Medical Secretaries and Administrative Assistants

Medical Secretaries and Administrative Assistants (SOC 43-6013) earn a median $45,930 a year ($22.08 an hour) in the United States, with 961,610 employed as of May 2025; the highest-paying state is Washington.

What medical secretaries and administrative assistants do

Medical secretaries and administrative assistants do secretarial work that draws on knowledge of medical terminology and of hospital, clinic, or laboratory procedures. They answer telephones and direct calls to the right staff, greet visitors and find out why they came, and schedule and confirm patients' diagnostic appointments, surgeries, or medical consultations. They interview patients to complete documents such as case histories and intake or insurance forms, complete insurance or other claim forms, and may bill patients. Medical charts, records, technical libraries, and correspondence files are maintained, and correspondence or medical records go out by mail, e-mail, or fax. They also receive and route messages and documents, such as laboratory results, to the appropriate staff. Alternate titles show the settings, which include clinic offices and dental offices: appointment scheduler, clinic office assistant, dental secretary, and dental receptionist. In its use of medical terminology and procedures, this work differs from that of other secretaries and administrative assistants.

Typical entry: O*NET survey respondents most often report a high school diploma or equivalent as the education level for this occupation.

Also called: Administrative Support Specialist, Appointment Scheduler, Certified Medical Administrative Assistant (CMMA), Client Service Coordinator, Clinic Office Assistant.

National wage percentiles, May 2025

Medical Secretaries and Administrative Assistants: US hourly and annual wage percentiles, mean and employment, May 2025
AreaBasisPercentile wageMeanEmployment
10th25thMedian75th90th
United StatesHourly$17.27$18.54$22.08$24.32$29.10$22.50961,610
Annual$35,930$38,570$45,930$50,580$60,530$46,800
$0$20k$40k$60k$80k10th10th: $35,930$35,93025th25th: $38,570$38,570MedianMedian: $45,930$45,93075th75th: $50,580$50,58090th90th: $60,530$60,530
Annual wage at the 10th, 25th, 50th (median), 75th and 90th percentiles. The same numbers are in the table above.

Employment per 1,000 jobs and the location quotient are area measures; they appear in the state and metro tables below. To see what a wage in this range leaves after tax, use FastCalc's take-home pay calculator.

Where medical secretaries and administrative assistants earn and work most

Five highest-paying states

Medical Secretaries and Administrative Assistants: the five states with the highest median wage, May 2025
AreaBasisPercentile wageMeanEmploymentJobs per 1,000Location quotient
10th25thMedian75th90th
WashingtonHourly$21.63$23.32$27.93$30.21$35.33$27.5510,9603.090.50
Annual$44,980$48,510$58,100$62,840$73,480$57,300
CaliforniaHourly$19.54$22.40$26.20$30.45$36.55$27.09115,0506.321.02
Annual$40,650$46,590$54,490$63,330$76,020$56,350
MassachusettsHourly$19.93$22.83$24.18$28.32$30.30$25.4422,2106.110.99
Annual$41,460$47,480$50,290$58,910$63,030$52,910
OregonHourly$19.19$22.36$24.10$28.54$30.45$25.3116,8408.561.38
Annual$39,900$46,510$50,130$59,370$63,340$52,640
MinnesotaHourly$20.86$23.13$24.06$28.50$29.56$25.3716,8605.720.92
Annual$43,390$48,100$50,030$59,290$61,490$52,770

Five states with the most jobs

Medical Secretaries and Administrative Assistants: the five states with the highest employment, May 2025
AreaBasisPercentile wageMeanEmploymentJobs per 1,000Location quotient
10th25thMedian75th90th
CaliforniaHourly$19.54$22.40$26.20$30.45$36.55$27.09115,0506.321.02
Annual$40,650$46,590$54,490$63,330$76,020$56,350
FloridaHourly$17.26$18.06$20.06$22.74$26.94$21.0296,0009.671.56
Annual$35,900$37,570$41,730$47,300$56,030$43,720
TexasHourly$15.91$17.87$20.63$23.01$27.20$20.8078,7405.600.90
Annual$33,090$37,170$42,910$47,850$56,570$43,270
New YorkHourly$18.48$21.23$22.94$27.07$29.40$23.8257,7205.960.96
Annual$38,430$44,160$47,710$56,310$61,160$49,540
North CarolinaHourly$17.25$18.24$21.24$22.81$26.58$21.0656,84011.501.86
Annual$35,880$37,930$44,190$47,440$55,290$43,790

