Medical Malpractice Cases

Medical Malpractice Cases In Alachua County Florida

Dr. Jean Cook Medical Malpractice Lawsuits - Court Case # 01-05CA4991

Indemnity Paid: $2,317,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850543
Claim Number :32578-02
Date Submitted :8/19/2008
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJean Cook
Insurer TypeStreet Address of Practice
Licensed6440 W Newberry Road, Ste 508
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98217$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME47540Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
3/20/20038/26/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient was evaluated for irregular menses and diagnosed with endometrial and ovarian cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient evaluated in the physician's office.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Allegations of failing to timely diagnose the patient's endometrial cancer, even though medical records indicate the patient was diagnosed with an aggressive primary ovarian cancer.
Principal Injury Giving Rise To The Claim
Death of this 53 year old married female.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/28/200501-05CA4991
County Suit Filed inDate of Final Disposition
Alachua7/24/2008
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After notice of appeal is filed or post judgment relief of action is required for recovery.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/24/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$2,317,500
Loss Adjust Expense Paid to Defense Counsel$210,987
All Other Loss Adjustment Expense Paid$208,291
Injured Person's Total Non-Economic Loss$2,317,500
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
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Larry A Baker Medical Malpractice Lawsuits - Court Case # 1:04cv29 SPM

Indemnity Paid: $1,200,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538826
Claim Number :ASG-SIR02-0287-LB
Date Submitted :12/13/2005
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRoy Higdon
Street Address
9821 Katy Freeway, Suite 600
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 88928892(713) 243 - 7311roy_higdon@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLarryABaker
Insurer TypeStreet Address of Practice
Licensed1 Harbor Way
CityStateZip CodeCounty
MiltonWV25541Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
680-1364$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS7147Family Physicians or General Practitioners - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Prison 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherPrison
Date of OccurrenceDate Reported to Insurer
5/29/20012/18/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Failure to treat head injury resulting in emergency neurosurgical intervention.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to treat head injury resulting in emergency neurosurgical intervention.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis noted.
Principal Injury Giving Rise To The Claim
Failure to treat head injury resulting in emergency neurosurgical intervention.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/28/20021:04cv29 SPM
County Suit Filed inDate of Final Disposition
Alachua12/14/2004
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 DecisionOther
OtherSettled
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
10/13/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,200,000
Loss Adjust Expense Paid to Defense Counsel$353,391
All Other Loss Adjustment Expense Paid$8,831
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
Unknown
 
Updates
 
No updates found.

 

 

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Dr. Su-Min Oon Medical Malpractice Lawsuits - Court Case # 01-2013-CA-003035

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575939
Claim Number : 312263
Date Submitted : 10/1/2015
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual AUDRA M FLOYD
Street Address
13450 WEST SUNRISE BLVD
City State Zip
SUNRISE FL 33323
Phone Ext Fax E-Mail Address
(877) 320 - 0748 3111 (866) 636 - 5421 afloyd@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Su-Min   Oon
Insurer Type Street Address of Practice
Licensed 5745 S.W. 75th Street, #159
City State Zip Code County
Gainesville FL 32608 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0933428 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME76691 Anesthesiology  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Alachua
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
NORTH FLORIDA REGIONAL MEDICAL CENTER 100204
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
2/2/2012 11/12/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented for a lap band bariatric procedure.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lap band bariatric procedure.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged esophageal tear during placement of lap band resulting in patient's death.
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/28/2014 01-2013-CA-003035
County Suit Filed in Date of Final Disposition
Alachua 9/19/2015
Other Defendants Involved in this Claim
Rose, MD, Jeffrey L
North Florida Regional Medical Center
Surgical Group of Gainesville, P.A.
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 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 $1,000,000
Loss Adjust Expense Paid to Defense Counsel $53,000
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $1,000,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown.
 
Updates
 
No updates found.

