RxDoctor Payments Data

Industry payments by specialty

Totals are dominated by specialty size and by a handful of large royalty arrangements. Per-provider figures on each specialty page are the more useful comparison.

Every specialty ranked

SpecialtyProvidersTotal reportedPer provider
Orthopaedic Surgery20,733$2,543,859,781$122,696
Neurological Surgery7,374$665,157,636$90,203
Neurology19,151$657,268,445$34,320
Orthopaedic Surgery of the Spine2,108$548,212,835$260,063
Cardiovascular Disease22,914$529,584,230$23,112
Psychiatry36,282$525,113,442$14,473
Internal Medicine118,002$524,396,591$4,444
Dermatology14,574$499,151,834$34,249
Adult Reconstructive Orthopaedic Surgery1,265$431,912,100$341,432
Hematology & Oncology12,158$420,423,449$34,580
Surgery26,746$366,233,619$13,693
Gastroenterology18,696$363,485,931$19,442
Clinical Cardiac Electrophysiology3,425$345,041,070$100,742
Ophthalmology19,563$334,191,847$17,083
Sports Medicine6,291$316,515,785$50,312
Family Medicine102,600$300,201,229$2,926
Interventional Cardiology6,996$281,717,233$40,268
Endocrinology, Diabetes & Metabolism8,549$270,198,599$31,606
Rheumatology7,002$270,142,503$38,581
Family157,924$269,311,938$1,705
Urology12,857$262,506,803$20,417
Medical Oncology5,021$261,467,347$52,075
Pulmonary Disease13,880$260,335,609$18,756
Foot & Ankle Surgery9,749$244,215,860$25,050
General Practice98,270$240,963,684$2,452
Physician Assistant126,633$223,655,447$1,766
Thoracic Surgery (Cardiothoracic Vascular Surgery)5,394$213,882,539$39,652
Unspecified154,168$206,269,216$1,338
Nephrology12,193$191,516,598$15,707
Diagnostic Radiology34,366$186,887,435$5,438
Endodontics4,657$174,774,430$37,529
Optometrist51,595$163,729,044$3,173
Vascular & Interventional Radiology4,243$154,891,125$36,505
Plastic Surgery4,963$152,857,144$30,799
Obstetrics & Gynecology38,798$149,440,991$3,852
Plastic Surgery within the Head & Neck695$142,444,801$204,957
Allergy & Immunology3,828$138,286,287$36,125
Nurse Practitioner101,092$136,877,536$1,354
Vascular Surgery5,036$136,089,249$27,023
Dentist64,963$119,914,302$1,846
Infectious Disease8,858$115,845,702$13,078
Psychiatric/Mental Health36,755$104,078,079$2,832
Anesthesiology47,484$94,646,715$1,993
Pain Medicine6,736$92,299,981$13,702
Pediatrics54,231$91,421,543$1,686
Orthodontics and Dentofacial Orthopedics10,978$90,294,856$8,225
Otolaryngology9,902$80,261,346$8,106
Medical24,987$76,901,268$3,078
Podiatrist7,435$76,718,311$10,319
Emergency Medicine55,849$74,306,235$1,330
Orthopaedic Trauma839$71,812,968$85,594
Hand Surgery2,594$71,171,949$27,437
Hematology1,466$70,235,611$47,910
Advanced Heart Failure and Transplant Cardiology1,139$60,480,207$53,099
Anatomic Pathology & Clinical Pathology7,658$57,988,127$7,572
Interventional Pain Medicine2,377$57,824,848$24,327
Pediatric Hematology-Oncology2,650$56,282,030$21,239
Retina Specialist1,502$55,647,256$37,049
Adult Health20,444$53,796,069$2,631
Plastic and Reconstructive Surgery2,955$51,413,925$17,399
Orthopedic Surgery784$49,318,032$62,906
Critical Care Medicine6,814$49,034,781$7,196
Neuroradiology891$47,976,937$53,846
Gynecologic Oncology1,659$46,359,275$27,944
Neurology with Special Qualifications in Child Neurology2,025$46,096,520$22,764
