The highest-paying Geriatrics job in America is located, with a straight face, in Sun City, Florida. A retirement community. Where geriatricians go to treat, presumably, everyone. The listing pays up to $325,000 a year, which is either poetic or actuarial, depending on your worldview. Across the country, 68 active Geriatrics listings are live in 21 states, but only 6 of them disclose what they actually pay. The rest ask you to guess, negotiate, or call. The data that does exist tells a clear story: Geriatrics is a quiet, uncrowded, surprisingly well-compensated corner of medicine — if you can find the salary.
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The Geriatrics Job Market at a Glance

Total listings: 68
Listings with disclosed salary: 6
Full national salary range: $200,000 – $325,000
National average range: $233,333 – $278,333
States represented: 21

Six salary disclosures out of sixty-eight postings is not a data set. It is a rumor with footnotes. Still, the disclosed range tells us something useful: the floor for a full-time Geriatrics role sits at $200,000, and the ceiling reaches $325,000 — a spread of $125,000 that depends almost entirely on which state’s aging population you sign up to serve.

The average high of $278,333 suggests the ceiling is real but rare. Most disclosed roles cluster in the $250,000 range, which is respectable for a specialty that rarely tops compensation surveys.

States represented: NY, FL, AZ, CO, NC, WA, MA, PA, MD, GA, WI, IL, TX, MO, AL, WV, MT, VT, CT, MS, NH.
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How States Stack Up

Overperformers:

• Florida — the top of the market at $250,000 – $325,000, and (improbably, or perhaps entirely predictably) also the volume leader.
• Mississippi — a flat $300,000 on a single disclosed listing, punching well above its size.
• Maryland — $250,000 – $295,000, a strong showing for a mid-Atlantic market.

Near-average:

• Maryland doubles as the national benchmark, sitting almost exactly on the disclosed midline.

Underperformers:

• New York — three listings in Kingston, Woodstock, and Rochester, all pegged at $200,000 – $250,000. All three posted by the same recruiter. A pattern, not a coincidence.

Volume leaders: Florida (14), North Carolina (7), Colorado (6), Massachusetts (5), Illinois, Texas, and Connecticut (4 each). North Carolina, Colorado, and Massachusetts combine for 18 listings and disclose exactly zero salaries. That is a lot of silence.
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What This Means If You’re a Physician

If your priority is maximum compensation: The Sun City, Florida full-time role posted by Enterprise Medical Recruiting tops the market at $250,000 – $325,000. It is the only disclosed listing hitting the ceiling.

If your priority is maximum optionality: Florida (14), North Carolina (7), and Colorado (6) offer the deepest pools. Two of the three won’t tell you what they pay until you ask.

If your priority is balance: Maryland offers pay near the national average with modest volume and no obvious cost-of-living catastrophe.

Flag: New York’s floor of $200,000 in upstate markets like Kingston and Woodstock is defensible; the same number in Manhattan would be a punchline. Verify geography before comparing offers.
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What This Means If You’re a Recruiter

Salary transparency rate: 6 of 68 listings, or 8.8%.

That is not a market. That is a whisper network. Ninety-one percent of Geriatrics postings ask candidates to invest time before learning what the job pays, and candidates — especially mid-career geriatricians with options — increasingly won’t.

The volume-pay misalignment is stark in the middle tier: North Carolina, Colorado, and Massachusetts collectively hold 18 listings and disclose nothing. Recruiters in those states will need to lead with lifestyle, patient mix, academic affiliation, or loan forgiveness, because the compensation conversation is happening somewhere else — probably in Florida.
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What’s Driving the Numbers

Geography prices in demographics, not cost of living. Florida leads on both volume and pay because its patient population is the specialty’s patient population. Sun City is not a coincidence. It is the business model.

Transparency is the specialty’s structural weakness. An 8.8% disclosure rate means candidates cannot benchmark, negotiate, or comparison-shop without direct outreach. That favors incumbents and recruiters. It does not favor the physicians the market is trying to attract.

Single-recruiter clustering distorts regional reads. All three New York listings and the top Florida listing come from the same firm, Enterprise Medical Recruiting. Their internal compensation structure is quietly setting the disclosed range for two very different markets.

The volume-pay relationship holds — but only in Florida. Everywhere else, high-volume states go dark on pay, and low-volume states like Mississippi quietly outperform. Volume is not a proxy for compensation in Geriatrics. It is a proxy for demographic pressure.

The Bottom Line

Geriatrics is a low-volume, low-transparency, quietly competitive specialty in which one state — Florida — has aligned demand, demographics, and disclosed dollars into a coherent value proposition. The rest of the country is either underpaying (upstate New York), overperforming quietly (Mississippi, Maryland), or refusing to say anything at all (North Carolina, Colorado, Massachusetts). For physicians, the market rewards direct inquiry. For recruiters, it punishes silence.

The highest-paying Geriatrics job in America is in a town called Sun City, and no one should be surprised by that.
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Salary data based on 6 listings with disclosed compensation. Figures may reflect part-time or specialized roles. This report is informational and should not replace professional judgment or financial planning.