Five highest-paying metropolitan areas

Medical Secretaries and Administrative Assistants: the five metropolitan areas with the highest median wage, May 2025
AreaBasisPercentile wageMeanEmploymentJobs per 1,000Location quotient
10th25thMedian75th90th
San Jose-Sunnyvale-Santa Clara, CAHourly$22.09$27.14$33.34$38.61$39.35$33.056,3405.580.90
Annual$45,960$56,440$69,350$80,300$81,860$68,750
Napa, CAHourly$22.79$25.50$29.73$36.94$36.95$30.535106.611.07
Annual$47,400$53,040$61,830$76,830$76,850$63,500
San Francisco-Oakland-Fremont, CAHourly$23.14$24.76$29.49$37.25$40.43$31.0513,6605.750.93
Annual$48,130$51,510$61,330$77,480$84,100$64,580
Vallejo, CAHourly$22.47$23.75$29.43$37.65$39.06$30.719906.851.11
Annual$46,740$49,410$61,220$78,320$81,250$63,880
Seattle-Tacoma-Bellevue, WAHourly$22.55$24.58$29.01$30.95$36.17$29.176,4203.080.50
Annual$46,900$51,130$60,350$64,370$75,230$60,670

Five metropolitan areas with the most jobs

Medical Secretaries and Administrative Assistants: the five metropolitan areas with the highest employment, May 2025
AreaBasisPercentile wageMeanEmploymentJobs per 1,000Location quotient
10th25thMedian75th90th
New York-Newark-Jersey City, NY-NJHourly$18.73$22.25$23.67$28.10$30.56$24.9452,6405.550.90
Annual$38,950$46,280$49,230$58,450$63,560$51,870
Los Angeles-Long Beach-Anaheim, CAHourly$18.58$21.91$24.72$29.03$35.68$26.0440,3806.441.04
Annual$38,650$45,570$51,410$60,370$74,220$54,150
Miami-Fort Lauderdale-West Palm Beach, FLHourly$17.40$18.35$21.66$23.05$28.19$21.6227,0209.581.55
Annual$36,190$38,170$45,060$47,950$58,640$44,960
Atlanta-Sandy Springs-Roswell, GAHourly$17.36$18.38$22.29$23.41$28.74$22.1722,5907.821.26
Annual$36,100$38,230$46,370$48,690$59,780$46,110
Dallas-Fort Worth-Arlington, TXHourly$17.21$18.32$21.94$23.87$27.94$21.7921,7005.360.87
Annual$35,790$38,110$45,630$49,650$58,110$45,330

Top industries employing medical secretaries and administrative assistants

Offices of Physicians employ 31.0% of medical secretaries and administrative assistants nationally (297,820 jobs) at a median $44,610 a year ($21.45 an hour), followed by General Medical and Surgical Hospitals (23.0%) and Offices of Dentists (12.5%).

Medical Secretaries and Administrative Assistants: the 5 industries with the highest employment, United States, May 2025 (4-digit NAICS)
IndustryEmploymentShare of occupationMedian annualMedian hourly
Offices of Physicians NAICS 621100297,82031.0%$44,610$21.45
General Medical and Surgical Hospitals NAICS 622100221,43023.0%$47,070$22.63
Offices of Dentists NAICS 621200120,49012.5%$47,990$23.07
Offices of Other Health Practitioners NAICS 62130080,8408.4%$40,350$19.40
Outpatient Care Centers NAICS 62140067,5307.0%$47,310$22.75

Share is the industry's employment over the occupation's national employment (961,610). Industries whose employment BLS withheld are not ranked.

Published medians, May 2021 to May 2025

BLS published a median annual wage of $37,450 for medical secretaries and administrative assistants in May 2021 and $45,930 in May 2025, with employment of 656,640 and 961,610.

Medical Secretaries and Administrative Assistants: median annual wage, median hourly wage and employment in each OEWS May release, United States, as published
ReleaseMedian annualMedian hourlyEmployment
May 2021$37,450$18.01656,640
May 2022$38,500$18.51682,630
May 2023$40,640$19.54749,500
May 2024$44,640$21.46830,760
May 2025$45,930$22.08961,610
Medical Secretaries and Administrative Assistants: median annual wage by OEWS release, May 2021 to May 2025$0$20k$40k$60kMay 2021May 2022May 2023May 2024May 2025May 2021: $37,450$37,450May 2022: $38,500$38,500May 2023: $40,640$40,640May 2024: $44,640$44,640May 2025: $45,930$45,930OEWS releaseMedian annual wage
Median annual wage in each release, as published; a release without a published median has no point. The same numbers are in the table above.

BLS does not design OEWS as a time series: each release pools three years of samples, and occupational classifications, area definitions and estimation methods change between releases, so a difference between two releases is not a measure of change over time. The figures are shown as published, side by side, and nothing is computed from them. See how often OEWS is updated.

Every state, by median wage

51 states and DC publish a row for this occupation. A linked state has its own page with the within-state metro table and comparison; the others appear here only.

