Last updated: 2025 BLS data · Page refreshed:
How much does a Family Medicine Physicians actually take home in Kentucky?
4.0% flat rate — 31.0% effective total tax rateData: BLS OEWS 2025 + IRS/State Tax Brackets 2024 • Updated 2026-05-19
Detailed line-by-line tax calculation for a Family Medicine Physicians earning $248,730 in Kentucky (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $248,730 | — |
| Federal Income Tax | -$52,608 | 21.2% |
| Kentucky State Income Tax | -$9,949 | 4.0% |
| Social Security (OASDI) | -$10,453 | 4.2% |
| Medicare | -$4,045 | 1.6% |
| Total Taxes | -$77,055 | 31.0% |
| Take-Home Pay | $171,674 | 69.0% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of Family Medicine Physicians in Kentucky.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $108,750 | -$28,435 | $80,314 | 26.1% |
| 25th Percentile (P25) | $137,290 | -$38,482 | $98,807 | 28.0% |
| Median (P50) | $248,730 | -$77,055 | $171,674 | 31.0% |
| 75th Percentile (P75) | $312,370 | -$103,082 | $209,287 | 33.0% |
| 90th Percentile (P90) | $487,240 | -$175,391 | $311,848 | 36.0% |
A Family Medicine Physicians in Kentucky faces a combined 31.0% effective tax rate, taking home $171,674 out of $248,730. The 4.0% flat rate adds $9,949 on top of federal and FICA taxes. In a no-income-tax state, this salary would yield approximately $181,623 — a difference of $9,949/year.
A Family Medicine Physicians in Kentucky loses 31.0% of gross pay to taxes — higher than the ~25% national midpoint. Of the $248,730 gross, $171,674 lands in the paycheck after federal ($52,608), state ($9,949), and FICA ($14,498) withholding.
Kentucky applies a flat state income tax — every dollar of wage income is taxed at the same rate. For this Family Medicine Physicians salary that contributes $9,949 to the 4.0% effective state-tax burden.
Federal income tax ($52,608) accounts for 68% of the total tax bill — the single largest deduction. FICA adds $14,498 (19%), and state tax the remaining $9,949 (13%).
The state-tax gap is substantial: a Family Medicine Physicians earning this gross in a no-income-tax state would net about $181,624 — an extra $9,949 (5.8%) annually compared with Kentucky.
Kentucky ranks #28 of 51 states for Family Medicine Physicians after-tax pay — lower half of the national distribution. Either gross wages trail the national median, state tax is elevated, or both.
Translated into paycheck cadences, $171,674 net/year works out to $14,306/month or $6,603/bi-weekly for this Family Medicine Physicians in Kentucky — the numbers that actually hit a checking account after every deduction.
Where does a Family Medicine Physicians keep the most of their paycheck? Top 10 states ranked by after-tax take-home pay.
Kentucky ranks #28 out of 51 states for Family Medicine Physicians after-tax take-home pay.
A Family Medicine Physicians in Kentucky earning a median salary of $248,730 will take home approximately $171,674 per year after federal income tax ($52,608), state income tax ($9,949), and FICA ($14,498). That is $14,306 per month or $6,602 per bi-weekly paycheck.
The effective total tax rate for a Family Medicine Physicians in Kentucky is 31.0%, broken down as: federal income tax 21.2%, Kentucky state tax 4.0%, and FICA (Social Security + Medicare) 5.8%. This assumes a single filer with the standard deduction for 2024.
Kentucky has a 4.0% flat rate. On a Family Medicine Physicians's median salary of $248,730, the state income tax amounts to $9,949 per year, which is an effective state rate of 4.0%.
After all taxes, a Family Medicine Physicians in Kentucky takes home approximately $14,306 per month, or about $82.54 per hour (based on a standard 2,080-hour work year). These figures assume a single filer, standard deduction, and no additional pre-tax deductions.
We start with the 2025 BLS median salary of $248,730 for Family Medicine Physicians in Kentucky, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), Kentucky state income tax (4.0% flat rate), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $171,674/yr — does not include local taxes, pre-tax deductions (401k, HSA), or tax credits.
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This estimate assumes a single filer using the 2024 standard deduction ($14,600), with W-2 employment income only. It does not account for: itemized deductions, tax credits (e.g. earned income credit, child tax credit), local/city taxes, pre-tax contributions (401k, HSA, FSA), self-employment tax, or additional income sources. Actual take-home pay may differ. Consult a tax professional for personalized advice.
Our Methodology · Data Sources · Salary: BLS OEWS · Tax: IRS + State DOR