Average income is more like $32K.
[1] https://www.bls.gov/news.release/wkyeng.t01.htm
Also, while I don't know about the competitiveness of jobs in certain locations, rural states can have some of the higher mean wages for fam and gen practioners (https://www.bls.gov/oes/current/oes291062.htm).
Average income is more like $32K.