Family Physician Salary in the U.S.: 2023 Data & Influencing Factors

Family Medicine Compensation Overview (Medscape 2023)

Average: $208,000 (median ~$200k). Wide variation based on:

Key Determinants

Factor	Impact
Geography	Highest: North Central, South Central ($230k+). Lowest: Northeast, Mid‑Atlantic ($190k). Rural > urban in some regions due to incentives.
Experience	0‑5 yrs: ~$185k; 10‑20 yrs: ~$225k; 20+ yrs: ~$240k.
Practice Setting	Owner/partner > employed > academic > FQHC/CHC. Ownership adds profit share.
Subspecialty	Sports med, geriatrics, OB, palliative care add $10‑30k.
Patient Volume / RVUs	High‑volume, efficient EHR users earn more.
Payer Mix	High commercial % > Medicaid/Medicare heavy.
Call / Inpatient	OB, nursing home, hospitalist duties increase compensation.

Additional Compensation

• Productivity bonuses (RVU‑based)
• Quality metrics (MIPS, HEDIS)
• Sign‑on / retention bonuses (rural/underserved)
• Loan repayment (NHSC, state programs)
• CME, malpractice, retirement, health benefits

Outlook

Projected 4% growth (BLS 2022‑32). Aging population, primary care shortage, and value‑based care models support salary growth. Negotiate with data.