NPDB Malpractice Payments by State

HRSA National Practitioner Data Bank Public Use File · 1990–2004

58 states & territories · RECORDED verbatim from HRSA · Historical data only · CC0

Historical data: This dataset covers malpractice payment reports from 1990 through 2004 only. The HRSA NPDB Public Use File was discontinued. This does NOT reflect current malpractice rates or insurance pricing.

Highest total payments (1990–2004)

All states — ranked by total payment

All figures RECORDED verbatim from the HRSA NPDB PUF. Payments are in nominal dollars (not inflation-adjusted). Totals reflect population size and practitioner count — not per-capita risk.

State	Total payments	Reports	Period
New York NY	$7,139,480,800	30,513	1990–2004
Pennsylvania PA	$4,165,503,900	20,014	1990–2004
Florida FL	$3,256,189,400	15,879	1990–2004
California CA	$2,944,761,100	29,183	1990–2004
Texas TX	$2,842,127,100	16,487	1990–2004
Illinois IL	$2,831,141,800	10,052	1990–2004
New Jersey NJ	$2,294,666,700	9,728	1990–2004
Ohio OH	$2,040,960,350	10,169	1990–2004
Massachusetts MA	$1,217,088,650	4,836	1990–2004
Michigan MI	$1,140,083,550	12,478	1990–2004
Georgia GA	$1,064,739,800	4,346	1990–2004
Missouri MO	$828,851,200	4,389	1990–2004
Maryland MD	$799,594,500	4,047	1990–2004
North Carolina NC	$787,330,050	3,426	1990–2004
Connecticut CT	$775,876,750	2,715	1990–2004
Arizona AZ	$744,882,050	3,800	1990–2004
Washington WA	$698,307,900	4,527	1990–2004
Indiana IN	$666,614,550	4,477	1990–2004
Virginia VA	$612,632,150	3,469	1990–2004
Louisiana LA	$536,412,800	4,239	1990–2004
Tennessee TN	$528,928,100	2,870	1990–2004
Wisconsin WI	$514,223,550	2,173	1990–2004
West Virginia WV	$421,542,750	2,140	1990–2004
Colorado CO	$416,840,550	2,754	1990–2004
Kentucky KY	$408,108,550	2,665	1990–2004
Oklahoma OK	$375,478,200	1,853	1990–2004
Minnesota MN	$330,939,050	1,941	1990–2004
Mississippi MS	$321,664,100	1,723	1990–2004
District of Columbia DC	$317,399,650	938	1990–2004
Nevada NV	$315,744,900	1,353	1990–2004
Kansas KS	$307,772,550	2,344	1990–2004
South Carolina SC	$299,256,400	1,712	1990–2004
Alabama AL	$290,921,050	1,111	1990–2004
Iowa IA	$290,374,650	1,901	1990–2004
Oregon OR	$277,282,150	1,660	1990–2004
Rhode Island RI	$229,812,500	989	1990–2004
Utah UT	$227,154,000	1,903	1990–2004
New Mexico NM	$199,039,750	1,635	1990–2004
New Hampshire NH	$191,990,650	931	1990–2004
Arkansas AR	$191,916,550	1,141	1990–2004
Maine ME	$146,427,100	675	1990–2004
Montana MT	$144,524,200	956	1990–2004
Hawaii HI	$134,473,250	617	1990–2004
Delaware DE	$133,447,950	606	1990–2004
Nebraska NE	$132,714,300	1,132	1990–2004
Puerto Rico PR	$105,476,400	1,967	1990–2004
Idaho ID	$88,919,950	536	1990–2004
South Dakota SD	$78,624,650	417	1990–2004
Alaska AK	$64,999,050	352	1991–2004
Wyoming WY	$61,057,100	423	1990–2004
North Dakota ND	$59,262,700	377	1990–2004
Vermont VT	$58,036,450	492	1990–2004
Armed Forces Pacific AP	$4,718,750	8	1994–2003
Armed Forces Europe AE	$4,565,300	26	1992–2003
Guam GU	$4,388,750	13	1991–2003
U.S. Virgin Islands VI	$3,212,500	28	1991–2003
Palau PW	$545,000	1	1997–1997
American Samoa AS	$544,500	7	1998–2003

About the HRSA NPDB Public Use File

The National Practitioner Data Bank (NPDB) collects reports of medical malpractice payments and certain adverse actions against licensed health practitioners. HRSA released a de-identified Public Use File (PUF) with aggregate statistics for public research purposes. The PUF was discontinued; the data available here covers the period 1990–2004 only.

Payment counts represent reports filed with the NPDB, not verdicts, settlements, or incidents. One incident may produce multiple reports. Large states with more practitioners naturally have larger totals — these figures are NOT per-practitioner risk scores or insurance rate indicators.

Source: HRSA NPDB Public Use Data File . All data CC0 (US federal government work, no copyright).