Medical Malpractice Payouts by State 2025

What Qualifies as Medical Malpractice?

While the vast majority of doctors are good people who always put the patient’s needs first, there are situations where doctors might make mistakes. Whether intentionally or unintentionally, doctors might be guilty of medical malpractice.

For something to qualify as medical malpractice, the act has to meet the four Ds. The doctor has to have a proven duty to care for the patient. If the doctor doesn’t have a duty, there is no malpractice. The doctor also has to have deviated from the accepted standards of the field. There has to be some damage for a patient to claim. If the patient did not suffer adverse consequences, there is no malpractice. Finally, the deviation from those best practices has to be the direct cause of those damages. All four of these criteria must be satisfied to prove malpractice.

What Are Common Examples of Medical Malpractice?

There are a few common examples of medical malpractice. For example, the doctor might have prescribed the wrong medication. If a reasonable physician would have used a different medication, and the wrong medication led to damage, then this could be malpractice. Or, the doctor might perform surgery on the wrong body part. There should be measures in place to prevent this from happening. Some types of malpractice are more egregious, such as a doctor working while intoxicated or doing something to harm a patient intentionally.

2022 Medical Malpractice Claims

In 2022, Florida had the most medical malpractice claims made with 670 claims. New York was close behind with 659 claims. California (513), Pennsylvania (456), and Texas (344) make up the rest of the top five states with the most claims during the year.

The majority of claims paid out $50,000-$499,999. In New Jersey, however, most of the payouts (80) were made for $500,000-$999,999.

North Dakota, Alaska, South Dakota, Vermont, and Wyoming had the lowest number of malpractice claims in 2022. Each state had less than ten claims during the year.

Which States Have Paid Out the Most Claims?

Several states have paid out several billion dollars in medical malpractice claims over the years. This could come from hospitals, insurance companies, or the doctors themselves. California is the highest state and has paid out close to $10 billion over the years. Then, some states have paid out a few hundred million in medical malpractice claims. It varies widely from state to state, and the average payout of a claim can vary significantly depending on the circumstances. The case will consider the direct cost of the mistake, any emotional distress, and possibly punitive damages stemming from the case.

Does Malpractice Insurance Cover These Claims?

Yes, there are situations where insurance will cover the cost of these claims. Most doctors have medical malpractice insurance that will pay for lawyers’ fees and the settlement cost or trial verdict. On the other hand, these policies have a limit to them, and there might be some exclusions. For example, if the doctor is found to have committed assault against the patient, then the insurance company might not pay out the claim. If the insurance company does not pay for the claim, the doctor or the hospital might have to pay independently. It is also possible that the hospital will have its own policy to cover the cost. This is handled on a case-by-case basis, and it is important to work with a lawyer in this situation.