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South Dakota

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

Payments per 1,000 physicians

2.65

37th of 51

Mean payment

$281,167

46th of 51

5-year trend in the rate

-36.1%

44th of 51

2025 in numbers

Payment reports
6
Total paid
$1.7M
Mean payment
$281,167
Payments per 1,000 physicians
2.65
5-year change in the rate
-36.1%
Patient-care physicians (2023)
2,262

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

Mixed (partly cloudy)

$500k noneconomic cap.

Scored 12 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
0.02.14.36.4201720192021202320252026
Mean payment
0.0M0.8M1.6M2.4M201720192021202320252026

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.