 

 

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Dr. Brian L Werbel Medical Malpractice Lawsuits - Court Case # 2015-CA-004503

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782793
Claim Number : 53685
Date Submitted : 8/11/2017
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Brian L Werbel
Insurer Type Street Address of Practice
Licensed 3830 SW 92nd Dr.
City State Zip Code County
Gainesville FL 32608 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602859 04 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME93739 Cardiovascular Disease - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Alachua
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
NORTH FLORIDA REGIONAL MEDICAL CENTER 100204
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
9/4/2013 4/1/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Endocarditis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis and treatment of endocarditis
Principal Injury Giving Rise To The Claim
Mycotic aneurysm
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/18/2015 2015-CA-004503
County Suit Filed in Date of Final Disposition
Alachua 7/20/2017
Other Defendants Involved in this Claim
Uy, MD, Clarence N
Wilson, MD, Charles S
Zentko, MD, Suzanne E
Farnham, ARNP, Genevieve K
Patterson, ARNP, Joy
North Florida Regional Medical Center
Gainesville Emergency Medicine Assoc.
Hospital Internal Medicine
Cardiac & Vascular Institute
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 not subject to Arbitration.
Date of Payment
7/20/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,000,000
Loss Adjust Expense Paid to Defense Counsel $34,967
All Other Loss Adjustment Expense Paid $17,765
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,200,000 $0
Wage Loss $0 $242,000
Other Expenses $17,000 $1,600,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Suzanne E Zentko Medical Malpractice Lawsuits - Court Case # 2015-CA-004503

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782794
Claim Number : 53686
Date Submitted : 8/11/2017
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Suzanne E Zentko
Insurer Type Street Address of Practice
Licensed 325 Turkey Creek
City State Zip Code County
Alachua FL 32615 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602859 04 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME108005 Cardiovascular Disease - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Alachua
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
NORTH FLORIDA REGIONAL MEDICAL CENTER 100204
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
9/4/2013 4/1/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Endocarditis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis and treatment of endocarditis
Principal Injury Giving Rise To The Claim
Mycotic aneurysm
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/18/2015 2015-CA-004503
County Suit Filed in Date of Final Disposition
Alachua 7/20/2017
Other Defendants Involved in this Claim
Uy, MD, Clarence N
Wilson, MD, Charles S
Werbel, MD, Brian L
Farnham, ARNP, Genevieve K
Patterson, ARNP, Joy
North Florida Regional Medical Center
Gainesville Emergency Medicine Assoc.
Hospital Internal Medicine
Cardiac & Vascular Institute
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 not subject to Arbitration.
Date of Payment
7/20/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,000,000
Loss Adjust Expense Paid to Defense Counsel $34,139
All Other Loss Adjustment Expense Paid $17,311
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,200,000 $0
Wage Loss $0 $242,000
Other Expenses $17,000 $1,600,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Genevieve K Farnham Medical Malpractice Lawsuits - Court Case # 2015-CA-004503

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782795
Claim Number : 53764
Date Submitted : 8/11/2017
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Genevieve K Farnham
Insurer Type Street Address of Practice
Licensed 4645 NW 8th Ave.
City State Zip Code County
Gainesville FL 32605 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602859 04 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Registered Nurse  
License Number Specialty Code & Classification Certification Number
ARNP9352142 Cardiovascular Disease - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Alachua
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
NORTH FLORIDA REGIONAL MEDICAL CENTER 100204
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
9/4/2013 4/1/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Endocarditis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis and treatment of endocarditis
Principal Injury Giving Rise To The Claim
Mycotic aneurysm
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/18/2015 2015-CA-004503
County Suit Filed in Date of Final Disposition
Alachua 7/20/2017
Other Defendants Involved in this Claim
Uy, MD, Clarence N
Wilson, MD, Charles S
Werbel, MD, Brian L
Zentko, MD, Suzanne E
Patterson, ARNP, Joy
North Florida Regional Medical Center
Gainesville Emergency Medical Assoc
Hospital Internal Medicine
Cardiac & Vascular Institute
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 not subject to Arbitration.
Date of Payment
7/20/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,000,000
Loss Adjust Expense Paid to Defense Counsel $0
All Other Loss Adjustment Expense Paid $1,105
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,200,000 $0
Wage Loss $0 $242,000
Other Expenses $17,000 $1,600,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Brian L Werbel Medical Malpractice Lawsuits - Court Case # 01-11-CA-1777

