Medical
Medical H-1B in Missouri
Hospitals importing H-1B physicians and nurses · wage suppression vs BLS · physician supply vs shortage claims
Source import recorded Sep 2, 2026
Healthcare institution hiring across all jobs
5,589 LCA filings · 5,583 H-1B filings · 501 employer records
Filed worksites in Missouri. All occupations, outcomes, visa classes and pay units. Includes undated and flagged source rows. Filings are not verified hires.
86 employer records have an institution identifier link. 415 records have only a declared college or healthcare industry code; their institution link is unknown. Employer names remain separate. Teaching and clinical wage comparisons below use separate, narrower filing populations. Missing identifiers and industry codes can leave other employers outside this view. This is not a complete institution directory.
H-1B Medical LCAs
5,552
median prevailing wage 95.4K/yr
Linked hospitals
8
156 physician filings linked to top hospitals
Active RN licenses
118,607
NCSBN 2025
RN employment (BLS)
76,310
42,297 difference between the two source counts (not inactive nurses)
Certified claims, not verified imports
LCA figures describe employer applications and DOL outcomes; they do not verify hiring or actual pay. NCSBN reports active licenses. BLS reports employment estimates. Check each measure and source year.
H-1B Attending Physician Wages vs BLS (6)
Median prevailing wage on H-1B attending physician filings at each Missouri hospital, as a share of the BLS national physician median. Residents/fellows are excluded (they sit on a regulated stipend scale).
Medical-Worker Employers (146)
Missouri employers with at least five certified medical H-1B filings with annual prevailing wages from $20,000 to $1,000,000. The median uses stored annualized prevailing wages, or prevailing wages filed per year. The offered-wage unit does not determine this cohort. Includes hospitals, staffing firms, group practices, and other filers. Each employer median uses its qualifying individual state filings.
Medical H-1B Filings (5,552)
Individual H-1B LCA filings in Missouri for medical SOC codes (29-* practitioners, 31-* healthcare support). Sorted by decision date; click column headers to re-sort.
Mercy Clinic Springfield Communities(1 position requested)
Pediatrician · Nixa 65714 · 2026-03-31
Mercy Clinic Springfield Communities(1 position requested)
Hospitalist · Springfield 65804 · 2026-03-31
Mercy Clinic Joplin, LLC(1 position requested)
Pediatrician · Joplin 64804 · 2026-03-31
Mercy Clinic East Communities(1 position requested)
Internal Medicine Physician · Arnold 63010 · 2026-03-31
Mercy Clinic East Communities(1 position requested)
Pediatric Hospitalist · St. Louis 63141 · 2026-03-31
SSM Health Care Group(1 position requested)
Medical Resident (Internal Medicine) · St. Louis 63104 · 2026-03-31
Mercy Clinic Springfield Communities(1 position requested)
Hospitalist · Springfield 65804 · 2026-03-31
Lester E. Cox Medical Centers(1 position requested)
Hospitalist · Springfield 65807 · 2026-03-31
A negative % sits below the BLS market median; a positive % sits above.
Roles
H-1B Medical Roles in Missouri (61)
Which medical SOC codes Missouri employers are importing H-1B workers under, and how their wages compare to BLS medians.
Counties
County-Level Medical Activity (79)
The activity table shows counties with at least three certified medical filings and a county record in the 2024-2025 AHRF release.
Shortage areas
Where Missouri Claims a Doctor Shortage
Counties with the most primary-care HPSA (Health Professional Shortage Area) designations, shown beside H-1B volume. An above-average physician count does not prove or disprove a shortage designation: the designation scores many factors. Testing one takes the full scoring evidence, not supply counts alone.
HPSAs
HPSAs
HPSAs
HPSAs
HPSAs
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HPSAs
County map
Where Missouri medical filing wage floors sit below BLS
Counties compare median prevailing wage floors with a filing-weighted BLS reference for matched occupations. Subsets and years can differ. Any county ≥40% below this reference is bright red. Counties with fewer than 5 qualifying medical LCAs stay dim.
The FAQ uses stored summaries. The record lists query current filings. Summary counts and wage comparisons can differ from those lists.
Questions about the data & methods
How many H-1B filings do health-care employers file in Missouri?
5,552 certified H-1B labor condition applications in medical occupations (physicians, nurses, and allied health roles) are on record in Missouri, per Department of Labor disclosure data. This dataset counts DOL LCAs, not USCIS Form I-129 petitions, so it does not show whether any petition was approved.
What prevailing wages do medical H-1B filings in Missouri report?
The median prevailing wage on certified medical-occupation H-1B filings in Missouri is $95,368 per year. That is 48% below the filing-weighted BLS reference for matched occupations ($182,526). The wage floor and reference can cover different subsets and years. These are filed wage floors, not verified pay.
How many active RN licenses are recorded in Missouri?
The archive records about 118,607 active RN licenses in Missouri, from the National Council of State Boards of Nursing. Licenses are not jobs or unique nurses. Check the source year. This count does not measure H-1B use.
Public source records and site analysis. We do not attest to accuracy. Read the full disclaimer.
Dataset guides and site methods
- [1] Dataset documentation · DOL OFLC. LCA public disclosure record layout (FY2026 Q3). Pages 1–4: application, DOL outcome and dates, requested positions, employer, representatives, worksites and pay unitsThis layout covers determinations issued October 1, 2025 through June 30, 2026. It documents employer-provided application fields and DOL decisions, not USCIS decisions, payroll verification, legal bills or worker-linked moves. Older layouts can differ.Checked 2026-10-17.
- [2] Dataset documentation · BLS. OEWS technical notes (May 2025). Scope of the survey; occupational coding; concepts and estimation methodologyDocuments occupation and geographic wage estimates, not an individual worker’s pay. Use the estimate year and geography stated by the site; older releases can differ.Checked 2026-10-17.
- [3] Dataset documentation · HRSA. Shortage Areas. HPSA designation type, discipline, geography, and statusA county-level overlap is not proof of eligibility at a specific worksite.
- [4] Guidance · HRSA. Scoring Shortage Designations. Primary care, dental health, and mental health criteria and score rangesPrimary care and mental health range from 0 to 25; dental health ranges from 0 to 26. Discipline and designation type matter.Checked 2026-10-08.
- [5] Guidance · CMS. Hospital 2552-10 data documentation. HOSP2010_README.txt sections 2–3 and 6; HCRIS_DataDictionary.csv: RPT_REC_NUM, FY_BGN_DT, FY_END_DT, RPT_STUS_CDThe documentation allows multiple cost reports for one hospital in a year. Status distinguishes as submitted, settled without audit, settled with audit, reopened and amended reports.Checked 2026-10-18.
- [6] Dataset documentation · HRSA. Area Health Resources Files: 2024–2025 technical documentation. County User Guide: physicians, Table 10 NPI professions, population estimates and missing values; Technical Documentation: variable years and sourcesClinician categories and variable years differ. County APRN counts use NPI taxonomy; physician active and federal status matter. Release year is not the year of every measure.Checked 2026-10-18.
- [7] Dataset documentation · National Council of State Boards of Nursing. Active RN Licenses. RN licensure statistics by jurisdiction; linked table header; licensure data compiled through NursysCounts active licenses, not jobs. Check the source year. License and employment figures have different units and do not identify nurses who are not working.Checked 2026-10-18.
- [8] XH1B method or registry · XH1B. Reading Public Records and Derived Indicators. Reading records: units, source coverage, wage gaps, entity links, and inference limitsThese are the site's review methods, not validated predictions of wrongdoing. Inspect underlying records and alternative explanations.