{"id":46142,"date":"2025-11-12T06:08:25","date_gmt":"2025-11-12T06:08:25","guid":{"rendered":"https:\/\/www.newsbeep.com\/us-tx\/46142\/"},"modified":"2025-11-12T06:08:25","modified_gmt":"2025-11-12T06:08:25","slug":"san-antonio-doctor-agrees-to-pay-state-farm-companies-to-end-litigation","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us-tx\/46142\/","title":{"rendered":"San Antonio doctor agrees to pay State Farm companies to end litigation"},"content":{"rendered":"<p class=\"mb-4 text-lg md:leading-8 break-words\">A San Antonio physician has settled a <a href=\"https:\/\/www.expressnews.com\/business\/local\/article\/State-Farm-sues-doctor-Texas-17332756.php\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:federal lawsuit;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">federal lawsuit<\/a> brought by two <a href=\"https:\/\/www.statefarm.com\/\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:State Farm insurance;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">State Farm insurance<\/a> companies that alleged he performed unnecessary and expensive spinal surgeries and procedures on patients injured in auto accidents to inflate the value of their insurance claims.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">While final settlement terms have not been revealed,\u00a0<a href=\"https:\/\/www.baptisthealthsystem.com\/find-a-doctor\/detail\/sanjay-misra-1891896460\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Dr. Sanjay Misra;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">Dr. Sanjay Misra<\/a> agreed to pay $314,000 to State Farm Mutual Automobile Insurance Co. and State Farm County Mutual Insurance Co. of Texas under the terms of a preliminary settlement.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Details of that settlement\u00a0were disclosed during a Sept. 26 court hearing following a successful mediation with <a href=\"https:\/\/law.stmarytx.edu\/academics\/faculty\/henry-bemporad\/\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:U.S. Magistrate Judge Henry Bemporad;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">U.S. Magistrate Judge Henry Bemporad<\/a>.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">READ MORE: <a href=\"https:\/\/www.expressnews.com\/business\/local\/article\/State-Farm-sues-doctor-Texas-17332756.php\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Auto insurers sue San Antonio doctor over hundreds of \u2018unnecessary&#039; medical procedures;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">Auto insurers sue San Antonio doctor over hundreds of \u2018unnecessary&#8217; medical procedures<\/a><\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">A transcript of the hearing outlining the mediated settlement was filed with the court Oct. 2 but was later sealed by <a href=\"https:\/\/fedsoc.org\/bio\/jason-pulliam\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:U.S. District Judge Jason Pulliam;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">U.S. District Judge Jason Pulliam<\/a>. The request to seal it had been made by\u00a0Misra&#8217;s lawyers, who said the sealing was &#8220;necessary to avoid any public conflict from potential minor variations between the Mediation Conference Transcript and the final settlement agreement.&#8221;<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Misra&#8217;s attorneys also said sealing the court transcript was needed to &#8220;preserve the confidentiality required&#8221; under a federal court rule &#8220;covering the parties&#8217; settlement negotiations and terms discussed at the mediation conference which are still being finalized.&#8221;<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\"><a href=\"https:\/\/lawdcm.com\/attorneys\/ricardo-g-cedillo\/\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Ricardo Cedillo;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">Ricardo Cedillo<\/a>, one of the lawyers representing Misra and his practice, said his clients were pleased the case is over, particularly given the court found State Farm&#8217;s claims on &#8220;fabricated patient treatments \u2026 totally without merit.&#8221;<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">&#8220;Throughout this case, Dr. Misra has maintained his innocence and there has never been a finding of any liability, wrongdoing, misfeasance or malfeasance against Dr. Misra or his practice,&#8221; Cedillo said in an email Monday. &#8220;He is very happy to put this lawsuit behind him.&#8221;<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">A State Farm representative didn&#8217;t respond to a request for comment. In reciting terms of the settlement at the Sept. 26 hearing,\u00a0Bemporad said &#8220;State Farm has no intention to issue a press release of any sort regarding the claims.&#8221;<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">A State Farm lawyer said during the hearing that the companies agreed that they would not say anything other than &#8220;there&#8217;s been an agreement with no admission of liability.&#8221; It also agreed that it would not say anything contrary to Misra&#8217;s statement.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">During the hearing, Bemporad gave the parties 45 days to work out a final settlement. There apparently were no hiccups because the two sides jointly filed a request to dismiss the case on Friday.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">RELATED: <a href=\"https:\/\/www.expressnews.com\/business\/article\/state-farm-countersuit-surgery-17884154.php\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:San Antonio doctor says State Farm insurance companies wrongly labeled him a criminal, wants $500K+;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">San Antonio doctor says State Farm insurance companies wrongly labeled him a criminal, wants $500K+<\/a><\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">The court transcript shows\u00a0Misra preliminarily agreed to make a $23,000 payment at the beginning of 2026, 2027 and 2028, followed by 11 monthly payments of $7,000 in 2026 and 2027, and then 13 monthly payments of $7,000 ending in early 2029.