Last updated: 2025 BLS data · Page refreshed:
How much does a General Internal Medicine Physicians actually take home in California?
Progressive (up to 13.3%) — 37.3% effective total tax rateData: BLS OEWS 2025 + IRS/State Tax Brackets 2024 • Updated 2026-05-19
Detailed line-by-line tax calculation for a General Internal Medicine Physicians earning $313,890 in California (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $313,890 | — |
| Federal Income Tax | -$75,126 | 23.9% |
| California State Income Tax | -$25,844 | 8.2% |
| Social Security (OASDI) | -$10,453 | 3.3% |
| Medicare | -$5,576 | 1.8% |
| Total Taxes | -$117,000 | 37.3% |
| Take-Home Pay | $196,889 | 62.7% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of General Internal Medicine Physicians in California.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $74,180 | -$17,386 | $56,793 | 23.4% |
| 25th Percentile (P25) | $129,110 | -$39,061 | $90,048 | 30.3% |
| Median (P50) | $313,890 | -$117,000 | $196,889 | 37.3% |
| 75th Percentile (P75) | $388,150 | -$152,032 | $236,117 | 39.2% |
| 90th Percentile (P90) | $441,710 | -$177,781 | $263,928 | 40.2% |
A General Internal Medicine Physicians in California faces a combined 37.3% effective tax rate, taking home $196,889 out of $313,890. The progressive (up to 13.3%) adds $25,844 on top of federal and FICA taxes. In a no-income-tax state, this salary would yield approximately $222,734 — a difference of $25,844/year.
At an effective 37.3% combined tax rate, California takes one of the larger bites out of a General Internal Medicine Physicians's paycheck. Take-home settles at $196,890 from $313,890 gross after all withholdings.
California uses a progressive state income tax, so brackets escalate as wages rise. For this General Internal Medicine Physicians salary the state tax works out to $25,845 (8.2% effective) — on top of federal and FICA.
Federal income tax ($75,126) accounts for 64% of the total tax bill — the single largest deduction. FICA adds $16,030 (14%), and state tax the remaining $25,845 (22%).
The state-tax gap is substantial: a General Internal Medicine Physicians earning this gross in a no-income-tax state would net about $222,734 — an extra $25,845 (13.1%) annually compared with California.
California ranks #17 of 44 states for General Internal Medicine Physicians after-tax pay — comfortably in the upper half.
Translated into paycheck cadences, $196,890 net/year works out to $16,407/month or $7,573/bi-weekly for this General Internal Medicine Physicians in California — the numbers that actually hit a checking account after every deduction.
Where does a General Internal Medicine Physicians keep the most of their paycheck? Top 10 states ranked by after-tax take-home pay.
California ranks #17 out of 44 states for General Internal Medicine Physicians after-tax take-home pay.
A General Internal Medicine Physicians in California earning a median salary of $313,890 will take home approximately $196,889 per year after federal income tax ($75,126), state income tax ($25,844), and FICA ($16,029). That is $16,407 per month or $7,572 per bi-weekly paycheck.
The effective total tax rate for a General Internal Medicine Physicians in California is 37.3%, broken down as: federal income tax 23.9%, California state tax 8.2%, and FICA (Social Security + Medicare) 5.1%. This assumes a single filer with the standard deduction for 2024.
California has a progressive (up to 13.3%). On a General Internal Medicine Physicians's median salary of $313,890, the state income tax amounts to $25,844 per year, which is an effective state rate of 8.2%.
After all taxes, a General Internal Medicine Physicians in California takes home approximately $16,407 per month, or about $94.66 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 $313,890 for General Internal Medicine Physicians in California, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), California state income tax (progressive (up to 13.3%)), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $196,889/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