Family Medicine Physicians in Texas

A stethoscope and folded scrubs in a sunlit clinical workspace.

May 2025 wages · tax year 2026

You keep

$173,801

after federal, FICA and Texas tax

Tax takes

$61,909

26.3% of the whole

Worth, in national money

$178,853

Texas costs less than average

One filer, standard deduction, no dependants and nothing paid in before tax — the same household the rest of this page uses, so the comparison holds. City and school-district income taxes are not included.

Median here

$235,710

Kept after tax

$173,801

Worth in national money

$178,853

State rank

33

of 51 states

What this pays, and what it is worth

  • Texas sits in the middle of the pack for family medicine physicians. The median is $235,710, ranking 33 of 51 states with figures. Close enough to the national middle that where you live matters more than the headline suggests.
  • Within Texas this is well-paid work. Of 493 occupations with published figures in the state, family medicine physicians ranks 3 — in the top quarter of everything people do there.
  • Prices here sit close to the national average, so the adjustment changes little. From $235,710 the take-home is $173,801, which is worth about $178,853 in comparable money. Tax does most of the work here, not cost of living. The average is higher, $262,580, because the best-paid pull it up.
  • Texas occupies the middle band for family medicine physicians: a median of $235,710, ranking 33 of 51. Where nominal pay is close to the national figure, the tax and price adjustments below carry proportionally more weight in determining the real outcome.
  • Ranked against every occupation Texas publishes a median for, family medicine physicians sits 3 of 493 — the upper quartile of the state's wage distribution. National standing and within-state standing are separate questions, and a job can occupy very different positions on each.
  • Texas's price level is near the national average, so price deflation is close to neutral for family medicine physicians on its $235,710 median: $173,801 retained after tax becomes $178,853 in national-average terms. Where the price adjustment is small, the tax stack is the dominant determinant of the real outcome. The mean of $262,580 sits above the median, the right skew typical of wage data.

Compare this career across states

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Pay band: Family Medicine Physicians

The state median for this job

50thpercentile, roughly
Lowest tenth earn under$75,150
Half earn under$235,710
Top tenth earn over$414,010
This salary$235,710

Positions between the published tenth, quarter, half, three-quarter and ninetieth points are estimated by straight line.

The same pay, somewhere else

The state median for this job

Compare with
$0take-home per year in Florida
Take-home in Texas$173,801
Take-home in Florida$173,801
Once local prices are leveledBEA price parity−$10,852

The raise and the real gain point in opposite directions here.

State income tax and state price levels only. No city income tax, and no housing market.

What you would need there

The state median for this job

Moving to
$0$252,811
$252,811in Florida, for the same life
To match take-home only$235,710
Raise you would need+$17,101
Prices in Florida103 vs 97

State taxes and state price levels only. No city tax, and no housing market.

Sources and assumptions
  • Half the people doing this work in Texas earn less than $235,710. The published range is $75,150 up to $414,010, so an individual figure can sit a long way from the middle in either direction.
  • In Texas the take-home figure of $173,801, from $235,710, assumes one filer, no dependants, and nothing paid into a pension before tax. Each of those lowers the bill, so treat it as the plain case. City and school-district income taxes are not included either, and in a few states those are real money. It ranks 3 of 493 occupations here.
  • The wage data and the price data come from different years. That is how each is published. The price adjustment behind $178,853 uses one figure for the whole of Texas. A city and a rural county there can differ by more than two states do. Out of 493 occupations the state publishes, this one sits at 3.
  • Reported values are medians; for family medicine physicians in Texas the tenth-to-ninetieth percentile band is $75,150 to $414,010. Neither the median nor the band is an offer rate, and neither accounts for hours, shift differentials or overtime.
  • Take-home for Texas is computed for a single filer taking the standard deduction with no dependants and no pre-tax contributions, giving $173,801 from $235,710. Each omitted item reduces taxable income, so the figure is a lower bound on retained pay for this household shape. Municipal and school-district income taxes are excluded, which understates the burden materially in Ohio, Pennsylvania and Maryland. The occupation ranks 3 of 493 locally.
  • Wage and price series carry different reference periods, each published on its own schedule. The real-terms figure of $178,853, worked from $235,710, deflates by a statewide parity that conceals substantial intra-state variation, concentrated in housing — so it supports comparison between states rather than the pricing of a move to a particular Texas address, on work sitting at 3 of 493 locally.

Questions people ask

Is this the average pay for the job?

It is the midpoint, not the average. The average here is $262,580, dragged up by high earners; the middle figure describes a typical worker better.

Why is the pay range for this job so wide?

Because one job title covers very different work. The bottom tenth here earn $75,150 and the top tenth $414,010 — experience, employer and specialism separate them, and a single figure hides all three.

What does this pay actually buy where I live?

More than the figure suggests. Prices in Texas sit below the national level, so take-home here stretches like $178,853 would elsewhere. The wage is the same; the ground it covers is larger.

Is most of this wage taxed away?

Less than people assume. $173,801 of this wage reaches your account, because Texas takes no income tax from wages — but federal tax, Social Security and Medicare still apply exactly as they do everywhere else.

Can I compare this job across every state?

All 51 jurisdictions report this work, which makes the ranking a like-for-like one.

How does the published median differ from the mean for this occupation?

The median is the midpoint of the distribution; the mean for this occupation in Texas is $262,580. Wage distributions are right-skewed, so the mean exceeds the median wherever a minority earn substantially more. BLS publishes both because substituting one for the other misstates a typical worker's pay.

What drives the percentile dispersion in this occupation?

Dispersion between the tenth percentile ($75,150) and the ninetieth ($414,010) exceeds the family median dispersion. SOC codes aggregate roles differing in seniority, industry and specialisation, and BLS does not disaggregate below the detailed occupation level, so within-title variance is not separable from the published series.

What is this occupation's price-adjusted compensation in this state?

Texas's regional price parity is at or below the national average, so nominal wages understate purchasing power. Take-home deflated by the state price level is $178,853 in national-average terms. The adjustment uses an all-items index and does not isolate housing.

Why is the take-home ratio comparatively high in this state?

Texas levies no personal income tax on wages, so take-home of $173,801 reflects the federal layer and FICA alone. Federal income tax and FICA are unchanged; states without a wage income tax generally recover revenue through consumption and property bases instead.

Is this occupation's state coverage complete?

State-level estimates are published for all 51 jurisdictions for this occupation, so cross-state comparison is not confounded by suppression. ⚠️ Estimates remain survey-based and carry sampling error; small differences between adjacent states should not be over-read.