Medical Malpractice Cases

Dr. Mario J Lopez Medical Malpractice Cases

Court Case # 04-481 CA

Indemnity Paid: $800,000.00

Medical Malpractice Closed Claims Report

Department File Number :M200850268
Claim Number :125289
Date Submitted :8/14/2009
Insurer Information
Insurer NameCoverage Type
Insurer FEINProfessional License Number
Insurer Contact Information
TypeEntity Name
EntityProAssurance Indemnity Company, Inc.
Street Address
13919 Carrollwood Village Run
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 -
Insured Information
TypeFirst NameMILast Name
Insurer TypeStreet Address of Practice
Licensed3340 Tamiami Trail
CityStateZip CodeCounty
Port CharlotteFL33952Charlotte
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME50048Cardiovascular Disease - Minor Surgery00000

Medical Malpractice Closed Claims Report

Injured Person Information
First NameMILast NameDate of Birth
Street AddressGenderCounty where Injury Occurred
CityStateZip Code
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Gastrointestinal complaints.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient's cardiac status was diagnosed as stable.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Death from MI and congestive heart failure.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report


Legal Information
Date of SuitCircuit Court Case Number
3/4/200404-481 CA
County Suit Filed inDate of Final Disposition
Other Defendants Involved in this Claim
Punta Gorda HMA Inc. d/b/a Charlotte Regional Medical Center
Tadalan, Lourdes V
Charlotte Heart & Vascular Institute, P.A.
Panjikaran, George C
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 DecisionOther
No Court Proceedings. 
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$800,000
Loss Adjust Expense Paid to Defense Counsel$97,732
All Other Loss Adjustment Expense Paid$58,923
Injured Person's Total Non-Economic Loss$800,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
Date of Change:10/23/2008 3:01:44 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid5544758918
Amount of Loss Adjustment Expense Paid to Defense Counsel8715797522
Date of Change:8/14/2009 3:44:12 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid5891858923
Amount of Loss Adjustment Expense Paid to Defense Counsel9752297732



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