,090 | 390 | $89,092 (#16) |
| New Hampshire | $229,210 | 450 | $169,533 (#10) |
| New Jersey | $89,990 | 2,920 | $68,027 (#17) |
| New Mexico | not released | not released | not yet |
| New York | $183,460 | 10,000 | $125,866 (#13) |
| North Carolina | $289,780 | 1,700 | $197,720 (#5) |
| North Dakota | $338,400 | 200 | not yet |
| Ohio | $249,990 | 1,540 | $176,737 (#8) |
| Oklahoma | $216,570 | 490 | not yet |
| Oregon | $268,570 | 230 | not yet |
| Pennsylvania | $213,310 | 990 | $152,032 (#12) |
| Rhode Island | $379,490 | 300 | not yet |
| South Carolina | $359,500 | 1,260 | not yet |
| South Dakota | $280,520 | 160 | $202,973 (#4) |
| Tennessee | $232,220 | 1,370 | $171,509 (#9) |
| Texas | $269,110 | 3,850 | $195,728 (#6) |
| Utah | $331,720 | 210 | not yet |
| Vermont | $228,670 | 180 | not yet |
| Virginia | not released | 860 | – |
| Washington | $340,010 | 1,100 | $236,782 (#3) |
| West Virginia | $72,680 | 630 | not yet |
| Wisconsin | $367,160 | 1,450 | not yet |
| Wyoming | not released | not released | – |
Median yearly pay for this job in each state, from BLS. Take-home and its rank are for the 19 states with a take-home engine so far. Each linked state shows its highest-paying jobs after tax.
What is the job outlook for an internal medicine physician?
BLS expects jobs as an internal medicine physician to grow 4% from 2025 to 2035, with about 1,900 openings a year (BLS Employment Projections 2025–35).
- Job growth, 2025 to 2035
- +4%
- Openings a year
- about 1,900
- Usual education
- Doctoral or professional degree
- Work experience
- None
- On-the-job training
- Internship/residency
What do similar jobs pay?
The 10 healthcare practitioners jobs closest in pay to an internal medicine physician:
- Ophthalmologist median $300,080
- Obstetrician and Gynecologist median $292,910
- Orthodontist median $289,140
- Psychiatrist median $281,870
- Other Physician median $265,930
- Neurologist median $248,560
- Family Medicine Physician median $244,180
- Nurse Anesthetist median $236,590
- Other Dental Specialist median $224,990
- General Pediatrician median $210,040
Every job in the group: Healthcare Practitioners jobs. Not sure which job suits you? Try the free career test.
What else can I work out?
- Your paycheck on $256,560, with any pay schedule, 401(k) or HSA.
- Hourly to salary: $123.35 an hour as a yearly salary.
- Your 2026 tax refund on $256,560, with the new deductions for tips and overtime.
Where do these figures come from?
Pay is the BLS estimate for all employers in May 2025 (the latest), and the outlook is from BLS Employment Projections 2025–35. Your own pay depends on your employer, area and experience. Take-home is our estimate for 2026: one job, the standard deduction, nothing taken before tax, from the same engine as our paycheck calculator.
Source: U.S. Bureau of Labor Statistics, OEWS May 2025: Occupational Employment and Wage Statistics tables (BLS); Employment Projections tables (BLS). This site is independent and not part of the BLS.
Questions about internal medicine physician pay
How much does an internal medicine physician make an hour?
The median is $123.35 an hour (BLS, May 2025). The middle half earn $59.84 to $180.22, and the top 10% earn $228.57 or more.
Which state pays an internal medicine physician the most?
Among the 50 states and DC, Georgia has the highest median for this job: $425,460 a year (BLS). BLS shows only “$239,200 or more” in Hawaii. After tax, of the 19 states we cover, Georgia leaves the most: $273,295 a year for a single filer on its median of $425,460.
What is an internal medicine physician’s take-home pay?
On the national median of $256,560, a single filer keeps about $187,489 a year in Texas (no state income tax), $164,682 in California and $170,381 in New York outside New York City, after federal income tax, Social Security, Medicare and state tax. Pick your state in the tool above.
What education do you need to be an internal medicine physician?
BLS lists a doctoral or professional degree as the usual way in, with no work experience in a related job and an internship or residency.
Is the number of internal medicine physician jobs growing?
BLS expects jobs as an internal medicine physician to grow 4% from 2025 to 2035, with about 1,900 openings a year (BLS Employment Projections 2025–35).