CHARLES A. SHAW, District Judge.
This matter is before the Court on plaintiff SSM Managed Care Organization, L.L.C.'s ("SSM") motion for default judgment. For the following reasons, the Court will grant SSM's motion and award it default judgment in the amount of $3,637,382.76.
This case arises out of defendant Comprehensive Behavioral Care, Inc.'s ("CompCare") failure to pay or respond to 227 claims related to medical services provided by SSM to covered patients between November 23, 2010 and June 2013. SSM alleges that CompCare breached the parties' Letter Agreement and Facility Provider Agreement by failing to pay these claims and violated Missouri's Prompt Pay Act, Mo. Rev. Stat. § 376.383. SSM seeks to recover in damages the amounts owed for these outstanding claims under the parties' contracts, as well as the penalties and interest and reasonable attorneys' fees under § 376.383(6) of the Prompt Pay Act.
Defendant appeared in this action and filed its answer. The parties submitted a joint scheduling plan, and the Court issued a Case Management Order on April 17, 2013. The case was scheduled for court-ordered mediation on November 19, 2013.
On November 4, 2013, defendant's counsel filed motions to withdraw. Counsel stated that defendant has not abided by the client agreements with the attorneys' law firms, "which has created irreconcilable differences between [the law firms] and [defendant] CompCare that have not been resolved." On December 5, 2013, after a hearing, the Court held the motions in abeyance, and ordered defendant to obtain substitute counsel no later than January 6, 2014. Defendant did not obtain substitute counsel by January 6, 2014. The Court granted defense counsel's motions to withdraw on January 16, 2014. SSM filed a motion to strike CompCare's pleadings, which the Court granted. SSM filed a motion for entry of default, and the Clerk of Court entered default against CompCare on January 23, 2014. SSM now moves for default judgment.
When a default judgment is entered on a claim for an indefinite or uncertain amount of damages, the facts alleged in the complaint are taken as true, except facts relating to the amount of damages, which must be proved in a supplemental hearing or proceeding.
Pursuant to Missouri Revised Statutes § 376.383(6),
Mo. Rev. Stat. § 376.383(6).
In support of its motion for default judgment, SSM has submitted an affidavit of Louis C. Rotter, Jr., the Network Vice President-Chief Contracting Officer for SSM Health Care St. Louis. Mr. Rotter's affidavit calculates the amount of damages due on the 155 claims CompCare failed to pay SSM as required by the Letter Agreement. (Rottler Aff. ¶¶ 8-25). Mr. Rottler's affidavit also calculates the amount of damages due on the 72 claims CompCare failed to pay SSM as required by the Facility Provider Agreement. (
Based on the affidavit of Mr. Rottler and the accompanying spreadsheets attached thereto as Exhibit 1, the amount SSM is entitled to recover from CompCare for the 155 claims under the terms of the Letter Agreement is $642,748.40. In addition, SSM is entitled to receive statutory interest at one percent under the Missouri Prompt Pay Act.
The Missouri Prompt Pay Act also contains a statutory penalty in the amount of one percent of the claim per day.
As detailed in Mr. Rottler's affidavit and the spreadsheet attached as Exhibit 1, SSM is entitled to recover $2,575,044.35 from CompCare for the 155 claims submitted under the Letter Agreement.
In addition to these 155 claims under the Letter Agreement, CompCare failed to pay 72 claims as required by the Facility Provider Agreement. SSM provides a column-by-column explanation of these damages in Exhibit 2 to Mr. Rottler's affidavit. The amount owed to SSM under the agreement for these 72 claims is $805,880.80. Additionally, SSM is entitled to one percent interest per month under the Missouri Prompt Pay Act, which is calculated at $5,927.13; and penalties of one percent per day under the Missouri Prompt Pay Act, which is calculated at $180,514.82. The total amount of damages owed to SSM from CompCare on the 72 claims under the Facility Provider Agreement is $992,322.75.
Missouri Revised Statute § 376.383(6) also provides that "[u]pon a finding by a court of competent jurisdiction that a health carrier failed to pay a claim, interest, or penalty without good cause, the court shall enter judgment for reasonable attorney fees for services necessary for recovery." Mo. Rev. Stat. § 376.383(6). To prove the amount of its attorneys' fees and costs, SSM has attached the affidavit of Kevin F. Hormuth, an officer of the law firm Greensfelder, Hemker & Gale, P.C. ("Greensfelder"). Attached to Mr. Hormuth's affidavit is an itemized billing record that provides for the total amount of time expended and expenses incurred by each lawyer or paralegal for each day, and a detailed description of the particular litigation task performed. In total, SSM seeks $69,829.37 in attorneys' fees for work performed from August 1, 2012 through February 4, 2014. SSM's litigation costs total $186.29 for this same time period.
In a diversity case such as this, federal courts follow state law regarding an award of attorneys' fees, absent conflict with a federal statute or court rule.
In this case, four Greensfelder attorneys billed at various rates. Officer Gregg Lepper billed at $380/hour; officer Kevin Hormuth billed at $310 (and later $327.75)/hour; officer David Niemeier billed at $274.50/hour; and attorney James Walkup billed at $235 (and later $247.50)/hour. The paralegals involved in this case billed at a rate of $155/hour. The Court finds these rates in line with the prevailing rates for St. Louis attorneys, particularly those practicing in health care litigation. Missouri Lawyer's Weekly has compiled lists of billing rates in its Fourth Annual Corporate Counsel Desk Book.
The Court has also reviewed the detailed descriptions of the work Greensfelder's attorneys performed on this case and the numbers of hours spent on that work. The Court finds both the nature of the services and the amount of time involved to be reasonable. SSM researched and filed this case, proceeded through initial disclosures and initial discovery, and prepared the case for mediation before defendant CompCare defaulted. The Court has examined the relevant factors in determining the reasonable value and amount of the statutorily authorized fees, and finds the fees charged by Greensfelder's attorneys to be reasonable for the services necessary for recovery in this action.
Based on the foregoing, the Court will enter default judgment in favor of plaintiff SSM and against defendant CompCare in the amount of Three Million Six Hundred Thirty-Seven Thousand Three Hundred Eighty-Two Dollars and Seventy-Six Cents ($3,637,382.76). The stay previously imposed in this case will be lifted.
Accordingly,
An appropriate default judgment will accompany this Memorandum and Order.