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">The parties\u00a0agreed to release all claims they had against each other, save for some outstanding payments possibly due\u00a0Misra.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">The State Farm companies alleged in their lawsuit that Misra had submitted hundreds of fraudulent bills and supporting documentation. He denied the allegations.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Submitting fraudulent bills through the U.S. mail amounts to a &#8220;pattern of racketeering activity&#8221; meant to defraud the insurers, the companies said in their complaint. The fraudulent bills and supporting documentation &#8220;were at the very least a substantial factor in inducing them to settle bodily injury and uninsured\/under-insured motorist claims they otherwise might not have settled,&#8221; the insurers said.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">They paid more than $6.5 million in connection with legal cases settled or litigated with 335 patients\u00a0Misra treated for neck and\/or back pain, according to a court filing. The companies had sought restitution.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Misra filed a\u00a0countersuit alleging the State Farm companies wrongly labeled him a criminal, which damaged his professional reputation and caused more than $500,000 in damages to his pain management clinic. Racketeering relates to the <a href=\"https:\/\/www.law.cornell.edu\/wex\/racketeer_influenced_and_corrupt_organizations_act_(rico)\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Racketeer Influenced and Corrupt Organizations Act;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">Racketeer Influenced and Corrupt Organizations Act<\/a>, or RICO, which is a federal law often often associated with the prosecution of mob bosses.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Pulliam dismissed Misra&#8217;s counterclaims early last year.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">During the case, the State Farm companies had <a href=\"https:\/\/www.expressnews.com\/business\/article\/jim-adler-jeff-davis-suit-17777065.php\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:subpoenaed the law firms of personal-injury attorneys;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">subpoenaed the law firms of personal-injury attorneys<\/a> and television pitchmen <a href=\"https:\/\/www.expressnews.com\/news\/article\/jim-adler-texas-hammer-origin-18198510.php\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Jim Adler;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">Jim Adler <\/a>and <a href=\"https:\/\/www.expressnews.com\/business\/article\/san-antonio-jeff-davis-glen-lerner-trademark-21126322.php\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:Jeff Davis;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">Jeff Davis<\/a> seeking all communications between them and Misra regarding more than 185 of his patients.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">Both law firms filed motions to quash the subpoenas, which were granted in part and denied in part.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">State Farm Mutual was Texas&#8217; second-largest auto insurer with a <a href=\"https:\/\/www.tdi.texas.gov\/company\/top40.html#auto\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:16.3% market\u00a0share in 2023;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">16.3% market\u00a0share in 2023<\/a>, according to the Texas Department of Insurance. Progressive County Mutual Insurance Co. was the largest, with an 18.3% share. State Farm County Mutual ranked 22nd\u00a0with a 0.89% share.<\/p>\n<p class=\"mb-4 text-lg md:leading-8 break-words\">This article originally published at <a href=\"https:\/\/www.expressnews.com\/business\/article\/san-antonio-state-farm-doctor-sanjay-misra-21151303.php?utm_medium=referral&amp;utm_campaign=yahoo_syndication\" rel=\"nofollow noopener\" target=\"_blank\" data-ylk=\"slk:San Antonio doctor agrees to pay State Farm companies to end litigation;elm:context_link;itc:0;sec:content-canvas\" class=\"link \">San Antonio doctor agrees to pay State Farm companies to end litigation<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"A San Antonio physician has settled a federal lawsuit brought by two State Farm insurance companies that alleged&hellip;\n","protected":false},"author":2,"featured_media":46143,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[26786,26783,26784,26785,82,84,83,26782,26781],"class_list":["post-46142","post","type-post","status-publish","format-standard","has-post-thumbnail","category-san-antonio","tag-court-transcript","tag-henry-bemporad","tag-insurance-claims","tag-magistrate-judge-henry-bemporad","tag-san-antonio","tag-san-antonio-headlines","tag-san-antonio-news","tag-sanjay-misra","tag-state-farm"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts\/46142","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/comments?post=46142"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/posts\/46142\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/media\/46143"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/media?parent=46142"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/categories?post=46142"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us-tx\/wp-json\/wp\/v2\/tags?post=46142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}