Radiation Oncology6,040$44,997,809$7,450
Oral and Maxillofacial Surgery7,917$39,575,084$4,999
Colon & Rectal Surgery2,085$38,567,716$18,498
Physical Medicine and Rehabilitation9,531$32,030,699$3,361
Acute Care17,928$30,049,850$1,676
Gynecology2,525$29,277,419$11,595
Sleep Medicine1,812$28,645,031$15,809
Surgical Oncology1,717$28,572,533$16,641
Allergy787$28,233,752$35,875
Prosthodontics2,803$27,220,586$9,711
Periodontics5,080$26,373,918$5,192
Anatomic Pathology1,171$23,529,760$20,094
Surgical12,050$23,081,460$1,915
MOHS-Micrographic Surgery1,328$22,474,195$16,923
Pediatric Endocrinology1,591$22,284,475$14,007
Procedural Dermatology542$22,121,328$40,814
Body Imaging359$21,695,946$60,434
Pediatric Cardiology2,339$20,779,290$8,884
Clinical Genetics (M.D.)647$20,014,239$30,934
Hospitalist23,654$19,866,327$840
Surgery of the Hand699$19,489,634$27,882
Urogynecology and Reconstructive Pelvic Surgery1,158$19,028,611$16,432
Pediatric Orthopaedic Surgery739$18,506,342$25,042
Hepatology261$17,417,831$66,735
Pediatric Infectious Diseases799$17,262,093$21,605
Child & Adolescent Psychiatry3,683$16,018,181$4,349
Surgical Critical Care1,638$14,972,119$9,140
Pediatric Dermatology221$14,714,412$66,581
Nurse Anesthetist, Certified Registered44,081$13,675,626$310
Pediatric Gastroenterology1,924$13,284,578$6,905
Transplant Surgery794$13,259,225$16,699
Geriatric Medicine4,193$13,157,169$3,138
Pediatric Surgery1,022$12,879,785$12,603
Gerontology6,522$12,691,830$1,946
Ophthalmic Plastic and Reconstructive Surgery413$12,607,136$30,526
Glaucoma Specialist435$12,542,024$28,832
Blood Banking & Transfusion Medicine254$12,304,619$48,443
Pediatric Allergy/Immunology460$12,144,578$26,401
Primary Care7,047$12,143,661$1,723
Vascular Neurology695$12,068,554$17,365
Neuromuscular Medicine321$11,384,902$35,467
Clinical Neurophysiology400$10,985,631$27,464
Reproductive Endocrinology1,527$10,706,745$7,012
Transplant Hepatology238$10,578,850$44,449
Clinical Pathology/Laboratory Medicine584$10,560,378$18,083
Epilepsy460$10,234,813$22,250
Addiction Medicine1,610$9,844,677$6,115
Foot Surgery1,238$9,593,492$7,749
Clinical Pathology222$9,584,157$43,172
Trauma Surgery1,164$9,583,162$8,233
Corneal and Contact Management1,003$9,108,923$9,082
Facial Plastic Surgery585$8,798,723$15,041
Nuclear Cardiology140$8,383,393$59,881
Neurodevelopmental Disabilities152$8,345,036$54,902
Neonatal-Perinatal Medicine3,285$8,276,110$2,519
Women's Health5,960$7,754,233$1,301
Public Health & General Preventive Medicine556$7,468,199$13,432
Pediatric Dentistry6,958$7,237,676$1,040
Allergy/ Immunology206$6,904,227$33,516
Pediatric Pulmonology1,139$6,474,999$5,685
Cardiology1,137$6,473,219$5,693
Hematology-Oncology365$6,461,588$17,703
Adult Medicine1,317$6,254,112$4,749
Maternal & Fetal Medicine2,004$6,233,209$3,110
Pediatric Nephrology733$6,197,251$8,455
Otolaryngology/Facial Plastic Surgery712$5,658,016$7,947
Nuclear Medicine533$5,599,285$10,505
Clinical & Laboratory Dermatological Immunology47$5,598,672$119,121
Cornea and External Diseases Specialist338$5,506,553$16,292
Primary Podiatric Medicine668$5,497,310$8,230
General Surgery1,431$5,414,713$3,784
Undersea and Hyperbaric Medicine343$5,003,982$14,589
