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. 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. 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. 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. 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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Dr. Scott Lipoff Medical Malpractice Lawsuits - Court Case # 11-CA-2057

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366945
Claim Number :40938-01
Date Submitted :5/1/2013
 
Insurer Information
 
Insurer NameCoverage Type
ANESTHESIOLOGISTS PROFESSIONAL ASSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
59-2820748 
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
IndividualScott Lipoff
Insurer TypeStreet Address of Practice
Licensed8810 Southwest 45th Blvd.
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98695$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME46025Anesthesiology80151

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
Patients' Room 
Date of OccurrenceDate Reported to Insurer
1/5/20102/10/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe abdominal pain with nausea and vomiting/small bowel obstruction.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allegations of errant right internal jugular central line placement.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Allegations of central line ending up in the pleural space, resulting in cardio-respiratory collapse.
Principal Injury Giving Rise To The Claim
Death of this, 42 year old male.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/13/201111-CA-2057
County Suit Filed inDate of Final Disposition
Alachua4/11/2013
Other Defendants Involved in this Claim
Williams, M.D., Willie
Doctors Radiology Group of Gainesville, LLC
Fig, M.D., Steven
Hospital Internal Medicine, P.A.
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
4/11/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$42,253
All Other Loss Adjustment Expense Paid$26,137
Injured Person's Total Non-Economic Loss$400,000
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
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. Tina M Lam Medical Malpractice Lawsuits - Court Case # 01-2012-CA-003890

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367829
Claim Number :41277
Date Submitted :8/12/2013
 
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
IndividualTinaMLam
Insurer TypeStreet Address of Practice
Licensed7003 NW 11th Place, Ste. 3
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601060 10$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME71145Surgery - General 

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
Patients' Room 
Date of OccurrenceDate Reported to Insurer
4/5/20105/11/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Small bowel obstruction with herniation and incarceration of small bowel.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Critical diagnostic test result ordered by co-defendant hospitalist was not communicated in a timely fashion to insured who was consulted on the case as to allow for earlier intervention.
Principal Injury Giving Rise To The Claim
Sepsis, ARDS, renal failure.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/1/201201-2012-CA-003890
County Suit Filed inDate of Final Disposition
Alachua8/8/2013
Other Defendants Involved in this Claim
Rodriguez, MD, Oswaldo J
Advanced Hospitalists 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/11/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$300,000
Loss Adjust Expense Paid to Defense Counsel$31,728
All Other Loss Adjustment Expense Paid$8,934
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$12,226$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured.
 
Updates
 
 
Date of Change:8/12/2013 10:37:07 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 08/08/13
 
Field ChangedFormer ValueNew Value
Date of Final Disposition11-JUL-1308-AUG-13

 

 

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Dr. Manuel F Diaz Medical Malpractice Lawsuits - Court Case # 01-07-CA-158K

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848322
Claim Number :24428/24429
Date Submitted :1/28/2008
 
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
IndividualManuelFDiaz
Insurer TypeStreet Address of Practice
Licensed106 SW 10th Street
CityStateZip CodeCounty
GainesvilleFL32601Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601011 04$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62181Internal Medicine - No Surgery30803

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
6/23/20049/21/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Testicular torsion
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :608.3
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose testicular torsion
Principal Injury Giving Rise To The Claim
Orchiectomy
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/7/200701-07-CA-158K
County Suit Filed inDate of Final Disposition
Alachua12/18/2007
Other Defendants Involved in this Claim
Calabrese & Diaz MD PA
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
12/5/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$300,000
Loss Adjust Expense Paid to Defense Counsel$27,806
All Other Loss Adjustment Expense Paid$7,319
Injured Person's Total Non-Economic Loss$300,000
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
Risk Management has counseled insured
 
Updates
 
 
Date of Change:1/28/2008 3:18:41 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 12/18/07
 
Field ChangedFormer ValueNew Value
Date of Final Disposition20-NOV-0718-DEC-07

 

