Certified Nurse Midwife: industry payments
Drug and device makers reported $49,751 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 257
- Received a payment
- 83 (32.3%)
- Total reported
- $50K
- Average, those paid
- $599
The average is computed only over providers who received something, because including the 174 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 certified nurse midwife clinicians
Across 257 certified nurse midwife clinicians who billed Original Medicare Part B in 2024, Medicare allowed $911,798 in total — an average of $3,548 each, of which $3,539 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 |
|---|---|---|---|
| Missouri | 1 | $10,596 | $10,596 |
| Idaho | 4 | $4,003 | $1,001 |
| Maryland | 14 | $3,657 | $261 |
| Rhode Island | 6 | $3,485 | $581 |
| New Jersey | 12 | $3,001 | $250 |
| Ohio | 11 | $2,835 | $258 |
| Arizona | 6 | $2,743 | $457 |
| New York | 32 | $2,682 | $84 |
| Pennsylvania | 13 | $2,675 | $206 |
| Virginia | 2 | $1,974 | $987 |
| California | 14 | $1,901 | $136 |
| Texas | 2 | $1,521 | $760 |
| Nevada | 2 | $1,463 | $732 |
| Delaware | 1 | $1,405 | $1,405 |
| Illinois | 7 | $1,143 | $163 |
| Utah | 2 | $909 | $455 |
| West Virginia | 2 | $875 | $438 |
| Massachusetts | 27 | $782 | $29 |
| Indiana | 2 | $564 | $282 |
| Kansas | 1 | $464 | $464 |
| Oregon | 10 | $281 | $28 |
| Connecticut | 8 | $229 | $29 |
| Washington | 10 | $175 | $18 |
| New Mexico | 7 | $149 | $21 |
| Michigan | 4 | $105 | $26 |
| Wisconsin | 7 | $86 | $12 |
| North Carolina | 6 | $37 | $6 |
| Oklahoma | 1 | $9 | $9 |
| Minnesota | 7 | $0 | $0 |
| Tennessee | 1 | $0 | $0 |
| Vermont | 7 | $0 | $0 |
| Iowa | 3 | $0 | $0 |
| Wyoming | 1 | $0 | $0 |
| New Hampshire | 5 | $0 | $0 |
| South Carolina | 1 | $0 | $0 |
| Colorado | 4 | $0 | $0 |
| North Dakota | 4 | $0 | $0 |
| Nebraska | 1 | $0 | $0 |
| Alaska | 2 | $0 | $0 |
| U.S. Virgin Islands | 2 | $0 | $0 |
| Maine | 2 | $0 | $0 |
| South Dakota | 1 | $0 | $0 |
| District of Columbia | 1 | $0 | $0 |
| Florida | 1 | $0 | $0 |