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Appendix C: Practitioner Reports by Type, State, and Year

Table 11: Medical Malpractice Payment Reports by Practitioner Type, 2003 - 2012

Number

Practitioner Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Physicians and Dentists 17,088 16,359 15,293 13,347 12,726 12,311 12,365 11,359 11,080 10,585 132,513
Professional Nurse 483 531 596 586 625 687 680 609 659 711 6,167
All Other Practitioners 964 992 882 908 935 930 912 891 920 856 9,190
Total 18,535 17,882 16,771 14,841 14,286 13,928 13,957 12,859 12,659 12,152 147,870

Percent

Practitioner Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Physicians and Dentists 92.2% 91.5% 91.2% 89.9% 89.1% 88.4% 88.6% 88.3% 87.5% 87.1% 89.6%
Professional Nurse 2.6 3.0 3.6 3.9 4.4 4.9 4.9 4.7 5.2 5.9 4.2
All Other Practitioners 5.2 5.5 5.3 6.1 6.5 6.7 6.5 6.9 7.3 7.0 6.2
Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Note: Includes reports for the 50 U.S. States, the District of Columbia, American Samoa, Guam, Federated States of Micronesia, Northern Mariana Islands, Palau, Puerto Rico, U.S. Virgin Islands, and Armed Forces locations overseas. Includes disclosable reports in the NPDB as of December 31, 2012; voided reports are excluded.

"Physicians and Dentists" includes allopathic (M.D.) physicians, interns, and residents; osteopathic (D.O.) physicians, interns, and residents; and dentists and dental residents.

"Professional Nurses" includes registered nurses, licensed practical nurses, licensed vocational nurses, nurse practitioners, nurse anesthetists, nurse midwives, clinical nurse specialists, advanced nurse practitioners, and doctors of nursing practice.

"All Other Practitioners" includes all other health care practitioners, non-health care professionals, and nonspecified professionals.

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Table 12: Adverse Action Reports by Practitioner Type, 2003 - 2012

Number

Action Year

Practitioner Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Physicians and Dentists 5,441 5,812 5,792 5,948 5,675 5,631 6,282 6,312 6,757 6,949 60,599
Professional Nurse 10,430 11,682 13,779 13,740 13,402 14,240 15,085 18,628 19,404 19,115 149,505
All Other Practitioners 8,780 9,538 10,144 11,485 11,611 11,986 13,402 14,879 14,961 13,892 120,678
Total 24,651 27,032 29,715 31,173 30,688 31,857 34,769 39,819 41,122 39,956 330,782

Percent

Practitioner Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Physicians and Dentists 22.1% 21.5% 19.5% 19.1% 18.5% 17.7% 18.1% 15.9% 16.4% 17.4% 18.3%
Professional Nurse 42.3 43.2 46.4 44.1 43.7 44.7 43.4 46.8 47.2 47.8 45.2
All Other Practitioners 35.6 35.3 34.1 36.8 37.8 37.6 38.5 37.4 36.4 34.8 36.5
Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Note: Includes reports for the 50 U.S. States, the District of Columbia, American Samoa, Guam, Federated States of Micronesia, Northern Mariana Islands, Palau, Puerto Rico, U.S. Virgin Islands, and Armed Forces locations overseas. Includes disclosable reports in the NPDB as of December 31, 2012; voided reports are excluded.

"Physicians and Dentists" includes allopathic (M.D.) physicians, interns, and residents; osteopathic (D.O.) physicians, interns, and residents; and dentists and dental residents.

"Professional Nurse" includes registered nurses, licensed practical nurses, licensed vocational nurses, nurse practitioners, nurse anesthetists, nurse midwives, clinical nurse specialists, advanced nurse practitioners, and doctors of nursing practice.

"All Other Practitioners" includes all other health care practitioners, non-health care professionals, and nonspecified professionals.

