The single highest-paying Geriatrics listing in America is, fittingly, located in a town literally called Sun City. You cannot make this up. Florida — home to roughly one in five Americans over 65 and an unrelenting appetite for physicians who specialize in caring for them — is offering up to $325,000 a year for a Geriatrician willing to set up shop where the demographic destiny is most obvious. Across the country, 67 active Geriatrics listings are scattered across 20 states. The thesis is simple: this is a small, quiet, demographically inevitable market where transparency is rare and Florida is doing most of the talking.
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The Geriatrics Job Market at a Glance
Total listings: 67
Listings with disclosed salary: 4
Full salary range: $200,000 to $325,000
National average range: $212,500 to $268,750
Four listings. Out of sixty-seven. That is a salary transparency rate that would make a venture capitalist blush, and it means the entire national compensation picture for Geriatrics is being inferred from a sample roughly the size of a book club.
What the disclosed data shows is a $125,000 spread between floor and ceiling — meaningful, but narrower than what we see in procedural specialties. Geriatrics pays solidly into six figures everywhere it discloses, but it does not flirt with the stratospheric numbers seen in anesthesia or cardiology. The job is cognitive, longitudinal, and Medicare-dependent. The compensation reflects that.
States represented: New York, Florida, Colorado, Washington, Texas, Pennsylvania, Georgia, Massachusetts, Wisconsin, Arizona, Alabama, Illinois, Maryland, North Carolina, Missouri, West Virginia, New Hampshire, Mississippi, Connecticut, and Vermont.
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How States Stack Up
Overperformers:
Florida — A single disclosed Sun City listing at $250,000 to $325,000 sets the national ceiling, and the state also leads in volume. The rare specialty where the obvious answer is also the correct one.
Near-average:
New York — Listings in Rochester, Woodstock, and Kingston disclose $200,000 to $250,000, putting the upper bound at the floor of the national average. Respectable, if upstate.
Underperformers:
None can be formally named, because eighteen of twenty states declined to disclose anything at all. Silence is not the same as a low number, but it is not reassuring either.
Volume leaders: Florida (21), North Carolina (9), Connecticut (8), Illinois (7), Colorado (6), Massachusetts (5), Texas (4). North Carolina, Connecticut, and Illinois are the second, third, and fourth most active markets in the country — and not one of them disclosed a salary figure. Make of that what you will.
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What This Means If You’re a Physician
If your priority is maximum compensation:
Go to Sun City, Florida. The listing pays $250,000 to $325,000 — the national ceiling. The patient population is, shall we say, well-aligned with your training. Cost of living is reasonable. Hurricanes are not.
If your priority is maximum optionality:
Florida (21), North Carolina (9), Connecticut (8), and Illinois (7) collectively account for nearly 70% of the national listing pool. Connecticut has eight openings and one of the highest costs of living in the country — and zero disclosed salaries. Ask early.
If your priority is balance:
Colorado (6 listings) and Massachusetts (5) offer moderate volume in regions with strong healthcare infrastructure and quality-of-life appeal. Neither disclosed compensation, which means the negotiating table is your only data source.
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What This Means If You’re a Recruiter
Salary transparency rate: 4 of 67 listings, or 6%. That is not a typo.
In a specialty already battling a well-documented pipeline shortage — fewer than half of Geriatrics fellowship slots fill in a typical year — a 6% transparency rate is an active recruitment liability. Candidates evaluating Geriatrics are often mission-driven, but mission does not pay student loans.
The volume-pay misalignment is glaring. North Carolina, Connecticut, and Illinois are the second, third, and fourth most active states. None disclosed a number. Recruiters in those markets will need to lead with patient panel structure, call burden, academic affiliation, and loan repayment — because they have ceded the compensation conversation to Florida by default.
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What’s Driving the Numbers
Demographic gravity is the entire thesis.
Florida’s dominance in both volume (21 listings) and pay ($325,000 ceiling) is not a coincidence. It is what happens when a state’s median age and a specialty’s patient population converge. The Sun City listing is the market telling on itself.
Transparency is functionally absent.
Four disclosed listings out of 67 is not a data set — it is a rumor. The national average range of $212,500 to $268,750 is mathematically real but practically thin. Treat it as a floor for negotiation, not a benchmark.
Volume does not equal compensation signal.
The four highest-volume states after Florida — North Carolina, Connecticut, Illinois, Colorado — collectively posted 30 listings and zero salary figures. Either compensation is unremarkable enough to hide, or these employers have not yet caught up with transparency norms. Both interpretations should concern candidates.
The floor is high, the ceiling is not.
Geriatrics starts at $200,000 and tops out at $325,000. That $125,000 spread is narrow by physician standards and reflects a specialty where compensation is largely cognitive, largely Medicare-indexed, and largely insulated from procedural upside.
The Bottom Line
Geriatrics in 2026 is a quiet market with loud demographics. Florida is doing the work of an entire specialty’s transparency efforts single-handedly, while 18 other states post jobs and decline to discuss money. The patient population is expanding faster than the physician supply, which should — eventually — push compensation upward. For now, candidates have leverage they may not realize they have, and recruiters have a transparency problem they cannot afford to ignore.
The market for physicians who care for the elderly is small, demographically inevitable, and almost entirely silent about what it pays — except in Sun City, where the math is impossible to hide.
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Salary data based on 4 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.




