Department File Number : | M201782152 |
Claim Number : | 19769-01 |
Date Submitted : | 8/31/2017 |
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 | Karen | Kessler | |||
Street Address | |||||
3000 Meridian Blvd., Suite 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2249 | kkessler@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | A | Malinoski | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 7955 Airport Rd. No. | ||||
City | State | Zip Code | County | ||
Naples | FL | 34109 | Collier | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0045249 | $500,000 | $1,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3475 |
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 | ||||
NORTH COLLIER HOSPITAL | 120006 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/16/2012 | 12/15/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Posterior tibial tendon dysfunction; flexible flatfoot deformity; painful navicular accessory bone; tailor¿s bunion, all right foot | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Calcaneal scarf osteotomy; debridement of posterior tibial tendon with AmnioFix graft wrap; Kidner procedure; fifth metatarsal head resection, all right foot | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient presented to insured with complaints of pain involving her right foot. Insured ordered an MRI and she was noted to have increased range of motion at the subtalar joint, tenderness involving the tibialis posterior tendon, ankle equinus, and a tailor's bunion. Surgery was performed on 11/16/12. Patient developed a varus post-op, with related problems, and she had to undergo additional revision surgery. Patient alleges that the insured's procedures were improperly performed resulting in further surgery. | |||||
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 | ||||
4/8/2015 | 2015-CA-000660 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Collier | 5/12/2017 | ||||
Other Defendants Involved in this Claim | |||||
Collier foor & Ankle Specialists, PA Kelly Malinoski, LLC | |||||
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 | |||||
5/16/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $68,377 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $8,469 | ||||||||||||||||||||
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 | |||||||||||||||||||||
None - Specialty code #80993 |
Updates | |||||||
Date of Change: | 8/23/2017 9:16:35 AM | ||||||
Reason for Change: | Indemnity amount updated | ||||||
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*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. KELLY A MALINOSKI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KELLY A MALINOSKI, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).