Department File Number : | M201885835 |
Claim Number : | 23596-01 |
Date Submitted : | 7/10/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Angeline | Schave | |||
Street Address | |||||
3000 Meridian Blvd. Ste. 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2998 | (615) 986 - 1945 | aschave@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jamie | Weaver | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1250 Pine Ridge Rd., Ste. 203 | ||||
City | State | Zip Code | County | ||
Naples | FL | 34108 | Collier | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0038280 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3364 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Collier | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/12/2014 | 3/15/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Left midfoot degenerative joint disease | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Left midfoot fusion | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient was receiving conservative treatment from the insured for 3 years for rheumatoid arthritis with bilateral midfoot pain. Discussion regarding surgical intervention took place over time and was eventually performed by the insured on 9/12/14. Surgery was uneventful and the first 3 weeks post op visits patient showed progressive healing and the sutures were removed. Unfortunately, the surgical site began to show signs of dehiscence which progressively worsened. Ultimately, surgery was performed to remove the internal fixation from surgical sites and patient was placed on intravenous antibiotics and the wounds healed uneventfully. Patient alleges insured failed to perform the procedure properly and use proper equipment. | |||||
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 | ||||
9/22/2016 | 46806045 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Collier | 6/25/2018 | ||||
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 | |||||
6/28/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $150,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $88,245 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,314 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Specialty code - 80993 |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Department File Number : | M201886891 |
Claim Number : | 23596-01 |
Date Submitted : | 10/31/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jamie | E | Weaver | ||
Street Address | |||||
DR. JAMIE WEAVER, 3466 PINE RIDGE RD | |||||
City | State | Zip | |||
NAPLES | FL | 34109 | |||
Phone | Ext | Fax | E-Mail Address | ||
(239) 777 - 3069 | jweaver@jointreplacementinstitute.net |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jamie | E | Weaver | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3466 Pine Ridge Road Suite A | ||||
City | State | Zip Code | County | ||
Naples | FL | 34109 | Collier | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0038280 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3364 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Collier | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
NAPLES COMM. HOSPITAL (N. COLLIER) | 100018 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/9/2014 | 5/27/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Midfoot Degenerative Arthritis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Midfoot Fusion, patient subsequently experienced incision dehiscence, which became infected, requiring hardware removal, ultimately patient went on to a painful non union. | |||||
Diagnostic Code : | M19.07 | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Midfoot fusion | |||||
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 | ||||
9/12/2014 | 11-2016-CA-001711-00 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Collier | 6/27/2018 | ||||
Other Defendants Involved in this Claim | |||||
Joint Replacement Institute | |||||
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 | |||||
6/27/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $150,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Settlement Undifferentiated |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. JAMIE WEAVER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JAMIE WEAVER, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).