Practice Manager

Salary band

Base salary, gross annual

25th percentile

€42,000

Median

€52,000

75th percentile

€65,000

For reference: the statutory minimum wage in Germany has stood at €13.90 gross per hour since January 1, 2026 — roughly €2,410 gross a month for a full-time role at 40 hours/week. (BMAS: Mindestlohn steigt zum 1. Januar 2026 auf 13,90 Euro)

Gross fixed salary per year for a Practice Manager with 4-10 years of experience in a German medical, dental or MVZ (medical care center) practice (5-25 staff, 1-6 physicians / practitioners). Munich, Frankfurt, Hamburg and Düsseldorf pull the range up by 10-15 %; rural regions and the East pull it down by 5-10 %. MVZ structures, large multi-practitioner practices and profiles with KV (statutory health insurance association) billing and QM officer (quality-management officer) experience sit at the top end. Profiles limited to reception and appointment coordination, without billing or staff responsibility, sit at the lower end or fall within the TV-MFA (medical assistant collective agreement) framework. The role rarely has a structural variable component; some practices pay a 13th month's salary or a simple performance share tied to quarterly metrics (private-pay revenue, recall rate).

Sources: Destatis Verdiensterhebung Gesundheitswesen (April 2025); StepStone Gehaltsreport Gesundheitswesen 2026; Bundesärztekammer Statistik der Arzt- und Zahnarztpraxen 2025; Glassdoor Gehaltsdaten Praxismanager Deutschland 2025