Medical Malpractice Cases

Dr. WILLIAM S MAISTRELLIS Medical Malpractice Cases

Court Case # None

Indemnity Paid: $1,500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433406
Claim Number :00001
Date Submitted :11/11/2004
 
Insurer Information
 
Insurer NameCoverage Type
Sugical Associates Of West FloridaPrimary
Insurer FEINProfessional License Number
59-3317557ME19478 & ME31191
Insurer Contact Information
TypeFirst NameMILast Name
IndividualBarbara  Knapp
Street Address
1106 Druid Rd So Suite 301
CityStateZip
ClearwaterFL33756
PhoneExtFaxE-Mail Address
(727) 446 - 5681128(727) 442 - 5505bperris@tbi.net
 
Insured Information
 
TypeFirst NameMILast Name
IndividualWILLIAMSMAISTRELLIS
Insurer TypeStreet Address of Practice
Self-Insurer1106 Druid Rd So
CityStateZip CodeCounty
ClearwaterFL33756Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
00001$25,000,000$750,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME19478Surgery - General 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MORTON PLANT HOSPITAL100127
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/30/20021/23/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
444.21 Upper embolism of Artery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
34101 Brachial Embolectomy 24495 Fasciotomy75658 Operative Arteriogarm
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Failure Timely to intervene to correct a thromboembolus in Mrs Holobicky's arm.
Severity Of Injury
Emotional Only - Fright, no physical damage

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/23/2004None
County Suit Filed inDate of Final Disposition
Pinellas6/21/2004
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After arbitration is initiated or prior to suit being filed.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/21/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,500,000
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
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Notification to Physician in a timely manaor for ER
 
Updates
 
No updates found.

 

 

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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