Family: industry payments
Drug and device makers reported $269,311,938 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 157,924
- Received a payment
- 157,882 (100.0%)
- Total reported
- $269.3M
- Average, those paid
- $1,706
The average is computed only over providers who received something, because including the 42 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 family clinicians
Across 82,579 family clinicians who billed Original Medicare Part B in 2024, Medicare allowed $6,184,087,505 in total — an average of $74,887 each, of which $45,166 was for services and the rest for drugs administered in the office.
This is not a salary. 40% 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.
By state
| State | Providers | Total reported | Per provider |
|---|---|---|---|
| Texas | 15,456 | $25,456,569 | $1,647 |
| Florida | 14,618 | $25,012,141 | $1,711 |
| California | 10,634 | $16,903,547 | $1,590 |
| Tennessee | 6,706 | $15,396,440 | $2,296 |
| New York | 8,883 | $12,597,212 | $1,418 |
| Ohio | 6,812 | $11,355,330 | $1,667 |
| Illinois | 4,941 | $9,955,029 | $2,015 |
| Georgia | 6,258 | $9,481,296 | $1,515 |
| North Carolina | 4,522 | $8,925,739 | $1,974 |
| Indiana | 4,392 | $8,830,389 | $2,011 |
| Pennsylvania | 4,717 | $8,249,502 | $1,749 |
| Arizona | 4,119 | $7,859,469 | $1,908 |
| Louisiana | 3,610 | $7,704,627 | $2,134 |
| Virginia | 4,332 | $7,622,652 | $1,760 |
| Kentucky | 4,374 | $7,509,930 | $1,717 |
| Missouri | 3,812 | $6,570,712 | $1,724 |
| Mississippi | 3,007 | $6,228,730 | $2,071 |
| Alabama | 3,415 | $6,121,904 | $1,793 |
| Michigan | 3,657 | $6,095,232 | $1,667 |
| Utah | 1,460 | $5,806,076 | $3,977 |
| South Carolina | 3,248 | $5,197,167 | $1,600 |
| Arkansas | 2,103 | $4,668,829 | $2,220 |
| Maryland | 2,843 | $4,164,675 | $1,465 |
| New Jersey | 2,692 | $3,813,445 | $1,417 |
| Kansas | 1,579 | $3,009,706 | $1,906 |
| Connecticut | 1,596 | $2,974,431 | $1,864 |
| Oklahoma | 2,026 | $2,732,088 | $1,349 |
| Colorado | 2,182 | $2,705,773 | $1,240 |
| Massachusetts | 2,320 | $2,679,122 | $1,155 |
| West Virginia | 1,507 | $2,585,420 | $1,716 |
| Nevada | 1,501 | $2,340,855 | $1,560 |
| Washington | 1,706 | $1,824,440 | $1,069 |
| Iowa | 1,268 | $1,759,468 | $1,388 |
| Idaho | 809 | $1,603,727 | $1,982 |
| New Hampshire | 713 | $1,501,712 | $2,106 |
| Nebraska | 809 | $1,438,185 | $1,778 |
| Wisconsin | 1,273 | $1,347,232 | $1,058 |
| New Mexico | 1,080 | $1,138,754 | $1,054 |
| District of Columbia | 392 | $1,073,382 | $2,738 |
| Delaware | 523 | $1,057,301 | $2,022 |
| Oregon | 1,130 | $1,031,903 | $913 |
| Minnesota | 1,121 | $1,011,209 | $902 |
| Rhode Island | 457 | $603,578 | $1,321 |
| Hawaii | 466 | $592,579 | $1,272 |
| Alaska | 315 | $572,177 | $1,816 |
| South Dakota | 588 | $526,336 | $895 |
| Montana | 481 | $493,719 | $1,026 |
| Maine | 545 | $487,810 | $895 |
| North Dakota | 496 | $341,471 | $688 |
| Wyoming | 284 | $245,767 | $865 |
| Vermont | 75 | $63,950 | $853 |
| Puerto Rico | 31 | $30,650 | $989 |
| AE | 9 | $6,348 | $705 |
| U.S. Virgin Islands | 4 | $3,184 | $796 |
| Guam | 8 | $1,220 | $153 |
| AP | 9 | $762 | $85 |
| ZZ | 1 | $93 | $93 |
| XX | 1 | $24 | $24 |