RankStateMedian hourlyMedian annual10th pct (annual)90th pct (annual)EmploymentJobs per 1,000Location quotient
1Washington profile$27.93$58,100$44,980$73,48010,9603.090.50
2California profile$26.20$54,490$40,650$76,020115,0506.321.02
3Massachusetts profile$24.18$50,290$41,460$63,03022,2106.110.99
4Oregon profile$24.10$50,130$39,900$63,34016,8408.561.38
5Minnesota profile$24.06$50,030$43,390$61,49016,8605.720.92
6Hawaii profile$24.00$49,920$38,750$59,3602,1603.440.56
7District of Columbia profile$23.64$49,180$45,400$59,8101,9302.750.44
8New Jersey profile$23.39$48,660$38,310$62,40020,9804.900.79
9Connecticut profile$23.32$48,500$40,380$62,5806,4803.820.62
10New Hampshire profile$23.27$48,410$39,440$59,6003,6805.380.87
11Wisconsin profile$23.26$48,380$39,640$58,1907,7602.640.43
12Vermont profile$23.17$48,200$40,020$60,0102,3907.861.27
13Alaska profile$23.02$47,870$36,240$60,4102,5207.741.25
14Maryland profile$23.00$47,850$38,070$61,75017,2906.261.01
15New York profile$22.94$47,710$38,430$61,16057,7205.960.96
16Maine profile$22.59$46,990$39,710$58,1604,6107.191.16
17Nevada profile$22.59$46,990$36,770$58,3607,0304.530.73
18Colorado profile$22.56$46,920$38,100$57,99011,5604.020.65
19Rhode Island profile$22.53$46,860$40,630$61,3302,3504.690.76
20Illinois profile$22.44$46,670$37,440$58,32027,5604.520.73
21Virginia profile$22.20$46,180$37,180$58,35027,6006.721.09
22Nebraska profile$22.17$46,100$38,100$57,2004,1104.020.65
23Arizona profile$22.03$45,820$33,860$60,11018,0905.580.90
24South Dakota profile$22.03$45,810$39,270$53,120800.180.03
25North Dakota profile$21.82$45,390$37,440$58,1401,1202.620.42
26Pennsylvania profile$21.60$44,930$36,280$58,17027,6004.550.74
27Idaho profile$21.60$44,920$35,360$57,8705,1205.970.97
28Delaware profile$21.39$44,500$36,400$57,9804,5109.311.51
29Wyoming profile$21.36$44,430$36,400$59,4401,1103.940.64
30Utah profile$21.31$44,330$34,510$57,0805,2603.030.49
31Ohio profile$21.29$44,280$36,730$56,83029,1105.250.85
32New Mexico profile$21.27$44,230$36,210$57,7904,5905.270.85
33North Carolina profile$21.24$44,190$35,880$55,29056,84011.501.86
34Indiana profile$21.18$44,060$35,970$56,61021,1806.621.07
35Missouri profile$21.14$43,980$35,520$55,73012,2604.180.68
36Montana profile$21.03$43,740$35,990$51,6904,4108.621.39
37Georgia profile$20.75$43,160$34,460$58,29039,3808.061.30
38Kansas profile$20.68$43,020$35,590$53,9106,4704.500.73
39Texas profile$20.63$42,910$33,090$56,57078,7405.600.90
40Florida profile$20.06$41,730$35,900$56,03096,0009.671.56
41Michigan profile$19.76$41,100$36,330$50,84027,9606.351.03
42Iowa profile$19.70$40,980$35,240$50,13010,5606.771.10
43South Carolina profile$19.31$40,170$34,780$56,89015,6306.781.10
44Tennessee profile$19.20$39,940$31,960$57,67041,81012.752.06
45Kentucky profile$18.63$38,750$30,700$49,77026,43013.212.14
46West Virginia profile$18.48$38,430$30,910$50,6901,5502.210.36
47Oklahoma profile$18.43$38,330$30,730$48,6908,4304.940.80
48Arkansas profile$17.79$37,000$31,690$47,9602,1901.680.27
49Alabama profile$17.76$36,930$29,890$50,90016,5807.841.27
50Louisiana profile$17.75$36,930$30,090$49,0502,9701.530.25
51Mississippi profile$17.45$36,290$29,890$49,410******

Occupations in the same SOC broad group (43-6010), with their national median annual wage.

Part of Office and Administrative Support Occupations. Compare any area in the wage explorer.

Source and notes

Data: BLS OEWS May 2025, released 2026-05-15. Cross-industry estimates, all ownerships. BLS page: OEWS 43-6013 Medical Secretaries and Administrative Assistants.

**
Employment estimate not available.
  • Annual wages assume 2,080 hours a year at the hourly rate; occupations BLS publishes on one basis only show an en dash (–) on the other.
  • Employment is rounded to the nearest 10 by BLS. Where BLS withholds a cell, nothing is estimated in its place.
  • Top industries: nat4d_M2025_dl.xlsx in oesm25in4.zip (BLS OEWS May 2025, national, 4-digit NAICS, cross-ownership). Employment is the industry's rounded total for this occupation; industries whose employment BLS withheld (**) are not ranked.
  • Published medians: national_M2021_dl.xlsx to national_M2024_dl.xlsx in oesm21nat.zip to oesm24nat.zip (BLS OEWS May 2021 to May 2024, national, cross-industry, all ownerships) and the May 2025 spine. Each release is shown as published; nothing is computed between them.

Sources

Includes information from O*NET 30.1 Database by the U.S. Department of Labor, Employment and Training Administration, used under the CC BY 4.0 license.

Description written 2026-10-17 in our own words from the sources above.