Where gastroenterologists are needed
The US has 13.6 gastroenterologists per 100,000 adults aged 45-74, and 36% of them finished medical school 30 or more years ago. States with the fewest GIs per person: Wyoming, Oklahoma, Nevada, Vermont, Alaska. Sorted from fewest to most.
Each state name links to its open GI jobs when we have them. Job pages show the same numbers for the 30 miles around each job.
| State | GIs | Per 100k adults 45-74 | 30+ years since med school | Price level (US=100) | State tax on $450k | Medicare Advantage | CRC screening | H-1B median wage | Open jobs |
|---|---|---|---|---|---|---|---|---|---|
| Wyoming | 11 | 5.4 | 27% | 92.7 | none | 15% | 59.3% | 1 | |
| Oklahoma | 102 | 7.7 | 39% | 87.8 | $20k | 42% | 59.7% | $350k (10) | 1 |
| Nevada | 87 | 7.8 | 56% | 100 | none | 52% | 58.5% | $700k (1) | |
| Vermont | 21 | 8.2 | 38% | 98 | $34k | 12% | 69.2% | ||
| Alaska | 21 | 8.7 | 48% | 102.4 | none | 59.1% | $750k (1) | ||
| Iowa | 96 | 8.7 | 36% | 87.8 | $17k | 38% | 66.6% | $575k (15) | 2 |
| Kansas | 87 | 8.8 | 41% | 90.1 | $25k | 33% | 63.4% | $239k (13) | 4 |
| Arkansas | 99 | 9.4 | 36% | 86.9 | $17k | 47% | 61.6% | $384k (5) | 4 |
| Alabama | 175 | 9.6 | 41% | 88.8 | $22k | 62% | 67% | $300k (5) | 4 |
| Mississippi | 102 | 9.9 | 46% | 87 | $18k | 45% | 61.8% | $850k (5) | 4 |
| Montana | 40 | 9.9 | 45% | 94.6 | $25k | 30% | 63.8% | 8 | |
| Michigan | 380 | 10.2 | 40% | 96.2 | $19k | 64% | 69% | $566k (6) | 17 |
| New Mexico | 76 | 10.2 | 37% | 92.2 | $24k | 51% | 57.4% | $500k (10) | 1 |
| Idaho | 65 | 10.3 | 29% | 95.5 | $24k | 46% | 61.7% | ||
| West Virginia | 72 | 10.3 | 40% | 89.5 | $21k | 57% | 66.5% | $550k (19) | 17 |
| Tennessee | 265 | 10.6 | 39% | 91.9 | none | 54% | 63.2% | $500k (17) | 3 |
| Maine | 61 | 10.8 | 31% | 97 | $32k | 59% | 70.5% | $610k (8) | |
| South Carolina | 207 | 10.8 | 34% | 93.7 | $26k | 47% | 69.3% | $525k (15) | 14 |
| Georgia | 420 | 11.3 | 35% | 96.3 | $23k | 56% | 64.4% | $525k (17) | 3 |
| Nebraska | 75 | 11.5 | 28% | 90.1 | $20k | 34% | 62.3% | $600k (2) | |
| Kentucky | 192 | 11.8 | 41% | 90.2 | $16k | 55% | 65.8% | $710k (6) | 8 |
| Wisconsin | 256 | 11.8 | 36% | 94.1 | $26k | 57% | 69.4% | $537k (8) | 13 |
| Oregon | 185 | 12.1 | 24% | 103.4 | $43k | 54% | 63.4% | $244k (2) | 2 |
| California | 1,615 | 12.2 | 35% | 110.7 | $39k | 51% | 57.4% | $360k (9) | 5 |
| Utah | 111 | 12.3 | 27% | 98.9 | $20k | 55% | 63% | $575k (4) | 10 |
| Hawaii | 65 | 12.6 | 46% | 110 | $40k | 53% | 62.6% | $491k (1) | 1 |
| Indiana | 297 | 12.6 | 34% | 93.3 | $13k | 51% | 66.3% | $400k (10) | 2 |
| Texas | 1,180 | 12.6 | 33% | 97.1 | none | 55% | 57.8% | $345k (20) | 50 |
| Arizona | 318 | 12.7 | 43% | 100.7 | $11k | 52% | 60.1% | $400k (8) | 9 |
| Louisiana | 201 | 12.7 | 41% | 88.2 | $14k | 57% | 66.3% | $350k (7) | 20 |
| South Dakota | 39 | 12.7 | 28% | 88.6 | none | 35% | 65.4% | $583k (10) | |
