A look at what nations have won medals in the Pan Am Championships over the years. Broken down is the country totals of Gold, Silver and Bronze Medals dating back to 1979.
| Country | Style | Gold | Silver | Bronze | Total |
| Argentina | Greco-Roman | 3 | 11 | 14 | |
| Men's Freestyle | 4 | 9 | 13 | ||
| Women's Freestyle | 1 | 2 | 8 | 11 | |
| ARG Total | 1 | 9 | 28 | 38 | |
| Brazil | Greco-Roman | 1 | 10 | 24 | 35 |
| Men's Freestyle | 5 | 11 | 16 | ||
| Women's Freestyle | 8 | 14 | 34 | 56 | |
| BRA Total | 9 | 29 | 69 | 107 | |
| Canada | Greco-Roman | 2 | 14 | 22 | 38 |
| Men's Freestyle | 6 | 59 | 97 | 162 | |
| Women's Freestyle | 46 | 35 | 28 | 109 | |
| CAN Total | 54 | 108 | 147 | 309 | |
| Chile | Greco-Roman | 1 | 4 | 5 | |
| Men's Freestyle | 1 | 2 | 3 | ||
| CHI Total | 2 | 6 | 8 | ||
| Colombia | Greco-Roman | 2 | 19 | 31 | 52 |
| Men's Freestyle | 1 | 19 | 32 | 52 | |
| Women's Freestyle | 8 | 17 | 20 | 45 | |
| COL Total | 11 | 55 | 83 | 149 | |
| Costa Rica | Men's Freestyle | 1 | 1 | 2 | |
| CRC Total | 1 | 1 | 2 | ||
| Cuba | Greco-Roman | 196 | 30 | 18 | 244 |
| Men's Freestyle | 117 | 56 | 46 | 219 | |
| Women's Freestyle | 9 | 13 | 19 | 41 | |
| CUB Total | 322 | 99 | 83 | 504 | |
| Dominican Republic | Greco-Roman | 4 | 16 | 33 | 53 |
| Men's Freestyle | 8 | 19 | 27 | ||
| Women's Freestyle | 3 | 6 | 9 | ||
| DOM Total | 4 | 27 | 58 | 89 | |
| Ecuador | Greco-Roman | 3 | 1 | 10 | 14 |
| Men's Freestyle | 1 | 7 | 8 | ||
| Women's Freestyle | 5 | 12 | 10 | 27 | |
| ECU Total | 8 | 14 | 27 | 49 | |
| El Salvador | Men's Freestyle | 3 | 3 | 6 | |
| Women's Freestyle | 1 | 12 | 13 | ||
| ESA Total | 4 | 15 | 19 | ||
| Guatemala | Greco-Roman | 3 | 14 | 17 | |
| Men's Freestyle | 3 | 5 | 8 | ||
| Women's Freestyle | 3 | 3 | |||
| GUA Total | 6 | 22 | 28 | ||
| Honduras | Greco-Roman | 1 | 2 | 4 | 7 |
| Men's Freestyle | 1 | 1 | |||
| HON Total | 1 | 2 | 5 | 8 | |
| Jamaica | Greco-Roman | 1 | 1 | ||
| JAM Total | 1 | 1 | |||
| Mexico | Greco-Roman | 33 | 33 | 66 | |
| Men's Freestyle | 1 | 17 | 23 | 41 | |
| Women's Freestyle | 3 | 7 | 28 | 38 | |
| MEX Total | 4 | 57 | 84 | 145 | |
| Nicaragua | Men's Freestyle | 1 | 1 | ||
| NCA Total | 1 | 1 | |||
| Panama | Greco-Roman | 5 | 5 | 10 | |
| Men's Freestyle | 3 | 5 | 8 | ||
| Women's Freestyle | 1 | 1 | |||
| PAN Total | 9 | 10 | 19 | ||
| Paraguay | Men's Freestyle | 1 | 1 | ||
| PAR Total | 1 | 1 | |||
| Peru | Greco-Roman | 1 | 5 | 19 | 25 |
| Men's Freestyle | 8 | 11 | 19 | ||
| Women's Freestyle | 2 | 10 | 12 | 24 | |
| PER Total | 3 | 23 | 42 | 68 | |
| Puerto Rico | Greco-Roman | 4 | 11 | 15 | |
| Men's Freestyle | 2 | 17 | 19 | 38 | |
| Women's Freestyle | 3 | 6 | 8 | 17 | |
| PUR Total | 5 | 27 | 38 | 70 | |
| United States | Greco-Roman | 68 | 97 | 79 | 244 |
| Men's Freestyle | 147 | 57 | 49 | 253 | |
| Women's Freestyle | 70 | 32 | 34 | 136 | |
| USA Total | 285 | 186 | 162 | 633 | |
| Venezuela | Greco-Roman | 8 | 41 | 69 | 118 |
| Men's Freestyle | 3 | 16 | 49 | 68 | |
| Women's Freestyle | 23 | 25 | 39 | 87 | |
| VEN Total | 34 | 82 | 157 | 273 |
