1099 Medical Assistant Jobs in Goldsboro, NC
Pay, market size and contractor rates for independent medical assistants across the Goldsboro, NC area.
- Medical Assistants employed
- 130
- Median annual pay
- $37,190
- 1099 equivalent
- $49,606
- Suggested hourly
- $29.81
- Metro population
- 120,000
BLS OEWS, May 2024
all employment types
1.33× — estimate
at 80% utilisation
Census, 2024
Goldsboro, NC has 130 medical assistants and a median wage of $37,190. This page works through what that means for an independent contractor: the pay spread, the rate you need to quote to come out ahead of payroll, and the tax and classification rules that apply in North Carolina.
Every figure is from the Bureau of Labor Statistics' Occupational Employment and Wage Statistics programme (May 2024) or the Census Bureau's 2024 population estimates. Where BLS suppressed a number for this market, the sentence that would have used it is simply absent — nothing here is filled in with an estimate unless it is labelled as one.
Goldsboro by the numbers
The occupation employs 130 people across Goldsboro, NC. That figure counts every employment arrangement, W-2 and 1099 alike — BLS does not split the two. Applying 1099WORK's estimate that roughly 15% of medical assistants work on a 1099 basis puts the independent share near 20 people. Treat that as an order of magnitude, not a census. By headcount the market ranks 377th of the 385 metro areas where BLS publishes a figure for this occupation.
The location quotient is 0.62 — medical assistants are 38% less concentrated here than in the average US market. That thins the employer pool, but it also thins the competition for the contracts that do exist. The metro's population is 120,000, roughly flat since 2020.
A thin concentration cuts both ways: fewer employers and longer sales cycles, but far less competition once you have a relationship. Pricing off a national average will read as expensive in this market, whatever the work is worth.
Earnings in Goldsboro
BLS puts median annual pay in Goldsboro at $37,190. That works out to $17.88 an hour at a standard 2,080-hour year. That is 15.9% below the national median of $44,200.
The spread matters more than the midpoint for anyone working 1099. The gap between the 10th and 90th percentile is $13,050, which is the range your negotiating position, client mix and specialisation actually move you across. Top-decile earners clear $44,190, against $31,140 at the bottom decile. These are W-2 and 1099 earnings combined, before any contractor adjusts for self-employment tax and unfunded benefits — which is what the next section is for.
| Percentile | Annual | Hourly |
|---|---|---|
| 10th percentile | $31,140 | $14.97 |
| Median | $37,190 | $17.88 |
| Mean | $37,030 | $17.80 |
| 90th percentile | $44,190 | $21.25 |
Goldsboro against the wider market
Goldsboro pays 12.7% below the North Carolina median. Against the national median of $44,200 it sits 15.9% below. The location quotient column is the one worth reading twice: it measures how concentrated the occupation is relative to the national average, and it moves independently of pay.
| Area | Employed | Median annual | 90th percentile | Location quotient |
|---|---|---|---|---|
| Goldsboro | 130 | $37,190 | $44,190 | 0.62 |
| North Carolina | 23,970 | $42,600 | $51,720 | 0.95 |
| United States | 793,460 | $44,200 | $57,830 | — |
Setting your 1099 rate in Goldsboro
A 1099 contract that pays the same headline number as a W-2 job is a pay cut. You pick up the employer's half of payroll tax, you stop being paid for holidays and time off, and health cover and retirement come out of your own revenue. Matching a $37,190 salary in Goldsboro therefore takes about $49,606 in contractor gross — a multiplier of 1.33×.
Spread across a full 2,080-hour year that is $23.85 an hour. Nobody bills 2,080 hours: at a more realistic 80% utilisation, with the rest going to admin, invoicing and finding the next contract, the number you should quote is closer to $29.81.