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Table 13: Reinstatement and Restoration Reports by Practitioner Type, 2003 - 2012

Number

Practitioner Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Physicians and Dentists 708 790 919 857 939 1,051 991 908 871 816 8,850
Professional Nurse 1,859 2,175 2,223 2,425 2,236 2,100 1,866 3,035 3,193 3,626 24,738
All Other Practitioners 562 598 762 885 894 929 935 1,132 1,214 1,432 9,343
Total 3,129 3,563 3,904 4,167 4,069 4,080 3,792 5,075 5,278 5,874 42,931

Percent

Practitioner Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Physicians and Dentists 22.6% 22.2% 23.5% 20.6% 23.1% 25.8% 26.1% 17.9% 16.5% 13.9% 20.6%
Professional Nurse 59.4 61.0 56.9 58.2 55.0 51.5 49.2 59.8 60.5 61.7 57.6
All Other Practitioners 18.0 16.8 19.5 21.2 22.0 22.8 24.7 22.3 23.0 24.4 21.8
Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Note: Includes reports for the 50 U.S. States, the District of Columbia, American Samoa, Guam, Federated States of Micronesia, Northern Mariana Islands, Palau, Puerto Rico, U.S. Virgin Islands, and Armed Forces locations overseas. Includes disclosable reports in the NPDB as of December 31, 2012; voided reports are excluded.

"Physicians and Dentists" includes allopathic (M.D.) physicians, interns, and residents; osteopathic (D.O.) physicians, interns, and residents; and dentists and dental residents.

"Professional Nurse" includes registered nurses, licensed practical nurses, licensed vocational nurses, nurse practitioners, nurse anesthetists, nurse midwives, clinical nurse specialists, advanced nurse practitioners, and doctors of nursing practice.

"All Other Practitioners" includes all other health care practitioners, non-health care professionals, and nonspecified professionals.

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Table 14: All Reports by Type, 2003 - 2012

Number

Report Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Malpractice Payment Reports 18,535 17,882 16,771 14,841 14,286 13,928 13,957 12,859 12,659 12,152 147,870
All Adverse Action Reports 27,780 30,595 33,619 35,340 34,757 35,937 38,561 44,894 46,400 45,830 373,713
State Licensure Action 23,879 26,537 29,597 31,408 30,966 32,205 34,825 41,122 42,743 41,956 335,238
Clinical Priv./Panel Membership Action 1,005 993 867 806 822 802 868 878 821 778 8,640
Prof. Society Membership Action 54 42 62 32 48 84 70 91 62 60 605
Drug Enforcement Admin. Action 37 48 26 18 12 19 382 139 102 280 1,063
HHS OIG Exclusion 2,805 2,975 3,067 3,076 2,909 2,827 2,416 2,664 2,667 2,752 28,158
Accreditation Action 0 0 0 0 0 0 0 0 5 4 9
All Reports 46,315 48,477 50,390 50,181 49,043 49,865 52,518 57,753 59,059 57,982 521,583

Percent

Report Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Malpractice Payment Reports 40.0% 36.9% 33.3% 29.6% 29.1% 27.9% 26.6% 22.3% 21.4% 21.0% 28.4%
All Adverse Action Reports 60.0 63.1 66.7 70.4 70.9 72.1 73.4 77.7 78.6 79.0 71.6
State Licensure Action 51.6 54.7 58.7 62.6 63.1 64.6 66.3 71.2 72.4 72.4 64.3
Clinical Priv./Panel Membership Action 2.2 2.0 1.7 1.6 1.7 1.6 1.7 1.5 1.4 1.3 1.7
Prof. Society Membership Action 0.1 0.1 0.1 0.1 0.1 0.2 0.1 0.2 0.1 0.1 0.1
Drug Enforcement Admin. Action 0.1 0.1 0.1 0.0 0.0 0.0 0.7 0.2 0.2 0.5 0.2
HHS OIG Exclusion 6.1 6.1 6.1 6.1 5.9 5.7 4.6 4.6 4.5 4.7 5.4
Accreditation Action 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
All Reports 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Note: Includes reports for the 50 U.S. States, the District of Columbia, American Samoa, Guam, Federated States of Micronesia, Northern Mariana Islands, Palau, Puerto Rico, U.S. Virgin Islands, and Armed Forces locations overseas.

