How to Start Earning Money With Telemedicine in Nigeria
By Medtrix Doctor Onboarding Team · Medically reviewed by Medtrix Clinical Review Board · 28 April 2026 · 5 min read
What you can realistically earn
Earnings depend on your specialty, hours, and how visible you make yourself on the platform. Realistic ranges seen across Nigerian telemedicine in 2026:
- General practitioner, evenings only (10–15 hours/week): ₦80,000 – ₦250,000 per month
- GP, full-time on platform (35+ hours/week): ₦400,000 – ₦900,000 per month
- Specialist (psychiatrist, paediatrician, gynae), part-time: ₦200,000 – ₦600,000 per month
- Specialist, full-time + visibility: ₦800,000 – ₦2,000,000+ per month
These are net to the doctor — platform fees are separate, paid by the patient on top of your fee (gross-up pricing).
How to set your consultation fee
A simple framework that works:
- House officers / fresh MBBS: ₦2,000 – ₦3,500 per call. Build reviews and volume first.
- Registrars / 2–5 years experience: ₦3,500 – ₦6,000.
- Senior registrars / GPs with strong following: ₦5,000 – ₦10,000.
- Consultants: ₦8,000 – ₦25,000 depending on specialty (psychiatrists and dermatologists tend to be highest).
On Medtrix you set this number yourself and can change it at any time. Patients see the price upfront so there is no negotiation.
Step-by-step: get to your first paid call in 48 hours
- Register. On Medtrix: dial *9010# → “Doctor sign-up” or visit medtrix.io/doctor-portal.
- Submit credentials. Upload MDCN folio number, valid practising licence, NYSC discharge (if applicable), one photo ID, your headshot.
- Verification (typically within 24 hours). The platform cross-checks your folio against the MDCN register and reviews your documents.
- Set your specialty, fee, languages and availability.
- Go live. The platform routes its next matching consultation request to you.
How to actually get booked
- Be available when patients are. Evenings (7–10pm) and weekends are the busiest windows. Overnight (11pm–6am) is the highest-paying.
- Complete your profile. A clear headshot, languages, specialty, and a 50-word bio doubles your booking rate.
- Reply fast. Patients pick the doctor that picks up first. Aim to confirm within 60 seconds when you're online.
- Collect reviews. 5-star ratings push your profile up the platform's default list.
- Pick a niche. “Mental health for working professionals” gets booked more than “General practice”.
Frequently asked questions
How and when do I get paid?
Most platforms pay weekly to your Nigerian bank account, with a withdraw-on-demand option for balances above a minimum threshold. On Medtrix, you can request payout from your dashboard at any time after your first consultation clears.
Do I pay tax on telemedicine income?
Yes. Consultation income is professional income and should be declared annually to FIRS / your state internal revenue service. Many doctors register a personal service company to manage this efficiently.
Can I do this while working a full-time hospital job?
Yes, and most doctors who earn well from telemedicine do exactly that. Confirm your employer's policy and use the platform's availability toggle to control when you receive calls.
Sources & further reading
Information in this article is verified against the following primary sources, current at the time of review.
- MDCN public register
- Federal Inland Revenue Service (FIRS) — personal income tax — Tax obligations on telemedicine earnings.
- Corporate Affairs Commission (CAC)
Related guides
Editorial note: this guide is for general information and does not replace a one-to-one consultation with a registered Nigerian doctor. If you are unwell, dial *9010# or call 112 in an emergency.