Department File Number : | M202091387 |
Claim Number : | 1025937-01 |
Date Submitted : | 2/10/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Byron | C | Mischen | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1106 Druid Rd S Ste 302 | ||||
City | State | Zip Code | County | ||
Clearwater | FL | 33756 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
751568 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME92841 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/4/2012 | 5/15/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Right breast calcifications | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Right digital diagnostic mammogram | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to diagnose breast cancer | |||||
Principal Injury Giving Rise To The Claim | |||||
Metastasis to lymph nodes, increased morbidity | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/1/2015 | 15-CI-005655 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 1/24/2020 | ||||
Other Defendants Involved in this Claim | |||||
Trustees of Mease Hospital Inc dba Mease Outpatient Imaging Center Portillo MD, Michael S Radiology Associates of Clearwater MD PA | |||||
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 | |||||
1/24/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $49,109 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $25,986 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $175,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
Department File Number : | M201782150 |
Claim Number : | 1023892-03 |
Date Submitted : | 8/22/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Byron | C | Mischen | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1106 Druid Rs S Ste 302 | ||||
City | State | Zip Code | County | ||
Clearwater | FL | 33756 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
751568 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME92841 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/10/2012 | 2/9/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Breast cancer screening | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Mammograms | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to diagnose breast cancer | |||||
Principal Injury Giving Rise To The Claim | |||||
Increased morbidity | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/30/2015 | 15-004362-CI | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 5/10/2017 | ||||
Other Defendants Involved in this Claim | |||||
Radiology Associates of Clearwater MD PA Mickler MD, Amy K | |||||
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 | |||||
5/10/2017 |
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 | $15,400 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $9,641 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $85,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | ||||||||||
Date of Change: | 8/22/2017 8:04:58 AM | |||||||||
Reason for Change: | ALE UPDATE 8/22/2017 | |||||||||
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Department File Number : | M201677472 |
Claim Number : | 1019932-01 |
Date Submitted : | 8/11/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Susan | K | Spielman | ||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Fort Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0340 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | BYRON | C | MISCHEN | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1106 Druid Road South, Ste 302 | ||||
City | State | Zip Code | County | ||
Clearwater | FL | 33756 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
751568 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME92841 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MEASE HOSPITAL - DUNEDIN | 100043 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/6/2013 | 7/11/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Neck spasms, right hand and left leg issues | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Finding of cervical spondylosis | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to diagnose C6-7 disc herniation with cord indentation | |||||
Principal Injury Giving Rise To The Claim | |||||
Permanent paralysis | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/6/2015 | 15-000071-CI | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 3/2/2016 | ||||
Other Defendants Involved in this Claim | |||||
Mease Dunedin Hospital Radiology Associates of Clearwater MD PA Kanaan MD, Elias | |||||
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 | |||||
3/2/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $27,233 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $12,800 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | ||||||||||
Date of Change: | 8/11/2016 10:32:15 AM | |||||||||
Reason for Change: | ALE UPDATED 8/11/2016 | |||||||||
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Does Dr. BYRON C MISCHEN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. BYRON C MISCHEN, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).