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.

Top

---

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.

Top

---

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.

Top

---

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.

Top

---

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.

Top

---

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

Top

---

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.

Top

---

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.

Top

---