Medical Malpractice Cases

Dr. Thomas H Clarke Medical Malpractice Cases

Court Case # 05-CA-019963

Indemnity Paid: $498,333.00

Medical Malpractice Closed Claims Report

Department File Number :M200643289
Claim Number :22116
Date Submitted :2/13/2007
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
Licensed7155 S. Tropical Trail
CityStateZip CodeCounty
Merritt IslandFL32952Brevard
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601281 02$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME38347Radiology - Diagnostic - Minor Surgery 

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
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
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
County Suit Filed inDate of Final Disposition
Other Defendants Involved in this Claim
Amgott, MD, Theodore
Paige, MD, Robert M
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. 
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$498,333
Loss Adjust Expense Paid to Defense Counsel$7,593
All Other Loss Adjustment Expense Paid$1,289
Injured Person's Total Non-Economic Loss$498,333
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
Date of Change:2/13/2007 11:55:31 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 1/30/07
Field ChangedFormer ValueNew Value
Date of Final Disposition14-NOV-0630-JAN-07



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