10 states with the highest malpractice risk 

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Between 2015 and 2025, there have been a total of 608,758 adverse action reports filed across the country, according to data from the the National Practitioner Databank, which includes reports through September 2025. 

Here are the 10 states with the most adverse action reports in that period:

  1. California: 60,385
  2. Texas: 52,660
  3. Florida: 40,519
  4. Ohio: 28,850
  5. New York: 26,485
  6. Michigan: 24,996
  7. Pennsylvania: 24,291
  8. Illinois: 20,020
  9. Colorado: 18,665
  10. Washington: 17,748
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