Updated
PERM occupation, SOC 29-1216.00, #41 of 1,410 by filings
General Internal Medicine Physicians
- Biggest sponsor
- South Sound Inpatient Physicians, PLLC · 3% of its filings
- Busiest state
- NY · 9% of its filings
- Major group
- Healthcare practitioners · SOC 29
Weighing an offer for this job?
Where it falls among certified offers, and the four wage levels DOL sets for it by area.
Median wage
$251,790
all PERM $103,272
Filings
1,531
#41 of 1,410
Approval
98.9%
field 96.8%
Median days
468
9 faster than the field
What it pays
Where its median offer sits among every occupation, then the whole ladder of certified offers by year and by state.
Median offered wage
$251,790above 98%
Approval rate
98.9%ahead of 82%
Median days to decision
468 daysahead of 64%
Each bar counts occupations at that value. More
- 5th to 95th
- 25th to 75th
- Median
- 10th and 90th
FY2024
$235,020 median · 268 certified cases
FY2025
$253,760 median · 609 certified cases
FY2026
$260,000 median · 572 certified cases
- 10th
- $225,000
- +12.5% since FY2024
- Median
- $260,000
- +10.6% since FY2024
- 90th
- $324,740
- +4.8% since FY2024
- 95th
- $350,000
- +7.8% since FY2024
These years are not measuring the same group of filings. The count moves by 2.3 times between the largest year and the smallest, so a change in the ladder is at least partly a change in which employers filed rather than a change in what the work pays. Read the shape, not the difference.
| Fiscal year | Cases | 5th | 10th | 25th | Median | 75th | 90th | 95th |
|---|---|---|---|---|---|---|---|---|
| FY2024 | 268 | $175,662 | $200,000 | $215,707 | $235,020 | $269,585 | $310,000 | $324,650 |
| FY2025 | 609 | $188,744 | $205,000 | $229,452 | $253,760 | $287,040 | $325,000 | $350,000 |
| FY2026 | 572 | $194,730 | $225,000 | $239,200 | $260,000 | $295,084 | $324,740 | $350,000 |
A median answers whether pay moved. More
Who files it
The sponsors and firms with the most PERM filings under this code, the places the work sits, and who the workers were.
Sponsors filing it
- South Sound Inpatient Physicians, PLLC 52 filings · 100.0% approved
- Northeast Medical Group, Inc. 32 filings · 100.0% approved
- GEISINGER CLINIC 28 filings
- Hospitalist Medicine Physicians of Texas, PLLC 28 filings
- MedStar Medical Group II, LLC 28 filings
- Hartford Healthcare Medical Group, Inc. 27 filings
How this is counted
The employers with the most applications under this code. 195 of 1,531 filings, 13% of the total.
Firms filing it
- Sound Inpatient Physicians, Inc. 188 filings · 99.5% approved
- Siskind Susser PC 59 filings · 100.0% approved
- Carmody Torrance Sandak & Hennessey LLP 46 filings · 100.0% approved
- Harris Beach PLLC 35 filings · 100.0% approved
- Jackson Lewis P.C. 35 filings · 100.0% approved
- Klasko Immigration Law Partners, LLP. 34 filings · 100.0% approved
How this is counted
The law firms named on the most applications under this code. 397 of 1,531 filings, 26% of the total.
Where the jobs are
- New York 139
- Pennsylvania 89
- Connecticut 87
- Massachusetts 80
- Missouri 64
- California 62
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 521 of 1,531 filings.
Where the work is
- New Haven, CT 27
- Baltimore, MD 24
- Rochester, NY 22
- Springfield, MA 22
- Albuquerque, NM 18
- Bridgeport, CT 18
How this is counted
The worksite city on the application, which is where the job is. These 6 cities cover 131 of 1,531 filings.
- Every sponsor that files it, by state, approval rate, offered wage and time to a decision
- Every filing for it, PERM, wage requests and H-1B, case by case
Newspapers it advertised in
- 34 cases
The Boston Globe
- 32 cases
Hartford Courant
- 32 cases
The New York Times
- 28 cases
The Washington Post
- 27 cases
St. Louis Post-Dispatch
- 25 cases
The Baltimore Sun
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
- 1,181 cases
Job search websites
- 688 cases
Local or ethnic newspapers
- 672 cases
Trade or professional organizations
- 568 cases
The employer's website
- 396 cases
Radio or TV ads
- 80 cases
Campus placement offices
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
- 0.0%
Under 30 days
- 0.0%
30 to 59 days
- 28%
60 to 89 days
- 27%
90 to 119 days
- 23%
120 to 149 days
- 22%
150 to 180 days
- 0.5%
Over 180 days
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.
