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PERM law firm, #7 of 5,571 by cases

Musillo Unkenholt, LLC

Biggest client
Management Health Systems, LLC · 53% of its cases
Main job
Medical and Clinical Laboratory Technologists · 48% of its cases
Filed from
Ohio · The address on its filings

Is Musillo Unkenholt, LLC handling your case?

  • When it'll likely be decided
  • An email when DOL moves it

It's on your ETA-9089 receipt. It goes into the page's address, so you can bookmark the result.

Don't have the number? Find it among this firm's filings.

Cases

5,334

#7 of 5,571

Certified

5,098

3 denied

Approval

99.9%

field 96.8%

Median wage

$54,080

offered, per year

Median days

467

2 faster than the field

The practice

Who they file for, what the jobs are and where the work sits, from the employer, occupation and worksite on their own applications.

Who they file for

  1. Management Health Systems, LLC 2,849 filings · 100.0% approved
  2. Management Health Systems, LLC DBA MedPro 869 filings · 100.0% approved
  3. Health Carousel, LLC 551 filings · 100.0% approved
  4. Conexus MedStaff LLC 439 filings · 100.0% approved
  5. Comtrix Solutions, Inc. 172 filings · 100.0% approved
  6. Cosmic Healthcare, LLC 127 filings · 100.0% approved
How this is counted

The employers named on the most applications from this firm. 5,007 of 5,334 filings, 94% of the total.

What the jobs are

Medical and Clinical Laboratory Technologists

SOC 29-2011.00 · 2,574 filings, 48% of everything they file · 100.0% approved

How this is counted

These are the 6 occupations with the most filings, 4,874 of 5,334 cases between them. The occupation on a PERM is the SOC code on the form, which is the job as DOL classifies it rather than the job title on the offer. DOL still accepts two SOC vintages, so one job can appear twice under two codes; the code is printed for exactly that reason.

Where the jobs are

  • Florida 916
  • Virginia 304
  • Ohio 244
  • Texas 141
  • New York 45
  • Georgia 25
How this is counted

The worksite state on the application, which is where the job is and not where the company is headquartered. Volume by state across everyone is on the state map. These 6 states cover 1,675 of 5,334 filings.

Newspapers it advertised in

  1. Sun-Sentinel

    2,850 cases

  2. Cincinnati Enquirer

    356 cases

  3. Houston Chronicle

    315 cases

  4. The Washington Post

    301 cases

  5. The Commercial Appeal

    42 cases

  6. The Atlanta Journal-Constitution

    25 cases
How this is counted

The newspaper or professional journal named for each case's two print ads, one count per paper per case, however the filer spelled it.

Additional steps it used

  1. Job search websites

    3,074 cases

  2. The employer's website

    3,057 cases

  3. Local or ethnic newspapers

    2,340 cases

  4. Employee referral programs

    745 cases

  5. Trade or professional organizations

    13 cases

  6. Radio or TV ads

    7 cases
How this is counted

The steps a professional job needs beyond the job order and the ads, by the number of cases that name each.

How long before filing it began

  1. Under 30 days

    0.0%

  2. 30 to 59 days

    under 0.1%

  3. 60 to 89 days

    6.1%

  4. 90 to 119 days

    22%

  5. 120 to 149 days

    29%

  6. 150 to 180 days

    43%

  7. Over 180 days

    0.1%
How this is counted

Days from the first recruitment step to the filing. 20 C.F.R. § 656.17(e) puts the job order and ads 30 to 180 days before filing.

Where every PERM employer recruits

Every program

Beyond PERM: its other work for clients

DOL names the law firm or agent on each H-1B labor condition application, prevailing wage request and H-2A, H-2B and CW-1 application it publishes. These are the ones that name Musillo Unkenholt, LLC, under 5 spellings of its name.

H-1B LCAs

4,824 LCAs filed for clients, 88% certified

Decided from October 2019 to June 2026.

The employers it filed the most for

  1. Management Health Systems, LLC 1,977
  2. Avant Healthcare Professionals, LLC. 391
  3. Conexus Medstaff LLC 363
  4. Health Carousel, LLC 144
  5. Aegis Therapies, Inc. 132
  6. Vizva Tech Solutions, LLC. 98
  7. Tyler Technologies, Inc. 87
  8. Comtrix Solutions, Inc. 82

Prevailing wage requests

12,119 wage requests

Decided from October 2023 to June 2026.

The employers it filed the most for

  1. Avant Healthcare Professionals, LLC. 5,195
  2. Management Health Systems, LLC 2,065
  3. Sanford 1,410
  4. Conexus MedStaff LLC 693
  5. Jackson Therapy Partners, LLC. 571
  6. Adventist Healthcare, Inc. 166
  7. Methodist Le Bonheur Healthcare 131
  8. Autumn Corporation 125

H-2A, H-2B and CW-1

5 applications, 80% certified

Decided from March 2025 to April 2026.

