Medical Malpractice Cases

Dr. MARY KAY K PETERSON Medical Malpractice Cases

Court Case # 03-CA1436

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536358
Claim Number :16430
Date Submitted :8/15/2005
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMARY KAYKPETERSON
Insurer TypeStreet Address of Practice
Licensed3680 Broadway
CityStateZip CodeCounty
Fort MyersFL33901Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600266 01$2,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME77132Radiology - Diagnostic - Minor Surgery3806

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityRadiology Regional Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
7/30/200110/11/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pain management for post-cervical fusion with new symptoms
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Myelogram
Diagnostic Code :780.3
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure causing spillage of contrast into head.
Principal Injury Giving Rise To The Claim
Seizure
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
2/13/200303-CA1436
County Suit Filed inDate of Final Disposition
Lee8/11/2005
Other Defendants Involved in this Claim
 
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
8/11/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$62,665
All Other Loss Adjustment Expense Paid$20,366
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$58,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
No updates found.

 

 

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