Who filled these jobs, FY2016 to FY2023
From DOL's old form; the form in use since mid-2023 doesn't carry them. Top six of each.
Country of citizenship
- Pakistan 20
- India 13
- Nepal 4
- Canada 2
- Colombia 2
- Jordan 2
Worker's education
- Other 57
- Bachelor's 1
Visa held when filed
- H-1B 58
Schools
- KING EDWARD MEDICAL UNIVERSITY 7
- CHANDKA MEDICAL COLLEGE 2
- DOW MEDICAL COLLEGE 2
- DOW UNIVERSITY OF HEALTH SCIENCES 2
- JINNAH SINDH MEDICAL UNIVERSITY 2
- MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES NASHIK 2
Fields of study
- MEDICINE 56
- MEDICINE AND SURGERY 1
- MEDICINE PULMONARY CRITICAL CARE 1
The job itself
What O*NET says the work is, what the market pays it by BLS's survey, its outlook, and DOL's wage levels year by year.
- United States67,150 jobs
- New Haven, CTNew Haven
- Baltimore-Columbia-Towson, MDBaltimore
- Rochester, NYRochester
- Springfield, MASpringfield
- Albuquerque, NMAlbuquerque
- middle half of pay (BLS)
- median
- 10th to 90th percentile
- DOL's Levels I to IV, left to right
- median PERM offer
| Area | BLS median | Level I | Level II | Level III | Level IV |
|---|---|---|---|---|---|
| United States | $256,560 | ||||
| New Haven, CT | $277,290 | $157,102 | $212,181 | $267,238 | $322,317 |
| Baltimore-Columbia-Towson, MD | $322,890 | $170,269 | $230,360 | $290,472 | $350,563 |
| Rochester, NY | $78,990 | $68,598 | $116,314 | $164,008 | $211,723 |
| Springfield, MA | — | — | — | — | — |
| Albuquerque, NM | — | $97,490 | $181,917 | $266,365 | $350,792 |
How these figures fit together
BLS surveys employers on what they pay everyone in a job; DOL builds its four levels from the same survey a year later (the July 2026 wage year uses BLS's May 2025 estimates). DOL publishes levels by area, not nationally, so the United States line has none. Levels are hourly in DOL's tables; here they're shown a year at 2,080 hours, as DOL computes them. The metros are the ones holding the most of this job's PERM filings, placed by Census's county files.
The block is the middle half of what employers report paying everyone in this job, citizen or not; the ticks under it are DOL's four prevailing wage levels for that metro, the floors a PERM or H-1B offer is held to. More
DOL's levels for this job in New Haven, CT, year by year
Each July DOL resets the four levels from BLS's newest survey. A determination keeps the figures of the year it was issued in.
| Wage year | Level I | Level II | Level III | Level IV |
|---|---|---|---|---|
| 2026-27 | $157,102 | $212,181 | $267,238 | $322,317 |
| 2025-26 | $168,813 | $220,522 | $272,210 | $323,918 |
What the job is
Diagnose and provide nonsurgical treatment for a wide range of diseases and injuries of internal organ systems. Provide care mainly for adults and adolescents, and are based primarily in an outpatient care setting.
- Preparation
- Extensive Preparation Needed
- O*NET Job Zone 5
- DOL's education basis
- Doctoral or professional degree
- Wage year 2026-27, on DOL's Appendix A list
- Jobs, 2025 to 2035
- +4.0%
- About 1,900 openings a year (BLS)
- Typical entry
- Doctoral or professional degree
- BLS
The work, most important first
- Analyze records, reports, test results, or examination information to diagnose medical condition of patient.
- Treat internal disorders, such as hypertension, heart disease, diabetes, or problems of the lung, brain, kidney, or gastrointestinal tract.
- Prescribe or administer medication, therapy, and other specialized medical care to treat or prevent illness, disease, or injury.
- Manage and treat common health problems, such as infections, influenza or pneumonia, as well as serious, chronic, and complex illnesses, in adolescents, adults, and the elderly.
- Provide and manage long-term, comprehensive medical care, including diagnosis and nonsurgical treatment of diseases, for adult patients in an office or hospital.
- Explain procedures and discuss test results or prescribed treatments with patients.
The education workers in it report
- 47%
Doctoral Degree
- 53%
Post-Doctoral Training
Titles people use for it
Internal Medicine Physician (IM Physician), Internist, Medical Doctor (MD), Physician, Doctor, Gastroenterologist, General Internal Medicine Physician, General Internist.
