Department File Number : | M201678634 |
Claim Number : | 21516-01 |
Date Submitted : | 6/6/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Karen | Kessler | |||
Street Address | |||||
3000 Meridian Blvd., Suite 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2249 | kkessler@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Alphonse | R | Tribuiani | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2350 Vanderbilt Beach Rd. | ||||
City | State | Zip Code | County | ||
Naples | FL | 34109 | Collier | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0050820 | $500,000 | $1,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO2858 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Collier | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Gladiolus Surgery Center | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/25/2011 | 12/8/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Bunion, right; hammertoes, digits 2-5, right; 5th metatarsal tailor¿s bunion; nerve impingement to right, 5th MPJ/lateral dorsal cutaneous nerve | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Long arm Austin bunionectomy with K-wire fixation; arthrodesis of digits 2-4; derotational arthrodesis of 5th digit; capsular release to right, 2nd and 3rd MPJ region; exostosis to lateral aspect of 5th metatarsal head; decompression of lateral dorsal cutaneous nerve, all right foot | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient presented to the insured on 10/21/10 with complaints of painful bunions. She was diagnosed with hammertoes and other deformities as well. Surgery was discussed and, on 4/25/11, the insured prescribed blood work and other testing in preparation for surgery. A chest x-ray was ordered, and this was positive for a pulmonary mass in the upper left lung area, with CT imaging recommended. Plaintiff alleges insured failed to share the information with the patient and proceeded with routine surgery. The surgery was uneventful, and patient¿s last visit with insured was on 02/09/12. Patient ultimately passed away in October 2013. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/12/2015 | 11-2015-CA-001078-00 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Collier | 5/20/2016 | ||||
Other Defendants Involved in this Claim | |||||
Associates in Medicine & Surgery LLC Naples Diagnostic Imaging Center Ltd Dr. Alphonse R. Tribuiani PA Vensel, MD, Theresa | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
5/24/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $52,471 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $7,283 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None - Specialty code #80993 |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. ALPHONSE R TRIBUIANI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALPHONSE R TRIBUIANI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).