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Appendix D: Medical Malpractice Payment Adjustments by State, Amount, and Delay

Table 19: Medical Malpractice and Adjusted Payment Reports, by State, 2003 - 2012

State Physicians Totals Physicians Adjusted Dentists Total Dentists Adjusted Ratios Physician/ Dentist Ratios Dentist/ Physician
Florida 9,455 9,401 941 941 10.0 0.10
Indiana 2,190 1,630 150 146 11.2 0.09
Kansas 1,472 936 104 103 9.1 0.11
Louisiana 3,012 1,756 170 145 12.1 0.08
Nebraska 733 512 58 58 8.8 0.11
New Mexico 991 798 124 124 6.4 0.16
Pennsylvania 9,341 6,644 843 843 7.9 0.13
South Carolina 1,586 1,204 105 101 11.9 0.08
Wisconsin 712 657 187 187 3.5 0.28

Note: Includes States that provide additional patient compensation. Adjusted columns exclude reports from State funds that make payments in addition to primary malpractice carrier payments for the same case. State funds occasionally make payments on behalf of a practitioner practicing in another State.

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Table 20: Medical Malpractice Payment and Adjusted Reports for Physicians and Dentists, by State, 2003 - 2012

Reports

State 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Florida 1,415 1,326 1,157 916 927 1,047 1,023 920 858 807 10,396
Indiana 323 265 209 240 234 226 293 182 182 186 2,340
Kansas 165 183 194 161 160 146 128 160 142 137 1,576
Louisiana 314 332 294 378 334 360 312 313 281 264 3,182
Nebraska 97 120 181 69 69 57 57 44 50 47 791
New Mexico 113 111 120 126 104 83 100 107 101 150 1,115
Pennsylvania 1,384 1,334 1,145 1,011 901 935 933 863 859 819 10,184
South Carolina 190 178 195 216 210 165 134 131 134 138 1691
Wisconsin 150 123 100 79 79 85 92 58 77 56 899

Adjusted

State 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Florida 1,407 1,316 1,154 913 919 1,040 1,018 916 855 804 10,342
Indiana 209 165 135 162 182 171 220 164 182 186 1,776
Kansas 110 116 138 105 115 95 80 107 94 79 1,039
Louisiana 202 221 201 212 187 212 167 178 158 163 1,901
Nebraska 72 93 103 44 52 42 46 37 43 38 570
New Mexico 97 92 95 96 84 66 79 87 85 141 922
Pennsylvania 938 933 843 749 675 714 686 691 655 603 7,487
South Carolina 143 127 139 164 160 133 113 103 106 117 1,305
Wisconsin 141 119 94 71 74 80 82 53 75 55 844

Note: Includes States that provide additional patient compensation. Adjusted columns exclude reports from State funds that make payments in addition to primary malpractice carrier payments for the same case. State funds occasionally make payments on behalf of a practitioner practicing in another State.

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Table 21: Medical Malpractice Payment and Adjusted Reports for Physicians, by State, 2003 - 2012

Reports

State 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Florida 1,325 1,244 1,069 841 851 963 921 803 735 703 9,455
Indiana 309 246 191 229 219 210 272 172 169 173 2,190
Kansas 155 167 181 149 146 137 122 157 129 129 1,472
Louisiana 288 308 279 355 317 343 298 302 275 247 3,012
Nebraska 89 112 171 66 62 54 53 42 45 39 733
New Mexico 103 101 104 109 94 73 88 96 85 138 991
Pennsylvania 1,290 1,252 1,060 899 827 848 853 778 784 750 9,341
South Carolina 180 164 186 210 202 155 126 121 120 122 1,586
Wisconsin 122 86 86 72 63 71 74 39 58 41 712

Adjusted

State 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Florida 1,317 1,234 1,066 838 843 956 916 799 732 700 9,401
Indiana 195 146 121 151 167 155 199 154 169 173 1,630
Kansas 100 100 125 93 102 86 74 104 81 71 936
Louisiana 181 200 187 193 171 196 156 169 154 149 1,756
Nebraska 64 85 93 41 45 39 42 35 38 30 512
New Mexico 87 82 79 79 74 56 67 76 69 129 798
Pennsylvania 844 851 758 637 601 627 606 606 580 534 6,644
South Carolina 133 113 131 158 153 124 106 93 92 101 1,204
Wisconsin 113 82 80 64 58 66 64 34 56 40 657

Note: Includes States that provide additional patient compensation. Adjusted columns exclude reports from State funds that make payments in addition to primary malpractice carrier payments for the same case. State funds occasionally make payments on behalf of a practitioner practicing in another State.

