Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M202092998 |
Claim Number : | 1057183-01 |
Date Submitted : | 7/16/2020 |
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 | Carolyn | J | Agresti | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1411 N Flagler Dr Ste 9700 | ||||
City | State | Zip Code | County | ||
West Palm Beach | FL | 33401 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
777789 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME69697 | Surgery - Otorhinolaryngology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
NORTHPOINT SURGERY & LASER CENTER | 275 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/27/2016 | 3/15/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Pansinusitis, polyps, developing nasal septum, allergic rhinitis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Sinus surgery | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
failure to properly perform sinus surgery | |||||
Principal Injury Giving Rise To The Claim | |||||
Extraocular muscle damage, double vision | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/19/2019 | 50-2019-CA-010739-MB | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 6/29/2020 | ||||
Other Defendants Involved in this Claim | |||||
Northpoint Surgery and Laser Center n/k/a Baptist Health Surgery Center at Northpoint | |||||
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 | |||||
6/29/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $160,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $17,114 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $3,592 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $152,828 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
Does Dr. CAROLYN J AGRESTI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CAROLYN J AGRESTI, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).