Obesity Medicine287$4,699,666$16,375
Endocrinology557$4,690,182$8,420
Dermatopathology611$4,521,317$7,400
Otology & Neurotology371$4,489,744$12,102
Nuclear Radiology218$3,899,174$17,886
Chiropractor6,862$3,885,150$566
Adolescent Medicine1,959$3,843,514$1,962
Obstetrics1,063$3,613,220$3,399
Advanced Practice Midwife6,941$3,592,470$518
Occupational Medicine753$3,578,779$4,753
Pediatric Critical Care Medicine1,409$3,553,840$2,522
Neuro-ophthalmology152$3,469,487$22,826
Uveitis and Ocular Inflammatory Disease48$3,428,715$71,432
Hospice and Palliative Medicine1,740$3,239,437$1,862
Pediatric Urology425$3,103,808$7,303
Registered Nurse3,429$2,886,552$842
Pediatric Rheumatology395$2,863,758$7,250
Geriatric Psychiatry455$2,842,330$6,247
Neurosurgery220$2,840,435$12,911
Hypertension Specialist19$2,687,466$141,446
Neuromusculoskeletal Medicine & OMM527$2,253,452$4,276
Clinical & Laboratory Immunology68$2,178,995$32,044
Pediatric Emergency Medicine1,065$2,167,171$2,035
Otolaryngic Allergy100$2,131,453$21,315
Psychiatric/Mental Health, Adult602$2,114,540$3,513
Addiction Psychiatry372$2,087,367$5,611
Behavioral Neurology & Neuropsychiatry129$1,968,211$15,257
Pediatric Otolaryngology616$1,950,503$3,166
Neurocritical Care476$1,793,567$3,768
Pediatric Anesthesiology1,038$1,789,380$1,724
Oncology216$1,770,067$8,195
Emergency Medical Services1,328$1,747,800$1,316
Pediatric Transplant Hepatology46$1,681,948$36,564
Clinical Nurse Specialist807$1,614,452$2,001
Oral and Maxillofacial Radiology84$1,591,784$18,950
Independent Medical Examiner64$1,589,213$24,831
Pediatric Rehabilitation Medicine225$1,520,711$6,759
Developmental - Behavioral Pediatrics421$1,510,839$3,589
Clinical Molecular Genetics34$1,495,490$43,985
Pediatric Radiology444$1,271,411$2,864
Oral and Maxillofacial Pathology337$1,266,548$3,758
Gynecological Oncology35$1,263,419$36,098
Neuropathology89$1,117,454$12,556
Preventive Medicine/Occupational Environmental Medicine292$1,112,259$3,809
Brain Injury Medicine75$1,109,405$14,792
Clinical Pharmacology36$1,072,964$29,805
Neuromusculoskeletal Medicine, Sports Medicine160$1,026,540$6,416
Diagnostic Neuroimaging79$1,018,689$12,895
Psychosomatic Medicine164$978,637$5,967
Phlebology117$844,175$7,215
Neuroscience52$786,813$15,131
Therapeutic Radiology155$783,245$5,053
Pediatric Ophthalmology and Strabismus Specialist250$767,885$3,072
Molecular Genetic Pathology90$760,469$8,450
Dental Public Health521$722,767$1,387
Psychiatric/Mental Health, Child & Adolescent148$692,120$4,676
Magnetic Resonance Imaging (MRI)6$672,400$112,067
Family Practice17,991$662,807$37
Dental Anesthesiology177$651,533$3,681
Family Health273$630,777$2,311
Micrographic Dermatologic Surgery42$606,818$14,448
Adult Congenital Heart Disease114$587,395$5,153
Vision Therapy253$570,227$2,254
Cytopathology215$558,559$2,598
Cardiac Surgery26$555,513$21,366
Anesthesiologist Assistant2,499$545,415$218
Pathology4,876$542,633$111
Low Vision Rehabilitation171$487,557$2,851
Medical Toxicology107$482,844$4,513
Clinical Biochemical Genetics50$469,427$9,389
Pain Management155$457,657$2,953
Orofacial Pain114$455,050$3,992
Complex Family Planning41$446,670$10,894
Community Health294$446,328$1,518
