Medical Malpractice Cases

Dr. Robert B Pendrak Medical Malpractice Cases

Court Case # 04-57-CA

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433167
Claim Number :17533
Date Submitted :10/14/2004
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertBPendrak
Insurer TypeStreet Address of Practice
Licensed3140 NW MEDICAL CENTER LN STE 110
CityStateZip CodeCounty
LAKE CITYFL32055-4735Columbia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600677 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME85025Surgery - Abdominal211567768

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FColumbia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LAKE CITY MEDICAL CENTER100156
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/24/20024/17/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Morbid obesity
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Roux-en-Y gastric bypass
Diagnostic Code :998.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose anastomotic leak
Principal Injury Giving Rise To The Claim
Liver disease
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/10/200404-57-CA
County Suit Filed inDate of Final Disposition
Columbia9/29/2004
Other Defendants Involved in this Claim
Lake City 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/29/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$30,727
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$359,600
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$217,300$0
Wage Loss$16,000$372,000
Other Expenses$4,360$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured.
 
Updates
 
No updates found.

 

 

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Court Case # 03-207-CA

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535439
Claim Number :16798
Date Submitted :11/8/2005
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertBPendrak
Insurer TypeStreet Address of Practice
Licensed3140 NW MEDICAL CENTER LN
CityStateZip CodeCounty
LAKE CITYFL32055-4717Columbia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600677 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME85025Surgery - Abdominal4102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FColumbia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LAKE CITY MEDICAL CENTER100156
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/5/200212/16/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain due to adhesions
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparotomy with lysis of adhesion
Diagnostic Code :879.2
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to treat complication
Principal Injury Giving Rise To The Claim
Dehiscense of incision, infection, sepsis
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/30/200303-207-CA
County Suit Filed inDate of Final Disposition
Columbia6/8/2005
Other Defendants Involved in this Claim
Lake City 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/6/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$32,400
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$300,000$300,000
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:11/8/2005 2:02:29 PM
Reason for Change:Corrected final disposition date
 
Field ChangedFormer ValueNew Value
Date of Final Disposition06-MAY-0508-JUN-05

 

 

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Court Case # 04-543-CA

Indemnity Paid: $650,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200639213
Claim Number :20066
Date Submitted :1/17/2006
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertBPendrak
Insurer TypeStreet Address of Practice
Licensed3140 NW MEDICAL CENTER LN
CityStateZip CodeCounty
LAKE CITYFL32055-4717Columbia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600677 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME85025Surgery - Abdominal4102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FColumbia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LAKE CITY MEDICAL CENTER100156
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
10/24/20035/25/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Bowel obstruction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Colon resection, temporary colostomy, and ilesotomy
Diagnostic Code :789.03
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged performance of inappropriate ileostomy procedure
Principal Injury Giving Rise To The Claim
Abdominal infection
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/15/200404-543-CA
County Suit Filed inDate of Final Disposition
Columbia12/6/2005
Other Defendants Involved in this Claim
Lake City Medical Center
Pendrak Surgical Group
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. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/14/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$650,000
Loss Adjust Expense Paid to Defense Counsel$7,543
All Other Loss Adjustment Expense Paid$4,749
Injured Person's Total Non-Economic Loss$650,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$300,000$100,000
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
 
No updates found.

 

 

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Court Case # 04-66-CA

Indemnity Paid: $495,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535469
Claim Number :18439
Date Submitted :6/10/2005
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertBPendrak
Insurer TypeStreet Address of Practice
Licensed3140 NW MEDICAL CENTER LN STE 110
CityStateZip CodeCounty
LAKE CITYFL32055-4735Columbia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600677 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME85025Surgery - Abdominal4102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FColumbia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LAKE CITY MEDICAL CENTER100156
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
8/23/20029/12/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Acute cholecystitis and cholelithiasis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cholecystectomy
Diagnostic Code :577.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged negligence in performance of cholecystectomy
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/17/200404-66-CA
County Suit Filed inDate of Final Disposition
Columbia6/7/2005
Other Defendants Involved in this Claim
Lake CIty 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/7/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$495,000
Loss Adjust Expense Paid to Defense Counsel$16,719
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$495,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$150,000$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
 
No updates found.

 

 

This page is not displaying certain sensitive information.

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