Indemnity Paid: $975,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263265
Claim Number :159335
Date Submitted :3/27/2012
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty Company
Street Address
14497 North Dale Mabry Hwy., Suite 115-N
CityStateZip
TampaFL33618-2047
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBrianLWerbel
Insurer TypeStreet Address of Practice
Licensed4645 NW 8th Avenue
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP36570$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME93739Cardiovascular Disease - Minor Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
NORTH FLORIDA REGIONAL MEDICAL CENTER100204
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
9/23/20084/17/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Exertional dyspnea and one episode of orthostatic hypotension.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient had long-time A-fib and was being treated with medication following cardiac catheterization.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Plaintiff alleged failure to diagnose pulmonary embolism, resulting in death.
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/13/201101-11-CA-1777
County Suit Filed inDate of Final Disposition
Alachua3/8/2012
Other Defendants Involved in this Claim
Cardiology Associates of Gainesville
G. Cooper & Associates, P.A.
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
3/20/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$975,000
Loss Adjust Expense Paid to Defense Counsel$18,067
All Other Loss Adjustment Expense Paid$2,569
Injured Person's Total Non-Economic Loss$975,000
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
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
No updates found.

 

 

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Dr. ROBERT A GREENBERG Medical Malpractice Lawsuits - Court Case # 0103CA1449

Indemnity Paid: $900,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433839
Claim Number :502082
Date Submitted :12/28/2004
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN HEALTHCARE INDEMNITY COMPANYPrimary
Insurer FEINProfessional License Number
59-2048400 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTerrymBinns
Street Address
1888 Century Park East, Suite 800
CityStateZip
Los AngelesCA90067
PhoneExtFaxE-Mail Address
(310) 556 - 7488 (310) 556 - 7400Tbinns@scpie-ahi.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualROBERTAGREENBERG
Insurer TypeStreet Address of Practice
Licensed6629 NW 9TH BLVD
CityStateZip CodeCounty
GAINESVILLEFL32605-4206Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0028257183$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME13988Internal Medicine - Minor SurgeryUnknown

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
NORTH FLORIDA REGIONAL MEDICAL CENTER100204
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
4/9/200212/6/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pregnancy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
C-section.
Diagnostic Code :Unknown
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Severe damage to the heart resulting from a coronary artery dissection-assumed at the time of delivery.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/3/20030103CA1449
County Suit Filed inDate of Final Disposition
Alachua12/23/2004
Other Defendants Involved in this Claim
North Florida Regional Medical Center
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
12/23/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$900,000
Loss Adjust Expense Paid to Defense Counsel$53,000
All Other Loss Adjustment Expense Paid$2,794
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
Interview with investigator and defense counsel, answer interrogatories, deposition, review of expert opinions.
 
Updates
 
No updates found.

 

 

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Dr. Oscar B DePaz Medical Malpractice Lawsuits - Court Case # 01-2004-CA-003027

Indemnity Paid: $850,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641916
Claim Number :17075
Date Submitted :9/12/2006
 
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
IndividualOscarBDePaz
Insurer TypeStreet Address of Practice
Licensed4881 NW 8th Avenue Suite 2
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600225 02$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME43599Physical Medicine and Rehabilitation4201

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
1/24/20031/31/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic upper and lower back and neck pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Botox/Lidocaine injections
Diagnostic Code :798.2
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged improper use of Botox/Lidocaine for pain control
Principal Injury Giving Rise To The Claim
Anaphylactic shock
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/8/200401-2004-CA-003027
County Suit Filed inDate of Final Disposition
Alachua8/24/2006
Other Defendants Involved in this Claim
Southeastern Integrated Medical
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
7/25/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$850,000
Loss Adjust Expense Paid to Defense Counsel$84,580
All Other Loss Adjustment Expense Paid$48,754
Injured Person's Total Non-Economic Loss$850,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$5,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:9/12/2006 8:52:53 AM
Reason for Change:Report udpated to reflect Court document final disposition date of 08/24/06, Dismissal with Prejudice
 
