Department File Number : | M201782711 |
Claim Number : | 6798 |
Date Submitted : | 8/3/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Martin Memorial Medical Center, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-063787 | 4102 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Maureen | Williams | |||
Street Address | |||||
P.O. Box 9010 | |||||
City | State | Zip | |||
Stuart | FL | 34995 | |||
Phone | Ext | Fax | E-Mail Address | ||
(772) 288 - 5899 | maureen.williams@martinhealth.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | PHILIP | MOYER | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 200 Hospital Avenue | ||||
City | State | Zip Code | County | ||
Stuart | FL | 34994 | Martin | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
Trust-2016 HPL | $5,000,000 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME102679 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | St. Lucie | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
TRADITION MEDICAL CENTER | 23960108 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/11/2015 | 8/12/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Cholecystitis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Laparoscopic cholecystectomy | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged intra-operative injury to the biliary system | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/9/2016 | 562016CA002117(ME) | ||||
County Suit Filed in | Date of Final Disposition | ||||
St. Lucie | 7/11/2017 | ||||
Other Defendants Involved in this Claim | |||||
MMMC, Inc. d/b/a Tradition Medical Center | |||||
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 | |||||
7/18/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $237,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $50,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
The complication was a known risk of the procedure and informed consent was obtained. |
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.
Department File Number : | M201883947 |
Claim Number : | 10649 |
Date Submitted : | 1/3/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Martin Memorial Medical Center, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-063787 | 4102 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Maureen | Williams | |||
Street Address | |||||
P.O. Box 9010 | |||||
City | State | Zip | |||
Stuart | FL | 34995 | |||
Phone | Ext | Fax | E-Mail Address | ||
(772) 288 - 5899 | maureen.williams@martinhealth.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Philip | Moyer | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 200 Hospital Avenue | ||||
City | State | Zip Code | County | ||
Stuart | FL | 34994 | Martin | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
Trust-2017 HPL | $5,000,000 | *NR | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME102679 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | St. Lucie | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
TRADITION MEDICAL CENTER | 23960108 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/6/2015 | 3/3/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Metastatic squamous cell cancer of the tonsil | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Excisional biopsy of cervical lymph nodes | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
None made | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient alleged improper performance of excisional cervical lymph node biopsy resulting in need for more aggressive cancer treatments, despite favorable overall prognosis. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/20/2017 | 17-678-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Martin | 12/7/2017 | ||||
Other Defendants Involved in this Claim | |||||
Martin Memorial Physician Corp., Inc. | |||||
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 | |||||
12/27/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $35,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Case reviewed with insured. |
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. PHILIP MOYER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PHILIP MOYER, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).