• Family of patient who died after orthopedic surgery wins $35M verdict against hospital
  • Orthopedic surgeon wins $20M verdict against Johnson & Johnson
  • Minnesota orthopedic group hit with $111M negligence verdict
  • Orthopedic patient's death highlights potential dangers of prior authorization
  • Spine surgeon's video hits 1 million views on TikTok
  • Spine surgeon killed in Oklahoma hospital shooting
  • Spine surgeon owes $17M to paralyzed patient
  • Providence to pay $22.7M to settle unnecessary spine surgery allegations
  • Spine surgeon gets jail time for abusing patient during hospital visit
  • 'They're on really thin ice': Why 1 insurer has drawn spine surgeons' ire
  • Connecticut hospital to appeal $12.5M verdict to family of patient who died after orthopedic surgery
  • Orthopedic surgeon must face suit in patient's death
  • Spine surgeon 1 of 9 physician billionaires on Forbes' 2022 list
  • 23 spine device companies to watch in 2022
  • 4 spine technologies that promised more than they delivered
  • Orthopedic surgeon salary vs. average household income in each state
  • Orthopedic surgeon's health system exit steeped in controversy
  • Terminated orthopedic surgeon contracts with another New York hospital
  • Orthopedic surgeon convicted of battery at hospital
  • Billionaire spine surgeon buys $23.9M mansion
  • UArizona neurosurgery chair dies after motorcycle collision
  • Texas spine surgeon sued by State Farm over 'unnecessary' procedures
  • The spine tech surgeons say will explode in the next 5 years
  • Could Medtronic's spine business be the next medtech spinoff?
  • Ex-NFL player gets 5 years in prison for $2.9M healthcare fraud scheme
  • 41 'rising stars' in orthopedics
  • Orthopedic surgeon indicted in $10M telemedicine fraud scheme
  • Neurosurgeon's startup hits $1.2B valuation
  • Orthopedic surgeon fined for operating on wrong knee
  • Lawsuits build against Aetna's spine surgery coverage
  • Good news, bad news for orthopedic surgeons: 6 observations
  • Former spine surgeon owes $13M to 2 women over unnecessary procedures
  • Walmart's latest partnership pushes retailer into spine care
  • Texas spine surgeon's $11M verdict being appealed
  • 10 power players in orthopedics
  • Rothman Orthopaedics to become national brand, but no 'aspirations to go beyond US'
  • Sports medicine physician fired amid misconduct allegations involving patients
  • Orthopedic surgeon allegedly exaggerated patient visits to defraud insurers
  • Top orthopedic hospital in every state: US News
  • Orthopedic surgeon asking for misconduct charges to be dropped
  • Texas spine surgeon sued by State Farm over 'unnecessary' procedures

    Texas spine surgeon sued by State Farm over 'unnecessary' procedures

    Carly Behm -  

    A San Antonio surgeon is being sued by an insurer over allegations he performed medically unnecessary spinal injections and procedures to inflate personal injury claims, according to a lawsuit filed July 26 in the Western District Court of Texas.

    Five things to know:

    1. Sanjay Misra, MD, allegedly filed multiple fraudulent patient evaluations for unnecessary surgeries to "exaggerate the severity and inflate the value of personal injury claims against State Farm Mutual and State Farm County," the lawsuit says.

    2. State Farm has identified 335 patients who were treated by Dr. Misra. Of those patients, he recommended and/or performed spinal injections for 300 of them. 

    3. The surgeries Dr. Misra recommended were usually microdiscectomies and anterior cervical discectomies and fusions. Nearly half of his patients were recommended for surgery, and some were recommended for both microdiscectomy and ACDF. He recommended surgery "even when there is no indication a surgery would provide any relief to the patient," the lawsuit alleges.

    4. The lawsuit also alleges Dr. Misra purported to take patients' information, but evaluations were "boilerplate, include nonspecific information about the patients’ conditions and reveal noncredible patterns."

    5. State Farm alleges it sustained damages of more than $1.1 million and is asking for a jury trial. Dr. Misra did not immediately respond to Becker's or the San Antonio Express News for comment.

    Copyright © 2022 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

    Featured Learning Opportunities

    Featured Webinars

    Featured Podcast

    Featured Whitepapers