Last updated: 2025 BLS data · Page refreshed:
How much does a General Internal Medicine Physicians actually take home in Iowa?
3.9% flat rate — 27.0% effective total tax rateData: BLS OEWS 2025 + IRS/State Tax Brackets 2024 • Updated 2026-05-19
Detailed line-by-line tax calculation for a General Internal Medicine Physicians earning $122,920 in Iowa (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $122,920 | — |
| Federal Income Tax | -$19,039 | 15.5% |
| Iowa State Income Tax | -$4,793 | 3.9% |
| Social Security (OASDI) | -$7,621 | 6.2% |
| Medicare | -$1,782 | 1.4% |
| Total Taxes | -$33,236 | 27.0% |
| Take-Home Pay | $89,683 | 73.0% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of General Internal Medicine Physicians in Iowa.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $71,420 | -$15,802 | $55,617 | 22.1% |
| 25th Percentile (P25) | $82,590 | -$19,549 | $63,040 | 23.7% |
| Median (P50) | $122,920 | -$33,236 | $89,683 | 27.0% |
| 75th Percentile (P75) | $288,130 | -$92,771 | $195,358 | 32.2% |
| 90th Percentile (P90) | $391,510 | -$135,415 | $256,094 | 34.6% |
After federal income tax ($19,039), state tax ($4,793), and FICA ($9,403), a General Internal Medicine Physicians in Iowa takes home $89,683 per year — or $7,473 per month. The effective tax rate of 27.0% is moderate compared to the national range.
A General Internal Medicine Physicians in Iowa loses 27.0% of gross pay to taxes — higher than the ~25% national midpoint. Of the $122,920 gross, $89,683 lands in the paycheck after federal ($19,039), state ($4,794), and FICA ($9,403) withholding.
Iowa applies a flat state income tax — every dollar of wage income is taxed at the same rate. For this General Internal Medicine Physicians salary that contributes $4,794 to the 3.9% effective state-tax burden.
Federal income tax ($19,039) accounts for 57% of the total tax bill — the single largest deduction. FICA adds $9,403 (28%), and state tax the remaining $4,794 (14%).
Moving this same General Internal Medicine Physicians salary to a zero-state-tax state would yield around $94,477 net — a gain of $4,794 (5.3%) per year versus Iowa.
Iowa sits near the bottom (#41 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, $89,683 net/year works out to $7,474/month or $3,449/bi-weekly for this General Internal Medicine Physicians in Iowa — 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.
Iowa ranks #41 out of 44 states for General Internal Medicine Physicians after-tax take-home pay.
A General Internal Medicine Physicians in Iowa earning a median salary of $122,920 will take home approximately $89,683 per year after federal income tax ($19,039), state income tax ($4,793), and FICA ($9,403). That is $7,473 per month or $3,449 per bi-weekly paycheck.
The effective total tax rate for a General Internal Medicine Physicians in Iowa is 27.0%, broken down as: federal income tax 15.5%, Iowa state tax 3.9%, and FICA (Social Security + Medicare) 7.6%. This assumes a single filer with the standard deduction for 2024.
Iowa has a 3.9% flat rate. On a General Internal Medicine Physicians's median salary of $122,920, the state income tax amounts to $4,793 per year, which is an effective state rate of 3.9%.
After all taxes, a General Internal Medicine Physicians in Iowa takes home approximately $7,473 per month, or about $43.12 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 $122,920 for General Internal Medicine Physicians in Iowa, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), Iowa state income tax (3.9% flat rate), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $89,683/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