Medical Malpractice Cases

Dr. Theodore Amgott Medical Malpractice Cases

Court Case # 05-CA-019963

Indemnity Paid: $498,333.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200643287
Claim Number :21935
Date Submitted :2/7/2007
 
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
IndividualTheodore Amgott
Insurer TypeStreet Address of Practice
Licensed200 E. Sheridan Road
CityStateZip CodeCounty
MelbourneFL32901Brevard
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600401 03$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44995Pulmonary Diseases - No Surgery2307

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FBrevard
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityHealth First Healthplex
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/15/20014/18/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Lung cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT scan
Diagnostic Code :793.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of lung cancer
Principal Injury Giving Rise To The Claim
Lung cancer
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/16/200505-CA-019963
County Suit Filed inDate of Final Disposition
Brevard1/30/2007
Other Defendants Involved in this Claim
Paige, MD, Robert M
Clarke, MD, Thomas H
Dana, MD, Gary C
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. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/17/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$498,333
Loss Adjust Expense Paid to Defense Counsel$27,624
All Other Loss Adjustment Expense Paid$17,060
Injured Person's Total Non-Economic Loss$498,333
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$115,479$0
Wage Loss$0$0
Other Expenses$28,000$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:2/7/2007 2:29:21 PM
Reason for Change:Report udpated to reflect Court Document final disposition date of 01/30/07
 
Field ChangedFormer ValueNew Value
Date of Final Disposition14-NOV-0630-JAN-07

 

 

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