Medical Malpractice Cases

Dr. Pablo Acevedo Medical Malpractice Cases

Court Case # 51-2001-CA-007134

Indemnity Paid: $30,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433231
Claim Number :18063-01
Date Submitted :4/25/2007
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATIONPrimary
Insurer FEINProfessional License Number
38-2102867 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualChristine Sampson
Street Address
200 East Gaines Street
CityStateZip
TallahasseeFL32399
PhoneExtFaxE-Mail Address
(850) 413 - 5358 (850) 921 - 8243Christine.Sampson@fldfs.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPablo Acevedo
Insurer TypeStreet Address of Practice
Licensed7614 Jacque Road, Suite C
CityStateZip CodeCounty
HudsonFL34667Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
126948$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME56069Internal Medicine - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other LocationGulf Coast Harborside Healthcare
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
8/3/19998/24/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The insuredwas asked to evaluate the patient for release from a facility, after the patient had suffered from an infection of the lower extremity.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured evaluated the patient based on the information that was available to him at the time. He then allowed the patient to be discharged.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The patient had suffered from DVT and expired the following day from an embolus.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/13/200251-2001-CA-007134
County Suit Filed inDate of Final Disposition
Pasco10/25/2004
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
10/22/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$30,000
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
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured consulted with Claims personnel and Defense counsel.$30,000.00 settlement was paid in full and final settlement of all claims on behalf of the insured.
 
Updates
 
 
Date of Change:10/18/2005 1:51:35 PM
Reason for Change:Minor chages needed to be made.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel029130
All Other Loss Adjustment Expense Paid018696
 
Date of Change:4/25/2007 11:12:00 AM
Reason for Change:OIR updating Historical Closed Claim data.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel291300
Portal User NameNancy KirschChristine Sampson
All Other Loss Adjustment Expense Paid186960

 

 

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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