Adult Medicine: industry payments
Drug and device makers reported $6,254,112 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 1,317
- Received a payment
- 1,313 (99.7%)
- Total reported
- $6.3M
- Average, those paid
- $4,763
The average is computed only over providers who received something, because including the 4 who received nothing would produce a number that describes neither group. Totals are dominated by a small number of large royalty and consulting arrangements; the typical payment in this specialty is far smaller than the average implies.
What Medicare pays adult medicine clinicians
Across 666 adult medicine clinicians who billed Original Medicare Part B in 2024, Medicare allowed $74,125,316 in total — an average of $111,299 each, of which $104,009 was for services and the rest for drugs administered in the office.
This is not a salary. The rest is what Medicare allowed for services these clinicians billed — Original Medicare fee-for-service only. It excludes Medicare Advantage, which now covers more than half of Medicare enrollees, along with Medicaid and every commercial insurer, so for most clinicians it is a fraction of their practice. It is also gross revenue: staff, rent, supplies and malpractice premiums all come out of it before anyone is paid. Anyone quoting a figure like this as physician pay is misreading it.
By state
| State | Providers | Total reported | Per provider |
|---|---|---|---|
| California | 221 | $1,947,149 | $8,811 |
| Texas | 98 | $1,011,717 | $10,324 |
| Florida | 195 | $773,742 | $3,968 |
| Arizona | 35 | $556,005 | $15,886 |
| District of Columbia | 7 | $361,401 | $51,629 |
| Pennsylvania | 52 | $281,405 | $5,412 |
| New York | 101 | $209,844 | $2,078 |
| Alabama | 26 | $203,371 | $7,822 |
| Illinois | 39 | $100,622 | $2,580 |
| Virginia | 32 | $91,452 | $2,858 |
| Georgia | 43 | $91,135 | $2,119 |
| Tennessee | 22 | $70,065 | $3,185 |
| New Jersey | 48 | $64,501 | $1,344 |
| Vermont | 1 | $62,749 | $62,749 |
| Wisconsin | 6 | $44,411 | $7,402 |
| West Virginia | 8 | $39,856 | $4,982 |
| Washington | 16 | $31,547 | $1,972 |
| South Carolina | 17 | $30,640 | $1,802 |
| Hawaii | 10 | $25,014 | $2,501 |
| Wyoming | 2 | $23,568 | $11,784 |
| Maryland | 34 | $21,743 | $640 |
| Kentucky | 11 | $20,111 | $1,828 |
| Ohio | 22 | $19,307 | $878 |
| Connecticut | 11 | $17,724 | $1,611 |
| North Carolina | 25 | $16,727 | $669 |
| Colorado | 18 | $14,471 | $804 |
| Puerto Rico | 25 | $11,877 | $475 |
| Arkansas | 17 | $11,716 | $689 |
| Oklahoma | 14 | $11,267 | $805 |
| Missouri | 19 | $10,625 | $559 |
| Nevada | 9 | $8,991 | $999 |
| Massachusetts | 15 | $8,733 | $582 |
| Michigan | 23 | $8,480 | $369 |
| Indiana | 7 | $8,289 | $1,184 |
| Oregon | 7 | $7,247 | $1,035 |
| Mississippi | 13 | $6,896 | $530 |
| Utah | 7 | $6,054 | $865 |
| Kansas | 5 | $5,170 | $1,034 |
| Iowa | 7 | $3,665 | $524 |
| Montana | 4 | $2,990 | $747 |
| Louisiana | 7 | $2,398 | $343 |
| Idaho | 4 | $2,386 | $597 |
| Minnesota | 4 | $2,007 | $502 |
| Nebraska | 2 | $2,000 | $1,000 |
| New Mexico | 9 | $1,424 | $158 |
| Rhode Island | 1 | $328 | $328 |
| Maine | 3 | $316 | $105 |
| South Dakota | 3 | $208 | $69 |
| Alaska | 2 | $191 | $95 |
| U.S. Virgin Islands | 1 | $161 | $161 |
| New Hampshire | 3 | $157 | $52 |
| Delaware | 4 | $125 | $31 |
| AE | 1 | $89 | $89 |