Department File Number : | M201680630 |
Claim Number : | 209078 |
Date Submitted : | 5/22/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE INDEMNITY COMPANY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
63-0720042 | |||||
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 | Khaled | Amer | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 19776 El Country Club Drive | ||||
City | State | Zip Code | County | ||
Aventura | FL | 33180 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP94757 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME85528 | Anesthesiology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
ST LUCIE SURGICAL CENTER | 14960398 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | PARU | ||||
Date of Occurrence | Date Reported to Insurer | ||||
5/12/2015 | 12/9/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
General Anesthesia for Right Total Hip Arthroplasty | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Right Total Hip Arthroplasty | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
59 YOM underwent right total hip arthroplasty under general anesthesia and developed postoperative cauda equine syndrome due to undiagnosed L2 vertebral fracture. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/13/2016 | CACE-16-011752 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 11/30/2016 | ||||
Other Defendants Involved in this Claim | |||||
Tiva Healthcare, Inc. Lehachi, Younes Crescimone, Nicholas A Anesthesia Physician Solutions Treasure Coast Hospitalist PL Craig, Aimee E Sheridan Healthcare Morrison, Daniele Coastal Orthopaedic & Sports Medicine Rossario, Edward | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $350,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $12,476 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,984 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $350,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense counsel, insurance personnel, and medical experts. |
Updates | ||||||||||
Date of Change: | 5/22/2017 11:54:16 AM | |||||||||
Reason for Change: | updated ALAE information | |||||||||
|
This page is not displaying certain sensitive information.
Does Dr. KHALED AMER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KHALED AMER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).