Medical Malpractice Cases

Medical Malpractice Cases In Escambia County Florida

Dr. Troy Tippett Medical Malpractice Lawsuits - Court Case # 04-CA-246-A

Indemnity Paid: $2,500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746898
Claim Number :29375-01
Date Submitted :9/10/2007
 
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
IndividualTroy Tippett
Insurer TypeStreet Address of Practice
Licensed1717 N "E" Street, Ste 422
CityStateZip CodeCounty
PensacolaFL32501Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98741$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME28299Surgery - Neurology - Including Child80152

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MBay
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SACRED HEART HOSPITAL (PENSACOLA)100025
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
7/16/20019/18/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ventriculoperitoneal shunt malfunction.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Ventriculoperitoneal shunt revision.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
This 31 year old male suffered cardiac and respiratory arrest, resulting in brain damage.
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
2/5/200404-CA-246-A
County Suit Filed inDate of Final Disposition
Escambia8/21/2007
Other Defendants Involved in this Claim
Sacred Heart Hospital
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
8/21/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$2,500,000
Loss Adjust Expense Paid to Defense Counsel$57,790
All Other Loss Adjustment Expense Paid$50,335
Injured Person's Total Non-Economic Loss$2,500,000
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. George M Dmytrenko Medical Malpractice Lawsuits - Court Case # 2012 CA 002744

Indemnity Paid: $2,198,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781920
Claim Number : 76760
Date Submitted : 4/25/2017
 
Insurer Information
 
Insurer Name Coverage Type
ASCENSION HEALTH ALLIANCE PL/GL SELF-INSURED TRUST Primary
Insurer FEIN Professional License Number
36-7046706  
Insurer Contact Information
Type First Name MI Last Name
Individual Linda S Zinselmeier
Street Address
11775 Borman Drive
City State Zip
Saint Louis MO 63146
Phone Ext Fax E-Mail Address
(314) 733 - 8727   (314) 733 - 8727 lzinselmeier@ascension.org
 
Insured Information
 
Type First Name MI Last Name
Individual George M Dmytrenko
Insurer Type Street Address of Practice
Self-Insurer 5153 N. 9th Ave., Suite 300
City State Zip Code County
Pensacola FL 32504 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
1111 $10,000,000 $10,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME62184 Neurology - including child - no surgery - All Other  

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 Escambia
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
SACRED HEART HOSPITAL (PENSACOLA) 100025
Location of Institutional Injury Other Location of Institutional Injury
Other Outpatient clinic
Date of Occurrence Date Reported to Insurer
6/7/2011 6/14/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient with seizure, initially diagnosed with and treated for epilepsy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Difficult resection of meningioma.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient ultimately diagnosed with a sphenoid wing meningioma.
Principal Injury Giving Rise To The Claim
Stroke with left-sided 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
6/7/2013 2012 CA 002744
County Suit Filed in Date of Final Disposition
Escambia 7/15/2015
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/23/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $2,198,000
Loss Adjust Expense Paid to Defense Counsel $92,964
All Other Loss Adjustment Expense Paid $2,808
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $114,000 $1,100,000
Wage Loss $0 $0
Other Expenses $300,000 $300,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
No updates found.

 

 

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Dr. LEON PAULOS Medical Malpractice Lawsuits - Court Case # 2013 CA 001782

Indemnity Paid: $2,120,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201680039
Claim Number : F11-0192-11
Date Submitted : 10/17/2016
 
Insurer Information
 
Insurer Name Coverage Type
FD INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-3704679  
Insurer Contact Information
Type First Name MI Last Name
Individual Dionysia   Lawson
Street Address
560 Davis Street
City State Zip
San Francisco CA 94111
Phone Ext Fax E-Mail Address
(415) 735 - 2013   (415) 735 - 2097 dlawson@norcalmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual LEON   PAULOS
Insurer Type Street Address of Practice
Licensed 1717 N E St Suite 320
City State Zip Code County
Pensacola FL 32501 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MS000700 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME102290 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
  F Santa Rosa
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
2/8/2011 9/13/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Femoral anterversion and leg length discrepancy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
External rotation osteotomey of the femur and internal rotation osteotomy of the tibia
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Inappropriate off-label use of Kryptonite bone cement, insufficient fixation of a intramedullary nail
Principal Injury Giving Rise To The Claim
Inappropriate off-label use of Kryptonite bone cement, insufficient fixation of a intramedullary nail
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
9/6/2016 2013 CA 001782
County Suit Filed in Date of Final Disposition
Escambia 8/22/2016
Other Defendants Involved in this Claim
Baptist Health Care Corporation
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
8/29/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $2,120,000
Loss Adjust Expense Paid to Defense Counsel $188,889
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $264,000 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management discussed the matter with the physician.
 
Updates
 
No updates found.

