I meant ... normally for a pay scale above $200k in the non-coastal areas, someone has to manage staff, lead a team, run a business unit, and make strategic decisions. Literally, doctors "do their specialty" - no teams, no 'winning clients' and closing deals to bring in business. They don't have to have any other skills but their specialty at those ranges.
...I know a number of doctors who manage staff, lead teams, provide cost justifications to their hospital's C-suite, and make strategic decisions.