Allergy/ Immunology: industry payments
Drug and device makers reported $6,904,227 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 206
- Received a payment
- 96 (46.6%)
- Total reported
- $6.9M
- Average, those paid
- $71,919
The average is computed only over providers who received something, because including the 110 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 allergy/ immunology clinicians
Across 206 allergy/ immunology clinicians who billed Original Medicare Part B in 2024, Medicare allowed $32,319,905 in total — an average of $156,893 each, of which $74,903 was for services and the rest for drugs administered in the office.
This is not a salary. 52% of this figure is the cost of drugs administered in the office — chemotherapy, infusions and injections that Part B pays for and the practice has already bought. That money passes through; it is not earnings. 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.
What allergy/ immunology clinicians earn
Medicare billing is not pay. For what clinicians in this field actually earn, the U.S. Department of Labor publishes employer-reported wages — median, low end and top 10% — nationally and by state.
By state
| State | Providers | Total reported | Per provider |
|---|---|---|---|
| California | 18 | $2,124,602 | $118,033 |
| Texas | 14 | $1,576,023 | $112,573 |
| Alabama | 5 | $711,273 | $142,255 |
| Arizona | 2 | $710,997 | $355,498 |
| Colorado | 3 | $532,663 | $177,554 |
| Illinois | 5 | $499,914 | $99,983 |
| Ohio | 7 | $194,535 | $27,791 |
| New York | 14 | $152,687 | $10,906 |
| Utah | 3 | $75,626 | $25,209 |
| Pennsylvania | 6 | $73,716 | $12,286 |
| New Jersey | 9 | $58,004 | $6,445 |
| Maryland | 6 | $40,896 | $6,816 |
| Florida | 7 | $37,540 | $5,363 |
| Tennessee | 7 | $19,291 | $2,756 |
| Louisiana | 3 | $14,944 | $4,981 |
| Indiana | 3 | $11,833 | $3,944 |
| Hawaii | 2 | $11,445 | $5,723 |
| Mississippi | 2 | $9,671 | $4,836 |
| Nebraska | 2 | $9,302 | $4,651 |
| Idaho | 1 | $7,833 | $7,833 |
| Oklahoma | 1 | $7,437 | $7,437 |
| Massachusetts | 24 | $5,698 | $237 |
| Virginia | 4 | $4,781 | $1,195 |
| Minnesota | 15 | $4,203 | $280 |
| Kentucky | 2 | $3,128 | $1,564 |
| Georgia | 2 | $2,588 | $1,294 |
| Michigan | 9 | $2,052 | $228 |
| Connecticut | 2 | $1,225 | $612 |
| West Virginia | 1 | $322 | $322 |
| Wisconsin | 10 | $0 | $0 |
| Washington | 5 | $0 | $0 |
| North Carolina | 1 | $0 | $0 |
| District of Columbia | 2 | $0 | $0 |
| Arkansas | 1 | $0 | $0 |
| New Hampshire | 3 | $0 | $0 |
| Vermont | 1 | $0 | $0 |
| Missouri | 2 | $0 | $0 |
| Iowa | 1 | $0 | $0 |
| Kansas | 1 | $0 | $0 |