| Department File Number : | M201782617 |
| Claim Number : | 2014CA006814 |
| Date Submitted : | 7/19/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 13-3333610 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Mark | G | Agresti | ||
| Street Address | |||||
| 44 Cocoanut Row #M202 | |||||
| City | State | Zip | |||
| Palm Beach | FL | 33480 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (561) 842 - 9550 | (561) 370 - 7903 | agrestimd@yahoo.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Mark | G | Agresti | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 44 COCOANUT ROW M202 | ||||
| City | State | Zip Code | County | ||
| Palm Beach | FL | 33480 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FCO04-033312800 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME60460 | Psychiatry - All Other | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Palm Beach | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Outpatient Facility | A & D CONSULTANTS | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | A & D CONSULTANTS | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/4/2009 | 6/5/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| BIPOLAR DISORDER SECONDARY TO COCAINE DEPENDENCE | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| THERE WAS NO INJURY, SHE DISPUTED THE LENGTH OF TIME SHE STAY AT AN INPATIENT THERAPEUTIC COMMUNITY. AND THERE WAS A GOOD OUTCOME | |||||
| Diagnostic Code : | F31.9 | ||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| DIAGNOSIS WAS NEVER IN QUESTION | |||||
| Principal Injury Giving Rise To The Claim | |||||
| SHE STAYED 2 YEARS IN THE FACILITY AND FELT SHE COULD HAVE LEFT SOONER. The payment by the insurance co was roughly 50 % of her total bill. | |||||
| Severity Of Injury | |||||
| Emotional Only - Fright, no physical damage | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 6/5/2014 | 2014CA006814 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Palm Beach | 2/24/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| After court verdict and prior to filing of notice of appeal. | |||||
| Final Method of Claim Disposition | |||||
| Disposed of by Court | |||||
| Court Decision | Other | ||||
| Directed verdict for plaintiff. | |||||
| 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 | $483,648 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| HAVE CLOSED THERAPUTIC INPATIENT COMMUNITY. NO LONGER SEEING PATIENTS AT THIS FACILITY | |||||||||||||||||||||
| Updates | |
| No updates found. |
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| Department File Number : | M201887355 |
| Claim Number : | 50-2015-CA-004377-XX |
| Date Submitted : | 12/19/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| FAIR AMERICAN INSURANCE AND REINSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 13-3333610 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | MARK | G | AGRESTI | ||
| Street Address | |||||
| 44 Cocoanut Row, Suite M202 | |||||
| City | State | Zip | |||
| Palm Beach | FL | 33480 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (561) 842 - 9550 | (561) 370 - 7903 | agrestimd@yahoo.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | MARK | G | AGRESTI | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 44 Cocoanut Row , Suite M202 | ||||
| City | State | Zip Code | County | ||
| Palm Beach | FL | 33480 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| IN-FCO04-033312800 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME60460 | Psychiatry - Addiction Psychiatry | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Palm Beach | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Patient's Home | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | PATIENTS HOME | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 9/12/2013 | 9/3/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| ALCOHOL USE DISORDER | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| DRUG COUNSELING | |||||
| Diagnostic Code : | F10.95 | ||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| NO MISDIAGNOSIS | |||||
| Principal Injury Giving Rise To The Claim | |||||
| THE PATIENT KILLED HER DAUGHTER AS WELL AS HERSELF | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 9/3/2014 | CA 004377 AH | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Palm Beach | 11/13/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Settlement Reached Prior to Pre-Suit Period | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 11/27/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $475,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| NOW WHEN RELEVANT WILL ASK PATIENTS ABOUT SUICIDAL AND HOMICIDAL IDEATIONS. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. MARK G AGRESTI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MARK G AGRESTI, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).