 

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Dr. CLINTON G BUSH Medical Malpractice Lawsuits - Court Case # 01-03-CA-2781

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200639458
Claim Number :122517
Date Submitted :11/11/2008
 
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
IndividualCLINTONGBUSH
Insurer TypeStreet Address of Practice
Licensed720 Southwest 2 Avenue, Suite 360
CityStateZip CodeCounty
GainesvilleFL32601Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP41050$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME25660Surgery - Orthopedic00000

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
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/4/20004/29/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hip fracture requiring surgical repair.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Hemiarthroplasty.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Surgical needle which broke and became imbedded in bone during the procedure was intentionally left.
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
7/21/200301-03-CA-2781
County Suit Filed inDate of Final Disposition
Alachua10/7/2005
Other Defendants Involved in this Claim
The Orthopedic Center of North Central Florida, P.A.
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
1/30/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$300,000
Loss Adjust Expense Paid to Defense Counsel$39,673
All Other Loss Adjustment Expense Paid$23,061
Injured Person's Total Non-Economic Loss$300,000
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
 
 
Date of Change:1/26/2007 8:55:00 AM
Reason for Change:Update to reflect additional expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid2251923061
Amount of Loss Adjustment Expense Paid to Defense Counsel3498037923
 
Date of Change:11/11/2008 9:33:28 AM
Reason for Change:Report updated to reflect additional legal fees paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel3792339673

 

 

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Dr. LAURA R FISH Medical Malpractice Lawsuits - Court Case # 2011CA4395

Indemnity Paid: $293,750.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471374
Claim Number :FP4148002
Date Submitted :7/21/2014
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKelly Andrews
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(904) 360 - 3038  kandrews@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLAURARFISH
Insurer TypeStreet Address of Practice
Licensed6500 Newberry Road
CityStateZip CodeCounty
GainesvilleFL32614Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CL102696$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME102454Emergency Medicine - No Major Surgery 

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
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/6/20106/20/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Medical management and diagnostic imaging.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
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
8/29/20112011CA4395
County Suit Filed inDate of Final Disposition
Alachua6/20/2014
Other Defendants Involved in this Claim
Gainesville Emergency Medical Associates, PA
Will, M.D., Jeffrey
N.FL Regional Medical Ctr. 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
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$293,750
Loss Adjust Expense Paid to Defense Counsel$51,352
All Other Loss Adjustment Expense Paid$41,633
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
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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Dr. JEFFREY A WILT Medical Malpractice Lawsuits - Court Case # 2011-CA-4395

Indemnity Paid: $293,750.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471375
Claim Number :FP4148001
Date Submitted :7/21/2014
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKelly Andrews
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(904) 360 - 3038  kandrews@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJEFFREYAWILT
Insurer TypeStreet Address of Practice
Licensed1562 Duxbury Court
CityStateZip CodeCounty
AllentownPA18104Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
IN025775$500,000$1,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME39418Internal Medicine - No Surgery 

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
3/6/20103/24/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
RUQ abdominal pain; later diagnosed with ischemic small bowel.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient was admitted and the insured hospitalist evaluated the patient and elicited a relatively normal abdominal evaluation. He ordered a GI consult, NPO, IV hydration & pain control. Labs and ultra sound were normal.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failure to timely diagnosed and treat ischemic bowel.
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
9/2/20112011-CA-4395
County Suit Filed inDate of Final Disposition
Alachua7/9/2014
Other Defendants Involved in this Claim
Fish, M.D., LauraR
N. FL 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
7/9/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$293,750
Loss Adjust Expense Paid to Defense Counsel$88,522
All Other Loss Adjustment Expense Paid$40,659
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
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Mark L Perman Medical Malpractice Lawsuits - Court Case # 2011-CA-2633

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366124
Claim Number :MM258740
Date Submitted :2/22/2013
 
