Senior Physician Assistant Salary in Mililani Town, HI: $220,730 (2026)
Quick Answer:The top tier of physician assistants working in Mililani Town, HI — those at or above the 90th percentile — pull in $220,730/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 29-1071. Strip back Mililani Town's price premium (BEA RPP 119.3, 19% above national) and that top-decile pay carries the same buying power as $185,021 in average-cost America. The 33% spread above city median typically rewards 7+ years of practice or specialty credentials.
Based on BLS state-level estimates · View source
Reaching senior status as a physician assistant in Mililani Town, Hawaii, offers substantial earning potential, with the 2026 projected salary for top earners (P90) hitting $220,730 annually and the P75 earning $195,678. This impressive compensation reflects a significant premium for experienced physician assistants, as it places the median annual salary of $166,134 into sharper perspective. The difference between the median and the highest earners underscores the importance of strategic career choices and advanced skill development. To ascend to this elite pay level, practitioners often require extensive experience, specialized training, and a proactive approach to career advancement in a highly competitive healthcare environment.
About the Mililani Town Market
Salary estimated from Hawaii average ($132,000) adjusted for local cost of living.
2026 Salary Percentile Distribution in Mililani Town
Experienced physician assistants at the top of the pay scale in Mililani Town earn between $195,678 and $220,730 per year (2026 est.). This $95,498 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Mililani Town median of $166,134 sits 18.34% above the US median.
Top PA Salary Comparison
| Level | Mililani Town | National |
|---|---|---|
| Median (P50) | $166,134 | $140,391 |
| 75th Percentile | $195,678 | $169,424 |
| 90th Percentile (Top 10%) | $220,730 | $196,597 |
In Mililani Town, experienced physician assistants (P90) earn 32.86% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Physician Assistant Pay in Mililani Town
Advanced Certifications in Hawaii
HI physician assistants with additional specialty certifications within the physician assistant field earn significantly above the $166,134 median. Expanded-scope credentials are increasingly valued by Mililani Town employers.
Specialty Focus
Physician Assistants focusing on high-acuity or specialty areas within the physician assistant field in Mililani Town command premium compensation, often reaching the $195,678–$220,730 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Mililani Town metro area often pay above-market rates for experienced physician assistants who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured physician assistants in Mililani Town with established relationships have strong negotiating leverage. In this developing market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Physician Assistants in Hawaii who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Physician Assistant Career & Wage Growth Path in Mililani Town
Clinical Physician Assistant
0-5 yearsSenior/Lead Physician Assistant
5-10 yearsPhysician Assistant Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedMililani Town ranks #7 of 10 Hawaii cities for top earner physician assistant salary (90th percentile: $220,730).
Top 10% physician assistant compensation in Mililani Town ($220,730) is 12.22% above the Hawaii average P90 ($196,703).
2019 BLS Actual
$176,407
2025 BLS Actual
$213,637
2026 Current Est.
$220,730
2019–2027 Growth
+29.3%
Salary Trajectory for Physician Assistants in Mililani Town (2019–2027)
2019–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 3.32% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2019 | $176,407 | Actual |
| 2020 | $182,413 | Actual |
| 2021 | $184,827 | Actual |
| 2022 | $188,757 | Actual |
| 2023 | $191,755 | Actual |
| 2024 | $202,521 | Actual |
| 2025 | $213,637 | Actual |
| 2026(current) | $220,730 | Estimated |
| 2027 | $228,058 | Projected |
Top-earning physician assistants (90th percentile) in Mililani Town saw their compensation grow 21.1% from $176,407 in 2019 to $213,637 in 2025, based on 7 years of BLS OEWS data for this metropolitan area. At a 3.32% annual growth rate, senior-level pay is projected to reach $228,058 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2019–2025) are actual BLS OEWS figures for the Mililani Town metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 3.32% CAGR derived from 7-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Maximizing Your Physician Assistant Earnings in Mililani Town
In Mililani Town, certain areas of specialization can significantly enhance earning capacity. Advanced roles in surgical disciplines, particularly orthopedics and cardiothoracic surgery, are known to attract premium compensation due to the high demand for first-assist opportunities and related billing practices. Employer type also heavily influences senior physician assistant pay in HI; for instance, positions within hospital systems or surgical specialty practices typically offer more competitive benefits and salary structures than primary care offices or urgent care clinics. Notably, leadership positions such as lead PA or PA program faculty not only boost salary prospects but also contribute to professional growth. Gaining advanced credentials like a Master’s degree from an ARC-PA accredited program and NCCPA certification can further solidify an experienced physician assistant's standing in this dynamic market while optimizing total compensation through productivity bonuses and revenue alignment.
More salary data for Mililani Town, HI:
Frequently Asked Questions
How much do experienced physician assistants make in Mililani Town in 2026?
What drives higher physician assistant pay in Mililani Town?
What certifications boost physician assistant salary in Mililani Town?
Can experienced physician assistants make six figures in Mililani Town?
How much does physician assistant salary increase over time in Mililani Town?
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Written by Jessica Tran, MPAS, PA-C
Career Analyst
Jessica has 10 years of experience as a physician assistant. Her specialty is cardiology in an outpatient setting.
Methodology & Data Source
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $213,637 for physician assistants in the Mililani Town metro area. A 3.32% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Salary data for Mililani Town is estimated from official BLS state-level occupational wage data (2025), adjusted for regional cost-of-living differences using BEA RPP (Regional Price Parities).
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 3.32%, derived from historical BLS wage trends for physician assistants (SOC 29-1071).
Compiled and verified by Jessica Tran, MPAS, PA-C, a licensed physician assistant with 10+ years of clinical experience. · View source data at BLS.gov