Medical Malpractice Cases

Dr. Raymond D Adamcik Medical Malpractice Cases

Court Case # 05-2006-CA-34372

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

Department File Number :M200747302
Claim Number :22689
Date Submitted :10/22/2007
Insurer Information
Insurer NameCoverage Type
Insurer FEINProfessional License Number
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 -
Insured Information
TypeFirst NameMILast Name
Insurer TypeStreet Address of Practice
Licensed200 East Sheridan Road
CityStateZip CodeCounty
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600401 02$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME71737Internal Medicine - No Surgery512

Medical Malpractice Closed Claims Report

Injured Person Information
First NameMILast NameDate of Birth
Street AddressGenderCounty where Injury Occurred
CityStateZip Code
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
Diagnostic Information
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Transient ischemic attack
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :436.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis and treatment of stroke
Principal Injury Giving Rise To The Claim
Right hemiplegia
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report


Legal Information
Date of SuitCircuit Court Case Number
County Suit Filed inDate of Final Disposition
Other Defendants Involved in this Claim
Holmes Regional Medical Center
Melbourne Internal Medicine Associates
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. 
Claim not subject to Arbitration.
Date of Payment
Financial Information
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$55,506
All Other Loss Adjustment Expense Paid$15,107
Injured Person's Total Non-Economic Loss$500,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$121,573$3,700,000
Wage Loss$0$380,638
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
Date of Change:10/22/2007 11:59:55 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 10/15/07
Field ChangedFormer ValueNew Value
Date of Final Disposition24-SEP-0715-OCT-07



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