Payment year is used for Medical Malpractice Payment Reports; action year is used for Adverse Action Reports.

Adverse Action Reports include reinstatements, restorations, state licensure actions, clinical privilege actions, professional society membership actions, Medicare and Medicaid exclusions, and DEA actions.

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Table 15: Reports for Physicians, 2003 - 2012

Number

Report Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Malpractice Payment Reports 15,124 14,525 13,626 11,739 11,246 10,851 10,761 9,795 9,615 9,194 116,476
All Adverse Action Reports 4,941 5,340 5,350 5,400 5,244 5,265 5,911 5,733 6,215 6,306 55,705
State Licensure Action 3,687 4,094 4,192 4,357 4,195 4,231 4,546 4,534 5,102 5,093 44,031
Clinical Priv./Panel Membership Action 891 905 797 692 720 672 723 757 683 649 7,489
Prof. Society Membership Action 48 37 47 26 41 79 60 65 41 33 477
Drug Enforcement Admin. Action 30 40 23 14 12 12 302 110 88 227 858
HHS OIG Exclusion 285 264 291 311 276 271 280 267 301 304 2,850
All Reports 20,065 19,865 18,976 17,139 16,490 16,116 16,672 15,528 15,830 15,500 172,181

Percent

Report Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Malpractice Payment Reports 75.4% 73.1% 71.8% 68.5% 68.2% 67.3% 64.5% 63.1% 60.7% 59.3% 67.6%
All Adverse Action Reports 24.6 26.9 28.2 31.5 31.8 32.7 35.5 36.9 39.3 40.7 32.4
State Licensure Action 18.4 20.6 22.1 25.4 25.4 26.3 27.3 29.2 32.2 32.9 25.6
Clinical Priv./Panel Membership Action 4.4 4.6 4.2 4.0 4.4 4.2 4.3 4.9 4.3 4.2 4.3
Prof. Society Membership Action 0.2 0.2 0.2 0.2 0.2 0.5 0.4 0.4 0.3 0.2 0.3
Drug Enforcement Admin. Action 0.1 0.2 0.1 0.1 0.1 0.1 1.8 0.7 0.6 1.5 0.5
HHS OIG Exclusion 1.4 1.3 1.5 1.8 1.7 1.7 1.7 1.7 1.9 2.0 1.7
All Reports 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Note: Includes reports for the 50 U.S. States, the District of Columbia, American Samoa, Guam, Federated States of Micronesia, Northern Mariana Islands, Palau, Puerto Rico, U.S. Virgin Islands, and Armed Forces locations overseas.

Payment year is used for Medical Malpractice Payment Reports; action year is used for Adverse Action Reports.

Adverse Action Reports include reinstatements, restorations, state licensure actions, clinical privilege actions, professional society membership actions, Medicare and Medicaid exclusions, and DEA actions.

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Table 16: Reports for Nurses, 2003 - 2012

Number

Report Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Malpractice Payment Reports 483 531 596 586 625 687 680 609 659 711 6,167
All Adverse Action Reports 12,289 13,857 16,002 16,165 15,638 16,340 16,951 21,663 22,597 22,741 174,243
State Licensure Action 12,272 13,827 15,984 16,149 15,627 16,321 16,924 21,636 22,582 22,709 174,031
Clinical Priv./Panel Membership Action 15 27 18 16 11 18 16 20 11 19 171
Prof. Society Membership Action 0 0 0 0 0 0 0 1 0 0 1
Drug Enforcement Admin. Action 0 1 0 0 0 1 11 6 4 13 36
HHS OIG Exclusion 2 2 0 0 0 0 0 0 0 0 4
All Reports 12,772 14,388 16,598 16,751 16,263 17,027 17,631 22,272 23,256 23,452 180,410

