Department File Number : | M201781329 |
Claim Number : | 394-018515 |
Date Submitted : | 3/2/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-1149494 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | carolyn | r | ewell | ||
Street Address | |||||
17200 W 119th St | |||||
City | State | Zip | |||
Olathe | KS | 66061 | |||
Phone | Ext | Fax | E-Mail Address | ||
(913) 495 - 4217 | carolynranee.ewell@aig.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Stefan | Prada | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 3001 N Rocky Point Dr E, Suite 100 | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33607 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
6796037 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Osteopathic Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME100555 | Surgery - Orthopedic |
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 Outpatient Facility | |||||
Name of Institution | Code | ||||
LASER SPINE SURGICAL CENTER | 14960607 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Surgery Center | ||||
Date of Occurrence | Date Reported to Insurer | ||||
9/15/2008 | 8/23/2010 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PATIENT NOW SUFFERS FROM SPINAL INSTABILITY, AS WELL AS THE ONSET OF SACROILIAC PAIN. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
PATIENT WAS COMPLAINING OF PAIN IN HIS LOWER BACK, PAIN IN HIS POSTERIOR THIGH ON THE LEFT, AND NUMBNESS IN THE BALL OF HIS LEFT FOOT | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
DR. PRADA REMOVED TOO MUCH OF THE FACET JOINT DURING SURGERY. | |||||
Principal Injury Giving Rise To The Claim | |||||
SURGERY ALLEGEDLY PRODUCED INSTABILITY IN PT'S SPINE, AND BELOW STANDARD OF CARE FOR OPERATION OF THIS TYPE, R/I DAMAGE TO PT | |||||
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 | ||||
12/20/2010 | 10-024070 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 3/2/2017 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
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 | $290 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $21,625 | ||||||||||||||||||||
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. |
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Does Dr. STEFAN PRADA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. STEFAN PRADA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).