Department File Number : | M201781587 |
Claim Number : | EPS2014-001 |
Date Submitted : | 3/30/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
GABLES RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-5467619 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Meerali | Patel | |||
Street Address | |||||
5955 Ponce de Leon Blvd | |||||
City | State | Zip | |||
Coral Gables | FL | 33146 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 661 - 1515 | 231 | (305) 662 - 3723 | mpatel@kidzmedical.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Gabriela | Mihalache | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 5955 Ponce de Leon Blvd | ||||
City | State | Zip Code | County | ||
Coral Gables | FL | 33146 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
EPS013-003 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME106279 | Pediatrics - No Surgery |
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 | ||||
Other Location | Home | ||||
Name of Institution | Code | ||||
SAINT MARY'S HOSPITAL | 100010 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/7/2012 | 2/3/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
discharge from ER, child has regained use of arm | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
ER exam of arm after child brought from school due to anxiety and high BP | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
allegations are the failure to properly evaluate and perform an evaluation on minor's right distal radius fracture, failure to remove splint on his right wrist and examined injured extremity | |||||
Principal Injury Giving Rise To The Claim | |||||
child jumped off bed and hurt arm | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/21/2014 | 2014CA014888 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 5/18/2016 | ||||
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 | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
5/18/2016 |
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 | $65,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
physician informed to document better complete ER examination |
Updates | |
No updates found. |
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Does Dr. GABRIELA MIHALACHE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GABRIELA MIHALACHE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).