Field ChangedFormer ValueNew Value
Date of Final Disposition18-JUL-0624-AUG-06

 

 

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Dr. James J O'Meara Medical Malpractice Lawsuits - Court Case # 2015CA000139

Indemnity Paid: $850,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201677139
Claim Number : 50557
Date Submitted : 2/15/2016
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual James J O'Meara
Insurer Type Street Address of Practice
Licensed 1151 NW 64th Terrace
City State Zip Code County
Gainesville FL 32605 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602859 04 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME70431 Cardiovascular Disease - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Alachua
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
7/5/2012 8/26/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Left popliteal artery oclusion
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly evaluate and treat left popliteal artery occlusion
Principal Injury Giving Rise To The Claim
Stent failure and chronic pain
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/15/2015 2015CA000139
County Suit Filed in Date of Final Disposition
Alachua 2/2/2016
Other Defendants Involved in this Claim
The Cardiac & Vascular Institute
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/2/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $850,000
Loss Adjust Expense Paid to Defense Counsel $21,783
All Other Loss Adjustment Expense Paid $13,106
Injured Person's Total Non-Economic Loss $500,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $70,000 $2,000,000
Wage Loss $0 $0
Other Expenses $0 $50,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Donald T Trimble Medical Malpractice Lawsuits - Court Case # 2016-CA-541K

Indemnity Paid: $600,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781058
Claim Number : 54986
Date Submitted : 2/3/2017
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Donald T Trimble
Insurer Type Street Address of Practice
Licensed 4500 W. Newberry Rd.
City State Zip Code County
Gainesville FL 32607 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1603222 00 $2,000,000 $5,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
OS7179 Surgery - Orthopedic  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Alachua
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
NORTH FLORIDA REGIONAL MEDICAL CENTER 100204
Location of Institutional Injury Other Location of Institutional Injury
Recovery Room  
Date of Occurrence Date Reported to Insurer
4/1/2014 10/8/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Epidural hematoma
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Revision laminectomy
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose and treat epidural hematoma
Principal Injury Giving Rise To The Claim
Neurologic injury and paralysis
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/14/2016 2016-CA-541K
County Suit Filed in Date of Final Disposition
Alachua 1/18/2017
Other Defendants Involved in this Claim
North Florida Regional Medical Center
The Orthopaedic Institute
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 not subject to Arbitration.
Date of Payment
1/18/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $600,000
Loss Adjust Expense Paid to Defense Counsel $109,278
All Other Loss Adjustment Expense Paid $29,651
Injured Person's Total Non-Economic Loss $0
Deductible $25,000
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $250,000 $1,000,000
Wage Loss $50,000 $575,000
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Larry A Baker Medical Malpractice Lawsuits - Court Case # 1:04cv29SPM/AK

Indemnity Paid: $600,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200533868
Claim Number :ASG-0287
Date Submitted :1/3/2005
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy Thomas
Street Address
2000 West Sam Houston Parkway South, 19th Floor; One Briarlake Plaza
CityStateZip
HoustonTX77042-361
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLarryABaker
Insurer TypeStreet Address of Practice
Licensed1 HARBOUR WAY
CityStateZip CodeCounty
MiltonWV25541Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6801364$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS7147Physicians or Surgeons01

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Prison 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherAlachua County Jail
Date of OccurrenceDate Reported to Insurer
5/29/20012/18/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sent from hospital to detention facility as Marchman patient.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Kept in holding cell for Marchman Act placements and periodically monitored.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NA
Principal Injury Giving Rise To The Claim
Rash noted on body while being taken to shower in restraint chair and fell while in shower, hitting head on wall.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/28/20021:04cv29SPM/AK
County Suit Filed inDate of Final Disposition
Alachua12/14/2004
Other Defendants Involved in this Claim
Prison Health Services, Inc.
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
10/13/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$600,000
Loss Adjust Expense Paid to Defense Counsel$341,692
All Other Loss Adjustment Expense Paid$8,831
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
Unknown.
 
