Internal Medicine in Guam

Across 33 internal medicine clinicians in Guam who billed Original Medicare Part B in 2024, Medicare allowed $4,240,781 in total — an average of $128,509 each, of which $123,659 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.