Key Takeaways
- In 2022, the National Practitioner Data Bank (NPDB) reported 10,772 medical malpractice payments against physicians, totaling $4.8 billion in payouts.
- Between 1990 and 2020, the average annual number of malpractice payments per 1,000 physicians was 6.8.
- In 2019, 8.2% of physicians faced at least one malpractice claim, according to a multi-state analysis.
- The average malpractice payout in 2022 was $348,065 across all claims.
- Total malpractice payouts reached $5.1 billion in 2021 per NPDB.
- Median indemnity payment for surgery claims was $250,000 in 2020.
- Surgical errors accounted for 32% of all payouts totaling $1.6 billion in 2022.
- Misdiagnosis or delayed diagnosis made up 40% of malpractice claims in 2021.
- Medication errors represented 12% of claims, with 18% paid in 2020.
- 85,000 malpractice claims annually result in death or permanent disability.
- 32% of paid claims involved death as outcome in 2022 NPDB data.
- Permanent injury occurred in 45% of settled malpractice cases.
- In 2022, 42 states had tort reform caps on non-economic damages.
- 28 states limit attorney contingency fees to 33% in malpractice cases.
- NPDB mandatory reporting covered 98% of payments over $30,000 in 2023.
Medical malpractice claims are common, costly, and often result in severe patient harm.
Financial Costs and Settlements
- The average malpractice payout in 2022 was $348,065 across all claims.
- Total malpractice payouts reached $5.1 billion in 2021 per NPDB.
- Median indemnity payment for surgery claims was $250,000 in 2020.
- Defense costs averaged $58,000 per closed claim in 2022.
- New York settlements averaged $512,000 in 2023 verdicts.
- From 2017-2021, average payout for OB/GYN claims was $425,641.
- Total costs of malpractice insurance premiums hit $15.8 billion in 2022.
- California jury awards averaged $688,234 in 2022 malpractice trials.
- 25% of settlements exceeded $1 million in 2021 high-value claims.
- Average defense expenses per claim rose 15% to $67,200 in 2023.
- Florida paid out $789 million in malpractice claims in 2022.
- Median payment for misdiagnosis claims was $300,000 in 2020.
- Pennsylvania average verdict was $1.2 million in 2023 cases.
- National median malpractice award was $425,000 for physicians in 2022.
- Texas settlements totaled $1.1 billion from 2019-2023.
- Anesthesia claims averaged $456,000 payout in 2021.
- Illinois insurance premiums averaged $45,000 for high-risk specialties in 2022.
- 40% of total payouts were for claims over $500,000 in 2020.
- Ohio average settlement was $387,500 in 2023 verdicts.
- Neurosurgical payouts averaged $784,000 per claim 2018-2022.
- Georgia paid $342 million in malpractice claims in 2022.
- Emergency medicine median payment was $210,000 in 2021.
- New Jersey total payouts reached $450 million in 2023.
- Orthopedic surgery claims averaged $295,000 settlement.
- Michigan verdicts averaged $892,000 in successful plaintiff cases 2022.
- Radiology payouts median $187,000 from 2015-2020.
- Cardiology settlements averaged $412,000 in 2022.
- Louisiana average award $567,000 in 2023 trials.
- Diagnosis error claims cost $750 million annually on average.
Financial Costs and Settlements Interpretation
Legal and Policy Statistics
- In 2022, 42 states had tort reform caps on non-economic damages.
- 28 states limit attorney contingency fees to 33% in malpractice cases.
- NPDB mandatory reporting covered 98% of payments over $30,000 in 2023.
- 15 states require expert witness certification for malpractice filings.
- Statute of limitations averaged 2.5 years post-discovery in 40 states.
- 12 states have enterprise liability laws shielding individual providers.
- Certificate of merit required pre-suit in 24 states in 2023.
- 35% of states cap punitive damages at 3x compensatory awards.
- Federal EMTALA violations led to 500 malpractice overlaps yearly.
- 8 states use health courts for streamlined malpractice resolution.
- Arbitration clauses upheld in 75% of hospital contracts post-2022 rulings.
- 50% drop in filings post-tort reform in Texas since 2003.
- 22 states mandate periodic payments for future damages over $250k.
- Joint and several liability abolished in 47 states for malpractice.
- 90% of claims settle pre-trial, per national court data.
- MICRA in California caps non-econ at $350k since 1975, adjusted.
- 16 states have sliding scale fee caps based on award amount.
- HIPAA violations intertwined with 5% of malpractice suits.
- 30 states allow collateral source offset in awards.
- Supreme Court upheld vaccine injury no-fault system in 2023.
- 65% of states have some damage cap post-1986 reforms.
- Pre-suit mediation mandated in 18 states for malpractice.
- FSMB reported 9,000 disciplined actions tied to claims yearly.
- 75% of physicians support further tort reforms per surveys.
- Patient compensation funds active in 30 states for excess verdicts.
