Rankings, 2025
The highest paid, the biggest raises and the employers with the most people on the MSP Blue Book.
Highest paid in 2025
Biggest raises, 2024 to 2025
Same person, same employer, both years on the list. Large jumps often include one-time payments such as retirement or severance.
Most people on the list
| Employer | Median | People |
|---|---|---|
| Medical Services Plan | $286,600 | 13,012 |
Highest median payment
Employers with 25 or more people on the list.
| Employer | Median | People |
|---|---|---|
| Medical Services Plan | $286,600 | 13,012 |
Fastest growing, 2024 to 2025
| Employer | Added | People |
|---|---|---|
| Medical Services Plan | +319 | 13,012 |
Questions and answers
Who was the highest-paid public employee in British Columbia in 2025?
Michael Ross, at Medical Services Plan, with a salary of $5,772,308.
Who got the biggest raise from 2024 to 2025?
Darrell Robert Lewis, at Medical Services Plan: from $59,797 to $1,213,105 (+$1,153,308, +1928.7%). Jumps this large often include one-time payments such as retirement or severance.
Which employer has the highest median payment?
Medical Services Plan, with a median of $286,600 in 2025 among employers with 25 or more people on the list.
Which employer added the most people to the list in 2025?
Medical Services Plan: 12,693 people in 2024, 13,012 in 2025.
What is “gross payments”?
Gross payments for insured services in the fiscal year, as the Medical Services Commission publishes them, before the practice costs (staff, rent, equipment) practitioners pay from them: not a salary or take-home pay. How the lists work