Medical Toxicology: industry payments
Drug and device makers reported $482,844 in payments to providers registered in this specialty across Open Payments program years 2019–2025.
- Providers
- 107
- Received a payment
- 95 (88.8%)
- Total reported
- $483K
- Average, those paid
- $5,083
The average is computed only over providers who received something, because including the 12 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 medical toxicology clinicians
Across 70 medical toxicology clinicians who billed Original Medicare Part B in 2024, Medicare allowed $2,475,867 in total — an average of $35,370 each, of which $35,370 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 |
|---|---|---|---|
| Colorado | 16 | $176,538 | $11,034 |
| Texas | 4 | $164,394 | $41,098 |
| Tennessee | 2 | $84,275 | $42,138 |
| New Jersey | 3 | $21,196 | $7,065 |
| New York | 12 | $13,751 | $1,146 |
| California | 12 | $11,030 | $919 |
| Arizona | 6 | $2,525 | $421 |
| Louisiana | 3 | $1,963 | $654 |
| Pennsylvania | 10 | $1,745 | $174 |
| South Carolina | 3 | $1,104 | $368 |
| Oregon | 1 | $956 | $956 |
| Michigan | 5 | $802 | $160 |
| Florida | 3 | $506 | $169 |
| Ohio | 5 | $394 | $79 |
| District of Columbia | 1 | $294 | $294 |
| Connecticut | 3 | $270 | $90 |
| Virginia | 3 | $264 | $88 |
| Alabama | 2 | $250 | $125 |
| Georgia | 3 | $225 | $75 |
| North Carolina | 1 | $86 | $86 |
| Kentucky | 1 | $84 | $84 |
| Mississippi | 2 | $62 | $31 |
| Massachusetts | 3 | $52 | $17 |
| Illinois | 1 | $42 | $42 |
| Minnesota | 1 | $36 | $36 |
| Arkansas | 1 | $0 | $0 |