Average income is more like $32K.
Also, while I don't know about the competitiveness of jobs in certain locations, rural states can have some of the higher mean wages for fam and gen practioners (https://www.bls.gov/oes/current/oes291062.htm).
Its not that great of a profession.
33% to hospitals
20% to physicians and clinical services
9% to retail prescription drugs
5% for other health, residential and personal care services
5% for nursing care facilities and continuing care retirement communities
4% for dental services
I can't find any clear answer to what proportion doctors earn themselves:
https://www.medicalbag.com/home/finance/health-care-costs-in...