621/Ambulatory Health Care Services
US businesses, employees and payroll, 2017 to 2023
8.70M
employees, 2023
8.70M
employees, 2023
In 2023, 701,862 US Ambulatory Health Care Services business locations employed 8.70 million people and paid $621.1 billion in annual payroll, $71,409 per employee on average. Employment was up 3.5% from 2022. California had the most employees.
Updated Oct 9, 2026 · data year 2023
Business locations
701,862
+3.5% vs 2022
Employees
8,697,480
+3.5% vs 2022
Annual payroll
$621.1B
+8.1% vs 2022
Average pay
$71,409
+4.4% vs 2022
Over the years
United States, 2017 to 2023
Employees
Paid employees in mid-March
Business locations
Places with paid employees
By state
Employees of Ambulatory Health Care Services in each state, 2023
Employees by state
States with the most employees
Employees and the share of all the state's jobs
| State | Business locations | Employees | Average pay | Share of state jobs |
|---|---|---|---|---|
| California | 97,677 | 1,018,478 | $79,574 | 6.21% |
| Texas | 62,312 | 779,487 | $64,038 | 6.49% |
| New York | 40,367 | 699,456 | $56,873 | 7.98% |
| Florida | 58,577 | 587,301 | $72,027 | 5.88% |
| Pennsylvania | 25,339 | 402,469 | $73,725 | 7.04% |
| Ohio | 20,084 | 313,686 | $70,164 | 6.17% |
| Illinois | 27,153 | 300,155 | $74,793 | 5.30% |
| North Carolina | 18,981 | 265,325 | $70,405 | 6.20% |
| New Jersey | 22,384 | 259,163 | $71,447 | 6.57% |
| Michigan | 20,336 | 258,593 | $65,544 | 6.40% |
| Georgia | 22,652 | 254,371 | $72,305 | 5.77% |
| Virginia | 17,305 | 218,788 | $74,438 | 6.11% |
| Washington | 15,193 | 207,237 | $72,975 | 6.78% |
| Massachusetts | 12,455 | 204,907 | $81,697 | 5.88% |
| Tennessee | 12,705 | 198,071 | $76,779 | 6.67% |
The 15 states with the most employees. Download the CSV for all 51.
Top metro areas
Metro and micro areas with the most Ambulatory Health Care Services employees, 2023
Metro areas with the most employees
| Metro area | Locations | Employees | Average pay |
|---|---|---|---|
| New York-Newark-Jersey City, NY-NJ | 47,205 | 719,074 | $59,438 |
| Los Angeles-Long Beach-Anaheim, CA | 42,669 | 377,835 | $69,586 |
| Chicago-Naperville-Elgin, IL-IN | 22,475 | 235,125 | $73,498 |
| Dallas-Fort Worth-Arlington, TX | 19,385 | 226,045 | $69,450 |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 12,649 | 197,085 | $69,307 |
| Miami-Fort Lauderdale-West Palm Beach, FL | 21,336 | 187,345 | $68,959 |
| Houston-Pasadena-The Woodlands, TX | 16,128 | 174,976 | $62,612 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 13,788 | 163,935 | $73,114 |
| Atlanta-Sandy Springs-Roswell, GA | 14,357 | 160,832 | $73,946 |
| San Francisco-Oakland-Fremont, CA | 11,176 | 143,277 | $99,965 |
| Boston-Cambridge-Newton, MA-NH | 9,306 | 143,135 | $86,594 |
| Phoenix-Mesa-Chandler, AZ | 12,284 | 135,595 | $72,161 |
| Detroit-Warren-Dearborn, MI | 10,409 | 134,075 | $62,234 |
| Seattle-Tacoma-Bellevue, WA | 8,705 | 116,606 | $74,993 |
| Minneapolis-St. Paul-Bloomington, MN-WI | 7,065 | 113,064 | $75,560 |
Business size
US Ambulatory Health Care Services business locations by number of employees, 2023
Locations by size
| Employees | Locations | Share |
|---|---|---|
| Under 5 | 367,109 | 52.3% |
| 5 to 9 | 147,415 | 21.0% |
| 10 to 19 | 103,720 | 14.8% |
| 20 to 49 | 57,358 | 8.2% |
| 50 to 99 | 15,564 | 2.2% |
| 100 to 249 | 7,756 | 1.1% |
| 250 to 499 | 1,924 | 0.3% |
| 500 to 999 | 664 | 0.1% |
| 1,000 or more | 352 | 0.1% |
Related industries
Ambulatory Health Care Services and the 7 industries directly below it
Part of Health Care and Social Assistance 62
| Code | Industry | Employees | Average pay |
|---|---|---|---|
| 6211 | Offices of Physicians | 2,771,935 | $104,929 |
| 6216 | Home Health Care Services | 1,618,759 | $38,091 |
| 6214 | Outpatient Care Centers | 1,345,946 | $74,430 |
| 6213 | Offices of Other Health Practitioners | 1,212,861 | $48,231 |
| 6212 | Offices of Dentists | 1,028,889 | $60,718 |
| 6219 | Other Ambulatory Health Care Services | 387,030 | $58,693 |
| 6215 | Medical and Diagnostic Laboratories | 332,060 | $74,389 |
Questions and answers
How many people work in Ambulatory Health Care Services in the US?
8.70 million people worked at 701,862 US Ambulatory Health Care Services business locations in 2023, up 3.5% from 2022. That is 6.22% of all US private-sector employees.
What is the average pay in Ambulatory Health Care Services?
$71,409 a year per employee in 2023, from $621.1 billion in annual payroll (up 4.4% from 2022). The average across all US industries was $68,342.
Which state has the most Ambulatory Health Care Services jobs?
California had the most, with 1,018,478 employees in 2023, followed by Texas (779,487) and New York (699,456).
Which metro areas have the most Ambulatory Health Care Services jobs?
New York-Newark-Jersey City, NY-NJ (719,074), Los Angeles-Long Beach-Anaheim, CA (377,835), Chicago-Naperville-Elgin, IL-IN (235,125) had the most Ambulatory Health Care Services employees in 2023.
Are most Ambulatory Health Care Services businesses small?
88.1% of the 701,862 Ambulatory Health Care Services business locations had fewer than 20 employees in 2023, and 1,016 had 500 or more.
Official US government statistics, published once a year. Business locations are places with paid employees; employees are counted in mid-March; payroll covers the whole year. Covers most private employers, not the self-employed, most government workers or farm workers on farms. Changes from the year before are shown only when both years use the same edition of the industry codes.