The 1.33× multiplier assumes:
- 7.07% for the employer half of FICA, which self-employment tax shifts onto you
- 20 unpaid days a year — roughly ten holidays plus two weeks off
- 15% for health coverage and retirement you now fund yourself
- excludes business insurance, mileage, accounting fees and unbilled time
What to quote, by experience level
The percentile spread above is more useful as a rate card than as a statistic. Each row below takes a point in the local wage distribution and applies the same 1.33× contractor multiplier, then divides across a realistic 80% billable year. Treat the middle row as your default and the bottom row as a floor you do not go under — not as a starting offer.
| Position in the local market | Annual equivalent | Hourly at 80% utilisation |
|---|---|---|
| Entering the market (10th percentile) | $41,536 | $24.96 |
| Established (median) | $49,606 | $29.81 |
| Specialised (90th percentile) | $58,943 | $35.42 |
Nearby markets for medical assistants
Contractors are not bound by a metro line the way a commuting employee is, and the neighbouring markets often price the same work differently. Within reach of Goldsboro:
| Metro | Employed | Median annual |
|---|---|---|
| Charlotte | 6,890 | $45,330 |
| Virginia Beach | 3,460 | $38,920 |
| Raleigh | 3,370 | $42,900 |
| Greensboro | 1,490 | $44,220 |
| Winston | 1,340 | $42,160 |
Tax, in short
Nothing is withheld from a 1099 payment. You pay self-employment tax at 15.3% on 92.35% of net profit, plus income tax, in four estimated payments a year. At the Goldsboro median that is roughly $1,314 a quarter in self-employment tax alone, before income tax. North Carolina adds its own income tax and its own estimated-payment schedule on top.
One thing to get right first
Labelling an engagement 1099 does not make it 1099 — the IRS weighs who controls the work, who supplies the tools and who carries the risk. For medical assistants the usual flashpoints are set schedules, employer-supplied equipment and exclusivity clauses. North Carolina also applies its own test, which can reach a different answer than the IRS does on identical facts.
1099WORK, briefly
1099WORK is a marketplace built for 1099 engagements specifically: companies post a defined scope, medical assistants keep one verified profile, and agreements, onboarding and payment happen in the same place. It launched as 1099REPS for independent medical sales reps and now covers the wider 1099 economy, Goldsboro included.
Frequently asked questions
Is 1099 work better than a W-2 job in Goldsboro?
It depends entirely on rate and stability. 1099 wins on control, deductibility and upside; W-2 wins on predictability, benefits and unemployment cover. As a rule of thumb, a 1099 engagement needs to pay about 1.33× the equivalent salary before it is genuinely better money.
Do I need an LLC to work 1099 in Goldsboro?
No. A sole proprietor can accept 1099 work under their own name and Social Security number, and many contractors start that way. An LLC adds liability separation and lets you elect S-corp taxation once profit is high enough for the payroll-tax saving to beat the extra filing cost. North Carolina sets its own formation fee and annual report requirements.
How often do 1099 contractors pay taxes in Goldsboro?
Quarterly. The IRS expects estimated payments in mid-April, mid-June, mid-September and mid-January, and charges an underpayment penalty for missing them even if you pay in full at filing. North Carolina runs its own estimated-payment schedule alongside the federal one.
How many medical assistants work in Goldsboro?
BLS counts 130 medical assistants in Goldsboro. 1099WORK estimates roughly 20 of them work on a 1099 basis, though BLS does not publish that split. That is 377th of 385 US metro areas.
What hourly rate should a 1099 medical assistant charge in Goldsboro?
About $29.81 an hour at 80% utilisation, derived from the $37,190 local median. That builds in the employer half of payroll tax, twenty unpaid days a year and a 15% allowance for self-funded health cover and retirement. It excludes business insurance, mileage and unbilled sales time.
How much does a 1099 medical assistant make in Goldsboro?
The median medical assistant in Goldsboro earns $37,190 a year according to BLS OEWS data for May 2024, covering W-2 and 1099 workers together. The top decile clears $44,190. Working 1099, you would need roughly $49,606 in gross billings to match that median after self-employment tax and unfunded benefits.