Updated October 16, 2026

PERM occupation, SOC 29-1223.00, #320 of 1,410 by filings

Psychiatrists

1,308 H-1B LCAs

Biggest sponsor: Mark David Levine, M.D., Professional Corporation · 11% of its filings
Busiest state: CA · 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.

Compare my offer DOL's wage levels for this job

This rate is level with the field

Over 90 decided filings, this rate can't be told apart from the field in either direction.

Why

The 95% interval runs up to a 7.7% denial rate, which still covers the 3.20% the field as a whole records.

Median wage

$250,000

all PERM $103,272

Filings

#320 of 1,410

Approval

97.8%

field 96.8%

Median days

463

14 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.

Position in the field 535 occupations with 30+ decided

Median offered wage

$250,000above 98%

$18k $500k

Approval rate

97.8%ahead of 63%

49% 100%

Median days to decision

463 daysahead of 67%

323d 536d

Each bar counts occupations at that value. More

Each bar counts occupations at that value. PERM runs two labour markets through one process, which is why the wage axis is two humps rather than a bell. The line marks this one.

DOL PERM disclosure files

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

Mark David Levine, M.D., Professional Corporation 10 filings
Physician Affiliate Group of New York, P.C. 3 filings
Altru Health System 2 filings
BayCare Medical Group 2 filings
CHRISTIANA CARE HEALTH SERVICES, INC. 2 filings
Eastern State Hospital 2 filings

How this is counted

The employers with the most applications under this code. 21 of 94 filings, 22% of the total.

Firms filing it

Leibl & Kirkwood PC 12 filings
Law Office of Stephen M. Perlitsh 5 filings
McCandlish Holton, PC 4 filings
Hall Render Killian Heath and Lyman, P.C. 3 filings
Landau, Hess, Simon, Choi Doebley 3 filings
Burke Costanza & Carberry LLP 2 filings

How this is counted

The law firms named on the most applications under this code. 29 of 94 filings, 31% of the total.

Where the jobs are

California 15
New York 9
Pennsylvania 6
Texas 6
Massachusetts 5
Arizona 4

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 45 of 94 filings.

Where the work is

Sacramento, CA 6
Boston, MA 3
Bronx, NY 3
Chicago, IL 2
Grand Forks, ND 2
Hartford, CT 2

How this is counted

The worksite city on the application, which is where the job is. These 6 cities cover 18 of 94 filings.

Newspapers it advertised in

The New York Times

7 cases
The Sacramento Bee

5 cases
Boston Sunday Globe

3 cases
Chicago Sun-Times

2 cases
Grand Forks Herald -no Sun. edition

2 cases
Hartford Courant

2 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

Job search websites

67 cases
The employer's website

40 cases
Local or ethnic newspapers

35 cases
Trade or professional organizations

31 cases
Radio or TV ads

21 cases
Campus placement offices

6 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

Under 30 days

0.0%
30 to 59 days

0.0%
60 to 89 days

17%
90 to 119 days

32%
120 to 149 days

18%
150 to 180 days

31%
Over 180 days

1.4%

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

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.

What the job pays outside PERM BLS May 2025, DOL wage year 2026-27

United States
27,980 jobs
Sacramento-Roseville-Folsom, CA
Sacramento
Boston-Cambridge-Newton, MA-NH
Boston
New York-Newark-Jersey City, NY-NJ
Bronx
Chicago-Naperville-Elgin, IL-IN
Chicago
Grand Forks, ND-MN
Grand Forks

$100k$200k$300k$400k$500k

middle half of pay (BLS)
median
10th to 90th percentile
DOL's Levels I to IV, left to right
median PERM offer

Market pay and DOL wage levels, by area
Area	BLS median	Level I	Level II	Level III	Level IV
United States	$281,870
Sacramento-Roseville-Folsom, CA	$230,560	$149,781	$211,619	$273,458	$335,296
Boston-Cambridge-Newton, MA-NH	—	$113,859	$191,506	$269,173	$346,819
New York-Newark-Jersey City, NY-NJ	$249,130	$101,109	$175,906	$250,723	$325,520
Chicago-Naperville-Elgin, IL-IN	$258,750	$140,733	$204,464	$268,174	$331,906
Grand Forks, ND-MN	—	$113,859	$191,506	$269,173	$346,819

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

BLS Occupational Employment and Wage Statistics; DOL OFLC wage tables

DOL's levels for this job in Sacramento-Roseville-Folsom, CA, 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.

DOL wage levels by wage year, Sacramento-Roseville-Folsom, CA
Wage year	Level I	Level II	Level III	Level IV
2026-27	$149,781	$211,619	$273,458	$335,296
2025-26	$138,008	$198,099	$258,211	$318,302
2024-25	$119,870	$177,798	$235,706	$293,634
2023-24	$137,342	$197,454	$257,587	$317,699
2022-23	$116,189	$178,859	$241,530	$304,200

Every area and both wage tables in the wage-level tool.

What the job is

Diagnose, treat, and help prevent mental disorders.

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: +7.2%; About 900 openings a year (BLS)
Typical entry: Doctoral or professional degree; BLS

Bright Outlook O*NET OnLine lists this job for rapid growth.

The work, most important first

Prescribe, direct, or administer psychotherapeutic treatments or medications to treat mental, emotional, or behavioral disorders.
Gather and maintain patient information and records, including social or medical history obtained from patients, relatives, or other professionals.
Collaborate with physicians, psychologists, social workers, psychiatric nurses, or other professionals to discuss treatment plans and progress.
Counsel outpatients or other patients during office visits.
Analyze and evaluate patient data or test findings to diagnose nature or extent of mental disorder.
Examine or conduct laboratory or diagnostic tests on patients to provide information on general physical condition or mental disorder.

The education workers in it report

Master's Degree

5%
Doctoral Degree

34%
Post-Doctoral Training

59%

Titles people use for it

Adult Psychiatrist, Attending Psychiatrist, Child Psychiatrist, Medical Doctor (MD), Adolescent Psychiatrist, Board Certified Psychiatrist, Child and Adolescent Psychiatrist, Consulting Psychiatrist.

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 320 of 1,410 by volume: 319 filed at least as many filings, and 1,090 filed no more.

Just above: Agricultural Equipment Operators 95 filings
Just below: Physical Therapist Assistants 93 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.

The same job on H-1B

1,308 certified H-1B labor condition applications for this occupation since FY2020, offering a median of $260,003 a year; the middle half ran $225,866 to $300,000. 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 29-1223.00. 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 94 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 Psychiatrists. The measured factors are on the denial risk page, published as separate rates.
Nothing here is pending: All 94 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 Mark David Levine, M.D., Professional Corporation. 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