Department File Number : | M201679427 |
Claim Number : | 205513 |
Date Submitted : | 2/2/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
38-2317569 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Stokes | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 802 - 4790 | dstokes@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | John | P | Lippelman | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 508 S Habana Avenue, Suite 220 | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33609 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP94599 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME43646 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MEMORIAL HOSPITAL - TAMPA | 100206 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/2/2015 | 7/17/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Chronic back pain, hospitalized awaiting epidural injection | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient was seen for medical management by insured who was covering for the primary care physician. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff alleged insured failed to recognize signs of epidural abscess resulting in paraplegia. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/2/2016 | 15-CA-010159 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 8/4/2016 | ||||
Other Defendants Involved in this Claim | |||||
Pan American Pain Institute PLLC Memorial Hospital of Tampa Grisales, Dario A Pinnacle Health Group PA Rose Radiology Centers Inc Richter, Timothy A | |||||
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 | |||||
8/8/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $225,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $54,843 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $10,442 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $225,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense counsel, insureance personnel, and medical experts. |
Updates | ||||||||||
Date of Change: | 10/3/2016 4:03:51 PM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Date of Change: | 10/7/2016 1:09:52 PM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Date of Change: | 11/3/2016 3:47:00 PM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Date of Change: | 12/29/2016 12:14:20 PM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Date of Change: | 2/2/2017 9:39:15 AM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
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Does Dr. JOHN P LIPPELMAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOHN P LIPPELMAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).