You can also look at public incomes of physicians in for example, transparent california. Single phsyician practices with over 1mil in income is pretty common.
the only way a specialist makes more than 200k is:
1)owns a significant interest in a surgicenter
2)is a dermatologist
3)is an administrator
4)works to death (>100 hrs a week and dont forget the on call)
Reimbursement is set by the fed (medicare rates) and ins cos base their rates off of that.
It would of course take a hell of a lot of variance for a significant percentage of doctors to be pulling in a million plus. With 713,000 working doctors, there will be a fair number pulling in lots more than average.