STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY
v.
M & E DIAGNOSTIC SERVICES, INC., ETC.
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An expert affidavit regarding the reasonableness of medical charges satisfies section 90.702 and creates a genuine issue of material fact when based on the expert's personal knowledge, professional expertise in the relevant community, and evaluation of the specific medical records at issue, even if not grounded in a formal scientific methodology.
[1] Expert testimony regarding the reasonableness of medical charges is not barred by the Daubert standard merely because it is based on professional experience and knowledge…
[2] An expert's affidavit based on personal knowledge, professional expertise in the relevant community, and evaluation of the specific medical records pertaining to the disp…
Previewing 2 of 4 headnotes on this case. FLexlaw’s editorially structured points of law — every proposition, pinpointed — are reserved for members.
Join FLexlaw to unlock all legal intelligence“[T]he Daubert standard does not prohibit . . . expert opinion testimony based on experience.”
Establishes that expert testimony need not be based solely on scientific methodology but may be grounded in professional experience and knowledge.
Previewing 1 of 3 key quotes on this case — the court’s exact language, pinpointed for members.
Join FLexlaw to unlock all legal intelligenceM & E Diagnostic Services, as assignee of patient Omar Pinelo, sued State Farm for underpayment of diagnostic services following an automobile acciden…
The full statement of facts, procedural history, and disposition for this case are member content.
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Third District Court of Appeal
State of Florida
Opinion filed August 18, 2021. Not final until disposition of timely filed motion for rehearing.
________________
No. 3D20-1193 Lower Tribunal Nos. 11-7998 SP; 20-144 AP
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State Farm Mutual Automobile
Insurance Company,
Appellant,
vs.
M & E Diagnostic Services, Inc., a/a/o Omar Pinelo, Appellee.
An Appeal from the County Court for Miami-Dade County, Lawrence D. King, Judge. Birnbaum, Lippman & Gregoire, PLLC, and Nancy W. Gregoire (Fort Lauderdale); Kirwan Spellacy Danner Watkins & Brownstein, P.A., and Scott E. Danner (Fort Lauderdale), for appellant. A Able Advocates – Stuart L. Koenigsberg, P.A., and Stuart L. Koenigsberg, for appellee. Before FERNANDEZ, C.J., and GORDO and LOBREE, JJ. GORDO, J. State Farm Mutual Automobile Insurance Company appeals the trial court’s entry of final judgment in favor of M & E Diagnostic Services after granting summary judgment as to the reasonableness of charges and striking State Farm’s expert witness. We have jurisdiction. See Fla. R. App. P. 9.030(b)(1)(A). Based on our review of the record, we find the expert witness’s affidavit created a genuine issue of material fact as to the reasonableness of the charges and reverse.
FACTUAL AND PROCEDURAL BACKGROUND M & E Diagnostic Services, as assignee of Omar Pinelo, sued State Farm alleging the insurer underpaid for services offered to Pinelo following an automobile accident. The parties stipulated that M & E’s treatment to Pinelo was medically necessary and related to the accident. M & E moved for summary judgment regarding the reasonableness of charges. In opposition to summary judgment, State Farm filed the affidavit of Dr. Edward A. Dauer, a medical doctor and owner of a diagnostic imaging center, who opined that the provider’s charges were not reasonable. M & E moved to strike the doctor’s affidavit arguing Dr. Dauer’s opinion was pure opinion testimony based primarily on speculation and conjecture and failed to meet the Daubert1 test for admissibility under section 90.702 Florida Statutes (2020).
The trial court heard the motions, struck Dr. Dauer’s testimony and entered summary judgment finding that M & E established the reasonableness of charges as a matter of law and the conflicting affidavit was legally insufficient to create a genuine issue of material fact. The court concluded that Dr. Dauer’s affidavit did not satisfy the Daubert requirements under section 90.702 as it was largely based on personal opinion and lacked any scientifically verifiable methodology.
LEGAL ANALYSIS
We review an order granting summary judgment de novo. Volusia Cnty. v. Aberdeen at Ormond Beach, L.P., 760 So. 2d 126, 130 (Fla. 2000). “Similarly, a lower court’s ruling on the legal sufficiency of an affidavit is also reviewed de novo.” United Auto. Ins. Co. v. Progressive Rehab. & Orthopedic Servs., LLC, No. 3D21-0108, 2021 WL 3072936, at *2 (Fla. 3d DCA July 21, 2021). “Florida Rule of Civil Procedure 1.510(e) (effective to April 30, 2021) provides that affidavits supporting or opposing summary judgment ‘must be made on personal knowledge, must set forth such facts as would be
Cases With Similar Vibessemantic neighbors from the corpus
Citator
Authorities Cited
- Daubert et ux. v. Merrell Dow Pharms., Inc., 509 U.S. 579 (U.S. 1993)
- Volusia Cnty. v. Aberdeen AT Ormond Beach, L.P., 760 So. 2d 126 (Fla. 2000)
- Patience R. Morgan v. Cont'l Cas. Co., 382 So. 2d 351 (Fla. 3d DCA 1980)