Department File Number : | M201678121 |
Claim Number : | PLFHF079910 |
Date Submitted : | 5/5/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Florida Hospital Flagler | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-2951990 | 4465 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Matthew | Evans | |||
Street Address | |||||
900 Hope Way | |||||
City | State | Zip | |||
Altamonte Springs | FL | 32712 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 357 - 2272 | matt.evans@ahss.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ROBERTO | RUBIO | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 301 MEMORIAL MEDICAL PKWY | ||||
City | State | Zip Code | County | ||
Daytona Beach | FL | 32117 | Volusia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
8258 -2014 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME103608 | Family Physicians or General Practitioners - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Flagler | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
MEMORIAL HOSPITAL - FLAGLER | 100118 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/16/2012 | 10/8/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PATIENT WITH HISTORY OF OPIATE USE AND ALCOHOLISM, ADMITTED THROUGH ED TO ICU WITH SOB, COPD, PTSD, HYPOTENSION AND RF. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
RESUSCITATION AND INTUBATION FOLLOWING RESPIRATORY ARREST AND CODE. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
ALLEGED NEGLIGENT FAILURE OF THE PHYSICIAN TO HAVE PROPERLY EVALUATED AND MONITORED THE PATIENT'S ARTERIAL BLOOD GAS AND CARBON DIOXIDE LEVELS AND IDENTIFY HIM AS BEING HIGH RISK FOR RESPIRATORY FAILURE PRIOR TO THE ADMINISTRATION OF BENZODIAZEPINES, WHICH PLAINTIFF CLAIMS RESULTED IN THE PATIENT'S RESPIRATORY STATUS DETERIORATING AND CULMINATING IN A RESPIRATORY ARREST AND SEVERE HYPOXIA. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/23/2015 | 15-CA-95 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Flagler | 2/4/2016 | ||||
Other Defendants Involved in this Claim | |||||
Florida Hospital Flagler PINGLE, DIVYA | |||||
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 | |||||
2/4/2016 |
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 | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
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. ROBERTO RUBIO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ROBERTO RUBIO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).