Department File Number : | M201575746 |
Claim Number : | 1422452 (Spiess, MD) |
Date Submitted : | 9/9/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
H. Lee Moffitt Cancer Center & Research Institute, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
3238634 | 4334 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Brenda | C | Warren | ||
Street Address | |||||
17107 Longacres Lane | |||||
City | State | Zip | |||
Odessa | FL | 33556 | |||
Phone | Ext | Fax | E-Mail Address | ||
(813) 792 - 1588 | (321) 972 - 0122 | brendawarren@hamlinandburton.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Philippe | Spiess | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 12902 Magnolia Drive | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33612 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PFP_1000044_P-6 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME99232 | Surgery - Urological |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
H. LEE MOFFITT CANCER AND RESRCH. INST. | 110009 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/15/2014 | 1/31/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Renal oncocytic neoplasm (oncocytoma)in patient with a history of prior renal malignancy. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Post-operative bleeding following radical nephrectomy. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Delay in diagnosis of post-operative bleeding versus narcosis. | |||||
Principal Injury Giving Rise To The Claim | |||||
Post-operative bleeding resulting in death. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/4/2015 | 111111 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 8/12/2015 | ||||
Other Defendants Involved in this Claim | |||||
H. Lee Moffitt Cancer Center & Research Institute, Inc. | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
8/27/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $30,029 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $3,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Internal review by risk management. |
Updates | |
No updates found. |
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Does Dr. PHILIPPE SPIESS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PHILIPPE SPIESS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).