Forensic Psychiatry230$431,071$1,874
Integrative Medicine48$417,581$8,700
Neonatal1,483$370,239$250
Spinal Cord Injury Medicine124$365,286$2,946
Nuclear Imaging & Therapy82$335,011$4,086
Thoracic Surgery54$259,748$4,810
Optometry1,558$211,561$136
Pediatric Pathology72$208,583$2,897
Medical-Surgical205$200,908$980
Colorectal Surgery (Proctology)56$198,194$3,539
Pediatrics, Critical Care436$185,275$425
Medical Biochemical Genetics16$170,213$10,638
Orthopedic79$169,869$2,150
Women's Health Care, Ambulatory71$155,508$2,190
Interventional Radiology146$147,089$1,007
Medical Microbiology29$142,913$4,928
Licensed Practical Nurse482$138,712$288
Diagnostic Ultrasound92$135,494$1,473
Interventional Pain Management72$129,301$1,796
Podiatry1,546$128,726$83
Neonatal, Critical Care739$125,479$170
Electrodiagnostic Medicine10$125,008$12,501
Occupational Health170$109,519$644
Dental Hygienist251$104,190$415
Psychologist, Clinical11,973$104,046$9
Infection Control6$103,874$17,312
Emergency120$84,267$702
Critical Care (Intensivists)881$80,586$91
Diabetes Educator169$79,634$471
Aerospace Medicine133$78,096$587
Psychiatric/Mental Health, Child & Family38$76,869$2,023
Rehabilitation294$67,615$230
Occupational Vision63$63,845$1,013
School152$62,946$414
Sports Vision26$61,162$2,352
Wound Care35$57,874$1,654
Chemical Pathology11$56,859$5,169
Certified Nurse Midwife257$49,751$194
Home Health94$49,522$527
Pediatric Medicine459$47,978$105
Obstetric, Inpatient23$46,314$2,014
Forensic Pathology87$42,551$489
Sports Physician195$37,877$194
Radiological Physics25$32,652$1,306
Perinatal59$28,731$487
Registered Nurse First Assistant162$26,199$162
Reproductive Endocrinology/Infertility12$24,601$2,050
Optician194$23,009$119
Ambulatory Care78$21,872$280
Clinical Informatics16$20,777$1,299
Community Health/Public Health28$20,732$740
Denturist54$19,785$366
Immunopathology13$19,714$1,516
Ph.D. Medical Genetics7$18,175$2,596
Clinical Cytogenetics15$17,776$1,185
Psychiatric/Mental Health, Geropsychiatric15$15,793$1,053
Otorhinolaryngology & Head-Neck3$12,976$4,325
Diabetology2$12,334$6,167
Maternal Newborn30$10,958$365
Case Management72$9,754$135
Licensed Vocational Nurse91$9,304$102
Perioperative21$8,602$410
Addiction (Substance Use Disorder)38$8,590$226
Psychiatric/Mental Health, Community10$8,542$854
Legal Medicine18$8,374$465
Assistant, Podiatric3$8,122$2,707
Nutrition75$7,957$106
Enterostomal Therapy7$7,730$1,104
Certified Registered Nurse Anesthetist (CRNA)15,167$7,632$1
Transplantation3$7,001$2,334
Neonatal Intensive Care44$6,913$157
Administrator40$6,766$169
Neuropsychiatry39$6,494$167
Dental Assistant23$6,345$276
Physical Therapist in Private Practice77,804$6,325$0
Public Medicine5$6,046$1,209
Technician/Technologist5$5,846$1,169
Ophthalmic6$5,770$962
Osteopathic Manipulative Medicine204$5,739$28
Undefined Physician type26$5,404$208
Child Abuse Pediatrics31$5,230$169
Cardiac Rehabilitation5$4,499$900
Internist34$4,061$119
Infusion Therapy20$3,768$188
Lactation Consultant25$3,512$140
Continuing Education/Staff Development14$3,110$222
Advanced Practice Dental Therapist10$2,953$295
Certified Clinical Nurse Specialist325$2,917$9
Obstetric, High-Risk8$2,542$318