Insights

What we know, and how we know it.

Research notes on the personal injury receivable — sourced, dated, and revised when the facts change. Where a figure is disputed, we say so rather than picking the flattering one.

Research notes

Notes on the injury receivable

Duration · verified · Aug 2026

An injury case now takes fourteen to eighteen months to resolve

Industry reporting places the average personal injury matter at roughly fourteen to eighteen months from treatment to resolution, with complex cases running past three years. For a practice, that is the interval between doing the work and learning what it paid — and it is why the answer cannot be held in anyone's memory.

verifiedReviewed August 2026

Geography · verified · Aug 2026

Florida runs roughly twelve times the national rate of injury filings

Florida sees about 127 injury cases per 100,000 residents, with personal injury exceeding 60% of its civil docket. The next tier — Ohio at 30.4, New Jersey at 30.3, South Carolina at 30.1, Illinois at 22.9 — sits an order of magnitude below. If your practice is in Florida, the injury book is not a side ledger.

verifiedReviewed August 2026

The waterfall · illustration

Four parties are paid before the practice

On a settlement, the attorney's contingency fee comes first, then case costs, then Medicare's conditional-payment recovery. The practice is paid fourth, from what remains, and the remainder is typically negotiated down. On an illustrative $100,000 settlement a practice that billed $45,000 receives about $21,000 — 46.7%. This is the single most misread number in the field, because it looks like a collections failure and is not one.

illustrationModeled from standard contingency structure and statutory recovery mechanics

Market structure · single source · Aug 2026

Receivable purchasers reportedly buy at around twenty cents on the dollar

Industry commentary describes lien purchasers acquiring medical receivables at roughly 20% of face value. We have found one credible source for this figure and have not yet corroborated it, so we present it as a single-source claim rather than a market rate. If it is representative, a practice evaluating an offer without knowing its own collection rate is negotiating blind.

single source — corroboration pendingReviewed August 2026

Market size · disputed · Aug 2026

The financing market's size is genuinely disputed

Published estimates of the pre-settlement funding market range from about $1.2 billion to $2.4 billion, against forecasts approaching $34 billion by 2030. Those cannot all be measuring the same thing. One harder datum: roughly $2.7 billion of consumer pre-settlement securitizations since 2018, with institutional participants. We quote the range, never a single figure.

conflicting sourcesReviewed August 2026

Segment · verified · Aug 2026

The practices carrying this paper are overwhelmingly independent

Diagnostic imaging counts roughly 5,000 businesses, with the ten largest chains holding about 1,100 centers — leaving four to five thousand independents. Pain management is more fragmented still: over 900 group practices, and the largest group in the country has 138 physicians. Ambulatory surgery centers number 6,394, about 60% physician-owned only, and 55% operate one or two rooms. These are practices where one person can act on an answer.

verifiedReviewed August 2026

Method · standing note

Why every figure here carries its basis

A percentage without a denominator is not information. Anywhere we publish a rate, you will find what it is a rate of, over how many cases, across what period. Where we are uncertain we label it — verified, single source, disputed, or illustration — and where we have no data we publish nothing. Applied to our own claims first.

standingApplies to this site and to every report we produce

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