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North Carolina

Malpractice payment activity in 2025, ranked against the other 50 states and DC.

Payments per 1,000 physicians

1.11

47th of 51

Mean payment

$430,492

33rd of 51

5-year trend in the rate

-44.5%

47th of 51

2025 in numbers

Payment reports
32
Total paid
$13.8M
Mean payment
$430,492
Payments per 1,000 physicians
1.11
5-year change in the rate
-44.5%
Patient-care physicians (2023)
28,711

The physician count is the denominator under every rate above: non-federal M.D.s and D.O.s in patient care, from HRSA’s Area Health Resources File 2023 is the most recent year published, carried forward to 2025.

Noneconomic damages cap

Weak (rainy)

$712,847 noneconomic cap; exceptions for disfigurement/permanent injury/death plus gross negligence/fraud/etc.

Scored 8 of 22 on the bundled scorecard. Verify with counsel before relying on it — this is research, not legal advice.

History

Whether 2025 is part of a longer movement or a single-year blip. A hollow final point marks a year scaled from partial data.

Payments per 1,000 physicians
0.01.22.43.6201720192021202320252026
Mean payment
0K206K412K617K201720192021202320252026

Payment data reflects historical payouts after a written claim or judgment — not a measure of medical quality, and not a prediction of any individual’s risk. Colors on the map are scaled within each year, so compare states within a year and use these numbers, not the colors, to compare a state against itself over time.