Insurer Information
 
Insurer NameCoverage Type
EVANSTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
36-2950161 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCherry ERadin
Street Address
Ten Parkway North
CityStateZip
DeerfieldIL60015
PhoneExtFaxE-Mail Address
(847) 572 - 6085 (847) 572 - 6338radin@markelcorp.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMarkLPerman
Insurer TypeStreet Address of Practice
Licensed3343 State Road
CityStateZip CodeCounty
WellingtonFL33449Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MM819729$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59298Surgery - Colon and Rectal 

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
Other Outpatient FacilityNorth Florida Cancer Institute, P.A.
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
7/6/20091/20/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented to the office where the insured doctor was employed with an adenocarcinoma of the prostate with increase in PSA levels to discuss treatment options.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient underwent external beam radiation and began to experince nocturia, cramps after eating and loose stools. The patient saw the insured doctor for a radiation visit when his total dosage was 2160, and again approximately five weeks later with a total dosage of 6560. Another doctor performed a flexible sigmoidoscopy,diagnosing a perianal rash with severe radiaton-induced procitis with stricture and fistula. The patient eventually had surgery revealing multiple adhesion kinking the bowel and causing a possible obstruction.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
The patient presented to the hospital to remove stricture of the bowel, remove twisted bowel, and create a permanent colostomy to divert fecal matter in order to treat complications of severe radiation oenteritis.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/13/20112011-CA-2633
County Suit Filed inDate of Final Disposition
Alachua1/20/2012
Other Defendants Involved in this Claim
Hayes, CherylleA
North Florida Cancer 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 DecisionOther
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$250,000
Loss Adjust Expense Paid to Defense Counsel$12,538
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$10,000
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
None.
 
Updates
 
No updates found.

 

 

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

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Dr. Anthony B Agrios Medical Malpractice Lawsuits - Court Case # 10-CA-5778

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265179
Claim Number :27769
Date Submitted :10/22/2012
 
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
IndividualAnthonyBAgrios
Insurer TypeStreet Address of Practice
Licensed6440 W. Newberry Rd. Ste. 111
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600224 07$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME67571Surgery - Obstetrics - Gynecology 

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
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
5/13/20087/25/2008
 
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
Induction of labor
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged willful and wanton disregard for thelife and safety of patient and baby
Principal Injury Giving Rise To The Claim
Neurological injuries
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
10/15/201010-CA-5778
County Suit Filed inDate of Final Disposition
Alachua9/12/2012
Other Defendants Involved in this Claim
All About Women, OB & GYN
North Florida Regional Medical Center
Russell, MSN, ARNP, Deidre M
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
9/12/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$58,542
All Other Loss Adjustment Expense Paid$6,910
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$8,200,000
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. Monica Botero Medical Malpractice Lawsuits - Court Case # 012011CA 002887

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201262687
Claim Number :41275-01
Date Submitted :1/9/2012
 
Insurer Information
 
Insurer NameCoverage Type
ANESTHESIOLOGISTS PROFESSIONAL ASSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
59-2820748 
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
IndividualMonica Botero
Insurer TypeStreet Address of Practice
Licensed6500 Newberry Road
CityStateZip CodeCounty
GainesvilleFL32605Alachua
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98695$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME76846Anesthesiology80151

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
Other Outpatient FacilityNorth Florida Surgical Pavilion
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/23/20094/23/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Infiltrating ductal carcinoma of the left breast.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Anesthesia administration for port-a-cath placement.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
During the surgical procedure, a fire occurred in the OR, resulting in burns to the patient's chest and face.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/8/2011012011CA 002887
County Suit Filed inDate of Final Disposition
Alachua12/19/2011
Other Defendants Involved in this Claim
Pickens, M.D., Norman E
North florida Surgical Pavilion
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
12/19/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$34,839
All Other Loss Adjustment Expense Paid$8,854
Injured Person's Total Non-Economic Loss$250,000
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
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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