Updated
PERM occupation, SOC 29-1063, #515 of 1,410 by filings
Internists, General
- Biggest sponsor
- TIDALHEALTH SPECIALTY CARE, LLC · 14% of its filings
- Busiest state
- MD · 16% 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.
This rate is level with the field
Over 37 decided filings, this rate can't be told apart from the field in either direction.
Why
The 95% interval runs up to a 21.3% denial rate, which still covers the 3.20% the field as a whole records.
Median wage
$239,000
all PERM $103,272
Filings
37
#515 of 1,410
Approval
91.9%
field 96.8%
Median days
389
88 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
$239,000above 97%
Approval rate
91.9%ahead of 21%
Median days to decision
389 daysahead of 82%
Each bar counts occupations at that value. 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
- TIDALHEALTH SPECIALTY CARE, LLC 5 filings
- Envision Physician Services 3 filings
- INTEGRIS HEALTH, INC. 2 filings
- MAINEGENERAL MEDICAL CENTER 2 filings
- NORTH PLATTE, NEBRASKA HOSPITAL CORPORATION, DBA 2 filings
- SAN JUAN REGIONAL MEDICAL CENTER, INC. 2 filings
How this is counted
The employers with the most applications under this code. 16 of 37 filings, 43% of the total.
Firms filing it
- The Salvetti Law Group, PLLC 5 filings
- Compass Immigration Law 3 filings
- Baird Holm LLP 2 filings
- Bishop Street Law Group 2 filings
- Maney Gordon Zeller, PA 2 filings
- McCandlish Holton, PC 2 filings
How this is counted
The law firms named on the most applications under this code. 16 of 37 filings, 43% of the total.
Where the jobs are
- Maryland 6
- Florida 3
- Hawaii 2
- Massachusetts 2
- Maine 2
- Nebraska 2
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 17 of 37 filings.
Where the work is
- Salisbury, MD 5
- Augusta, ME 2
- Farmington, NM 2
- North Platte, NE 2
- Oklahoma City, OK 2
- Panama City, FL 2
How this is counted
The worksite city on the application, which is where the job is. These 6 cities cover 15 of 37 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
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
- India 2,199
- Pakistan 647
- Canada 497
- Nepal 230
- Nigeria 153
- Syria 122
Worker's education
- Other 5,167
- Doctorate 62
- Bachelor's 6
- Master's 3
Visa held when filed
- H-1B 4,739
- J-1 80
- TPS 26
- H-4 19
- PAROLEE 7
- B-2 6
Schools
- NTR UNIVERSITY OF HEALTH SCIENCES 178
- DR. NTR UNIVERSITY OF HEALTH SCIENCES 135
- KING EDWARD MEDICAL UNIVERSITY 84
- RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES 66
- OSMANIA MEDICAL COLLEGE 60
- BABA FARID UNIVERSITY OF HEALTH SCIENCES 52
Fields of study
- MEDICINE 4,775
- MEDICINE AND SURGERY 166
- MEDICINE & SURGERY 60
- MEDICINE SURGERY 39
- INTERNAL MEDICINE 26
- BACHELOR OF MEDICINE AND BACHELOR OF SURGERY 16
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.
- Salisbury, MDSalisbury
- Southwest Maine nonmetropolitan areaAugusta
- Farmington, NMFarmington
- South Nebraska nonmetropolitan areaNorth Platte
- Oklahoma City, OKOklahoma City
- middle half of pay (BLS)
- median
- 10th to 90th percentile
- DOL's Levels I to IV, left to right
| Area | BLS median | Level I | Level II | Level III | Level IV |
|---|---|---|---|---|---|
| Salisbury, MD | — | — | — | — | — |
| Southwest Maine nonmetropolitan area | — | $127,130 | $164,840 | $202,550 | $240,261 |
| Farmington, NM | — | $96,450 | $158,122 | $219,794 | $281,466 |
| South Nebraska nonmetropolitan area | — | — | — | — | — |
| Oklahoma City, OK | — | $59,842 | $136,490 | $213,138 | $289,786 |
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
Against other jobs
Where this sits in the ranking
Ranked 515 of 1,410 by volume: 514 filed at least as many filings, and 895 filed no more.
- Just above
- Obstetricians and Gynecologists 37 filings
- Just below
- Animal Breeder 37 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.
- #514 Obstetricians and Gynecologists 37 filings · 1 denied
- #519 Health Technologists and Technicians, All Other 36 filings · none denied
- #498 Pharmacist 42 filings · none denied
- #536 Optometrists 31 filings · 1 denied
- #542 Chiropractors 29 filings · none denied
- #543 Dentists, All Other Specialists 29 filings · 1 denied
The same job on H-1B
2,819 certified H-1B labor condition applications for this occupation since FY2020, offering a median of $220,000 a year; the middle half ran $195,000 to $255,000. 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 29-1063. 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 37 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 Internists, General. The measured factors are on the denial risk page, published as separate rates.
- Nothing here is pending
- All 37 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 TIDALHEALTH SPECIALTY CARE, LLC. 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