Start with the answer
General Internal Medicine Physicians pay in El Paso, TX and South Bend-Mishawaka, IN-MI
The May 2025 BLS OEWS median for General Internal Medicine Physicians is $240,990 per year in El Paso, TX. It is $485,900 per year in South Bend-Mishawaka, IN-MI. El Paso, TX is 50.4% below South Bend-Mishawaka, IN-MI on the published median.
Both rows use SOC 29-1216 and the same annual wage metric. Median means the middle of each area's published wage spread. It is not one worker's pay. The larger median is not proof that one place gives a better job or a better result. It is one wage fact from one source period.
BLS lists 40 wage and salary jobs in El Paso, TX and 140 in South Bend-Mishawaka, IN-MI. Those are survey job counts, not open posts. Read pay, job scale, local share, and price level as separate facts before you make a choice.
Evidence: bls-oews-may-2025 · Rule: same-soc-same-metric-pair · nominal-median-gap · employment-not-openings