Business Data & Benchmarks · United States
Physician Office Revenue Benchmark
A physician office is a practice of one or more medical doctors or osteopathic physicians, in primary care or any specialty except mental health, that diagnoses and treats patients on an outpatient basis and bills insurers, government programs and patients for its services. Payer mix, specialty, staffing and the costs of billing and compliance shape the economics of every practice.
Average Physician Office Revenue per Year 2022 Economic Census
The 2022 Economic Census counts every physician office with paid employees, from a solo family practice to a large multi-specialty group, and publishes their combined annual receipts. Dividing that total by the number of offices gives the average annual revenue per employer establishment shown below.
≈$3,130,000 /year
Average annual gross revenue per employer establishment
201,360
Employer establishments in the United States, 2022
as published $630.2 billion
Combined annual gross revenue of employer establishments, 2022
How this is calculated: about $630.2 billion in combined annual receipts divided by 201,360 employer establishments works out to an average annual revenue of $3,130,000 per employer establishment.
Scope: Offices of Physicians (except Mental Health Specialists), NAICS 621111. The category covers offices and group practices of physicians, both MDs and DOs, in every specialty except mental health. Psychiatry offices, freestanding urgent care and surgical centers, and hospitals are counted in separate categories. Classified separately in group 6211: 621112 Offices of Physicians, Mental Health Specialists. Nothing outside that code is counted on this page.
Source US Census Bureau, 2022 Economic Census, Summary Statistics (ECNBASIC): ESTAB, RCPTOT and PAYANN by NAICS · Vintage 2022 Economic Census · Calculation BusinessNES · Accessed September 2026
Employer Establishments at Year Five Varies by cohort
Offices of Physicians, NAICS 6211, the 2018 starting count compared with the count of five-year-old establishments in 2023.
57.5%the year-five count as a share of the starting count
Across the 2014 to 2018 cohorts, five-year results ranged from 57.5 to 68.2 percent. This benchmark covers Offices of Physicians, NAICS 6211, as a whole, and this category accounts for 201,360 of the 213,772 employer establishments in it. A count by age is not a survival rate, because the figures compare two headcounts rather than follow one set of businesses.
Payroll as a Share of Revenue Official data
Payroll divided by receipts, both as published for the same year.
| Measure | Value |
|---|---|
| Annual payroll share of receipts, United States | ≈41% |
Payroll share of receipts, Offices of Physicians (except Mental Health Specialists), United States, 2022 Economic Census.
Approximately 41.0 percent of every revenue dollar goes to annual payroll, a high share because a practice sells clinical time and its physicians, nurses, medical assistants and billing staff are on the payroll when they are employed rather than partners.
Payroll here excludes benefits, employer taxes and owner compensation, so in a practice owned by its physicians the payroll share leaves out the doctors' own draw and understates the labor behind each visit.
Business Scale and Ownership Structure Official data
How large the average establishment is, and whether the population is independent operators or multi-site companies.
| Measure | Value |
|---|---|
| Paid employees per employer establishment | 13.4 |
| Employer establishments per firm | 1.46 |
Scale and ownership, Offices of Physicians (except Mental Health Specialists), United States, 2022 Economic Census.
The average establishment employed about 13.4 people, and the industry counted 1.5 employer establishments per firm. A practice of that size employs several clinicians with the support staff each one needs for scheduling, rooming, coding and billing, and the establishments per firm figure shows that group practices and health system networks operating many offices are common alongside solo practices.
These are arithmetic industry averages. They state the size of the average establishment and show that multi-establishment ownership exists. They do not show the distribution of business sizes and they do not measure market concentration.
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Data Source Notice
This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.
Figures above are from the 2022 Economic Census reference year, released by the Census Bureau in 2024 and 2025; markets have moved since.
Questions Worth Asking BusinessNES analysis
Physician Office: what a category spanning solo practices and hospital-owned groups leaves out.
Before you rely on this benchmark
- Which specialty is the practice? Primary care, dermatology, orthopedics and cardiology differ enormously in revenue per physician, procedure mix and equipment, and the census counts them together. A specialty-specific figure would look very different from this average.
- Who owns the practice? Physician-owned practices, hospital-owned groups and private equity-backed platforms operate under different economics, from billing rates to overhead allocation. The average blends models whose owners ask very different questions of the same revenue.
- What is the payer mix? Medicare, Medicaid, commercial insurers and self-pay patients reimburse the same visit at different rates, so revenue depends on who the patients are, not just how many there are. The census does not publish payer mix.
- How much revenue is collected? Billed charges, contracted rates and amounts actually collected are three different numbers, and denials and bad debt sit between them. The receipts figure on this page is what practices reported as revenue, not what they charged.
- How many physicians work in the office? Revenue per establishment depends on how many clinicians share the location, so a large group practice and a solo office bracket a wide range. Revenue per physician would be the more useful comparison, and the census does not provide it here.
- What does compliance and technology cost? Electronic health records, billing systems, malpractice insurance, credentialing and regulatory compliance are large fixed costs that a practice pays before treating anyone. They are absent from a receipts and payroll table.
Sources and Methodology
Revenue, establishment counts, payroll, employment and firm counts on this page come from the 2022 Economic Census, Summary Statistics, published by the US Census Bureau. Averages and shares are BusinessNES calculations from those published totals, and each one names the two figures it divides.
The Census counts employer establishments, meaning each office location with paid staff, so a group practice with several sites contributes each one separately. Psychiatry offices, urgent care centers and hospitals are counted in separate categories.