Related jobs: Pediatric Surgeons, Cardiologists, Obstetricians and Gynecologists, Pediatricians, General, Emergency Medicine Physicians, Orthopedic Surgeons, Except Pediatric.
This section includes information from the O*NET 31.0 Database and O*NET OnLine by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. PERM Tracker has modified some of this information (the shares are rounded and only the top tasks are shown); what changed. USDOL/ETA has not approved, endorsed, or tested these modifications.
Against other jobs
Where this sits in the ranking
Ranked 41 of 1,410 by volume: 40 filed at least as many filings, and 1,369 filed no more.
- Just above
- Network and Computer Systems Administrators 1,571 filings
- Just below
- General and Operations Managers 1,488 filings
Other healthcare practitioners roles
Occupations sharing this one's SOC major group, which is carried in the first two digits of the code. More
Occupations sharing this one's SOC major group, which is carried in the first two digits of the code. Wages inside a group still swing hard, because the group holds every seniority level and every metro.
- #58 N/A 1,135 filings · 11 denied
- #10 Medical and Clinical Laboratory Technologists 4,581 filings · 20 denied
- #102 Dentists, General 518 filings · 4 denied
- #107 Physicians, All Other 502 filings · 7 denied
- #124 Family Medicine Physicians 413 filings · 2 denied
- #211 Pediatricians, General 202 filings · 1 denied
The same job on H-1B
4,374 certified H-1B labor condition applications for this occupation since FY2020, offering a median of $239,200 a year; the middle half ran $196,836 to $277,500. By state and year in the salary explorer.
Notes on these numbers
Reading the wage
A floor, not a salary survey: every level and metro mixed. DOL's four wage levels for this job, by area.
What the median is
The median wage employers committed to in federal filings for this occupation. It mixes every experience level and every metro, and it's a floor: the employer must offer at least the prevailing wage DOL determines for the occupation, level and county. Across all PERM filings the middle half of offered wages runs $45,178 to $141,357, so a figure inside that band is unremarkable whichever occupation it belongs to. The levels page reads DOL's OFLC wage search live.
What these numbers don't say
4 notes
- The code is the identity
- This one is SOC 29-1216.00. Two SOC codes can carry the same job title, so a title that looks duplicated on the ranking is two different occupations. Match on the code when you're checking a specific filing.
- A median isn’t an offer
- It's the middle of all 1,531 wages committed to for this occupation across the country, entry level and principal alike. The same role's medians swing hard by worksite, which the state map shows directly.
- Approval isn’t about the occupation
- The denial rate moves with what happened in the filing rather than with the job title, so nothing here is a property of General Internal Medicine Physicians. The measured factors are on the denial risk page, published as separate rates.
- Nothing here is pending
- All 1,531 counted here carry a decision date, because every case in DOL's disclosure files does, so a case still waiting is in none of them. The largest filer of this occupation is South Sound Inpatient Physicians, PLLC. 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
Weighing an offer?
Compare it against this median, then check the state map, where the same occupation's medians swing hard by worksite.
Setting one?
All 1,410 occupations sort together on the wages page, and denial rates show how outcome moves with the offered wage.
Filings newer than DOL's last published file can't be attributed to this occupation 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
O*NET occupation data: O*NET Database, USDOL/ETA (onetcenter.org) · data through Aug 16, 2026 · twice a year
BLS market pay: BLS Occupational Employment and Wage Statistics (bls.gov) · data through May 31, 2025 · yearly, each spring
BLS employment projections: BLS Employment Projections (bls.gov) · data through Dec 31, 2025 · yearly, each autumn
DOL wage tables: DOL OFLC wage data downloads (flag.dol.gov) · data through Jul 1, 2026 · yearly, each july
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.
O*NET occupation data: What O*NET says each occupation is and takes: its description, tasks, Job Zone and the education workers report. A description of the job everywhere, not of any one employer's opening.
BLS market pay: What employers report paying everyone in each job, nationally, by state and by metro, from BLS's yearly survey (May of the year named). Citizens and immigrants alike; not PERM offers.
BLS employment projections: BLS's ten-year projection of each job's employment and yearly openings, and the entry education it calls typical. A projection, not a count.
DOL wage tables: The four prevailing wage levels DOL publishes for every job in every area, each wage year from 2021-22, as DOL's own tables print them. The floors an offer is held to, not what anyone was paid.
Cite this page
Waiting on a PERM case?
- When it'll likely be decided
- An email when DOL moves it