Department File Number : | M201575453 |
Claim Number : | EMC-FL-12XS-257896 |
Date Submitted : | 8/6/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EmCare Holdings, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
75-173235 | SI | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
9821 Katy Freeway | |||||
City | State | Zip | |||
Houston | TX | 77024 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | THOMAS | TULLY | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1006 GOSS CREEK BVLD. #436 | ||||
City | State | Zip Code | County | ||
TAMPA | FL | 33647 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
EMC-2012-Excess | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME102657 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | SOUTH BAY HOSPITAL | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/26/2011 | 2/22/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PRESENTED WITH ABDOMINAL PAIN, VOMITING AND DIARRHEA. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
SUBJECT ORDERED A COMPREHENSIVE METABOLIC PANEL; A CBC WITH DIFFERENTIAL; AND AN ABDOMINAL SERIES IN ADDITION TO A PA OF THE CHEST. SUBJECT ALSO ORDERED TORADOL IV.THEN, SUBJECT ORDERED A COMPLETE URINALYSIS. PATIENT WAS GIVEN FLUIDS THEN DISCHARGED WITH A WORKING DIAGNOSIS OF GASTROENTERITIS. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
GASTROENTERITIS | |||||
Principal Injury Giving Rise To The Claim | |||||
FAILURE TO DIAGNOSE UTI RESULTING IN BELOW THE KNEE AMPUTATION | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/24/2013 | 13-CA-015061 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 6/30/2015 | ||||
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 | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
4/30/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $750,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $40,103 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,877 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201575454 |
Claim Number : | EMC-FL-12-203384 |
Date Submitted : | 8/6/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CONTINENTAL CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2114545 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
9821 Katy Freeway | |||||
City | State | Zip | |||
Houston | TX | 77024 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | THOMAS | TULLY | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1006 GOSS CREEK BLVD. #436 | ||||
City | State | Zip Code | County | ||
TAMPA | FL | 33647 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HAZ1040025381-10 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME102657 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | SOUTH BAY HOSPITAL | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/26/2011 | 2/22/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PRESENTED WITH ABDOMINAL PAIN, VOMITING AND DIARRHEA. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
SUBJECT ORDERED A COMPREHENSIVE METABOLIC PANEL; A CBC WITH DIFFERENTIAL; AND AN ABDOMINAL SERIES IN ADDITION TO A PA OF THE CHEST. SUBJECT ALSO ORDERED TORADOL IV.THEN, SUBJECT ORDERED A COMPLETE URINALYSIS. PATIENT WAS GIVEN FLUIDS THEN DISCHARGED WITH A WORKING DIAGNOSIS OF GASTROENTERITIS. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
GASTROENTERITIS | |||||
Principal Injury Giving Rise To The Claim | |||||
FAILURE TO DIAGNOSE UTI RESULTING IN BELOW THE KNEE AMPUTATION | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/24/2013 | 13-CA-015061 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 6/30/2015 | ||||
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 subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
4/30/2015 |
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 | $16,278 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. THOMAS TULLY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. THOMAS TULLY, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).