Department File Number : | M201886140 |
Claim Number : | 1042432-02 |
Date Submitted : | 8/14/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mirand | Sharma | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 40100 US Hwy 27 | ||||
City | State | Zip Code | County | ||
Davenport | FL | 33837 | Polk | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
C54409 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME82852 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Polk | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
HEART OF FLORIDA REGIONAL MEDICAL CENTER | 100137 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
7/7/2016 | 3/29/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
back pain | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
full work-up in ER including CT of head, neck & spine, admitted to hospital | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Negligent care and treatment | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient was transferred to higher acuity hospital for spine related treatment | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/25/2017 | 2017 CA 003559000000 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Polk | 7/23/2018 | ||||
Other Defendants Involved in this Claim | |||||
Califano II PA-C, Joseph Emergency Physicians Specialists Inc Khan MD, Kashan Chamber of Medicine PA Gangina MD, Sumalatha Hinton ARNP, Kimberly Suma & Durga PA Aheiman MD, Marwan Neurology Pain and Headache of Central Florida LLC Hanies City HMA LLC dba Heart of Florida Regional Medical Ce | |||||
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 | |||||
7/24/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $610,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $4,089 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,255 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $300,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201884538 |
Claim Number : | 1035164-01 |
Date Submitted : | 8/27/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mirand | Sharma | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 40100 US Hwy 27 | ||||
City | State | Zip Code | County | ||
Davenport | FL | 33837 | Polk | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
C54409 | $500,000 | $1,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME82852 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Polk | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
HEART OF FLORIDA REGIONAL MEDICAL CENTER | 100137 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/21/2014 | 7/28/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Presented to ER with chest pain, shortness of breath / increased respiratory rate, decreasing B/P | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
not presently known | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to order appropriate diagnostic testing | |||||
Principal Injury Giving Rise To The Claim | |||||
Pulmonary embolus leading to death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 7/7/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
Dropped before Action Filed | |||||
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? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $4,846 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,197 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
Updates | |||||||
Date of Change: | 8/27/2018 10:21:36 AM | ||||||
Reason for Change: | ALE UPDATE | ||||||
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*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. MIRAND SHARMA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MIRAND SHARMA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).