Medical Malpractice Cases

Dr. AUGUSTINE A BOLLO Medical Malpractice Cases

Court Case # 04-18364

Indemnity Paid: $210,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747211
Claim Number :1000581
Date Submitted :3/5/2009
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA MEDICAL MALPRACTICE JUAPrimary
Insurer FEINProfessional License Number
59-1625412 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSUSAN SPIELMAN
Street Address
5814 Reed Street
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340 (260) 486 - 0782SUSAN.SPIELMAN@MEDPRO.COM
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAugustineABollo
Insurer TypeStreet Address of Practice
Licensed1600 Town Ctr Blvd, Ste C
CityStateZip CodeCounty
WestonFL33326Broward
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
FL003034$250,000$750,000
Profession or BusinessOther Profession or Business
Podiatric Physician 
License NumberSpecialty Code & ClassificationCertification Number
PO2570  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FBroward
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityWeston Outpatient Surgery Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/21/20034/19/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right foot pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Injury to medial dorsal nerve of right foot
Principal Injury Giving Rise To The Claim
Reflex sympathetic dystrophy (RSD) to right lower extremity; pain and suffering
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/3/200404-18364
County Suit Filed inDate of Final Disposition
Brevard9/26/2007
Other Defendants Involved in this Claim
Orthopaedic & Podiatric Consultants of FL Inc
Felton DPM, Patrick M
Canlas DPM, Bernabe B
Plantation General Hospital
Weston Outpatient Surgical Ctr LTD
Foot Ankle & Leg Specialists of S FL Inc
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/25/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$210,000
Loss Adjust Expense Paid to Defense Counsel$56,883
All Other Loss Adjustment Expense Paid$46,226
Injured Person's Total Non-Economic Loss$150,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change:3/5/2009 10:12:00 AM
Reason for Change:ALE Update
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel5684356883

 

 

This page is not displaying certain sensitive information.

Court Case # 05-09972-04

Indemnity Paid: $85,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849523
Claim Number :1000640
Date Submitted :3/5/2009
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA MEDICAL MALPRACTICE JUAPrimary
Insurer FEINProfessional License Number
59-1625412 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSUSAN SPIELMAN
Street Address
5814 Reed Street
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340 (260) 486 - 0782SUSAN.SPIELMAN@MEDPRO.COM
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAUGUSTINEABOLLO
Insurer TypeStreet Address of Practice
Licensed1600 Town Ctr Blvd, Ste C
CityStateZip CodeCounty
WestonFL33326Broward
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
FL003034$250,000$750,000
Profession or BusinessOther Profession or Business
Podiatric Physician 
License NumberSpecialty Code & ClassificationCertification Number
PO2570  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MBroward
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
9/12/20033/3/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right foot puncture wound and numbness
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Conservative care, prescription of antibiotics
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to do wound cultures, failure to refer for MRI or other diagnostic tests
Principal Injury Giving Rise To The Claim
Amputation of two toes, partial loss of function of foot
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/1/200505-09972-04
County Suit Filed inDate of Final Disposition
Broward5/7/2008
Other Defendants Involved in this Claim
Weston Foot & Ankle Inc
Augustine A Bollo DPM PA
South Florida Institute of Sports Medicine
Lori, Masterson
Wound Technology Network
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/7/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$85,000
Loss Adjust Expense Paid to Defense Counsel$30,478
All Other Loss Adjustment Expense Paid$11,432
Injured Person's Total Non-Economic Loss$60,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change:3/5/2009 10:27:51 AM
Reason for Change:ALE Update
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel2445630478
All Other Loss Adjustment Expense Paid734711432

 

 

This page is not displaying certain sensitive information.

Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade Desoto Dixie Duval Escambia Flagler Franklin Gadsden Hamilton Hardee Hendry Hernando Highlands Hillsborough Indian River Jackson Lake Lee Leon Levy Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Out of state Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Volusia Walton