Last updated: 2025 BLS data · Page refreshed:
How much does a General Internal Medicine Physicians actually take home in Tennessee?
No state income tax — 26.5% 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 $232,220 in Tennessee (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $232,220 | — |
| Federal Income Tax | -$47,324 | 20.4% |
| Tennessee State Income Tax | -$0 | 0.0% |
| Social Security (OASDI) | -$10,453 | 4.5% |
| Medicare | -$3,657 | 1.6% |
| Total Taxes | -$61,435 | 26.5% |
| Take-Home Pay | $170,784 | 73.5% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of General Internal Medicine Physicians in Tennessee.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $64,870 | -$11,074 | $53,795 | 17.1% |
| 25th Percentile (P25) | $106,590 | -$23,444 | $83,145 | 22.0% |
| Median (P50) | $232,220 | -$61,435 | $170,784 | 26.5% |
| 75th Percentile (P75) | $322,260 | -$94,282 | $227,977 | 29.3% |
| 90th Percentile (P90) | $412,460 | -$127,971 | $284,488 | 31.0% |
Tennessee has no state income tax, which means a General Internal Medicine Physicians keeps $170,784 of their $232,220 salary — 73.5% of gross pay. Only federal income tax and FICA reduce the paycheck, making Tennessee one of the most tax-friendly states for this occupation.
A General Internal Medicine Physicians in Tennessee loses 26.5% of gross pay to taxes — higher than the ~25% national midpoint. Of the $232,220 gross, $170,785 lands in the paycheck after federal ($47,325), state ($0), and FICA ($14,110) withholding.
Tennessee is one of the few states with zero state income tax for wage earners. For a General Internal Medicine Physicians, that means the only deductions are federal income tax and FICA — no additional state withholding. This typically adds several thousand dollars per year compared to comparable states with income tax.
Federal income tax ($47,325) accounts for 77% of the total tax bill — the single largest deduction. FICA adds $14,110 (23%), and state tax the remaining $0 (0%).
Tennessee ranks #24 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, $170,785 net/year works out to $14,232/month or $6,569/bi-weekly for this General Internal Medicine Physicians in Tennessee — 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.
Tennessee ranks #24 out of 44 states for General Internal Medicine Physicians after-tax take-home pay.
A General Internal Medicine Physicians in Tennessee earning a median salary of $232,220 will take home approximately $170,784 per year after federal income tax ($47,324), state income tax ($0), and FICA ($14,110). That is $14,232 per month or $6,568 per bi-weekly paycheck.
The effective total tax rate for a General Internal Medicine Physicians in Tennessee is 26.5%, broken down as: federal income tax 20.4%, Tennessee state tax 0.0%, and FICA (Social Security + Medicare) 6.1%. This assumes a single filer with the standard deduction for 2024.
No, Tennessee does not levy a state income tax on wages. This means a General Internal Medicine Physicians in Tennessee only pays federal income tax and FICA taxes, resulting in a lower overall tax burden compared to most other states. The total effective rate is 26.5%.
After all taxes, a General Internal Medicine Physicians in Tennessee takes home approximately $14,232 per month, or about $82.11 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 $232,220 for General Internal Medicine Physicians in Tennessee, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), Tennessee state income tax (no state income tax), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $170,784/yr — does not include local taxes, pre-tax deductions (401k, HSA), or tax credits.
Some links are affiliate links. See our disclosure.
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