Legal and Policy Statistics Interpretation
Patient Outcomes and Impacts
- 85,000 malpractice claims annually result in death or permanent disability.
- 32% of paid claims involved death as outcome in 2022 NPDB data.
- Permanent injury occurred in 45% of settled malpractice cases.
- 15% of claims led to temporary injury, per multi-year study.
- Brain damage from birth injuries affected 1 in 10 OB claims.
- 20,000 patients suffer paralysis yearly from malpractice events.
- Emotional distress reported in 28% of claim outcomes.
- 12% of surgical errors resulted in organ loss or dysfunction.
- Cancer progression due to delay caused death in 35% of such claims.
- 7% of claims involved minor injury only, resolvable.
- Quadriplegia from anesthesia errors in 2% of paid claims.
- 50% of emergency misdiagnosis led to severe harm or death.
- Renal failure from medication errors in 9% of cases.
- 25% of fall claims resulted in hip fractures over 65.
- Sepsis claims had 40% mortality rate in delayed cases.
- Vision loss from glaucoma misdiagnosis in 18% of ophthalmology claims.
- 30% of birth trauma claims led to cerebral palsy.
- Amputation required in 5% of vascular surgery errors.
- PTSD diagnosed in 15% of surviving malpractice victims.
- 60% of retained sponge cases caused infection and reoperation.
- Heart attack misdiagnosis led to death in 22% of cardiology claims.
- 10% of pressure sore claims progressed to osteomyelitis.
- Stroke delay caused hemiplegia in 28% of neurology suits.
- 45% of appendicitis delays resulted in peritonitis.
- 80% of malpractice claims against NPs involved patient death or disability.
- 55% of claims dismissed without payment had no patient harm.
- Licensing boards revoked 1,200 licenses yearly due to malpractice harm.
- 35% of paid claims involved patients over 65 with comorbidities.
Patient Outcomes and Impacts Interpretation
Prevalence and Frequency
- In 2022, the National Practitioner Data Bank (NPDB) reported 10,772 medical malpractice payments against physicians, totaling $4.8 billion in payouts.
- Between 1990 and 2020, the average annual number of malpractice payments per 1,000 physicians was 6.8.
- In 2019, 8.2% of physicians faced at least one malpractice claim, according to a multi-state analysis.
- New York reported 1,642 malpractice payments in 2021, the highest in the U.S., per NPDB data.
- From 2011-2020, emergency medicine specialists faced malpractice claims at a rate of 7.4% per year.
- In 2023, California had 1,218 malpractice filings in superior courts.
- The rate of malpractice claims per 100,000 population was 14.1 in Florida in 2022.
- Across 10 states from 2009-2019, 34% of claims resulted in payment.
- In 2021, neurosurgeons had 18.7 malpractice claims per 100 physicians.
- Pennsylvania saw a 12% increase in malpractice suits from 2019 to 2022.
- In 2020, 4.5% of all hospital admissions led to malpractice allegations.
- Texas reported 856 malpractice payments in 2022 via NPDB.
- Obstetricians faced claims in 11.8% of years practiced, per career-long study.
- In 2023, Illinois courts handled 1,102 medical malpractice cases.
- General surgeons experienced 15.3 claims per 100 physicians annually.
- Michigan's malpractice claims rose 8% yearly from 2018-2022.
- In 2021, 22,763 adverse events were linked to claims in U.S. hospitals.
- Radiologists had a 4.1% annual claim rate from 2005-2015.
- New Jersey recorded 912 malpractice payments in 2022.
- From 2016-2020, primary care physicians faced 2.6 claims per 100 yearly.
- Ohio had 742 filings in 2023 malpractice courts.
- Anesthesiologists claim rate was 3.2% per year in large study.
- Georgia reported 15.4 claims per 100,000 residents in 2022.
- In 2020, 1 in 25 hospital patients filed malpractice concerns.
- Orthopedic surgeons had 10.6 claims per 100 in 2021.
- Massachusetts saw 567 payments totaling high volume in 2022.
- Cardiologists faced 5.8% claim rate over careers.
- In 2023, Nevada had 34 claims per 100,000 population.
- Pediatricians had 3.1 annual claims per 100 from 2010-2020.
- Louisiana reported 412 malpractice suits in 2022.
Prevalence and Frequency Interpretation
Types of Medical Errors
- Surgical errors accounted for 32% of all payouts totaling $1.6 billion in 2022.
- Misdiagnosis or delayed diagnosis made up 40% of malpractice claims in 2021.
- Medication errors represented 12% of claims, with 18% paid in 2020.
- Failure to diagnose cancer led to 25% of emergency department claims.
- Obstetrical malpractice involved birth injuries in 60% of cases, per 2022 data.
- Anesthesia errors caused 3% of claims but 11% of total payouts.
- Surgical never events like wrong-site surgery occurred in 0.5% of operations, leading to claims.
