Top Paying States for Internal Medicine Doctors in 2025: A Salary Guide for H1B & J1 Visa Holders

Introduction

 

The United States continues to offer one of the most rewarding landscapes for internal medicine doctors, particularly for international medical graduates (IMGs) entering the healthcare workforce on H1B and J1 visas. With demand for primary care physicians rising, especially in underserved areas, compensation packages are more competitive than ever. For those beginning their job search, understanding where the most lucrative opportunities lie can make all the difference.

 

At Hubmed, the premier physician and advanced practice job board, we’re committed to helping IMGs and medical graduates advance their healthcare careers in the U.S. Whether you’re a recent graduate or completing your residency, this salary guide will give you an in-depth look at the best states to work in 2025—both financially and strategically.

The 2025 Salary Landscape for Internal Medicine Doctors

According to the Medscape Physician Compensation Report 2025, internal medicine doctors earn an average annual salary of $284,000, a figure that varies widely depending on location, employer type, visa status, and subspecialties.

Factors that influence salary by state include:

  • Local demand and physician shortages

  • Cost of living and adjusted salary potential

  • Urban vs. rural practice settings

Presence of academic medical centers

H1B and J1 Visa Pathways Explained

H1B visas allow U.S. employers to temporarily employ foreign workers in specialty occupations, including internal medicine. J1 visas, often used by residents and fellows, are exchange visitor visas with a home residency requirement unless a waiver is granted. Both visa types can lead to long-term employment and permanent residency with the right support.

 

For visa holders, finding the right employer is crucial. You’ll need to work with institutions willing to sponsor your visa, adhere to government requirements, and ideally, help you transition to a green card. Hubmed simplifies this process by offering curated listings for positions that offer H1B and J1 sponsorship.

Top 10 Highest Paying States for Internal Medicine Doctors in 2025

  1. California
     Average Salary: $305,000
     California leads with high salaries, particularly in the Bay Area and Los Angeles. But factor in cost of living—housing in coastal cities can offset income.

  2. New York
     Average Salary: $295,000
     New York offers strong salaries in private practice settings, especially in Long Island and upstate regions. Many teaching hospitals in NYC also sponsor J1 and H1B visas.

  3. Texas
     Average Salary: $292,000
     Texas is IMG-friendly with an expanding population and demand for primary care. No state income tax boosts take-home pay significantly.

  4. Florida
     Average Salary: $289,000
     Florida’s growing retiree population increases demand for internists. H1B and J1 job opportunities are plentiful, especially in central and southern Florida.

  5. Illinois
     Average Salary: $285,000
     Chicago remains a hub for international physicians. The state also participates actively in the Conrad 30 J1 waiver program.

  6. Massachusetts
     Average Salary: $282,000
     Home to world-renowned institutions like Mass General and Brigham and Women’s, this state offers top-tier academic opportunities and competitive salaries.

  7. Washington
     Average Salary: $280,000
     Seattle and surrounding areas offer high compensation packages with good work-life balance. Many employers in Washington sponsor J1 waivers through underserved designations.

  8. North Carolina
     Average Salary: $279,000
     A rapidly growing state with increasing need for primary care doctors. J1 and H1B opportunities abound, especially in smaller cities and rural hospitals.

  9. Pennsylvania
     Average Salary: $278,000
     With major healthcare systems in Philadelphia and Pittsburgh, Pennsylvania is a top choice for IMGs due to its extensive visa-sponsorship history.

Arizona
 Average Salary: $275,000
 Arizona combines strong pay with a lower cost of living. Many underserved areas qualify for J1 waivers, and rural programs offer generous incentives.

Regional Comparison: Cost of Living vs. Salary

 

While California and New York offer top-tier salaries, their high cost of living can reduce net income. In contrast, states like Texas and North Carolina offer competitive pay with far lower housing and tax burdens. Using tools like the MIT Living Wage Calculator can help compare real earning potential: https://livingwage.mit.edu/

How to Find Internal Medicine Jobs with Visa Sponsorship

 

Hubmed offers advanced filters to help job seekers find positions that specifically offer H1B or J1 visa sponsorship. All listings are verified and regularly updated, with employers across major health systems, community hospitals, and academic centers.

To start your search:

 

  • Visit https://hubmed.ai/

  • Filter by “Visa Sponsorship Available”

  • Select your specialty (e.g., Internal Medicine)

Alternative Career Paths in Healthcare for International Graduates

While preparing for residency or board exams, many IMGs also explore related fields such as:

  • Online Medical Assistant Programs: Quick certification paths to clinical roles. Great stepping stone for hands-on U.S. experience.

  • Medical Coding Schools Online: Offers remote work opportunities. Helps gain familiarity with U.S. medical billing systems. 

 

  • Healthcare Administration Degree Online: Leadership-focused programs that prepare you for managerial roles. 

 

  • Medical Assistant Degree Online: More comprehensive than certificate programs and often leads to supervisory roles. Explore: https://www.purdueglobal.edu/degree-programs/health-sciences/medical-assistant-certificate/

Accredited Medical Assistant Programs: Ensure your chosen school is recognized by bodies like CAAHEP. Directory: https://www.caahep.org/

Understanding U.S. Medical Market Trends in 2025

With an aging population and physician shortage projected to exceed 124,000 by 2034, the demand for internal medicine doctors will only rise.

 

Telehealth is also opening doors to hybrid roles that balance patient care with flexible work-from-home options. 

Licensing, Certifications, and Continuing Education

 

Board certification from the American Board of Internal Medicine (ABIM) is essential for long-term employment. States also require separate licensure, so plan accordingly. If you’re gaining experience through an alternate route, accredited online medical assistant programs or related fields can be useful for staying active in the healthcare ecosystem.

Why Hubmed Is the Best Job Board for Physicians

Hubmed is not just another job board—it’s a physician-first platform. Here’s what makes it unique:

  • Specialization in visa-sponsoring roles for H1B & J1 holders

  • Advanced filters to match your skills, visa status, and location preference

 

Start your search today at: https://hubmed.ai/

Conclusion

Whether you’re applying for a residency, transitioning into a new state, or seeking sponsorship, understanding the salary landscape is essential. Hubmed empowers you with the tools, data, and connections to thrive. In 2025, Internal Medicine doctors have more opportunities than ever—especially those ready to explore top-paying states that match both ambition and visa needs.

 

Your medical journey deserves the best start. Hubmed is here to make that happen.

Resources:

internal medicine doctorstatewise salary

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