All-Time Medal Count

Rank
 Country Gold Silver Bronze Total 
1 United States of America
 1,861
 1,379
 932
 4,172 
2 Cuba
 839
 566
 527 1,932 
3 Canada
 377 586 733 1,696 
4 Brazil  287 319 460 1,066 
5 Argentina 279 305 407 991 
6 Mexico
 197 258 460 915 
7 Venezuela
 85 183 257 525 
8 Colombia  82 134 195 411 
9 Chile
 38 86 133 257 
10 Puerto Rico  27 79 121 227 
11 Dominican Republic
 26 52 105 183 
12 Jamaica
 22 42 58 122 
13 Ecuador
 21 21 46 88 
14 Guatemala  14 14 37 65 
15 Uruguay 
 11 24 43 78 
16 Trinidad and Tobago  8 20 27 55 
17 The Bahamas
 7 13 11 31 
18 Peru  5 30 59 94 
19 Netherlands Antilles*
 5 9 17 31 
20 Costa Rica  5 6 8 19 
21 Panama
 3 23 31 57 
22 Suriname
 3 2 5 10 
23 French Guiana*
 2 4 10 16 
24
 El Salvador
 1 7 12 20 
25 Bermuda
 1 4 3 8 
26 Cayman Islands
 1 4 1 6 
27 Antigua and Barbuda
 1 0 3 4 
28 Nicaragua
 0 4 7 11 
29 United States Virgin Islands
 0 4 6 10 
30 Barbados
 0 3 9 12 
31 Haiti
 0 2 5 7 
32 Saint Kitts and Nevis
 0 2 0 2 
33 Paraguay
 0 1 6 7 
34 Honduras
 0 1 4 5 
35 Bolivia
 0 1 4 5 
36 Grenada
 0 1 2 3 
37 Dominica
 0 1 2 3 
38 Belize
 0 0 2 2 
39 Saint Lucia
 0 0 2 2 
40 Guyana
 0 0 2 2 
41 Saint Vincent and the Grenadines
 0 0 1 1 
42 Aruba
 0 0 0  0 
43 British Virgin Islands
 0 0 0 0 

*No longer a member of PASO