Medical Administrative Assistant salary in Fresno, CA
Fresno pays medical administrative assistants less than California as a whole but still more than the country. The median is $48,120 a year1: 11.7% below the California statewide median of $54,490 and 4.8% above the US median of $45,930. That is in the top quarter of US areas (#65 of 516). About 3,410 medical administrative assistants work here, 3% of the California total.
BLS occupation 43-6013, area Fresno, CA. Data from the May 2025 release, checked 2026-10-15.
Pay in Fresno against California and the US
| Range | 10th | Median | 90th | |
|---|---|---|---|---|
| Fresno, CA | $39,010 | $48,120 | $64,790 | |
| California | $40,650 | $54,490 | $76,020 | |
| United States | $35,930 | $45,930 | $60,530 |
The middle half of medical administrative assistants in Fresno earns $44,640–$56,240. The top tenth earns $64,790 or more, 1.7 times the bottom tenth, close to the US pattern of 1.7 times. From the 25th to the 75th percentile, the local range is only $11,600 wide, against $16,740 across California and $12,010 nationally: employers in Fresno pay within a narrower band.
What to budget for a medical administrative assistant here
| Point in the local range | Per year | Per month | Per hour | Employer cost per year |
|---|---|---|---|---|
| 10th percentile | $39,010 | $3,251 | $18.75 | $50,335 |
| 25th percentile | $44,640 | $3,720 | $21.46 | $57,600 |
| Median | $48,120 | $4,010 | $23.13 | $62,090 |
| 75th percentile | $56,240 | $4,687 | $27.04 | $72,568 |
| 90th percentile | $64,790 | $5,399 | $31.15 | $83,600 |
Pay climbs faster above the median than below it here: the 75th percentile is $8,120 over the median, the 25th only $3,480 under it. An offer at the 75th percentile adds about $10,477 a year in employer cost. These percentiles describe what people in the job earn locally, not experience levels, so place your offer by the tasks and seniority you need.
For scale, the US median of $45,930 falls between the 25th percentile and the median in Fresno, and the California statewide median of $54,490 falls between the median and the 75th percentile.
What a hire really costs in Fresno
Pay is only part of it. Benefits and payroll taxes other than paid leave are 22.5% of total compensation in US private industry2, which adds about $13,970 to the $48,120 median and brings it to $62,090 a year. Recruiting, equipment and office space come on top. Benefit levels vary by employer, so treat this as an estimate.
We place executive assistants, customer support and e-commerce staff today; for medical administrative assistants we answer within one business day whether we can help. Enter the monthly pay you have in mind to compare it with a local hire. The fee field shows our standard fee3; Deel's contractor plan is the default payroll tool4.
Other roles in Fresno
Of the 17 roles we track in Fresno, this one ranks #13 by median pay, between administrative assistants ($50,100) and customer support specialists ($46,070). Project Coordinator is the highest at $101,030.
| Role | Median | vs medical administrative assistant | Jobs |
|---|---|---|---|
| HR Assistant | +4.3% | 310 | |
| Administrative Assistant | +4.1% | 3,870 | |
| Medical Administrative Assistant | this role | 3,410 | |
| Customer Support Specialist | -4.3% | 4,550 | |
| E-commerce Order Specialist | -7.7% | 220 |
Measured against the US median, medical administrative assistants rank #4 of the 17 roles we track in Fresno (+4.8%), between data entry specialists (+5.2%) and virtual receptionists (+4.0%). The typical role here is at +1.3%, so, measured against the US, medical administrative assistants cost more in Fresno than the area's general pay level would suggest. Medical administrative assistants hold 9.7% of the jobs in these 17 roles in Fresno, 6.9% across California and 6.1% nationally. The job is a bigger part of the local workforce in these roles than it is nationally.
Other areas in California
Across the 28 areas of California with data for this job, the median runs from $45,820 in El Centro to $69,350 in San Jose-Sunnyvale, a gap of $23,530 a year. All 6 areas in California with more medical administrative assistants than Fresno also pay more, among them Los Angeles-Long Beach, CA ($51,410) and San Francisco-Oakland, CA ($61,330).
| Area | Median | vs Fresno | Jobs |
|---|---|---|---|
| Eastern Sierra-Mother Lode Region of California (Nonmetro) | +3.1% | 350 | |
| North Valley-Northern Mountains Region of California (Nonmetro) | +1.5% | 500 | |
| North Coast Region of California (Nonmetro) | +1.4% | 660 | |
| Fresno, CA | this area | 3,410 | |
| Stockton-Lodi, CA | -0.4% | 1,360 | |
| Visalia, CA | -1.2% | 900 | |
| Redding, CA | -1.3% | 590 |
Fresno against other US metro areas
By number of jobs, Fresno is #52 of 514 US areas for this job. It is one of the larger markets for this job and one of the better-paying ones. Outside California, Walla Walla and Washington-Arlington pay just above Fresno and Bremerton-Silverdale and Eau Claire just below. All four are within $160 a year of the median in Fresno. Of the three markets with about as many medical administrative assistants, none pays as much.
| Metro area | Median | vs Fresno | Jobs | Close in |
|---|---|---|---|---|
| Washington-Arlington, DC-VA | +0.3% | 18,960 | pay | |
| Walla Walla, WA | +0.0% | 60 | pay | |
| Fresno, CA | this area | 3,410 | ||
| Bremerton-Silverdale, WA | -0.1% | 220 | pay | |
| Eau Claire, WI | -0.3% | 350 | pay | |
| Cape Coral-Fort Myers, FL | -8.8% | 3,290 | jobs | |
| Oklahoma City, OK | -19.2% | 3,300 | jobs | |
| Chattanooga, TN-GA | -19.7% | 3,590 | jobs |
Questions
How much does it cost to hire a medical administrative assistant in Fresno, CA?
About $62,090 a year at the median, or $5,174 a month: $48,120 in pay plus about $13,970 in benefits and payroll taxes. Recruiting, equipment and office space are extra.
What do medical administrative assistants earn in Fresno?
Pay here is higher than in three quarters of US areas. The median was $48,120 a year in the May 2025 BLS survey. The 10th percentile was $39,010, the 90th $64,790, and the middle half earned $44,640 to $56,240.
Is Fresno cheaper than the rest of California for medical administrative assistants?
Yes, it costs less: a median of $48,120 against $54,490 statewide. The next area up in California is the North Coast Region of California nonmetro area at $48,810, the next down Stockton-Lodi at $47,950.
How many medical administrative assistants work in Fresno?
BLS counts about 3,410 in the May 2025 survey. That is 3% of the California total of 115,050. 6 areas in California have more; the closest in size is San Jose-Sunnyvale, with about 6,340.
Does a medical administrative assistant cost more than a customer support specialist in Fresno?
Yes: $2,050 a year more at the median. The medians are $48,120 and $46,070.
Sources
4 sources, with links
- BLS OEWS May 2025, 43-6013: bls.gov
- BLS Employer Costs for Employee Compensation, private industry, June 2026: bls.gov
- Stafka pricing: stafka.com
- Deel pricing, contractor management: deel.com
How these pages are built: methodology and data sources. Last updated 2026-11-12.