Last updated: 2025 BLS data · Page refreshed:
How much does a General Internal Medicine Physicians actually take home in Texas?
No state income tax — 27.7% 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 $269,110 in Texas (single filer, standard deduction).
| Tax Component | Annual Amount | Effective Rate |
|---|---|---|
| Gross Salary (Median) | $269,110 | — |
| Federal Income Tax | -$59,453 | 22.1% |
| Texas State Income Tax | -$0 | 0.0% |
| Social Security (OASDI) | -$10,453 | 3.9% |
| Medicare | -$4,524 | 1.7% |
| Total Taxes | -$74,430 | 27.7% |
| Take-Home Pay | $194,679 | 72.3% |
Take-home pay varies significantly across experience levels. Here is the after-tax breakdown for each salary percentile of General Internal Medicine Physicians in Texas.
| Percentile | Gross Salary | Total Taxes | Take-Home Pay | Tax Rate |
|---|---|---|---|---|
| 10th Percentile (P10) | $69,460 | -$12,435 | $57,024 | 17.9% |
| 25th Percentile (P25) | $198,330 | -$50,466 | $147,863 | 25.4% |
| Median (P50) | $269,110 | -$74,430 | $194,679 | 27.7% |
| 75th Percentile (P75) | $315,850 | -$91,887 | $223,962 | 29.1% |
| 90th Percentile (P90) | $387,660 | -$118,708 | $268,951 | 30.6% |
Texas has no state income tax, which means a General Internal Medicine Physicians keeps $194,679 of their $269,110 salary — 72.3% of gross pay. Only federal income tax and FICA reduce the paycheck, making Texas one of the most tax-friendly states for this occupation.
A General Internal Medicine Physicians in Texas loses 27.7% of gross pay to taxes — higher than the ~25% national midpoint. Of the $269,110 gross, $194,679 lands in the paycheck after federal ($59,453), state ($0), and FICA ($14,977) withholding.
Texas 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 ($59,453) accounts for 80% of the total tax bill — the single largest deduction. FICA adds $14,977 (20%), and state tax the remaining $0 (0%).
Texas ranks #18 of 44 states for General Internal Medicine Physicians after-tax pay — comfortably in the upper half.
Translated into paycheck cadences, $194,679 net/year works out to $16,223/month or $7,488/bi-weekly for this General Internal Medicine Physicians in Texas — 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.
Texas ranks #18 out of 44 states for General Internal Medicine Physicians after-tax take-home pay.
A General Internal Medicine Physicians in Texas earning a median salary of $269,110 will take home approximately $194,679 per year after federal income tax ($59,453), state income tax ($0), and FICA ($14,977). That is $16,223 per month or $7,487 per bi-weekly paycheck.
The effective total tax rate for a General Internal Medicine Physicians in Texas is 27.7%, broken down as: federal income tax 22.1%, Texas state tax 0.0%, and FICA (Social Security + Medicare) 5.6%. This assumes a single filer with the standard deduction for 2024.
No, Texas does not levy a state income tax on wages. This means a General Internal Medicine Physicians in Texas 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 27.7%.
After all taxes, a General Internal Medicine Physicians in Texas takes home approximately $16,223 per month, or about $93.60 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 $269,110 for General Internal Medicine Physicians in Texas, then subtract: federal income tax using 2024 IRS brackets ($14,600 standard deduction), Texas state income tax (no state income tax), Social Security (6.2% up to $168,600), and Medicare (1.45%). The result — $194,679/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