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Table 22: Medical Malpractice Payment and Adjusted Reports for Dentists, by State, 2003 - 2012

Reports

State 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Florida 90 82 88 75 76 84 102 117 123 104 941
Indiana 14 19 18 11 15 16 21 10 13 13 150
Kansas 10 16 13 12 14 9 6 3 13 8 104
Louisiana 26 24 15 23 17 17 14 11 6 17 170
Nebraska 8 8 10 3 7 3 4 2 5 8 58
New Mexico 10 10 16 17 10 10 12 11 16 12 124
Pennsylvania 94 82 85 112 74 87 80 85 75 69 843
South Carolina 10 14 9 6 8 10 8 10 14 16 105
Wisconsin 28 37 14 7 16 14 18 19 19 15 187

Adjusted

State 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total
Florida 90 82 88 75 76 84 102 117 123 104 941
Indiana 14 19 14 11 15 16 21 10 13 13 146
Kansas 10 16 13 12 13 9 6 3 13 8 103
Louisiana 21 21 14 19 16 16 11 9 4 14 145
Nebraska 8 8 10 3 7 3 4 2 5 8 58
New Mexico 10 10 16 17 10 10 12 11 16 12 124
Pennsylvania 94 82 85 112 74 87 80 85 75 69 843
South Carolina 10 14 8 6 7 9 7 10 14 16 101
Wisconsin 28 37 14 7 16 14 18 19 19 15 187

Note: Includes States that provide additional patient compensation. Adjusted columns exclude reports from State funds that make payments in addition to primary malpractice carrier payments for the same case. State funds occasionally make payments on behalf of a practitioner practicing in another State.

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Table 23: Median Malpractice Payments and Rank by Jurisdiction, Physicians 2003 - 2012

State Payment Ranks 2012 Payment Ranks 2003-2012 Median Payment 2012
Alabama 32 24 $150,000
Alaska 12 39 $250,000
Arizona 18 14 $229,101
Arkansas 35 22 $137,500
California 47 51 $85,000
Colorado 41 30 $115,000
Connecticut 4 3 $400,000
Delaware 8 6 $319,000
District of Columbia 42 10 $110,000
Florida 22 19 $200,000
Georgia 12 12 $250,000
Hawaii 1 14 $555,000
Idaho 29 27 $185,000
Illinois 3 1 $418,440
Indiana 45 43 $93,501
Iowa 22 40 $200,000
Kansas 22 27 $200,000
Kentucky 30 37 $176,750
Louisiana 46 44 $90,000
Maine 12 7 $250,000
Maryland 20 13 $205,000
Massachusetts 2 2 $424,736
Michigan 38 44 $120,000
Minnesota 6 14 $375,000
Mississippi 50 40 $70,000
Missouri 22 14 $200,000
Montana 12 14 $250,000
Nebraska 11 38 $275,000
Nevada 31 24 $157,500
New Hampshire 9 7 $312,500
New Jersey 10 7 $300,000
New Mexico 51 30 $56,250
New York 7 5 $344,625
North Carolina 37 24 $125,000
North Dakota 36 30 $130,000
Ohio 22 20 $200,000
Oklahoma 32 30 $150,000
Oregon 43 30 $100,000
Pennsylvania 4 3 $400,000
Rhode Island 21 23 $202,500
South Carolina 40 44 $115,903
South Dakota 12 44 $250,000
Tennessee 38 30 $120,000
Texas 44 40 $99,000
Utah 48 44 $80,000
Vermont 49 44 $71,250
Virginia 12 11 $250,000
Washington 22 30 $200,000
West Virginia 32 50 $150,000
Wisconsin 19 21 $225,000
Wyoming 22 29 $200,000

Note: Year is malpractice payment year.

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Table 24: Median and Mean Medical Malpractice Payment Delay, in Years, Between Incident and Payment, by Jurisdiction, 2003 - 2012