- Infection-related claims rose 20% post-surgery in 2021 studies.
- Delayed treatment accounted for 15% of all filed claims in 2023.
- Failure to monitor patient led to 8% of hospital claims.
- Breast cancer misdiagnosis was top claim type, 19% of diagnosis errors.
- Fall-related injuries in hospitals triggered 5% of claims in 2022.
- Improper performance of procedures was 22% of surgical claims.
- Myocardial infarction missed diagnosis in 12% of cardiology claims.
- Pressure ulcers from neglect caused 4% of long-term care claims.
- Wrong medication dosage errors in 7% of pharmacy-related suits.
- Stroke misdiagnosis topped neurology claims at 14%.
- Retained foreign objects post-surgery: 1 in 5,500 operations, high claim rate.
- Sepsis failure to treat early: 10% of ICU claims in 2022.
- Appendicitis perforation from delay: 16% of abdominal claims.
- VTE prophylaxis failure led to 6% of post-op claims.
Types of Medical Errors Interpretation
Sources & References
- Reference 1NPDBnpdb.hrsa.govVisit source
- Reference 2JAMANETWORKjamanetwork.comVisit source
- Reference 3AMA-ASSNama-assn.orgVisit source
- Reference 4PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 5COURTScourts.ca.govVisit source
- Reference 6FLORIDAHBfloridahb.orgVisit source
- Reference 7AANSaans.orgVisit source
- Reference 8PALAWHELPpalawhelp.orgVisit source
- Reference 9NCBIncbi.nlm.nih.govVisit source
- Reference 10ILLINOISCOURTSillinoiscourts.govVisit source
- Reference 11MICHIGANmichigan.govVisit source
- Reference 12PSNETpsnet.ahrq.govVisit source
- Reference 13AJRONLINEajronline.orgVisit source
- Reference 14SUPREMECOURTsupremecourt.ohio.govVisit source
- Reference 15PUBSpubs.asahq.orgVisit source
- Reference 16GEORGIACOURTSgeorgiacourts.govVisit source
- Reference 17HEALTHAFFAIRShealthaffairs.orgVisit source
- Reference 18AAOSaaos.orgVisit source
- Reference 19MASSmass.govVisit source
- Reference 20ACCacc.orgVisit source
- Reference 21NVCOURTSnvcourts.govVisit source
- Reference 22PUBLICATIONSpublications.aap.orgVisit source
- Reference 23LOUISIANACOURTSlouisianacourts.govVisit source
- Reference 24CONTENTcontent.naic.orgVisit source
- Reference 25NSOnso.comVisit source
- Reference 26NYCOURTSnycourts.govVisit source
- Reference 27ACOGacog.orgVisit source
- Reference 28LAWlaw.comVisit source
- Reference 29THEACTUARYMAGAZINEtheactuarymagazine.orgVisit source
- Reference 30MYFLORIDACFOmyfloridacfo.comVisit source
- Reference 31PACOURTSpacourts.usVisit source
- Reference 32TDItdi.texas.govVisit source
- Reference 33INSURANCEinsurance.illinois.govVisit source
- Reference 34GASBgasb.uscourts.govVisit source
- Reference 35ACEPacep.orgVisit source
- Reference 36NJCOURTSnjcourts.govVisit source
- Reference 37LASClasc.orgVisit source
- Reference 38ACEPNOWacepnow.comVisit source
- Reference 39CANDELLOcandello.comVisit source
- Reference 40ISMPismp.orgVisit source
- Reference 41AANaan.comVisit source
- Reference 42SCCMsccm.orgVisit source
- Reference 43ASHPUBLICATIONSashpublications.orgVisit source
- Reference 44JOINTCOMMISSIONjointcommission.orgVisit source
- Reference 45FACSfacs.orgVisit source
- Reference 46CDCcdc.govVisit source
- Reference 47AAOJOURNALaaojournal.orgVisit source
- Reference 48ABCLAWCENTERSabclawcenters.comVisit source
- Reference 49VASCULARvascular.orgVisit source
- Reference 50AHAJOURNALSahajournals.orgVisit source
- Reference 51STROKEstroke.orgVisit source
- Reference 52SAGESsages.orgVisit source
- Reference 53FSMBfsmb.orgVisit source
- Reference 54NCSLncsl.orgVisit source
- Reference 55NCSCncsc.orgVisit source
- Reference 56NOLOnolo.comVisit source
- Reference 57KFFkff.orgVisit source
- Reference 58AMERICANBARamericanbar.orgVisit source
- Reference 59RANDrand.orgVisit source
- Reference 60CMScms.govVisit source
- Reference 61BROOKINGSbrookings.eduVisit source
- Reference 62AHAaha.orgVisit source
- Reference 63CGAcga.ct.govVisit source
- Reference 64USCOURTSuscourts.govVisit source
- Reference 65HHShhs.govVisit source
- Reference 66JUSTICEjustice.govVisit source






