Self-employment method
Offices of Physicians, Mental Health Specialists
50,251 people filed as a nonemployer business under this industry code in 2022 — no payroll, no employees, just them. These are gross receipts reported to the IRS, before any expense is taken out.
Median GROSS RECEIPTS for the year — money in, before rent, materials, fuel, insurance or tax. This is not take-home pay.
Share who grossed under $10,000 for the whole year — before expenses.
The middle half, in gross receipts. A quarter of filers took less than the lower figure.
Source: US Census Bureau, Nonemployer Statistics 2022 · view
How often it does not work out
Of the 50,251 people who filed under this code in 2022, 21.34% grossed under $10,000 for the entire year — before a single expense was deducted.
That is a floor, not an estimate. Census publishes GROSS RECEIPTS, not net income. Everyone inside that share earned less than the figure suggests once rent, materials, mileage, insurance and self-employment tax came out — and filers who grossed well above the threshold may still have netted nothing. The true share of people who earn nothing meaningful from this is higher than the number above, never lower.
Denominator: establishments_total = 50,251 · US Census Bureau, Nonemployer Statistics 2022 · view
Every filer, by what they grossed
The full receipts distribution as Census publishes it. The median above is interpolated inside whichever band contains the 50th percentile, so this table is what that figure is derived from.
| Gross receipts for the year | Filers | Share |
|---|---|---|
| Under $5,000 | 5,945 | 11.8% |
| $5,000 to $9,999 | 4,780 | 9.5% |
| $10,000 to $24,999 | 8,324 | 16.6% |
| $25,000 to $49,999 | 8,366 | 16.6% |
| $50,000 to $99,999 | 9,880 | 19.7% |
| $100,000 to $249,999 | 9,103 | 18.1% |
| $250,000 to $499,999 | 3,004 | 6.0% |
| $500,000 to $999,999 | 786 | 1.6% |
| $1,000,000 to $2,499,999 | 63 | 0.1% |
Who this suits
A median of $43,158 in gross receipts is high for a nonemployer business. Enough revenue passes through the middle of this field that a full-time living is plausible for the people running it well.
50,251 people filed under this code, almost none of whom appear in any employment statistic. Offices of Physicians, Mental Health Specialists is part of the economy salary surveys simply do not see.
25.8% of filers grossed $100,000 or more, which is high for this dataset. A substantial share of this field is running an actual business rather than an occasional one.
Independent health and social care is licensed, insured and reimbursement-driven; it suits people who can run the billing side as seriously as the care side.
There is no training requirement to file under this code — which is precisely why so many people appear in the bottom bands. Entry being free is not the same as the work being viable.
Who should not do this
The top quarter of Offices of Physicians, Mental Health Specialists earns 8.0x the bottom quarter — under $13,312 against over $106,480, a spread of $93,168. Distributions this stretched are usually two different jobs sharing one label, and any average across them means little.
The bottom quarter of Offices of Physicians, Mental Health Specialists earns under $13,312 — $36,708 below the $50,020 a typical American job pays. Entering at the bottom and waiting is a live risk here, not a theoretical one, and some people never leave that quarter.
Do not start this without understanding reimbursement timelines. Being owed money by a payer is not the same as being paid.
21.3% of the 50,251 Offices of Physicians, Mental Health Specialists filings in 2022 reported under $10,000 in gross receipts for the year — 10,723 people who took in less than a part-time wage before costs.
Read that as a floor, not an estimate. Census publishes gross receipts, not net income, so everyone inside that share earned less than $10,000 suggests once costs came out — and filers who grossed well above $10,000 may still have netted nothing.
What the spread tells you
A ratio of 8.0x between the quarters is the signature of a winner-take-most distribution. $43,158 is a real number about a real population, but nobody entering Offices of Physicians, Mental Health Specialists should plan around it.
In cash terms the middle half of Offices of Physicians, Mental Health Specialists runs $13,312 to $106,480 — $93,168 a year between the 25th and 75th percentiles, against a midpoint of $43,158.
Getting to $106,480, the 75th percentile, is worth $63,322 a year more than the $43,158 midpoint and $93,168 more than the $13,312 a quarter of Offices of Physicians, Mental Health Specialists settle for.
Per hour at a standard full-time year that is $20.74 at the midpoint for Offices of Physicians, Mental Health Specialists, $6.40 at the 25th percentile and $51.19 at the 75th, against $24.04 for the typical American job.
Counted straight off the return: 5,945 filers grossed under $5,000, 4,780 took $5,000 to $9,999, 8,324 took $10,000 to $24,999, 12,956 cleared $100,000 and 3,853 cleared $250,000.
What these figures are, and what they are not
Every figure above is GROSS RECEIPTS, before expenses — money that arrived before rent, materials, fuel, insurance and self-employment tax. The $43,158 midpoint for Offices of Physicians, Mental Health Specialists is not take-home pay and is not comparable to a $43,158 salary.
With no unpaid-hours or cost data for Offices of Physicians, Mental Health Specialists, the hourly figure is $43,158 over a 2,080-hour year — a unit conversion, not an adjustment.
How this is calculated · Self-employment failure rates · Look up something else