Ambulatory Care: industry payments
Drug and device makers reported $21,872 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 78
- Received a payment
- 78 (100.0%)
- Total reported
- $22K
- Average, those paid
- $280
The average is computed only over providers who received something, because including the 0 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 ambulatory care clinicians
Across 8 ambulatory care clinicians who billed Original Medicare Part B in 2024, Medicare allowed $202,680 in total — an average of $25,335 each, of which $22,948 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 | 41 | $11,881 | $290 |
| Florida | 4 | $3,655 | $914 |
| New York | 2 | $2,556 | $1,278 |
| Tennessee | 1 | $1,260 | $1,260 |
| Pennsylvania | 3 | $360 | $120 |
| Louisiana | 1 | $356 | $356 |
| Georgia | 2 | $354 | $177 |
| Missouri | 4 | $322 | $81 |
| Massachusetts | 2 | $220 | $110 |
| Michigan | 1 | $141 | $141 |
| South Carolina | 1 | $125 | $125 |
| Maryland | 1 | $120 | $120 |
| New Mexico | 3 | $92 | $31 |
| West Virginia | 1 | $72 | $72 |
| Alabama | 1 | $67 | $67 |
| Virginia | 1 | $60 | $60 |
| Idaho | 1 | $59 | $59 |
| Arizona | 2 | $37 | $19 |
| Colorado | 1 | $30 | $30 |
| North Carolina | 1 | $27 | $27 |
| Texas | 1 | $24 | $24 |
| Illinois | 1 | $20 | $20 |
| Montana | 1 | $20 | $20 |
| Ohio | 1 | $15 | $15 |