Department File Number : | M201678001 |
Claim Number : | 19910-01 |
Date Submitted : | 4/21/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Karen | Kessler | |||
Street Address | |||||
3000 Meridian Blvd., Suite 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2249 | kkessler@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Paul | Ebanks | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 4233 Sun'n Lake Blvd. | ||||
City | State | Zip Code | County | ||
Sebring | FL | 33872 | Highlands | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD16509 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3117 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Highlands | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/23/2012 | 9/23/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Comminuted fractures of the second, third and fourth toes, with dislocation of the fourth toe, left foot | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
X-rays taken; manual relocation of fourth digit, left; digits 2-4 splinted, left; fracture shoe dispensed | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Insured had a single office encounter with patient on 4/23/12 for evaluation of his digits on the left foot. Three days prior, he had sustained an injury to these toes due to a motorcycle accident. Fluoroscopy was performed in the office, and demonstrated a fracture of the base of the proximal phalanx of the second toe, a comminuted fracture involving the proximal phalanx of the third toe, and a complete fracture dislocation through the proximal IPJ of the fourth toe. The records indicate that the fourth toe was relocated, the second, third, and fourth toes were splinted, a fracture shoe was dispensed, and the patient was to remain partially weight-bearing. A follow-up appointment was recommended in two weeks; however, the patient did not seek further care from the insured. There is one notation in the chart from 5/4/12, at which time the mother called and indicated that her son had been taken to a children's hospital where two of his toes were amputated. It is alleged that insured improperly manipulated the patient¿s left foot while relocating the dislocated fourth toe, which compromised the child¿s circulatory system, resulting in compartment syndrome and the loss of the two toes. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/17/2014 | 2014-CA-000513 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Highlands | 4/18/2016 | ||||
Other Defendants Involved in this Claim | |||||
Foot & Ankle Clinic of Mid-Florida | |||||
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 | |||||
4/14/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $125,100 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $49,405 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $16,210 | ||||||||||||||||||||
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 | |||||||||||||||||||||
None - Specialty code #80993 |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. PAUL EBANKS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PAUL EBANKS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).