Last updated: 2025 BLS data · Page refreshed:
How much does a General Internal Medicine Physicians actually take home in District of Columbia?
Progressive (up to 10.8%) — 33.9% 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 $223,250 in District of Columbia (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $223,250 | — |
| Federal Income Tax | -$44,454 | 19.9% |
| District of Columbia State Income Tax | -$17,376 | 7.8% |
| Social Security (OASDI) | -$10,453 | 4.7% |
| Medicare | -$3,446 | 1.5% |
| Total Taxes | -$75,730 | 33.9% |
| Take-Home Pay | $147,519 | 66.1% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of General Internal Medicine Physicians in District of Columbia.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $48,710 | -$10,353 | $38,356 | 21.3% |
| 25th Percentile (P25) | $48,760 | -$10,366 | $38,393 | 21.3% |
| Median (P50) | $223,250 | -$75,730 | $147,519 | 33.9% |
| 75th Percentile (P75) | $223,610 | -$75,884 | $147,725 | 33.9% |
| 90th Percentile (P90) | $513,990 | -$210,032 | $303,957 | 40.9% |
A General Internal Medicine Physicians in District of Columbia faces a combined 33.9% effective tax rate, taking home $147,519 out of $223,250. The progressive (up to 10.8%) adds $17,376 on top of federal and FICA taxes. In a no-income-tax state, this salary would yield approximately $164,895 — a difference of $17,376/year.
At an effective 33.9% combined tax rate, District of Columbia takes one of the larger bites out of a General Internal Medicine Physicians's paycheck. Take-home settles at $147,520 from $223,250 gross after all withholdings.
District of Columbia 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 $17,376 (7.8% effective) — on top of federal and FICA.
Federal income tax ($44,454) accounts for 59% of the total tax bill — the single largest deduction. FICA adds $13,900 (18%), and state tax the remaining $17,376 (23%).
The state-tax gap is substantial: a General Internal Medicine Physicians earning this gross in a no-income-tax state would net about $164,896 — an extra $17,376 (11.8%) annually compared with District of Columbia.
District of Columbia sits near the bottom (#36 of 44) for General Internal Medicine Physicians after-tax earnings. Relocation, negotiation, or credential stacking typically show the clearest ROI in bottom-quartile states.
Translated into paycheck cadences, $147,520 net/year works out to $12,293/month or $5,674/bi-weekly for this General Internal Medicine Physicians in District of Columbia — 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.
District of Columbia ranks #36 out of 44 states for General Internal Medicine Physicians after-tax take-home pay.
A General Internal Medicine Physicians in District of Columbia earning a median salary of $223,250 will take home approximately $147,519 per year after federal income tax ($44,454), state income tax ($17,376), and FICA ($13,899). That is $12,293 per month or $5,673 per bi-weekly paycheck.
The effective total tax rate for a General Internal Medicine Physicians in District of Columbia is 33.9%, broken down as: federal income tax 19.9%, District of Columbia state tax 7.8%, and FICA (Social Security + Medicare) 6.2%. This assumes a single filer with the standard deduction for 2024.
District of Columbia has a progressive (up to 10.8%). On a General Internal Medicine Physicians's median salary of $223,250, the state income tax amounts to $17,376 per year, which is an effective state rate of 7.8%.
After all taxes, a General Internal Medicine Physicians in District of Columbia takes home approximately $12,293 per month, or about $70.92 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 $223,250 for General Internal Medicine Physicians in District of Columbia, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), District of Columbia state income tax (progressive (up to 10.8%)), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $147,519/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