 

 

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Dr. Rohit R Amin Medical Malpractice Lawsuits - Court Case # 2016-CA-001399

Indemnity Paid: $1,600,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783553
Claim Number : 96539
Date Submitted : 11/2/2017
 
Insurer Information
 
Insurer Name Coverage Type
ASCENSION HEALTH ALLIANCE PL/GL SELF-INSURED TRUST Primary
Insurer FEIN Professional License Number
36-7046706  
Insurer Contact Information
Type First Name MI Last Name
Individual Linda   Zinselmeier
Street Address
11705 Borman Drive
City State Zip
St. Louis MO 63146
Phone Ext Fax E-Mail Address
(314) 733 - 8727     lzinselmeier@ascension.org
 
Insured Information
 
Type First Name MI Last Name
Individual Rohit R Amin
Insurer Type Street Address of Practice
Self-Insurer 5151 North Ninth Avenue, Suite 200
City State Zip Code County
Pensacola FL 32504 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
1111 $10,000,000 $10,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME113195 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 Escambia
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SACRED HEART HOSPITAL (PENSACOLA) 100025
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
9/8/2014 9/9/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
62-year-old man, presented to the emergency department with chest pain complaints consistent with Acute Coronary Syndrome (unstable angina).
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
A Left Heart Catheterization by a Diagnostic Cardiologist (not a defendant), who found patient had 95% stenosis of the Circumflex Coronary Artery and questionable stenosis in the Left Anterior Descending (LAD) Coronary Artery. Defendant was consulted for his expertise in Interventional Cardiology, and he performed a Fractional Flow Reserve (FFR) interrogation of the LAD which revealed a hemodynamically significant lesion.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Not applicable - no misdiagnosis.
Principal Injury Giving Rise To The Claim
An acute dissection of the LAD that rapidly progressed to a completion occlusion.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
9/6/2016 2016-CA-001399
County Suit Filed in Date of Final Disposition
Escambia 10/17/2017
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/25/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,600,000
Loss Adjust Expense Paid to Defense Counsel $70,000
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $380,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $81,500 $0
Wage Loss $0 $0
Other Expenses $298,500 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
No updates found.

 

 

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Dr. Wayne D Cartee Medical Malpractice Lawsuits - Court Case # 2009-CA-816

Indemnity Paid: $1,150,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057623
Claim Number :27700/27701
Date Submitted :7/26/2010
 
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
IndividualWayneDCartee
Insurer TypeStreet Address of Practice
Licensed4810 N. Davis Hwy.
CityStateZip CodeCounty
PensacolaFL32503Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600831 05$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME22270Surgery - Gastroenterology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityEndoscopy Center of Pensacola
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
6/14/20057/14/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Crohn's disease
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Screening colonoscopy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to pursue abnormal pathology from colonoscopy
Principal Injury Giving Rise To The Claim
Colon cancer
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/30/20092009-CA-816
County Suit Filed inDate of Final Disposition
Escambia7/8/2010
Other Defendants Involved in this Claim
Gastroenterology Associates of Pensacola
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
6/10/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,150,000
Loss Adjust Expense Paid to Defense Counsel$32,779
All Other Loss Adjustment Expense Paid$23,136
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$50,000$0
Wage Loss$1,399,464$464,030
Other Expenses$4,000$1,603,214
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:7/26/2010 10:10:37 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 07/08/10
 
Field ChangedFormer ValueNew Value
Date of Final Disposition10-JUN-1008-JUL-10

 

 

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Dr. Nicholaus J Hilliard Medical Malpractice Lawsuits - Court Case # 2015-CA-000062

Indemnity Paid: $1,007,300.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886024
Claim Number : 42773
Date Submitted : 7/27/2018
 
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 Nicholaus J Hilliard
Insurer Type Street Address of Practice
Licensed PO Box 10450
City State Zip Code County
Pensacola FL 32524 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600229 11 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME101330 Pathology - 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 Escambia
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
Other Pathology
Date of Occurrence Date Reported to Insurer
6/12/2012 10/1/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Solid mass in right breast
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged erroneous interpretation of tissue specimen as cancerous invasive ductal adenocarcinoma
Principal Injury Giving Rise To The Claim
Unnecessary bilateral mastectomy
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
2/6/2015 2015-CA-000062
County Suit Filed in Date of Final Disposition
Escambia 7/16/2018
Other Defendants Involved in this Claim
Mayfield, MD, Charles A
Pensacola Pathologists
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
7/16/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,007,300
Loss Adjust Expense Paid to Defense Counsel $20,591
All Other Loss Adjustment Expense Paid $4,008
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $85,000 $0
Wage Loss $88,000 $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. JOHN TREVEN Medical Malpractice Lawsuits - Court Case # 2015 CA 001382

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884030
Claim Number : EMC-FL-14XS-334123
Date Submitted : 1/9/2018
 
Insurer Information
 
Insurer Name Coverage Type
EmCare Holdings, Inc. Primary
Insurer FEIN Professional License Number
75-173235 SI
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
1900 W. LOOP S., STE. 1500
City State Zip
Houston TX 77027
Phone Ext Fax E-Mail Address
(713) 935 - 2404   (713) 461 - 8130 kathy_stockton@westernlitigation.com
 