Updates
 
No updates found.

 

 

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Dr. ERIC M GABRIEL Medical Malpractice Lawsuits - Court Case # 01-04-CA-2070

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746918
Claim Number :19184
Date Submitted :9/11/2007
 
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
IndividualERICMGABRIEL
Insurer TypeStreet Address of Practice
Licensed6510 NW 9th Blvd., Suite 1
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600491 02$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME80322Neurology - Including Child - Minor Surgery3306

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/23/200112/22/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Spinal cord compression
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :353.2
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of spinal cord compression
Principal Injury Giving Rise To The Claim
Partial quadriplegia
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/4/200401-04-CA-2070
County Suit Filed inDate of Final Disposition
Alachua8/29/2007
Other Defendants Involved in this Claim
Zenith Insurance Co.
Neurosurgical & Spine Assoc.
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
9/7/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$69,078
All Other Loss Adjustment Expense Paid$33,416
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$6,000,000
Wage Loss$0$500,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Willie F Williams Medical Malpractice Lawsuits - Court Case # 01-08-CA-1765

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954150
Claim Number :26292
Date Submitted :10/13/2009
 
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 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualWillieFWilliams
Insurer TypeStreet Address of Practice
Licensed6716 NW 11 Place
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1602031 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME82080Radiology - interventional 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
NORTH FLORIDA REGIONAL MEDICAL CENTER100204
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
8/16/20079/7/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
DVT
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vena Cava Filter Removal
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure
Principal Injury Giving Rise To The Claim
Puncture of right ventricle
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/21/200701-08-CA-1765
County Suit Filed inDate of Final Disposition
Alachua9/21/2009
Other Defendants Involved in this Claim
Doctors Radiology Group of Gainesville
North Florida Regional Medical Center, Inc.
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
6/22/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$36,594
All Other Loss Adjustment Expense Paid$13,777
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$268,923$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:7/23/2009 3:41:07 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 07/13/09
 
Field ChangedFormer ValueNew Value
Date of Final Disposition29-JUN-0913-JUL-09
 
Date of Change:10/13/2009 1:10:19 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 09/21/2009
 
Field ChangedFormer ValueNew Value
Date of Final Disposition13-JUL-0921-SEP-09

 

 

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Dr. Kimberly A Kaye Medical Malpractice Lawsuits - Court Case # 16-CA-2168K

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201680643
Claim Number : 56967/56968
Date Submitted : 12/16/2016
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Kimberly A Kaye
Insurer Type Street Address of Practice
Licensed 4750 SW 91 Dr. Ste. A
City State Zip Code County
Gainesville FL 32608 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1601038 13 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME71609 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Alachua
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
6/23/2014 3/16/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dizziness and tinnitus
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prescribed streptomycin
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged misdiagnosis of tularemia
Principal Injury Giving Rise To The Claim
Ototoxicity
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/17/2016 16-CA-2168K
County Suit Filed in Date of Final Disposition
Alachua 12/5/2016
Other Defendants Involved in this Claim
Haile Medical Group
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 not subject to Arbitration.
Date of Payment
12/5/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $24,752
All Other Loss Adjustment Expense Paid $9,747
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $50,000 $150,000
Wage Loss $0 $1,000,000
Other Expenses $0 $350,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Steven C Figg Medical Malpractice Lawsuits - Court Case # 01-2011-CA-002057

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264209
Claim Number :32781
Date Submitted :6/27/2012
 