State Median Rank
2012
Median Rank
2003-2012
Median Delay
2012
Median Delay
2003-2012
Mean Delay
2012
Mean Delay
2003-2012
Alabama 17 17 4.1 4.1 5.0 4.5
Alaska 14 36 4.4 3.6 4.4 5.3
Arizona 25 33 3.9 3.7 4.0 4.0
Arkansas 23 35 4.0 3.7 5.4 4.2
California 50 51 2.8 2.7 3.3 3.2
Colorado 49 50 3.2 3.1 3.3 3.5
Connecticut 8 7 5.5 5.1 5.9 5.4
Delaware 45 26 3.3 3.8 3.5 4.3
District of Columbia 20 23 4.0 3.9 5.5 4.5
Florida 47 32 3.2 3.7 3.7 4.1
Georgia 33 28 3.7 3.8 4.0 4.3
Hawaii 3 15 5.9 4.2 5.6 4.3
Idaho 43 31 3.3 3.7 3.8 4.2
Illinois 7 5 5.6 5.3 6.0 5.8
Indiana 5 1 5.8 6.0 6.0 6.3
Iowa 39 45 3.4 3.4 3.6 3.8
Kansas 32 40 3.7 3.5 4.6 3.9
Kentucky 44 24 3.3 3.9 4.1 4.5
Louisiana 2 4 5.9 5.3 7.0 6.0
Maine 37 13 3.6 4.2 4.0 4.8
Maryland 16 18 4.1 4.1 4.3 4.3
Massachusetts 6 2 5.7 6.0 6.0 6.1
Michigan 31 25 3.7 3.9 4.3 4.3
Minnesota 24 47 4.0 3.4 4.1 3.8
Mississippi 1 12 6.1 4.3 7.6 5.2
Missouri 34 22 3.7 3.9 5.0 4.4
Montana 42 38 3.3 3.6 6.2 4.1
Nebraska 21 19 4.0 4.0 3.9 4.3
Nevada 22 10 4.0 4.5 4.3 4.7
New Hampshire 36 16 3.7 4.1 3.8 4.4
New Jersey 10 8 5.0 5.1 5.5 5.9
New Mexico 12 21 4.5 3.9 4.4 4.0
New York 9 6 5.4 5.2 6.0 5.8
North Carolina 18 27 4.1 3.8 4.5 4.3
North Dakota 27 43 3.9 3.5 3.6 3.6
Ohio 46 37 3.2 3.6 4.1 4.4
Oklahoma 18 34 4.1 3.7 4.8 4.2
Oregon 47 49 3.2 3.2 3.9 3.5
Pennsylvania 11 9 4.7 4.8 5.4 5.6
Rhode Island 3 3 5.9 5.8 5.9 6.0
South Carolina 13 11 4.4 4.4 4.8 4.8
South Dakota 51 48 2.5 3.2 3.2 3.7
Tennessee 26 29 3.9 3.8 4.4 4.3
Texas 38 46 3.4 3.4 3.9 3.8
Utah 30 30 3.7 3.7 4.3 4.1
Vermont 29 20 3.8 4.0 3.5 4.5
Virginia 15 44 4.3 3.4 6.6 4.3
Washington 28 38 3.8 3.6 4.2 3.9
West Virginia 41 41 3.4 3.5 3.7 4.0
Wisconsin 40 14 3.4 4.2 3.9 4.5
Wyoming 35 42 3.7 3.5 4.2 3.7

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Table 25: Mean and Median Physician Malpractice Payments, 2003 - 2012

Payment Reason Median Payment
2012
Median Payment
2003-2012
Number of Payments
2012
Number of Payments
2003-2012
Mean Payment
2012
Mean Payment
2003-2012
Obstetrics Related $350,000 $300,000 585 9,321 $572,199 $548,733
Anesthesia Related $239,980 $200,000 2,872 37,836 $373,476 $340,667
Diagnosis Related $227,500 $200,000 222 3,298 $388,892 $378,730
Monitoring Related $170,000 $152,500 323 3,306 $293,769 $315,952
IV & Blood Products Related $169,400 $150,000 2,559 30,782 $319,332 $271,443
Treatment Related $150,000 $140,000 1,804 22,331 $286,892 $264,929
Surgery Related $140,000 $150,000 21 247 $205,203 $241,172
Medication Related $125,000 $125,000 511 5942 $246,756 $241,885
Behavioral Health Related $75,000 $75,000 222 2407 $278,249 $211,332
Other Miscellaneous $65,625 $100,000 26 379 $282,567 $236,656
Equipment/Product Related $30,000 $55,000 49 627 $160,323 $145,413

Note: Year is malpractice payment year.

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Table 26: Median and Mean Physician Medical Malpractice Delay, in Years, Between Incident and Payment, by Payment Reason, 2003 - 2012

Payment Reason Number of Payments
2012
Number of Payments
2003-2012
Mean Delay
2012
Mean Delay
2003-2012
Median Delay
2012
Median Delay
2003-2012
Obstetrics Related 585 9,321 6.6 6.1 5.4 5.1
Diagnosis Related 2,872 37,836 5.2 5.0 4.5 4.4
Monitoring Related 323 3,306 4.7 4.6 4.2 4.1
IV & Blood Products Related 1,804 22,331 4.9 4.7 4.2 4.1
Treatment Related 21 247 4.6 4.5 4.1 3.6
Medication Related 511 5,942 4.6 4.4 3.8 3.8
Surgery Related 2,559 30,782 4.4 4.3 3.8 3.9
Anesthesia Related 26 379 5.2 5.5 3.5 4.6
Equipment/Product Related 222 3,298 4.0 4.0 3.5 3.6
Behavioral Health Related 49 627 4.2 3.8 3.4 3.2
Other Miscellaneous 222 2,407 3.7 4.3 3.0 3.5

Note: Year is malpractice payment year.

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