Geisinger Medical Center · Danville, Pennsylvania
Case #I-200-23097-913536
A Nephrology Fellow (PGY 4-5) position at Geisinger Medical Center in Danville, Pennsylvania was filed at $69k per year, offering 48% above the prevailing wage of $47k. The case was certified in 11 days during the FY FY2023 cycle. This position is for continued employment. The filing covers 3 positions.
| Case Number | I-200-23097-913536 |
| Case Status | Certified - Withdrawn |
| Visa Class | H-1B |
| Fiscal Year | FY 2023 |
| Employer | Geisinger Medical Center |
| Employer Location | Danville, Pennsylvania |
| Job Title | Nephrology Fellow (PGY 4-5) |
| SOC Code | 29-122900 – Physicians, All Other |
| Worksite | Danville, Pennsylvania |
| Annual Wage | $69k – $72k |
| Prevailing Wage | $47k |
| Wage Premium | +48.4% |
| Positions | 3 (3 new, 0 continued) |
| Job Title | Salary | Status | Date |
|---|---|---|---|
| Medical Laboratory Scientist Expert | $58k | CERTIFIED | Sep 23, 2025 |
| Clinical Informatics Fellow | $73k | CERTIFIED | Aug 28, 2025 |
| Senior Embryologist | $114k | CERTIFIED | Aug 25, 2025 |
| Medical Laboratory Scientist | $58k | CERTIFIED | Jun 25, 2025 |
| Medical Laboratory Scientist | $58k | CERTIFIED | May 14, 2025 |
This Labor Condition Application (LCA) was filed by Geisinger Medical Center for the position of Nephrology Fellow (PGY 4-5) in Danville, Pennsylvania. The offered annual salary is $69k, compared to the prevailing wage of $47k for this occupation and location. This represents a wage premium of +48.4% above the prevailing wage.
The LCA is the first step in the H-1B visa process. Employers must file an LCA with the Department of Labor certifying that they will pay the foreign worker at least the prevailing wage for the occupation in the area of intended employment. A certified LCA is required before the employer can file an H-1B petition with USCIS.
Case status: Certified - Withdrawn. This means the employer or their representative withdrew the application.
A Labor Condition Application (LCA) is a mandatory document that U.S. employers must file with the U.S. Department of Labor (DOL) before they can petition for a foreign worker under the H-1B, H-1B1, or E-3 visa categories. The LCA process was established under the Immigration and Nationality Act (INA) to protect both foreign and domestic workers by ensuring fair wages and working conditions.
When a U.S. company identifies a foreign national to fill a specialty occupation position, they must first obtain DOL certification through the LCA process before filing the H-1B petition (Form I-129) with U.S. Citizenship and Immigration Services (USCIS). In this case, Geisinger Medical Center filed LCA case number I-200-23097-913536 to sponsor a Nephrology Fellow (PGY 4-5) position at their worksite in Danville, Pennsylvania. By filing this LCA, the employer attests to four key conditions: (1) paying the higher of the actual wage or prevailing wage, (2) providing working conditions that will not adversely affect other similarly employed workers, (3) no strike or lockout at the worksite, and (4) providing notice of the filing to the bargaining representative or posting notice at the worksite.
The DOL establishes four wage levels for each occupation and geographic area, representing the progression from entry-level to fully competent workers:
For this filing, the offered wage of $69k compares to the DOL prevailing wage of $47k for Physicians, All Other positions in the Danville, Pennsylvania area. The positive wage premium of +48.4% indicates the employer is offering above the DOL-determined average for this occupation and location.
The prevailing wage is the average wage paid to similarly employed workers in a specific occupation in the area of intended employment. The DOL determines prevailing wages using data from the Occupational Employment and Wage Statistics (OEWS) survey conducted by the Bureau of Labor Statistics (BLS). Employers must pay H-1B workers the higher of the prevailing wage or the actual wage paid to other employees in similar positions at the company. This requirement is designed to prevent employers from using H-1B workers to undercut domestic wages.
A "Certified-Withdrawn" status means this LCA was initially certified by the DOL but was later withdrawn by the employer. This can happen for various reasons: the foreign worker may have declined the position, found employment elsewhere, the employer may have decided to refile with updated information, or business conditions may have changed. A withdrawal does not negatively affect the employer's ability to file future LCAs.
This LCA was received by the DOL on Apr 7, 2023 and a decision was rendered on Apr 18, 2023, a processing time of approximately 11 business days. The standard DOL processing time for LCA applications is 7 to 10 business days. This application took longer than the standard timeframe, which may indicate additional review was required.
The offered salary of $69k for this Nephrology Fellow (PGY 4-5) position provides a data point for evaluating compensation trends in H-1B visa sponsorship. When reviewing H-1B salary data, consider that wages vary significantly based on geographic location, employer size, industry sector, and the worker's experience level. This position falls under SOC code 29-122900 (Physicians, All Other), which standardizes how the Bureau of Labor Statistics classifies occupations across industries. Metropolitan areas like New York, San Francisco, and Seattle typically command higher salaries due to higher costs of living, while positions in smaller markets may offer lower nominal wages but comparable purchasing power.
This LCA covers 3 positions (3 new hires, 0 continued employment), indicating that Geisinger Medical Center has multiple openings for this role. Multi-position LCAs are common among larger employers who need to hire several workers for the same job classification and location.
The offered annual salary for this Nephrology Fellow (PGY 4-5) position at Geisinger Medical Center is $69k to $72k. The Department of Labor prevailing wage for this occupation and location is $47k. The offered wage represents a +48.4% premium over the prevailing wage.
This H-1B filing is for a position located in Danville, Pennsylvania. The employing company, Geisinger Medical Center, is headquartered in Danville, Pennsylvania.
This Labor Condition Application is filed under the H-1B visa classification. The H-1B visa is designed for specialty occupation workers who possess at least a bachelor's degree or equivalent in a specific field related to the job.
The employer for this filing is Geisinger Medical Center, located in Danville, Pennsylvania. Geisinger Medical Center filed this Labor Condition Application (case number I-200-23097-913536) for a Nephrology Fellow (PGY 4-5) position during fiscal year FY 2023. View all Geisinger Medical Center H-1B filings.
Certified-Withdrawn means this LCA was initially certified by the DOL but was subsequently withdrawn by the employer or their authorized representative.