Department File Number : | M201781887 |
Claim Number : | TH-13-LLA-264693 |
Date Submitted : | 4/19/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
TEAM HEALTH, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
62-1562558 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | MONICA | M | YAMADA-OKLIN | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1901 SW 172ND AVENUE | ||||
City | State | Zip Code | County | ||
MIRAMAR | FL | 33029 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
6797479 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS10753 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
MEMORIAL HOSPITAL MIRAMAR | 23960050 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
12/17/2012 | 5/2/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
HERNIATED DISKS | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
SEEN IN ER | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
DELAY IN TREATMENT | |||||
Principal Injury Giving Rise To The Claim | |||||
CAUDA EQUINA | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/29/2014 | CACE-14-018490 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 4/19/2017 | ||||
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 Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
3/16/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $1,000,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $244,163 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $90,286 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201782264 |
Claim Number : | TH-13-LLA-264259 |
Date Submitted : | 6/9/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
TEAM HEALTH, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
62-1562558 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | MONICA | M | YAMADA-OKLIN | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1901 SW 172ND AVENUE | ||||
City | State | Zip Code | County | ||
MIRAMAR | FL | 33029 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
6797479 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS10753 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
MEMORIAL HOSPITAL MIRAMAR | 23960050 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/17/2012 | 4/22/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
BILATERAL PNEUMONIA | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
SEEN IN ER | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
DELAYED TREATMENT | |||||
Principal Injury Giving Rise To The Claim | |||||
SEPTIC SHOCK AND DEATH | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/8/2014 | CACE-14-016510 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 6/9/2017 | ||||
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 Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
5/2/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $605,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $87,724 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $42,329 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201990282 |
Claim Number : | TH-17-LLA-377137-1 |
Date Submitted : | 10/16/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
TEAM HEALTH, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
62-1562558 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | MONICA | M | YAMADA-OKLIN | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1901 SW 172ND AVE | ||||
City | State | Zip Code | County | ||
MIRAMAR | FL | 33029 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
ES1800 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS10753 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
MEMORIAL HOSPITAL MIRAMAR | 23960050 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
3/25/2017 | 9/18/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
NON-ISCHEMIC CARDIOMYOPATHY | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
SEEN AND TREATED IN ER. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
ALLEGED DELAY IN DIAGNOSIS. | |||||
Principal Injury Giving Rise To The Claim | |||||
ALLEGED DELAY IN DIAGNOSIS OF NON-ISCHEMIC CARDIOMYOPATHY | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/6/2018 | 18-35802-CA-01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 10/16/2019 | ||||
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 Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
9/26/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $66,953 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,733 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
Department File Number : | M201990422 |
Claim Number : | 5500000152461940 |
Date Submitted : | 10/29/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Yamada-Oklin, Monica | Primary | ||||
Insurer FEIN | Professional License Number | ||||
47-2129748 | OS10753 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Monica | Yamada-Oklin | |||
Street Address | |||||
1644 Eagle Bnd | |||||
City | State | Zip | |||
Weston | FL | 33327 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 594 - 6944 | monicamiyuki@hotmail.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Monica | Yamada-Oklin | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1901 SW 172nd Ave | ||||
City | State | Zip Code | County | ||
Miramar | FL | 33029 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
10179 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
OS10753 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
MEMORIAL HOSPITAL MIRAMAR | 23960050 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/25/2017 | 9/18/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Non ischemic cardiomyopathy | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Seen and treated in ER | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged delay in diagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged delay in diagnosis of non ischemic cardiomyopathy | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/6/2018 | 18-35802-CA-01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 10/16/2019 | ||||
Other Defendants Involved in this Claim | |||||
Chopyk, Jon Bruce Visbal, Alvaro E Danko, Doris Mt Sinai Medical Center of Florida Inphynet South Broward Physician Associates of Broward, Inc Sheridan Healthcorp, Inc. Souuth Broward Hospital District d/b/a Memorial Miramar Hosp Mora, Salvador E | |||||
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 subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
9/26/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $66,953 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,733 | ||||||||||||||||||||
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 | |||||||||||||||||||||
unknown |
Updates | |
No updates found. |
Does Dr. MONICA M YAMADA-OKLIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MONICA M YAMADA-OKLIN, MD has at least 4 medical malpractice case(s), lawsuit(s), or complaint(s).