Money Makes The World Go ‘Round

We have looked before at the big money ICBC pays to their favourite doctors, to write reports and testify to deny Plaintiff’s injuries. Each year we check ICBC’s Statements and Schedules Of Financial Information, which are published on-line as part of their annual reports. The 2013 Statements are here.

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The Statements show payments to suppliers of goods and services.  Like defence experts.  But they don’t tell the whole story.  Many defence experts receive payments through “expert agencies”.  These agencies typically book experts well in advance, then sell the date to ICBC.  ICBC then pays the expert agency, which in turn pays the defence expert.  Or, the ICBC defence law firm pays the expert or the “expert agency”.  ICBC then reimburses the defence law firm as a disbursement to the file.  The result is that the payment to the expert is hidden from public scrutiny.  Those “expert agencies” we know of are called  “CIRA Medical Services”, “IMA Solutions”,“Keyfacts Enterprises Inc.”, “Medisys“, Specialist Referral Clinic, and “The IME Company”.  CIRA has emerged as the largest.

It’s also true that many of ICBC’s favourite doctors also get hired by WCB to oppose workers’ claims for benefits.  Those billings are not practically accessible to Freedom of Information requests.  WCB claims it does not keep records of payments indexed by doctor’s name.

It’s a cat-and-mouse game: The defence doctor’s billings for defence work are not fully disclosed in the ICBC financials.  Plaintiff lawyers ask at trial how much the defence doctor gets through one of these other payors.  Then we try to let all our colleagues know, get a transcript of the defence doctor’s admission, etc.

What we can say, is that whatever shows up in ICBC’s Statements and Schedules Of Financial Information is not the total amount that defence expert was paid to oppose injury claimants.

With that caveat, here are the numbers for some of ICBC’s top-billing defence experts:

ICBC Doctors Specialty 2013 ICBC Payment 2004-2013 ICBC Total
Solomons, Kevin Psychiatry $710,788 $3,954,231
Smith, Derryck Psychiatry $458,949 $3,921,014
Tessler, Bernard Neurology $574,856 $3,575,251
Semrau, Stanley Psychiatry $556,841 $3,489,778
Levin, Alexander Psychiatry $859,237 $3,037,530
Maloon, Stephen Orthopedics $455,588 $3,011,211
Sovio, Olli Orthopedics $539,369 $3,006,058
Bishop, Paul GP $190,739 $2,863,672
Rees, Peter * Neurology $279,471 $2,790,609
Boyle, Marc Orthopedics $293,819 $2,514,053
Reebye, Nittin Kumar Physical med. & rehab $363,337 $2,505,463
Favero, Kenneth Orthopedics $192,770 $2,496,688
O’Shaughnessy, Roy Psychiatry $422,463 $2,329,974
Wong, Kai-Hong Neurology $316,080 $2,253,889
Domisse, Iain Orthopedics $212,678 $2,198,183
David, Eyetan Otolaryngology $300,135 $1,569,316
Piper, Michael Orthopedics $281,270 $1,280,086
Loomer, Richard Orthopedics $149,922 $921,039
Riar, Kulwant Psychiatry $151,775 $859,550

* Dr. Rees testified in Jampolsky v. Shattler (Oct 2010) that he had made at least $400k/yr from ICBC in the prior 5 years, and that any amount not shown in ICBC’s financial statements was paid to him directly by ICBC defence counsel. I have the transcript.

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