A senior ambulance service official was paid almost a quarter of a million pounds, according to the Taxpayers’ Alliance figures.
The region’s highest earning health boss identified in the report is Stephen Day, then the interim finance and commercial service director for the East of England Ambulance Service, who the alliance said received £247,500 during 2013-14.
But the trust said that figure related to the amount paid to an agency who employed Mr Day on an interim basis and that he himself had only received part of that total.
A spokesman said Mr Day had also not received benefits such as sick pay or a redundancy settlement.
She added: “Our remuneration committee is responsible for agreeing all senior pay, and any significant package proposals for new appointments which are over and above the guidelines they work within would be heavily scrutinised, however small the amount.”
Not far behind was the chief officer of the North Norfolk clinical commissioning group (CCG), Mark Taylor, who received over £232,000.
The West Norfolk CCG had one £100,000-plus earner, but none at higher pay scales.
Having originally focused on local government, the study has now been expanded to include the police and education.
Among our councils, Norfolk County Council had seven staff earning over £100,000 and one over £150,000.
Both West and North Norfolk Councils had only one member of staff earning £100,000 or more, with none in any higher pay scales, while no £100,000-plus pay packets were recorded at either the Breckland or South Holland councils.
Meanwhile, the alliance has also revealed that six Norfolk Police officers earned more than £100,000 during 2013-14.
Although the figure is higher than that for neighbouring Cambridgeshire, it is lower than for most other forces in the East of England.
A Norfolk Police spokesman said the force operated within Home Office pay guidelines.