Percent

Report Type 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Malpractice Payment Reports 3.8% 3.7% 3.6% 3.5% 3.8% 4.0% 3.9% 2.7% 2.8% 3.0% 3.4%
All Adverse Action Reports 96.2 96.3 96.4 96.5 96.2 96.0 96.1 97.3 97.2 97.0 96.6
State Licensure Action 96.1 96.1 96.3 96.4 96.1 95.9 96.0 97.1 97.1 96.8 96.5
Clinical Priv./Panel Membership Action 0.1 0.2 0.1 0.1 0.1 0.1 0.1 0.1 0.0 0.1 0.1
Prof. Society Membership Action 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
Drug Enforcement Admin. Action 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.0 0.0 0.1 0.0
HHS OIG Exclusion 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
All Reports 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

Note: Includes reports for the 50 U.S. States, the District of Columbia, American Samoa, Guam, Federated States of Micronesia, Northern Mariana Islands, Palau, Puerto Rico, U.S. Virgin Islands, and Armed Forces locations overseas.

Payment year is used for Medical Malpractice Payment Reports; action year is used for Adverse Action Reports.

Adverse Action Reports include reinstatements, restorations, state licensure actions, clinical privilege actions, professional society membership actions, Medicare and Medicaid exclusions, and DEA actions.

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Table 17: Number of Reports by Practitioner Type, September 1990 - December 2012

Number of Reports Physicians Number Physicians Percentage Dentists Number Dentists Percentage Professional Nurses Number Professional Nurses Percentage
1 116,222 57.8% 25,805 64.5% 69,129 53.0%
2 42,365 21.1 7,634 19.1 39,209 21.1
3 18,011 9.0 3,063 7.7 12,112 9.0
4 9,411 4.7 1,485 3.7 5,549 4.7
5 5,343 2.7 764 1.9 2,369 2.7
6 3,161 1.6 435 1.1 1,085 1.6
7 2,001 1.0 259 0.6 496 1.0
8 1,316 0.7 164 0.4 269 0.7
9 871 0.4 88 0.2 111 0.4
10 604 0.3 78 0.2 67 0.3
>10 1,728 0.9 217 0.5 91 0.9

"Physicians" includes allopathic (M.D.) physicians, interns, and residents and osteopathic (D.O.) physicians, interns, and residents.

"Dentists" includes dentists and dental residents.

"Professional Nurses" includes registered nurses, licensed practical nurses, licensed vocational nurses, nurse practitioners, nurse anesthetists, nurse midwives, clinical nurse specialists, advanced nurse practitioners, and doctors of nursing practice.

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Table 18: Reports by Jurisdiction, 2003 - 2012