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 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualStevenCFigg
Insurer TypeStreet Address of Practice
Licensed2801 NW 21st Avenue
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600510 09$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME65891Internal Medicine - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
NORTH FLORIDA REGIONAL MEDICAL CENTER100204
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/3/20101/21/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Small bowel obstruction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Placement of central line
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to recognize signs and symptoms consistent with improper line placement
Principal Injury Giving Rise To The Claim
Pneumothorax, cardiac arrest
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/8/201101-2011-CA-002057
County Suit Filed inDate of Final Disposition
Alachua6/19/2012
Other Defendants Involved in this Claim
Hospital Internal Medicine
Williams, MD, Willie F
Lipoff, MD, Scott
North Florida Hospital
Anesthesiology Associates of North Florida
Doctors Radiology Group of Gainesville
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
6/19/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$39,329
All Other Loss Adjustment Expense Paid$8,663
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$3,543$0
Wage Loss$0$0
Other Expenses$8,200$1,500,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Willie F Williams Medical Malpractice Lawsuits - Court Case # 01-2011-CA-002057

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201365839
Claim Number :35824
Date Submitted :1/29/2013
 
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 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualWillieFWilliams
Insurer TypeStreet Address of Practice
Licensed6716 NW 11th Place
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1602031 04$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME82080Radiology - interventional 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
NORTH FLORIDA REGIONAL MEDICAL CENTER100204
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/3/201011/19/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Small bowel obstruction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Placement of central line
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to recognize signs and symptoms consistent with improper line placement
Principal Injury Giving Rise To The Claim
Pneumothorax, cardiac arrest
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/8/201101-2011-CA-002057
County Suit Filed inDate of Final Disposition
Alachua1/22/2013
Other Defendants Involved in this Claim
Lipoff, MD, Scott
North Florida Hospital
Hospital Internal Medicine
Anesthesiology Associates of North Florida
Drs. Radiology Group of Gainesville
Figg, MD, Steven C
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
1/22/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$65,116
All Other Loss Adjustment Expense Paid$16,224
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$3,543$0
Wage Loss$0$0
Other Expenses$8,200$1,500,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Brian Werbel Medical Malpractice Lawsuits - Court Case # 01 2012-CA-001212

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368739
Claim Number :169915
Date Submitted :6/6/2014
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMichelle Brown
Street Address
100 Brookwood Place
CityStateZip
BirminghamAL35209
PhoneExtFaxE-Mail Address
(205) 802 - 4754  mibrown@proassurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBrian Werbel
Insurer TypeStreet Address of Practice
Licensed4645 NW 8th Avenue
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP36570$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME93739Cardiovascular Disease - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/7/20071/24/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Wolff-Parkinson-White pattern
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent echocardiogram and stress test.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Plaintiff alleges the patient should have been advised of his option to undergo electrophysiology testing.Plaintiff died 2 1/2 years later from arrhythmia allegedly related.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/23/201201 2012-CA-001212
County Suit Filed inDate of Final Disposition
Alachua10/9/2013
Other Defendants Involved in this Claim
Dillon, M.D., Michael
University of Florida Board of Trustees
Cardiology Associates of Gainesville
CAG Nuclear, LLC
CAG Laboratories, LLC
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
10/16/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$49,365
All Other Loss Adjustment Expense Paid$25,169
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
Insured discussed claim with defense counsel, insurance personnel and medical experts.
 
Updates
 
 
Date of Change:6/6/2014 4:03:22 PM
Reason for Change:updated
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel4586649365
All Other Loss Adjustment Expense Paid025169

 

 

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

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Dr. Michael Dillon Medical Malpractice Lawsuits - Court Case # 01 2012-CA-001212

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368740
Claim Number :171766
Date Submitted :6/6/2014
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMichelle Brown
Street Address
100 Brookwood Place
CityStateZip
BirminghamAL35209
PhoneExtFaxE-Mail Address
(205) 802 - 4754  mibrown@proassurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMichael Dillon
Insurer TypeStreet Address of Practice
Licensed4645 NW 8th Street
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP36570$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME39746Cardiovascular Disease - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/7/20071/24/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Wolff-Parkinson-White pattern
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent echocardiogram and stress test.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Plaintiff alleges the patient should have been advised of his option to undergo electrophysiology testing.Patient died 2 1/2 years later from arrhythmia allegedly related.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/23/201301 2012-CA-001212
County Suit Filed inDate of Final Disposition
Alachua10/9/2013
Other Defendants Involved in this Claim
CAG Nuclear, LLC
Werbel, Brian
CAG Laboratories, LLC
Universit of Florida Board of Trustees
Cardiology Associates of Gainesville
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
10/16/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$49,375
All Other Loss Adjustment Expense Paid$25,171
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
Insured discussed case with defense counsel, insurance personnel and medical experts.
 
