Department File Number : | M201781368 |
Claim Number : | 1017107 |
Date Submitted : | 8/17/2017 |
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 | Earl | C | Mills | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3056 Timpana Pt | ||||
City | State | Zip Code | County | ||
Longwood | FL | 32779 | Seminole | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
714711 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME108734 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
PALM SPRINGS GENERAL HOSPITAL | 100050 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Recovery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/17/2012 | 1/3/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
neck pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
anterior cervical disc surgery | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
hematoma compressed trachea post op | |||||
Principal Injury Giving Rise To The Claim | |||||
death due to hypoxic encephalopathy | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/10/2014 | CACE-14-018303 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 2/20/2017 | ||||
Other Defendants Involved in this Claim | |||||
Persormance Orthopedics East LLC Calhoun Orthopedics & Neurosurgery & Performance Orthopedics & Sports Medicine performance orthopedics east LLC Calhoun Orthopedics & Neurosurgery Performance Orthopedics & Sports Medicine Mevorah, Brian M Cereceda, Mark A PalmSprings General Hospital Inc Palm Springs General Hospital of Hialeah Condarco-Pelaez MD, Abraham West 49th Street ER Physicians Corp | |||||
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 | ||||
Other | Settled before trial | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
2/20/2017 |
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 | $61,452 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $27,452 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $235,000 | ||||||||||||||||||||
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 | ||||||||||
Date of Change: | 8/17/2017 1:57:53 PM | |||||||||
Reason for Change: | ALE UPDATE 8/17/2017 | |||||||||
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Department File Number : | M201680575 |
Claim Number : | 1028315 |
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 | Earl | C | Mills | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 949 Lane Ave S | ||||
City | State | Zip Code | County | ||
Jacksonville | FL | 32205 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
714711 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME108734 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | Metropolitan Hospital of Miami | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/24/2012 | 9/17/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
back pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
surgery | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
C4-C5 levels over distraught by implants | |||||
Principal Injury Giving Rise To The Claim | |||||
increased pain need for additional surgery | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/1/2016 | 16-02544-CA-01(27) | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 11/23/2016 | ||||
Other Defendants Involved in this Claim | |||||
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 | ||||
Other | Settled - Mediation | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/23/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $235,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $15,398 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,886 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
Updates | ||||||||||
Date of Change: | 2/22/2017 9:39:05 AM | |||||||||
Reason for Change: | ALE UPDATE 2/22/2017 | |||||||||
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Date of Change: | 8/22/2017 2:50:02 PM | |||||||||
Reason for Change: | ALE UPDATE 8/22/2017 | |||||||||
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Does Dr. EARL C MILLS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. EARL C MILLS, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).