Department File Number : | M201887449 |
Claim Number : | 2015-09-100-004 |
Date Submitted : | 12/27/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-114949 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kaye | Monello | |||
Street Address | |||||
2985 Drew Street | |||||
City | State | Zip | |||
Clearwater | FL | 33759 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 754 - 9268 | (727) 519 - 1276 | kaye.monello@baycare.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | Bertozzi | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1200 7th Avenue North | ||||
City | State | Zip Code | County | ||
St. Petersburg | FL | 33705 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0114-67-16 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME95912 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | BayCare Outpatient Imaging Carillon | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Outpatient Radiology Department | ||||
Date of Occurrence | Date Reported to Insurer | ||||
6/17/2014 | 3/31/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented for persistent cough presented to the office of his PCP who ordered a chest x-ray. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Chest x-ray | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
None. The Radiologist read the x-ray correctly as concerning for R suprahilar mass. Further evaluation with CT was suggested. | |||||
Principal Injury Giving Rise To The Claim | |||||
This was an administrative issue where the facility did not follow protocols for reporting CXR results to the patient¿s PCP. The patient was ultimately diagnosed with high grade, B-cell lymphoma. There was a 2 month delay in diagnosis and treatment. The patient responded well and was in complete remission at the time of claim evaluation.This case was dismissed without payment for the MD as he had no liability. This is being reported due to legal expenses > than $5,000 | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 10/28/2016 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $17,177 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Any risk issues have been addressed. |
Updates | |
No updates found. |
Does Dr. JOHN BERTOZZI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOHN BERTOZZI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).