Updates
 
 
Date of Change:6/6/2014 4:18:20 PM
Reason for Change:updated
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel4587649375
All Other Loss Adjustment Expense Paid025171

 

 

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

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Dr. JAYA PRAKASH P GADIKOTA Medical Malpractice Lawsuits - Court Case # 01-2014-CA-1542

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885378
Claim Number : 47042/48320
Date Submitted : 5/25/2018
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual JAYA PRAKASH P GADIKOTA
Insurer Type Street Address of Practice
Licensed 6500 NW Newberry Rd
City State Zip Code County
Gainesville FL 32606 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600510 12 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME106624 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Alachua
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
NORTH FLORIDA REGIONAL MEDICAL CENTER 100204
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
9/21/2012 12/23/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Tremor
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to accurately obtain home medication history and perform reconciliation
Principal Injury Giving Rise To The Claim
Sinemet overdose
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/4/2014 01-2014-CA-1542
County Suit Filed in Date of Final Disposition
Alachua 5/3/2018
Other Defendants Involved in this Claim
North Florida Regional Medical Center
West Florida Supply Chain Services
Hospital Medical Group
Rodriguez, MD, Oswaldo J
Advanced Hospital Group
Martin, Rph, Katherine S
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 not subject to Arbitration.
Date of Payment
5/3/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $87,768
All Other Loss Adjustment Expense Paid $48,417
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,509,441 $13,817,489
Wage Loss $0 $0
Other Expenses $0 $400,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Robert A Guskiewicz Medical Malpractice Lawsuits - Court Case # 01-2015-CA-004623

Indemnity Paid: $462,500.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886477
Claim Number : 47546
Date Submitted : 9/18/2018
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Robert A Guskiewicz
Insurer Type Street Address of Practice
Licensed PO Box 357010
City State Zip Code County
Gainesville FL 32635 Alachua
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600225 17 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME32749 Anesthesiology - Pain Management  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Alachua
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
11/12/2013 2/11/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic neck and back pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Spinal injection
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform spinal injection
Principal Injury Giving Rise To The Claim
Epidural abscess and lower extremity paraparesis
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/30/2015 01-2015-CA-004623
County Suit Filed in Date of Final Disposition
Alachua 8/20/2018
Other Defendants Involved in this Claim
Allen, MD, Stephanie F
Rubin, ARNP, Rita
Optumhealth Care Solutions
SIMED Health
North FLorida Regional Freestanding Surgery Center
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 not subject to Arbitration.
Date of Payment
8/20/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $462,500
Loss Adjust Expense Paid to Defense Counsel $113,554
All Other Loss Adjustment Expense Paid $73,016
Injured Person's Total Non-Economic Loss $0
Deductible $100,000
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,100,000 $1,000,000
Wage Loss $0 $0
Other Expenses $0 $250,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Frank Biondolillo Medical Malpractice Lawsuits - Court Case # 01-07-CA 4697

Indemnity Paid: $460,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953821
Claim Number :NES-06-56559-FB
Date Submitted :6/2/2009
 
Insurer Information
 
Insurer NameCoverage Type
EVEREST INDEMNITY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
22-3520347 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualFrank Biondolillo
Insurer TypeStreet Address of Practice
Licensed7399 SE 12th Circle
CityStateZip CodeCounty
OcalaFL34480Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6500000204-061$1,000,000$2,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS8785Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
NORTH FLORIDA REGIONAL MEDICAL CENTER100204
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/8/200611/27/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
C6-7 cervical disc herniation w/ spinal cord compression
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to obtain consult, order appropriate tests
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Acute upper back pain, muculoskeletal pain, strain
Principal Injury Giving Rise To The Claim
Paraplegia
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/16/200701-07-CA 4697
County Suit Filed inDate of Final Disposition
Alachua6/1/2009
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
7/16/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$460,000
Loss Adjust Expense Paid to Defense Counsel$33,982
All Other Loss Adjustment Expense Paid$6,018
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
Unknown
 
Updates
 
No updates found.

