Medical Malpractice Cases

Dr. Patrick L Agdamag Medical Malpractice Cases

Court Case # 2013-CA-006053

Indemnity Paid: $475,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575536
Claim Number : 45210/45211
Date Submitted : 9/8/2015
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Patrick L Agdamag
Insurer Type Street Address of Practice
Licensed 202 Manatee Lane
City State Zip Code County
Tarpon Springs FL 34689 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602917 01 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME104157 Emergency Medicine - No Major Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
MORTON PLANT NORTH BAY HOSPITAL RECOVERY CENTER 23960102
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
11/2/2011 6/21/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Perforated ulcer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnoe a perforated ulcer
Principal Injury Giving Rise To The Claim
Perforated ulcer
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
11/25/2013 2013-CA-006053
County Suit Filed in Date of Final Disposition
Pasco 8/31/2015
Other Defendants Involved in this Claim
Morton Plant North Bay Hospital
Pasco County Emergency Physicians
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
8/4/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $475,000
Loss Adjust Expense Paid to Defense Counsel $118,879
All Other Loss Adjustment Expense Paid $26,735
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $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
 
 
Date of Change: 9/8/2015 1:35:37 PM
Reason for Change: Report updated to reflect Court Document final disposition date of 8/31/15
 
Field Changed Former Value New Value
Date of Final Disposition 04-AUG-15 31-AUG-15

 

 

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