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Self-Employed Physicians: Mean Malpractice Premiums, Total Expenses, And Net Income, Selected Years 1970-2000. Doctors practicing in an inner city saw premiums go from $18,200 to $14,700, a decline of 19.2%. Our data do not provide information regarding why physician revenue declined malpractice insurance rates by state and specialty. 6.15 miles 1400 Urban Center Drive, Suite 200, Birmingham, AL 35242 Under the structured settlement agreement, the initial $1 million disbursement is expected within 30 days of the agreement, of which Levinson is expected to receive $494,522 in fees and $21,910 for reimbursement for litigation costs. A trust will be established for the boy, Dominick Castro, with the remaining 1 million. Within 30 days, Castro can expect to receive $50,000 followed by monthly payments of $3,215, which will increase at 3 percent compounded annually. Payments are for the rest of Castro's life or 30 years which ever is longer.