Medical Malpractice Cases

Dr. MARIVIC VILLA Medical Malpractice Cases

Court Case # 2012CA000883

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367388
Claim Number :10-0260-A-10
Date Submitted :12/10/2013
 
Insurer Information
 
Insurer NameCoverage Type
FD INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
20-3704679 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMelodee Dixon
Street Address
4655 Salisbury Road
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887209(904) 296 - 1013mdixon@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMARIVIC VILLA
Insurer TypeStreet Address of Practice
Licensed1507 Buenos Aires Blvd.
CityStateZip CodeCounty
The VillagesFL32159Sumter
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
12010$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME68756Internal Medicine - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSumter
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
6/23/201011/9/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to insured with a persistent cough, producing phlegm which cultured pseudomonas.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prescription of Gentamycin.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None made.
Principal Injury Giving Rise To The Claim
Alleged overdose of Gentamycin was given to the patient by a medical assistant, resulting in a balance and gait disorder.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/8/20122012CA000883
County Suit Filed inDate of Final Disposition
Sumter5/17/2013
Other Defendants Involved in this Claim
Tri-County Pulmonary & Multi-Speciality Group, P.A.
Edwards, CNA, PamelaE
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. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/17/2013
 
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$48,922
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
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
Circumstances of this case have been discussed with the insured and Risk Management was notified.
 
Updates
 
 
Date of Change:12/10/2013 9:18:15 AM
Reason for Change:Additional ALAE received.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel4271348922

 

 

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Court Case # 05CA186

Indemnity Paid: $137,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536527
Claim Number :59118501
Date Submitted :10/11/2005
 
Insurer Information
 
Insurer NameCoverage Type
PHYSICIANS INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
13-4235490 
Insurer Contact Information
TypeFirst NameMILast Name
Individuals j
Street Address
3200 ne 14th street
CityStateZip
pompano beachFL33062
PhoneExtFaxE-Mail Address
(954) 788 - 5473  claims@picinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMARIVIC VILLA
Insurer TypeStreet Address of Practice
Licensed1501 US Hwy 441 North, Ste 1706
CityStateZip CodeCounty
The VillagesFL32159Sumter
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
131817$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME68756Internal Medicine - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSumter
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
10/22/20029/29/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Adenocarcinoma of the Colon
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Primary Care screening of colon cancer
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
This case involves an allegation from a 74 y/o married male patient that our insured failed to discuss or implement the appropriate screening for colon cancer which resulted in a 15 month delay in diagnosis of moderately differentiated adenocarcinoma of the colon.The pathology at the time of diagnosis (3/24/04) was classified as stage 111 with 2 out of 5 mesenteric lymph nodes positive.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/1/200505CA186
County Suit Filed inDate of Final Disposition
Sumter8/8/2005
Other Defendants Involved in this Claim
Khanna, M.D., Diresh
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. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/6/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$137,500
Loss Adjust Expense Paid to Defense Counsel$34,057
All Other Loss Adjustment Expense Paid$12,183
Injured Person's Total Non-Economic Loss$137,500
Deductible$0
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 been consulted by defense counsel & claims management regarding the alleged issues in this matter.
 
Updates
 
 
Date of Change:10/11/2005 10:23:30 AM
Reason for Change:put in corrected claim number, previous was incorrect.
 
Field ChangedFormer ValueNew Value
Claim Number5911130159118501

 

 

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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