Medical Administrative Assistant salary in Richmond, VA

Pay in Richmond against Virginia and the US

The middle half of medical administrative assistants in Richmond earns $38,750–$46,860. Pay is tightly grouped: the top tenth starts at $53,830, only 1.5 times the bottom tenth, against 1.7 times across the US, so the going rate is easier to read. The mean ($44,230) is no higher than the median, so few high earners skew the figures here. From the 25th to the 75th percentile, the local range is only $8,110 wide, against $9,220 across Virginia and $12,010 nationally: employers in Richmond pay within a narrower band.

What to budget for a medical administrative assistant here

Local pay is bunched just above the median: the 75th percentile is only $2,550 over it, while the 25th sits $5,560 below. Moving an offer from the median to the 75th percentile costs about $3,290 more a year with benefits. 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 median and the 75th percentile in Richmond, and the Virginia statewide median of $46,180 falls there too.

What a hire really costs in Richmond

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 $12,864 to the $44,310 median and brings it to $57,174 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 Richmond

Of the 17 roles we track in Richmond, this one ranks #13 by median pay, between administrative assistants ($47,840) and e-commerce order specialists ($42,830). Project Coordinator is the highest at $102,170.

Measured against the US median, medical administrative assistants rank #12 of the 17 roles we track in Richmond (-3.5%), between data entry specialists (-2.6%) and virtual receptionists (-4.2%). The typical role here is at +0.1%, so, measured against the US, medical administrative assistants cost less in Richmond than the area's general pay level would suggest. Medical administrative assistants hold 5.9% of the jobs in these 17 roles in Richmond, 6.5% across Virginia and 6.1% nationally. That is close to the national mix.

Other areas in Virginia

Across the 13 areas of Virginia with data for this job, the median runs from $37,270 in Roanoke to $46,130 in the Northwest Virginia nonmetro area, a gap of $8,860 a year. The one area in Virginia with more medical administrative assistants, Virginia Beach-Chesapeake, VA-NC ($44,080), pays less: a bigger pool at a lower median.

Richmond against other US metro areas

By number of jobs, Richmond is #46 of 514 US areas for this job. It is one of the larger markets for this job, with pay near the middle of the US range. Outside Virginia, Missoula and Idaho Falls pay just above Richmond and State College and Lake Havasu City-Kingman just below. All four are within $60 a year of the median in Richmond. Of the three markets with about as many medical administrative assistants, all three pay more.

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Sources

How these pages are built: methodology and data sources. Last updated 2026-11-12.