 

 

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Dr. Reginald Sanon Medical Malpractice Lawsuits - Court Case # 01-07-CA 4697

Indemnity Paid: $460,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953822
Claim Number :NES-06-56559-RS
Date Submitted :6/2/2009
 
Insurer Information
 
Insurer NameCoverage Type
EVEREST INDEMNITY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
22-3520347 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualReginald Sanon
Insurer TypeStreet Address of Practice
Licensed7770 SE 12th Circle
CityStateZip CodeCounty
OcalaFL34480Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6500000204-061$1,000,000$2,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS8895Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
NORTH FLORIDA REGIONAL MEDICAL CENTER100204
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/8/200611/27/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
C6-7 cervical disc herniation w/ spinal cord compression
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to obtain consult, order appropriate tests
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Acute upper back pain, muculoskeletal pain, strain
Principal Injury Giving Rise To The Claim
Paraplegia
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/16/200701-07-CA 4697
County Suit Filed inDate of Final Disposition
Alachua6/1/2009
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
7/16/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$460,000
Loss Adjust Expense Paid to Defense Counsel$33,982
All Other Loss Adjustment Expense Paid$6,018
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
Unknown
 
Updates
 
No updates found.

 

 

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Dr. David S Saunders Medical Malpractice Lawsuits - Court Case # 01-05-CA-1615

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849280
Claim Number :21197
Date Submitted :5/16/2008
 
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
IndividualDavidSSaunders
Insurer TypeStreet Address of Practice
Licensed720 SW 2nd Avenue Suite 304
CityStateZip CodeCounty
GainesvilleFL32601Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601070 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87074Surgery - General6301

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
ALACHUA GENERAL HOSPITAL100082
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
2/23/200412/2/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Labor and delivery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vaginal delivery
Diagnostic Code :728.86
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to recognize infection and intervene surgically
Principal Injury Giving Rise To The Claim
4th degree tear with necrotizing fasciitis
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/5/200501-05-CA-1615
County Suit Filed inDate of Final Disposition
Alachua5/6/2008
Other Defendants Involved in this Claim
Shands Teaching Hospital at AGH
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
4/9/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$450,000
Loss Adjust Expense Paid to Defense Counsel$46,583
All Other Loss Adjustment Expense Paid$26,961
Injured Person's Total Non-Economic Loss$450,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$414,170$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:5/16/2008 2:06:40 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 05/06/08
 
Field ChangedFormer ValueNew Value
Date of Final Disposition07-APR-0806-MAY-08

 

 

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Dr. James B Slattery Medical Malpractice Lawsuits - Court Case # 01-03-CA-452

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535548
Claim Number :118828
Date Submitted :9/30/2008
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProNational Insurance Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJamesBSlattery
Insurer TypeStreet Address of Practice
Licensed6820 Northwest 11 Place
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-0260200-01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME29135Surgery - Orthopedic00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Patient's Home 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
2/8/200110/7/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Old orthopaedic injury to elbow requiring revision.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical removal of orthopedic hardware.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Patient expired six hours after the surgical procedure.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/26/200301-03-CA-452
County Suit Filed inDate of Final Disposition
Alachua5/20/2005
Other Defendants Involved in this Claim
Anesthesiology Associates of North Florida, P.A.
The Orthopaedic Center of N. Central FL d/b/a The Hand Cente
PEREZ, JOSE L
Crossman, R.N., JoanneC
North Florida Regional Medical Center, Inc. d/b/a North FL S
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/24/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$450,000
Loss Adjust Expense Paid to Defense Counsel$43,904
All Other Loss Adjustment Expense Paid$34,455
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
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:9/30/2008 9:15:54 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel4269043904
All Other Loss Adjustment Expense Paid3011634455

 

 

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