RegistryReach
Rank states by total industry payments and you mostly get a population map. California leads at $350M, New York and Texas follow, and the big states stay big all the way down. True, but not very interesting.
Divide instead by the number of providers who actually received a payment and the map inverts. Of the $2.89 billion manufacturers reported in 2025, $2.67 billion lands on 804,090 providers with a U.S. state on file, an average of $3,318 per paid provider. Around that average, the spread between states is more than sixfold, and the leaders aren't the big states at all.
The top ten, per paid provider
| # | State | Per paid provider | 2025 total | Paid providers |
|---|---|---|---|---|
| 1 | Minnesota | $6,019 | $48.4M | 8,042 |
| 2 | Washington, D.C. | $5,896 | $18.1M | 3,064 |
| 3 | Vermont | $5,463 | $1.7M | 311 |
| 4 | Wisconsin | $5,157 | $46.3M | 8,986 |
| 5 | California | $4,698 | $350.3M | 74,563 |
| 6 | Kansas | $4,514 | $32.9M | 7,280 |
| 7 | Maryland | $4,415 | $73.3M | 16,604 |
| 8 | Virginia | $4,387 | $84.9M | 19,361 |
| 9 | Massachusetts | $4,196 | $69.3M | 16,521 |
| 10 | Tennessee | $4,158 | $85.6M | 20,577 |
Minnesota leads at $6,019 per paid provider, nearly double the national average. It isn't a mystery once you look inside the number: of the state's $48.4M, $21.8M, about 45 percent, went to just 406 orthopaedic surgeons, roughly $54,000 each. That looks like device-industry money, consulting and royalties concentrated in the operating room, in the state Medtronic calls home. The same device gravity shows up in the manufacturer league table, where seven of the top ten payers are device companies.
Washington, D.C. is the other kind of outlier. A dense, specialist-heavy provider pool in a few square miles put it at $5,896 in 2025, and that's after a fall from $7,357 in 2024, the steepest per-provider drop among the states in this top ten. Vermont makes the top three on the opposite mechanics: only 311 paid providers in the whole state, so a handful of well-paid specialists moves the average a long way. Small denominators cut both ways.
The big states fall down the table
California survives the flip, holding fifth at $4,698. New York doesn't: second in total dollars, 13th per provider. Texas falls furthest among the giants, from third in total money to 19th per provider at $3,141, below the national average. Lots of money, spread across a lot of providers.
At the bottom of the table sit the rural states: New Mexico ($1,494), Delaware ($1,279), Alaska ($1,138), Montana ($1,134), and North Dakota, last at $926, about one dollar for every six and a half that Minnesota providers average next door. Industry money doesn't just favor big markets; it favors procedure-heavy specialist markets, and it mostly skips everywhere else.
Why this cut matters
If you sell to physicians, total-dollar maps tell you where the crowd is. The per-provider map tells you where industry attention is concentrated, which states' providers are already deep in consulting and device relationships, and which are barely touched. Those are two very different prospecting strategies, and the difference between them is one division.
You can flip between both views on the interactive money map, or drill into Minnesota's page to see exactly which specialties carry its lead.