5 certified Labor Condition Applications on file with the U.S. Department of Labor, FY2021–FY2025.
Since September 2025, DOL's Project Firewall opens H-1B investigations without waiting for a complaint. These checkpoints come from Texas Institute of Musculoskeletal Excellence in Orthopedics, PLLC's own public LCA filings (FY2023–FY2025) — the same records an investigator pulls first.
Each worksite needs its own 10-business-day LCA notice and a PAF record of that posting; a move to a new area of intended employment needs a new LCA before the worker starts there.
No additional recruitment or non-displacement attestations apply.
Public DOL disclosure data can lag actual filings by a quarter. Descriptive only — not legal advice.
Yes — Texas Institute of Musculoskeletal Excellence in Orthopedics, PLLC sponsors H-1B workers, with 5 certified LCAs on file (FY2021–FY2025), including 2 in FY2025. The median certified salary is $208,000 (P25 $208,000, P75 $500,000). 100% of its certified filings meet or exceed the prevailing wage.
Texas Institute of Musculoskeletal Excellence in Orthopedics, PLLC H-1B sponsorship at a glance, from public U.S. DOL LCA disclosure data (FY2021–FY2025).
Certified LCAs are a prerequisite to H-1B petitions, not visa approvals; one LCA can cover multiple workers. Descriptive only — not legal advice.
The shaded band is the middle half of certified salaries (P25–P75); the bar spans the lowest to highest certified salary.
| Fiscal year | Certified | Denied | Withdrawn | Total |
|---|---|---|---|---|
| FY2021 | 3 | 0 | 3 | 6 |
| FY2025 | 2 | 0 | 0 | 2 |
Case dispositions from the U.S. DOL OFLC disclosure files. Withdrawn are LCAs that were certified and later withdrawn by the employer; they still count toward Total.
| Job title | Salary | Level | Location | Filed | Status |
|---|---|---|---|---|---|
Orthopedic Surgeon I-200-25079-790951 | $500,000/yr | — | Mcallen, TX | Mar 20, 2025 | Certified |
Orthopedic Surgeon I-200-25071-767440 | $500,000/yr | — | Laredo, TX | Mar 12, 2025 | Certified |
Orthopedic Surgeon I-200-20330-927949 | $208,000/yr | — | Laredo, TX | Nov 25, 2020 | Certified |
Orthopedic Surgeon I-200-20325-921380 | $208,000/yr | — | Laredo, TX | Nov 20, 2020 | Withdrawn |
One row per LCA case (its latest version), from U.S. DOL OFLC disclosure data. Salaries are the offered wage, converted to a yearly figure. Certified LCAs are not visa approvals.
Worker positions by LCA filing purpose, summed across FY2021–FY2025 disclosure records.
Most active filing months: Nov and Mar — useful for timing transfer conversations.
Attestations from the employer's own LCA filings (Form ETA-9035), as disclosed by the U.S. DOL.
1 state · 2 cities
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