WAKE SPINE & PAIN SPECIALISTS, PC · GREENVILLE, North Carolina
Case #I-200-22194-348558
WAKE SPINE & PAIN SPECIALISTS, PC filed an H-1B petition for a Pain Medicine-Physical Medicine and Rehabilitation Physician position in GREENVILLE, North Carolina at $350k per year — 479% above the prevailing wage of $60k. The case was certified in 7 days during the FY FY2022 cycle. This position is for new employment.
| Case Number | I-200-22194-348558 |
| Case Status | Certified |
| Visa Class | H-1B |
| Fiscal Year | FY 2022 |
| Employer | WAKE SPINE & PAIN SPECIALISTS, PC |
| Employer Location | RALEIGH, North Carolina |
| Job Title | Pain Medicine-Physical Medicine and Rehabilitation Physician |
| SOC Code | 29-122904 – Physical Medicine and Rehabilitation Physicians |
| Worksite | GREENVILLE, North Carolina |
| Annual Wage | $350k |
| Prevailing Wage | $60k |
| Wage Premium | +478.8% |
| Positions | 1 (1 new, 0 continued) |
| Job Title | Salary | Status | Date |
|---|---|---|---|
| Pain Medicine-Physical Medicine and Rehabilitation Physician | $350k | CERTIFIED | Oct 18, 2022 |
| Pain Medicine-Physical Medicine and Rehabilitation Physician | $350k | CERTIFIED - WITHDRAWN | Feb 15, 2022 |
This Labor Condition Application (LCA) was filed by WAKE SPINE & PAIN SPECIALISTS, PC for the position of Pain Medicine-Physical Medicine and Rehabilitation Physician in GREENVILLE, North Carolina. The offered annual salary is $350k, compared to the prevailing wage of $60k for this occupation and location. This represents a wage premium of +478.8% 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. This means the Department of Labor has certified that the employer meets the wage and working condition requirements.
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, WAKE SPINE & PAIN SPECIALISTS, PC filed LCA case number I-200-22194-348558 to sponsor a Pain Medicine-Physical Medicine and Rehabilitation Physician position at their worksite in GREENVILLE, North Carolina. 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 $350k compares to the DOL prevailing wage of $60k for Physical Medicine and Rehabilitation Physicians positions in the GREENVILLE, North Carolina area. The positive wage premium of +478.8% 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" status means the DOL has reviewed WAKE SPINE & PAIN SPECIALISTS, PC's attestations and determined that the LCA meets all regulatory requirements. The employer has demonstrated that the offered wage of $350k meets or exceeds the prevailing wage for Pain Medicine-Physical Medicine and Rehabilitation Physician positions in the GREENVILLE, North Carolina area. It is important to understand that LCA certification does not guarantee H-1B visa approval. The next step is for the employer to file Form I-129 with USCIS, which evaluates whether the position qualifies as a specialty occupation and whether the beneficiary has the required qualifications.
This LCA was received by the DOL on Jul 13, 2022 and a decision was rendered on Jul 20, 2022, a processing time of approximately 7 business days. The standard DOL processing time for LCA applications is 7 to 10 business days. This application was processed within the standard timeframe.
The offered salary of $350k for this Pain Medicine-Physical Medicine and Rehabilitation Physician 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 29-122904 (Physical Medicine and Rehabilitation Physicians), 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.
The offered annual salary for this Pain Medicine-Physical Medicine and Rehabilitation Physician position at WAKE SPINE & PAIN SPECIALISTS, PC is $350k. The Department of Labor prevailing wage for this occupation and location is $60k. The offered wage represents a +478.8% premium over the prevailing wage.
This H-1B filing is for a position located in GREENVILLE, North Carolina. The employing company, WAKE SPINE & PAIN SPECIALISTS, PC, is headquartered in RALEIGH, North Carolina.
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 WAKE SPINE & PAIN SPECIALISTS, PC, located in RALEIGH, North Carolina. WAKE SPINE & PAIN SPECIALISTS, PC filed this Labor Condition Application (case number I-200-22194-348558) for a Pain Medicine-Physical Medicine and Rehabilitation Physician position during fiscal year FY 2022. View all WAKE SPINE & PAIN SPECIALISTS, PC H-1B filings.
Certified means the U.S. Department of Labor has approved this Labor Condition Application, confirming that WAKE SPINE & PAIN SPECIALISTS, PC has attested to meeting all wage and working condition requirements. A certified LCA does not guarantee H-1B visa approval — the employer must still file a separate petition (Form I-129) with USCIS.