Occupation · SOC 29-1216

General Internal Medicine Physicians: pay and where the jobs are

What general internal medicine physicians earn in the U.S., how pay varies across workers and states, and tools to plan around it.

BLS May 2025 data · methodology

National pay, May 2025

$256,560 median annual wage

Mean (average) annual wage
$267,200
Median hourly wage
$123.35
Mean hourly wage
$128.46
Employment
67,150

Source: U.S. Bureau of Labor Statistics, OEWS May 2025 (released 2026-05-15), SOC 29-1216.

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How much do general internal medicine physicians make?

The median annual wage for general internal medicine physicians was $256,560 in May 2025, so half of workers earned more and half earned less. The lowest-paid 10% earned less than $73,570 and the highest-paid 10% more than $475,430. As an hourly rate, the median is $123.35. About 67,150 people work in this occupation nationwide. The highest state medians are in Georgia ($425,460), Rhode Island ($379,490) and Minnesota ($373,700). Georgia also comes out on top after taxes and local prices.

Pay ladder

What each step of the pay range for general internal medicine physicians looks like per month. Take-home here includes federal tax, Social Security and Medicare for a single filer; add your state in the paycheck calculator.

General Internal Medicine Physicians: pay at each percentile
StepAnnualHourlyMonthly grossMonthly after federal tax & FICA
10th percentile$73,570$35.37$6,131$5,049
25th percentile$124,470$59.84$10,373$8,028
Median$256,560$123.35$21,380$15,294
75th percentile$374,850$180.22$31,238$20,987
90th percentile$475,430$228.57$39,619$25,794

General Internal Medicine Physicians: pay by state

47 states and territories have a published median, sorted from highest to lowest. The last two columns are our estimates: the median after 2026 federal and state taxes, and that take-home restated in national-average prices.

1

Georgia

$270,409 take-home in national prices

2

North Dakota

$253,119 take-home in national prices

3

Mississippi

$243,017 take-home in national prices

Where a median general internal medicine physician paycheck goes furthest after 2026 taxes and BEA price levels.

Annual wages by state, May 2025, with after-tax and price-adjusted estimates
StateEmploymentMedian10th pct.90th pct.Median after tax*In national prices†
Georgia5,440$425,460$103,490$581,750$260,385$270,409
Rhode Island300$379,490$69,590$425,340$233,804$228,592
Minnesota2,270$373,700$197,440$481,170$220,761$223,848
Wisconsin1,450$367,160$74,160$451,640$227,820$242,117
Alaska110$366,080$163,230$556,190$246,542$240,860
South Carolina1,260$359,500$102,500$441,010$225,275$240,296
Idaho130$355,390$133,880$385,590$222,955$233,475
Washington1,100$340,010$222,990$406,010$228,400$213,432
North Dakota200$338,400$190,430$379,100$225,172$253,119
Utah210$331,720$161,890$448,650$212,346$214,786
Mississippi390$325,610$67,440$429,660$211,311$243,017
Guam40$324,920$183,110$357,400——
Maine270$316,880$185,760$539,420$195,916$201,871
Indiana2,380$314,390$177,830$504,870$207,923$222,785
California6,370$313,890$74,180$441,710$187,854$169,666
Alabama310$311,180$156,060$369,200$203,611$229,232
Colorado450$299,990$176,330$371,600$195,607$189,814
North Carolina1,700$289,780$123,810$462,680$192,001$203,551
Massachusetts1,590$285,250$84,750$369,930$185,565$175,464
South Dakota160$280,520$222,550$564,280$197,744$223,223
Texas3,850$269,110$69,460$387,660$191,104$196,899
Oregon230$268,570$228,850$350,220$165,127$159,758
Maryland3,250$260,410$135,630$393,430$172,690$164,531
Arizona2,570$259,320$65,610$391,480$179,106$177,902
Ohio1,540$249,990$84,180$453,010$173,127$186,611
Kentucky1,060$241,530$73,510$456,710$166,123$184,256
Arkansas290$233,130$59,180$316,760$160,964$185,151
Tennessee1,370$232,220$64,870$412,460$168,841$183,782
New Hampshire450$229,210$69,840$414,380$167,024$160,346
Vermont180$228,670$181,710$452,190$153,182$156,375
District of Columbia490$223,250$48,710$513,990$147,420$134,139
Florida2,390$222,600$85,220$575,210$163,035$157,653
Nebraska900$221,360$70,920$378,450$153,094$169,910
Missouri160$216,570$173,630$438,090$150,050$165,223
Oklahoma490$216,570$67,270$468,320$150,091$170,863
Pennsylvania990$213,310$67,360$415,810$150,365$154,107
LouisianaNot published$210,390$184,700$324,900$149,142$169,082
Connecticut980$208,000$66,740$413,750$141,242$136,320
New York10,000$183,460$78,160$416,640$126,434$117,154
Michigan2,060$149,990$59,440$378,470$107,660$111,893
Illinois1,130$140,680$63,940$349,420$100,602$100,644
Puerto Rico40$133,120$86,660$168,370——
Iowa380$122,920$71,420$391,510$91,263$103,989
Nevada390$114,090$82,970$291,170$89,092$89,111
New Jersey2,920$89,990$82,320$431,460$68,027$62,522
West Virginia630$72,680$63,150$430,020$57,521$64,271
Hawaii220At or above BLS top rangeAt or above BLS top rangeAt or above BLS top range——

Source: U.S. Bureau of Labor Statistics, OEWS May 2025 (released 2026-05-15), SOC 29-1216. *Our estimate for a single filer paid biweekly with no pre-tax deductions or local tax, 2026 federal and state rules. †Take-home ÷ BEA Regional Price Parity × 100 (2024 price levels).

Sources

  1. OEWS May 2025 (oesm25nat.zip) — U.S. Bureau of Labor Statistics. Accessed 2026-10-09.
  2. OEWS May 2025 (oesm25st.zip) — U.S. Bureau of Labor Statistics. Accessed 2026-10-09.