Last updated: 2025 BLS data · Page refreshed:
How much does a General Internal Medicine Physicians actually take home in Kentucky?
4.0% flat rate — 30.8% 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 $241,530 in Kentucky (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $241,530 | — |
| Federal Income Tax | -$50,304 | 20.8% |
| Kentucky State Income Tax | -$9,661 | 4.0% |
| Social Security (OASDI) | -$10,453 | 4.3% |
| Medicare | -$3,875 | 1.6% |
| Total Taxes | -$74,294 | 30.8% |
| Take-Home Pay | $167,235 | 69.2% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of General Internal Medicine Physicians in Kentucky.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $73,510 | -$16,577 | $56,932 | 22.6% |
| 25th Percentile (P25) | $148,900 | -$42,621 | $106,278 | 28.6% |
| Median (P50) | $241,530 | -$74,294 | $167,235 | 30.8% |
| 75th Percentile (P75) | $345,690 | -$116,860 | $228,829 | 33.8% |
| 90th Percentile (P90) | $456,710 | -$162,767 | $293,942 | 35.6% |
A General Internal Medicine Physicians in Kentucky faces a combined 30.8% effective tax rate, taking home $167,235 out of $241,530. The 4.0% flat rate adds $9,661 on top of federal and FICA taxes. In a no-income-tax state, this salary would yield approximately $176,896 — a difference of $9,661/year.
A General Internal Medicine Physicians in Kentucky loses 30.8% of gross pay to taxes — higher than the ~25% national midpoint. Of the $241,530 gross, $167,236 lands in the paycheck after federal ($50,304), state ($9,661), and FICA ($14,329) withholding.
Kentucky 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 $9,661 to the 4.0% effective state-tax burden.
Federal income tax ($50,304) accounts for 68% of the total tax bill — the single largest deduction. FICA adds $14,329 (19%), and state tax the remaining $9,661 (13%).
The state-tax gap is substantial: a General Internal Medicine Physicians earning this gross in a no-income-tax state would net about $176,897 — an extra $9,661 (5.8%) annually compared with Kentucky.
Kentucky ranks #27 of 44 states for General Internal 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, $167,236 net/year works out to $13,936/month or $6,432/bi-weekly for this General Internal Medicine Physicians in Kentucky — 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.
Kentucky ranks #27 out of 44 states for General Internal Medicine Physicians after-tax take-home pay.
A General Internal Medicine Physicians in Kentucky earning a median salary of $241,530 will take home approximately $167,235 per year after federal income tax ($50,304), state income tax ($9,661), and FICA ($14,329). That is $13,936 per month or $6,432 per bi-weekly paycheck.
The effective total tax rate for a General Internal Medicine Physicians in Kentucky is 30.8%, broken down as: federal income tax 20.8%, Kentucky state tax 4.0%, and FICA (Social Security + Medicare) 5.9%. This assumes a single filer with the standard deduction for 2024.
Kentucky has a 4.0% flat rate. On a General Internal Medicine Physicians's median salary of $241,530, the state income tax amounts to $9,661 per year, which is an effective state rate of 4.0%.
After all taxes, a General Internal Medicine Physicians in Kentucky takes home approximately $13,936 per month, or about $80.40 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 $241,530 for General Internal 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 — $167,235/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