Department File Number : | M201573621 |
Claim Number : | 18526159154 |
Date Submitted : | 2/24/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-1149494 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kim | Maurer | |||
Street Address | |||||
3031 N. Rocky Point Drive W | |||||
City | State | Zip | |||
Tampa | FL | 33607 | |||
Phone | Ext | Fax | E-Mail Address | ||
(813) 289 - 9613 | (813) 418 - 4144 | kmaurer@laserspineinstitute.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kevin | Scott | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 3001 N. Rocky Point Drive E | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33607 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
6796036 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME100433 | Surgery - Orthopedic |
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 Outpatient Facility | |||||
Name of Institution | Code | ||||
LASER SPINE SURGICAL CENTER | 14960607 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | outpatient facility | ||||
Date of Occurrence | Date Reported to Insurer | ||||
6/3/2008 | 8/5/2010 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Lumbar Arthritis/OA w/o myelopathy, degenerative disc disease, foraminal/Spinal Stenosis, localized osteoarthristis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Destruction by thermal ablation paravertebral facet nerves right L4/5 and bilateral L5/S1 with therapeutic steroid injections. Lumbar laminotomy (hemilaminectomy) with foraminotomy, including partial facetectomy and decompression of the nerve roots, with therapeutic steriod injection, right L4/5 and caudal epidural steroid injection | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Plaintiff alleged he suffered bodily injury resulting in Plaintiff pain and suffering disability, disfigurement, mental anguish, loss of mental capacity, loss of the capacity for the enjoyment of life and aggravation of the underlying medical condition | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/16/2010 | 10-CA-23327 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 6/12/2014 | ||||
Other Defendants Involved in this Claim | |||||
Laser Spine Institute, 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 | |||||
8/20/2014 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Training |
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.
Does Dr. KEVIN SCOTT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KEVIN SCOTT, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).