| Colorado | 258 | 13.2 | 25% | 103.1 | $20k | 52% | 62.3% | $425k (1) | 2 |
| Delaware | 51 | 13.3 | 43% | 99.8 | $29k | 33% | 67.2% | $500k (6) | 1 |
| Virginia | 409 | 13.4 | 37% | 101.1 | $26k | 40% | 67.3% | $510k (14) | 26 |
| North Carolina | 513 | 13.5 | 31% | 94.3 | $18k | 58% | 65.6% | $470k (6) | 7 |
| North Dakota | 33 | 13.6 | 39% | 89 | $9k | 35% | 64.8% | 1 | |
| Washington | 365 | 13.7 | 32% | 107 | none | 50% | 66.1% | $488k (8) | 10 |
| Missouri | 304 | 13.9 | 34% | 90.8 | $21k | 55% | 64% | $325k (8) | 4 |
| Florida | 1,179 | 14.3 | 43% | 103.4 | none | 57% | 65.6% | $573k (23) | 34 |
| Illinois | 646 | 14.4 | 33% | 100 | $22k | 44% | 60.2% | $700k (11) | 2 |
| Ohio | 628 | 14.7 | 32% | 92.8 | $12k | 57% | 65.2% | $420k (13) | 16 |
| Maryland | 345 | 15.5 | 32% | 105 | $24k | 25% | 68.2% | $500k (16) | 7 |
| Rhode Island | 64 | 15.8 | 44% | 102.3 | $24k | 60% | 73.1% | $450k (8) | 3 |
| New Hampshire | 90 | 16.1 | 33% | 104.2 | none | 31% | 69.5% | $336k (2) | |
| Pennsylvania | 780 | 16.1 | 35% | 97.6 | $14k | 54% | 67.5% | $430k (9) | 19 |
| Minnesota | 339 | 17 | 28% | 98.6 | $39k | 57% | 68.7% | $385k (13) | 16 |
| New Jersey | 619 | 18.2 | 43% | 108.8 | $27k | 41% | 63.4% | $450k (7) | 2 |
| Connecticut | 268 | 19.8 | 38% | 103.6 | $28k | 72.3% | $300k (1) | 9 | |
| New York | 1,428 | 20 | 44% | 107.9 | $28k | 54% | 66.7% | $478k (8) | 10 |
| Massachusetts | 531 | 20.7 | 32% | 105.8 | $23k | 36% | 68.4% | $418k (10) | 8 |
| District of Columbia | 73 | 38.8 | 40% | 109.9 | 34% | 69.4% | $350k (3) |
Highlighted: under 85% of the US GI rate, or more than 5 points above the US share near retirement. H-1B column: median certified wage and number of filings (all employers).
Questions
How is "GIs per 100,000" counted?
Gastroenterologists enrolled in Medicare (CMS Doctors and Clinicians file, primary specialty gastroenterology, each physician counted once) divided by residents aged 45 to 74 (Census ACS 2019-2023), the core screening and GI-disease age group.
What does "30+ years since medical school" tell me?
It is a rough signal of retirements to come. States with a high share will lose GIs over the next decade, which usually means more patients for new hires.
Why show Medicare Advantage and screening?
Medicare Advantage share shows how much of the local Medicare market runs through private plans (and is invisible in fee-for-service claims data). Colorectal screening (adults 45-75 up to date, CDC PLACES 2025 release, 2022 survey) shows unmet screening demand: lower rates mean more patients still to reach.
What is the price level?
BEA regional price parities: 100 is the US average. 90 means prices about 10% below average, so the same salary goes further.
Sources: CMS Doctors and Clinicians, Census ACS 5-year 2019-2023, BEA regional price parities, US DOL LCA data, CMS MA penetration, CDC PLACES.