Jurisdiction 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Alabama 918 1,075 1,168 1,169 1,218 1,040 1,128 1,244 1,183 1,257
Alaska 156 161 163 144 166 160 161 192 195 122
American Samoa 2 1 1 2 0 1 1 1 1 0
Arizona 2,163 2,178 2,205 2,364 2,093 2,012 2,019 1,896 1,793 1,584
Arkansas 453 807 767 655 600 683 702 756 729 754
Armed Forces - Americas 0 0 1 0 1 0 0 0 0 0
Armed Forces - Europe 5 6 1 5 3 5 1 2 7 1
Armed Forces - Pacific 1 3 6 2 3 0 4 3 2 2
California 3,687 3,906 3,798 3,699 3,822 3,775 3,839 4,804 5,364 4,495
Colorado 826 850 893 1,045 1,193 1,223 1,341 1,312 1,167 1,148
Connecticut 637 545 511 596 501 535 523 451 512 428
Delaware 106 91 100 109 76 89 101 147 149 187
District of Columbia 93 101 154 133 121 107 102 123 117 130
Federated States of Micronesia 0 0 0 0 2 0 0 0 0 0
Florida 2,816 2,887 3,381 3,123 3,088 3,370 3,059 3,336 3,679 3,770
Georgia 833 825 772 676 755 710 731 594 659 636
Guam 3 1 1 1 1 5 1 0 1 2
Hawaii 78 77 64 82 71 97 109 86 66 88
Idaho 123 137 143 139 158 159 163 147 224 178
Illinois 1,588 1,417 1,597 1,301 1,376 1,381 1,645 2,201 1,926 1,744
Indiana 724 707 860 935 825 864 1,039 1,072 1,215 1,612
Iowa 428 539 513 424 472 583 627 661 646 614
Kansas 381 429 383 380 406 493 496 622 587 448
Kentucky 626 706 746 711 748 762 798 757 829 762
Louisiana 1,038 1,212 1,278 1,258 1,273 1,253 1,268 1,730 1,568 1,546
Maine 226 214 233 313 282 338 316 326 337 327
Maryland 665 665 629 676 735 676 768 824 918 953
Massachusetts 930 1,031 1,001 1,029 941 1,009 1,073 1,093 1,057 1,025
Michigan 1,494 1,526 1,426 1,457 1,380 1,381 1,558 1,480 1,639 1,701
Minnesota 599 621 600 610 713 561 628 905 740 857
Mississippi 866 851 801 891 650 795 663 778 718 757
Missouri 838 1,069 1,501 938 1,091 949 1,262 2,021 1,407 1,412
Montana 186 152 187 172 238 251 176 242 218 194
Nebraska 284 371 499 352 378 433 352 569 543 669
Nevada 532 537 450 473 548 590 592 530 567 559
New Hampshire 225 289 219 235 206 195 192 223 216 251
New Jersey 1,387 1,419 1,726 1,447 1,340 1,428 1,636 1,640 1,988 1,568
New Mexico 277 311 286 307 335 318 388 431 408 427
New York 3,307 3,306 3,173 3,217 2,866 2,721 2,759 2,731 2,855 2,730
North Carolina 904 1,030 1,009 1,027 1,143 1,307 1,296 1,425 1,454 1,406
North Dakota 117 108 126 115 143 126 136 159 146 186
Northern Marianas 0 0 0 1 0 0 0 0 0 0
Ohio 1,790 2,041 2,304 2,127 2,000 2,435 2,428 2,377 2,497 2,282
Oklahoma 1,592 1,458 1,504 1,300 1,105 1,319 1,177 1,554 1,779 1,696
Oregon 581 544 597 643 773 1,011 1,266 1,247 1,041 1,070
Pennsylvania 2,342 2,432 21,33 2,515 2,312 2,106 2,204 2,292 2,301 2,279
Puerto Rico 198 240 265 209 251 299 282 308 297 318
Rhode Island 182 151 168 184 177 192 196 174 194 153
South Carolina 613 584 541 598 604 637 659 836 646 763
South Dakota 83 85 105 92 109 146 99 145 130 171
Tennessee 452 610 742 755 715 786 997 1,094 1,069 1,129
Texas 3,794 4,112 4,527 5,012 4,465 3,684 4,402 4,985 5,315 5,870
Utah 389 376 399 398 360 373 370 398 379 458
Vermont 190 240 252 251 213 203 251 233 213 209
Virgin Islands 3 2 3 2 5 1 5 1 0 5
Virginia 1,148 1,251 1,299 1,161 1,194 1,619 1,675 1,630 1,927 1,958
Washington 1,433 1,243 1,170 1,720 1,719 1,635 1,812 1,733 1,965 1938
West Virginia 383 373 405 364 411 365 402 445 485 348
Wisconsin 520 502 522 553 597 581 530 616 788 659
Wyoming 98 71 80 82 71 86 110 170 200 145

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