Last updated: 2025 BLS data · Page refreshed:
How much does a General Internal Medicine Physicians actually take home in Massachusetts?
5.0% flat rate — 33.2% 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 $285,250 in Massachusetts (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $285,250 | — |
| Federal Income Tax | -$65,102 | 22.8% |
| Massachusetts State Income Tax | -$14,262 | 5.0% |
| Social Security (OASDI) | -$10,453 | 3.7% |
| Medicare | -$4,903 | 1.7% |
| Total Taxes | -$94,721 | 33.2% |
| Take-Home Pay | $190,528 | 66.8% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of General Internal Medicine Physicians in Massachusetts.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $84,750 | -$21,206 | $63,543 | 25.0% |
| 25th Percentile (P25) | $176,710 | -$53,799 | $122,910 | 30.4% |
| Median (P50) | $285,250 | -$94,721 | $190,528 | 33.2% |
| 75th Percentile (P75) | $309,560 | -$105,016 | $204,543 | 33.9% |
| 90th Percentile (P90) | $369,930 | -$130,583 | $239,346 | 35.3% |
A General Internal Medicine Physicians in Massachusetts faces a combined 33.2% effective tax rate, taking home $190,528 out of $285,250. The 5.0% flat rate adds $14,262 on top of federal and FICA taxes. In a no-income-tax state, this salary would yield approximately $204,791 — a difference of $14,262/year.
At an effective 33.2% combined tax rate, Massachusetts takes one of the larger bites out of a General Internal Medicine Physicians's paycheck. Take-home settles at $190,529 from $285,250 gross after all withholdings.
Massachusetts 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 $14,262 to the 5.0% effective state-tax burden.
Federal income tax ($65,102) accounts for 69% of the total tax bill — the single largest deduction. FICA adds $15,357 (16%), and state tax the remaining $14,262 (15%).
The state-tax gap is substantial: a General Internal Medicine Physicians earning this gross in a no-income-tax state would net about $204,791 — an extra $14,262 (7.5%) annually compared with Massachusetts.
Massachusetts ranks #20 of 44 states for General Internal Medicine Physicians after-tax pay — comfortably in the upper half.
Translated into paycheck cadences, $190,529 net/year works out to $15,877/month or $7,328/bi-weekly for this General Internal Medicine Physicians in Massachusetts — 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.
Massachusetts ranks #20 out of 44 states for General Internal Medicine Physicians after-tax take-home pay.
A General Internal Medicine Physicians in Massachusetts earning a median salary of $285,250 will take home approximately $190,528 per year after federal income tax ($65,102), state income tax ($14,262), and FICA ($15,356). That is $15,877 per month or $7,328 per bi-weekly paycheck.
The effective total tax rate for a General Internal Medicine Physicians in Massachusetts is 33.2%, broken down as: federal income tax 22.8%, Massachusetts state tax 5.0%, and FICA (Social Security + Medicare) 5.4%. This assumes a single filer with the standard deduction for 2024.
Massachusetts has a 5.0% flat rate. On a General Internal Medicine Physicians's median salary of $285,250, the state income tax amounts to $14,262 per year, which is an effective state rate of 5.0%.
After all taxes, a General Internal Medicine Physicians in Massachusetts takes home approximately $15,877 per month, or about $91.60 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 $285,250 for General Internal Medicine Physicians in Massachusetts, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), Massachusetts state income tax (5.0% flat rate), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $190,528/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