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Tag: doctor billings

Who's Paying The "Independent" Medical Examiner in Your Injury Claim?


I’ve written many times about the lucrative business of ‘independent‘ medical exams in the context of personal injury claims.  Since ICBC is a public institution they disclose annual financial statements documenting how much they have paid various doctors.  A review of these statements reveals that a handful of doctors get a lot of repeat business from ICBC and that some earn hundreds of thousands of dollars per year doing this work.
Another useful source of information is the Ministry of Health “Blue Book” which is published each year and reveals annual MSP “Payments to Practitioners“.
If you cross reference these two sources of information you can gain useful insight into some of the various streams of income of independent medical examiners.
One quick illustration are the reported ICBC and MSP billings of Dr. J. F. Schweigel.  If you look at his company’s ICBC billings for 2009 and contrast these with his MSP billings for the same year it becomes clear just how lucrative the independent medical examination business can be for a practicing doctor.
2009 ICBC Billings

2009 MSP Billings

If you’re interested in learning who’s paying your indepdendent medical examiner some quick homework can reveal very useful information.
(Note: it’s worth pointing out that MSP billings are not the only source of income for physicians’ clinical practices in BC.  One noteworthy example would be Health Authority Billings where  a doctor has hospital privileges.  When scrutinizing physician billings its good practice to get as much information as possible from all sources to get a fair and objective picture.)

Show Me the Money 2! 2007 Doctors' ICBC Billings Revealed

Further to my previous post on ICBC and high billing doctors I am pleased to report that ICBC has now published their 2007 “statements and schedules of financial information which reveal, amongst other things, the “amounts paid to suppliers of goods and services in 2007“.
One of the ‘goods and services’ often purchased by ICBC is the “Independent Medical Exam”. This is done either to get an ‘independent’ opinion of the medical condition of someone seeking ‘no-fault benefits’ from ICBC, or, further to the Rules of Court which permit one side of a lawsuit to get an ‘independent’ exam addressing the medical condition of a plaintiff involved in an ICBC injury tort claim.
As an ICBC claims lawyer I find it interesting to see which doctors ICBC routinely uses to conduct these independent medical exams. From reviewing these annual reports it becomes clear that there is a small number of doctors who do a significant amount of work on behalf of ICBC.
As promised in my earlier blog, below are some of the highlights of the 2007 report of doctor billings:
Dr. Kevein Favero (Orthopedic Surgeon, Langley, BC): $188,814
Dr. N. K. Reebye (Physical Medecine and Rebabilitation, New Westminster): $339,243
Dr. Peter M. Rees (Neurologist, Burnaby): $215,788
Dr. J. F Schweigel (Orthopedic Surgeon) : $924,243
Dr. D. M. Laidlow: (Physical Medicine and Rehabilitation, Westbank) $165,657
Dr. Robert W. McGraw: (Orthopedic Surgoen, Vancouver) $224,375
Dr. T O’Farrell: (Orthopedic Surgoen, Kelowna) $147,003
Dr. James Warren: (Orthopedic Surgoen, Victoria) $111,041
Dr. O. M. Sovio: (Orthopedic Surgeon, Abbotsford) $252,916
Dr. H. Davis: (Psychiatrist, Vancouver) $164,755
Dr. Marc Boyle (Orthopaedic Surgeon, North Vancouver) $353,822
Dr. Paul Bishop (Vancouver, BC) $357,358
Dr. Mark Crossman (Physical Medicine and Rehabilitation, Vancouver) $83,577
Dr. I. G. Dommisse (Orhopaedic Surgoen, New Westminster) $156,650
Dr. H. E. Hawk (Orthopedic Surgeon, Vancouver) $280,000

Show Me The Money! ICBC and High Billing Physicians

One of the benefits of having a crown corporation monopoly insurer (ICBC) in BC is that they must file annual reports accessible to members of the public. These annual reports can be found on-line and contain volumes of information regarding ICBC and their financial status.
One of the most interesting facts published annually by ICBC is the amount of money they pay ‘expert physicians’ who do work on ICBC’s behalf. This information is known to most ICBC claims lawyers and I thought some of my readers would be interested in this data as well.
As of the writing of this post the 2007 annual report is not available but the 2006 report is. Below is a list of some of the physicians who billed significant amounts to ICBC for their services in 2006. I will be sure to publish the highlight physician billings from ICBC’s 2007 report once available.
Dr. Kevein Favero (Orthopedic Surgeon, Langley, BC): $245,483
Dr. N. K. Reebye (Physical Medecine and Rebabilitation, New Westminster): $275,336
Dr. Peter M. Rees (Neurologist, Burnaby): $225,330
Dr. J. F Schweigel (Orthopedic Surgeon) : $796,012
Dr. D. M. Laidlow: (Physical Medicine and Rehabilitation, Westbank) $101,539
Dr. Robert W. McGraw: (Orthopedic Surgoen, Vancouver) $253,240
Dr. T O’Farrell: (Orthopedic Surgoen, Kelowna) $111,162
Dr. James Warren: (Orthopedic Surgoen, Victoria) $87,207
Dr. O. M. Sovio: (Orthopedic Surgeon, Abbotsford) $203,892
Dr. H. Davis: (Psychiatrist, Vancouver) $113,950
Dr. Marc Boyle (Orthopaedic Surgeon, North Vancouver) $287,860
Dr. Paul Bishop (Vancouver, BC) $321,137
Dr. Mark Crossman (Physical Medicine and Rehabilitation, Vancouver) $111,441
Dr. I. G. Dommisse (Orhopaedic Surgoen, New Westminster) $194,612
Dr. H. E. Hawk (Orthopedic Surgeon, Vancouver) $336,650