The employers it filed the most for

  1. J.D. Dunninaday Landscapes Limited Partnership 2
  2. R&L Carriers Shared Services, LLC 1
  3. R&L Carriers Shared Services, L.L.C. 1
  4. OLCO Inc. 1

Against other firms

Where it sits among 5,571 firms. The full ranking sorts every column.

Position in the field 1,124 firms with 30+ decided

Approval rate

99.9%ahead of 71%

0% 100%

Median days to decision

467 daysahead of 52%

361d 1059d
Each bar counts firms at that value. More
Each bar counts firms at that value. Firms with fewer than 30 decided cases are left out of the population rather than plotted, because a rate over a handful of cases lands wherever the handful landed. The line marks this one. Approval rates pile up against 100%, so read the ties in the label rather than the position of the line.
DOL PERM disclosure files

Against the firms ranked nearest

The 66 firms ranked nearest filed between 607 and 48,351 cases.

Their median wait
466 days
This one
467 days

This one sits 1 days behind them.

Why no approval rate

A band is a slice of the volume ranking rather than a population picked for having enough decided cases, so a band rate would be solid at the top of the list and noise at the bottom, under one heading.

Where this sits in the ranking

Ranked 7 of 5,571 by volume: 6 filed at least as many cases, and 5,564 filed no more.

Just above
Vialto Partners LLP 5,770 cases
Just below
Momentum Immigration 5,048 cases

Other Ohio firms at this volume

Practices filing from Ohio at a similar rate, taken from the ranks nearest this one. More

Practices filing from Ohio at a similar rate, taken from the ranks nearest this one. State is the address on the filing, so a national firm appears under whichever office signed the form.

For the firm

Work at Musillo Unkenholt, LLC? Claim this page

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What the firm handles

Free. An address at a domain DOL's own filings list for this firm is confirmed by the link alone; any other address is checked by a person first. What you send shows here as the firm's own words once we've read it, and we can take it down.

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Running the practice?

The free tracker carries the deadlines on every case, from the wage request to the I-140.

Notes on these numbers

What this rank counts, and what it doesn't

DOL prints the name that went on the form, so one firm can appear under several. 1 other spelling of this name was folded into this page and its cases are counted here. Nothing else in the file starts the same way.

What these numbers don't say

5 notes
The wage is the job, not the payer
Their filings are led by Medical and Clinical Laboratory Technologists, 2,574 of 5,334. The median offered wage moves almost entirely with what roles their clients file. A software developer and a poultry cutter are different numbers wherever they are filed, so this figure is not plotted against the field and no percentile is given for it: that comparison would rank occupation mix and call it pay. Wages by occupation are on the wages page.
Nothing here is waiting
All 5,334 of the cases on this page carry a decision date, because every row in DOL's disclosure files does, so a case still in the queue is in none of these counts. The live tracker that does see pending cases records the employer on each one and not the firm, so a firm's current queue cannot be broken out at all. Where the queue stands overall is on the processing times page.
The approval rate barely separates firms
This firm is at 99.9%. Across every firm with enough decided cases to carry a rate the median is above 99%, and hundreds have no denials at all. Placing near the top of that axis mostly means being level with the rest of it.
None of this measures the advice
It measures filings that DOL approved or denied. Whether the case was worth filing, what it cost, and how the firm handled an audit aren’t in these files.
A median over 5,101 decided cases
DOL works one national queue, oldest first, whoever filed the case, so this says when the firm's cases were filed at least as much as anything about the firm. Where the queue stands today is on the processing times page.

The window these figures cover: DOL's PERM disclosure files for fiscal years 2024 to 2026, through the third quarter of 2026, 373,939 decided cases. Nothing pending is counted here. How each figure is built

Filings newer than DOL's last published file can't be attributed to this firm until DOL publishes them. The live list on the case search page carries them by employer.

Case data: DOL quarterly disclosure files (flag.dol.gov) · data through Jun 30, 2026 · quarterly

Employers and firms: Derived from DOL's disclosure files · data through Jun 30, 2026 · rebuilt with each quarterly load

LCA disclosures: DOL quarterly LCA disclosure files (www.dol.gov) · data through Jun 30, 2026 · quarterly

Wage determinations: DOL quarterly PW disclosure files (www.dol.gov) · data through Jun 30, 2026 · quarterly

What each source includes

Case data: Decided PERM cases only. A case still waiting isn't in here, so counts and durations describe finished cases.

Employers and firms: Employers, law firms and occupations ranked from decided cases only.

LCA disclosures: Certified and denied H-1B labor condition applications only, with the wage offered.

Wage determinations: Decided prevailing wage requests only, with the wage DOL determined. Pending requests are absent.

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