Question 1

Does Cayuga Medical Associates, P.C. sponsor green cards?

Accepted Answer

Yes. Cayuga Medical Associates, P.C. has filed 9 PERM labor certification applications with the Department of Labor, with 9 certified. The median processing time from filing to decision has been 482 days.

Question 2

What is the current PERM processing time?

Accepted Answer

The DOL processing time from PERM filing to decision typically ranges from 6 to 18 months. This does not include the prevailing wage determination (1–6 months) or the recruitment period (2–3 months) that happen before filing. For Cayuga Medical Associates, P.C., the median processing time from filing to decision has been 482 days. See the processing time chart above for year-over-year trends.

Question 3

How long does it take to get a green card through Cayuga Medical Associates, P.C.?

Accepted Answer

The full employer-sponsored green card timeline depends on three stages: PERM labor certification (6–18 months), I-140 petition with USCIS (4–6 months, or 15 days with premium processing), and adjustment of status or consular processing. For applicants from countries with visa backlogs like India and China, the wait for a visa number after I-140 approval can add years. The total process from start to green card typically takes 1–5+ years.

Question 4

What triggers a PERM audit?

Accepted Answer

The DOL may audit a PERM application if certain risk factors are present: layoffs within 6 months of filing, the foreign worker having an ownership interest in the company, job requirements that exceed the norm for the occupation, foreign language requirements, or combination occupations. An audit requires additional documentation but does not mean the case will be denied.

Question 5

What is Cayuga Medical Associates, P.C.'s PERM approval rate?

Accepted Answer

Cayuga Medical Associates, P.C. has a 100% PERM approval rate across 9 total applications (9 certified, 0 denied, 0 withdrawn). The national average PERM approval rate is approximately 85%. Note that withdrawn cases are not counted in the approval rate calculation.

Year	Filings	Certified	Median Processing Days
2025	3	3	419
2024	5	5	492
2023	1	1	484

Job Title	Salary	Location	Filed	Decision	Days	Status
Physician (Hospitalist) G-100-25087-811410	$264,000	Ithaca, NY	Mar 28, 2025	May 21, 2026	419	Certified
Physician - Neurology G-100-25087-811402	$362,988	Ithaca, NY	Mar 28, 2025	May 21, 2026	419	Certified
Physician - Neurology G-100-25087-811391	$362,988	Ithaca, NY	Mar 28, 2025	May 21, 2026	419	Certified
Physician (Internal Medicine) G-100-24348-541458	$195,000	Ithaca, NY	Dec 13, 2024	Apr 13, 2026	486	Certified
Physician (Internal Medicine) G-100-24313-462443	$195,000	Ithaca, NY	Nov 8, 2024	Mar 22, 2026	499	Certified
Physician (Internal Medicine) G-100-24313-462438	$195,000	Ithaca, NY	Nov 8, 2024	Mar 22, 2026	499	Certified
Physician (Internal Medicine) G-100-24065-770734	$195,000	Ithaca, NY	Mar 5, 2024	Jun 30, 2025	482	Certified
Physician (Internal Medicine) G-100-24065-770730	$195,000	Ithaca, NY	Mar 5, 2024	Jun 30, 2025	482	Certified
Physician (Internal Medicine) G-100-23360-591316	$195,000	Ithaca, NY	Dec 26, 2023	Apr 23, 2025	484	Certified

Cayuga Medical Associates, P.C. — Green Card PERM Data

Cayuga Medical Associates, P.C. PERM & Green Card Filings

PERM Filings by Quarter

PERM Processing Time by Year

All PERM Filings

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