Department File Number : | M201576021 |
Claim Number : | 316530 |
Date Submitted : | 10/7/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway W. Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mauricio | Castellon | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 2625 Tamiami Trail, Suite 1 | ||||
City | State | Zip Code | County | ||
Port Charlotte | FL | 33952 | Charlotte | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0913836 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME30208 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Charlotte | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Advanced Imaging of Port Charlotte | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/23/2012 | 3/24/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Plaintiff complains of abdominal pain and blood in stool. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
CT scan interpreted as diverticulosis of descending and sigmoid colon. The sigmoid colon also demonstrates some thickening of the walls with stranding on the pericolonic fat, most likely of acute sigmoid diverticulitis. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to identify and report abnormal findings consistent with cancer of the sigmoid colon. Vigorously disputed by reading and expert radiologists. | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient diagnosed with stage IV rectal cancer one. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/17/2014 | 14 CA 2264 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Charlotte | 9/22/2015 | ||||
Other Defendants Involved in this Claim | |||||
Moopen, Moideen Advanded Imaging of Port Charlotte, LLC | |||||
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 | $235,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $39,185 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $30,599 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
Updates | |
No updates found. |
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Does Dr. MAURICIO CASTELLON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MAURICIO CASTELLON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).