Last updated: 2025 BLS data · Page refreshed:
How much does a General Internal Medicine Physicians actually take home in Missouri?
Progressive (up to 4.8%) — 30.6% 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 $216,570 in Missouri (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $216,570 | — |
| Federal Income Tax | -$42,316 | 19.5% |
| Missouri State Income Tax | -$10,283 | 4.7% |
| Social Security (OASDI) | -$10,453 | 4.8% |
| Medicare | -$3,289 | 1.5% |
| Total Taxes | -$66,342 | 30.6% |
| Take-Home Pay | $150,227 | 69.4% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of General Internal Medicine Physicians in Missouri.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $173,630 | -$52,402 | $121,227 | 30.2% |
| 25th Percentile (P25) | $196,460 | -$59,308 | $137,151 | 30.2% |
| Median (P50) | $216,570 | -$66,342 | $150,227 | 30.6% |
| 75th Percentile (P75) | $252,240 | -$80,307 | $171,932 | 31.8% |
| 90th Percentile (P90) | $438,090 | -$158,460 | $279,629 | 36.2% |
A General Internal Medicine Physicians in Missouri faces a combined 30.6% effective tax rate, taking home $150,227 out of $216,570. The progressive (up to 4.8%) adds $10,283 on top of federal and FICA taxes. In a no-income-tax state, this salary would yield approximately $160,510 — a difference of $10,283/year.
A General Internal Medicine Physicians in Missouri loses 30.6% of gross pay to taxes — higher than the ~25% national midpoint. Of the $216,570 gross, $150,227 lands in the paycheck after federal ($42,317), state ($10,283), and FICA ($13,743) withholding.
Missouri 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 $10,283 (4.7% effective) — on top of federal and FICA.
Federal income tax ($42,317) accounts for 64% of the total tax bill — the single largest deduction. FICA adds $13,743 (21%), and state tax the remaining $10,283 (16%).
The state-tax gap is substantial: a General Internal Medicine Physicians earning this gross in a no-income-tax state would net about $160,510 — an extra $10,283 (6.8%) annually compared with Missouri.
Missouri sits near the bottom (#34 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, $150,227 net/year works out to $12,519/month or $5,778/bi-weekly for this General Internal Medicine Physicians in Missouri — 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.
Missouri ranks #34 out of 44 states for General Internal Medicine Physicians after-tax take-home pay.
A General Internal Medicine Physicians in Missouri earning a median salary of $216,570 will take home approximately $150,227 per year after federal income tax ($42,316), state income tax ($10,283), and FICA ($13,742). That is $12,518 per month or $5,777 per bi-weekly paycheck.
The effective total tax rate for a General Internal Medicine Physicians in Missouri is 30.6%, broken down as: federal income tax 19.5%, Missouri state tax 4.7%, and FICA (Social Security + Medicare) 6.3%. This assumes a single filer with the standard deduction for 2024.
Missouri has a progressive (up to 4.8%). On a General Internal Medicine Physicians's median salary of $216,570, the state income tax amounts to $10,283 per year, which is an effective state rate of 4.7%.
After all taxes, a General Internal Medicine Physicians in Missouri takes home approximately $12,518 per month, or about $72.22 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 $216,570 for General Internal Medicine Physicians in Missouri, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), Missouri state income tax (progressive (up to 4.8%)), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $150,227/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