Insured Information
 
Type First Name MI Last Name
Individual JOHN   TREVEN
Insurer Type Street Address of Practice
Self-Insurer 8383 NORTH DAVIS HIGHWAY
City State Zip Code County
PENSACOLA FL 32514 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
Emcare 2014-Excess $250,000 $750,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS11885 Emergency Medicine - No Major 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 Escambia
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Hospital/Institution WEST FLORIDA HOSPITAL
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
10/7/2014 10/24/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CHEST PAIN AND BP
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER. STRESS TEST GOOD.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED FAILURE TO DIAGNOSE PE
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
8/21/2015 2015 CA 001382
County Suit Filed in Date of Final Disposition
Escambia 1/9/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
11/28/2017
 
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 $127,266
All Other Loss Adjustment Expense Paid $59,662
Injured Person's Total Non-Economic Loss $0
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. JEFFREY A SAUNDERS Medical Malpractice Lawsuits - Court Case # 2015-CA-00865

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201677155
Claim Number : 1015261-01
Date Submitted : 8/11/2016
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Susan K Spielman
Street Address
5814 Reed Road
City State Zip
Fort Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0340     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual JEFFREY A SAUNDERS
Insurer Type Street Address of Practice
Licensed 5401 Corporate Woods Drive, Ste 200
City State Zip Code County
Pensacola FL 32504 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
726634 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME83448 Radiology - Diagnostic - 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 Escambia
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SACRED HEART HOSPITAL (PENSACOLA) 100025
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
8/14/2013 8/20/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Trauma sustained in car accident
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Reading of X-rays and CT scans
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
Principal Injury Giving Rise To The Claim
Additional surgery; lower extremity weakness
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
5/22/2015 2015-CA-00865
County Suit Filed in Date of Final Disposition
Escambia 1/28/2016
Other Defendants Involved in this Claim
Sacred Heart Hospital
Sacred Heart Medical Group
Halphen MD, Marguerite
Zhang MD, Ming
Neill MD, Terry A
Ackerman RN, Robin
Keeler RN, Raquel
Miles RN, Lonna
Maraman RN, Hubert
Ruff RN, Meghan
Shepherd RN, Jacob
Dyson RN, Flordeliza
Batchelor PA, Jeanette
Pranke EMT, Christine
Pensacola Radiology Consultants 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/25/2016
 
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 $45,013
All Other Loss Adjustment Expense Paid $25,128
Injured Person's Total Non-Economic Loss $368,421
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
N/A
 
Updates
 
 
Date of Change: 8/11/2016 9:34:39 AM
Reason for Change: ALE UPDATED 8/11/2016
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 42773 45013
All Other Loss Adjustment Expense Paid 25843 25128

 

 

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Dr. Andrius Galinis Medical Malpractice Lawsuits - Court Case # 2012-CA-1568-E

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368954
Claim Number :FP4058405
Date Submitted :11/15/2013
 
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
IndividualAndrius Galinis
Insurer TypeStreet Address of Practice
Licensed4901 Grande Drive
CityStateZip CodeCounty
PensacolaFL32504Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GR098553$1,000,000$1,000,000
Profession or BusinessOther Profession or Business
OtherAnesthesiologist
License NumberSpecialty Code & ClassificationCertification Number
ME101464  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SACRED HEART HOSPITAL (PENSACOLA)100025
Location of Institutional InjuryOther Location of Institutional Injury
OtherOperating Suite
Date of OccurrenceDate Reported to Insurer
5/7/20105/24/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Herniated disc with spinal cord compression at C3-C6.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
During anesthesia induction with glidescope, the patient suffered a tongue laceration, which postponed surgery.Once in ICU, the patient was allegedly not properly managed by hospital nursing staff and other healthcare providers, resulting in neurologic decompensation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
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
11/19/20122012-CA-1568-E
County Suit Filed inDate of Final Disposition
Escambia10/28/2013
Other Defendants Involved in this Claim
Sacred Heart Hospital
Chapkeau, Charles
Helmi, Mohamed
Kirkland, Lori
Forehand, Ja Brian
Loriz-Vega, Mark
Kirkland, Lorilyn
Ausborn, Ophelia
Franklin, Nancy
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
10/28/2013
 
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$8,147
All Other Loss Adjustment Expense Paid$1,325
Injured Person's Total Non-Economic Loss$1,000,000
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
Insurancecompany staff consulted with insured to discuss preventative measures.Patient Safety referral is made if approppriate.
 
Updates
 
No updates found.

 

 

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

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Dr. James Maher Medical Malpractice Lawsuits - Court Case # 2007-CA-000 323 Div

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848195
Claim Number :34684-02
Date Submitted :1/10/2008
 
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
IndividualJames Maher
Insurer TypeStreet Address of Practice
Licensed1717 N "E" Street, Ste 425
CityStateZip CodeCounty
PensacolaFL32501Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
44566$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME64404Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FBay
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SACRED HEART HOSPITAL (PENSACOLA)100025
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
9/21/20049/26/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pre eclampsia at 32 weeks gestation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Medication, monitoring and emergent cesarean section.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient suffered a pontine hemorrhage during c-section, with severe permanent neurological injury.
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
3/21/20072007-CA-000 323 Div
County Suit Filed inDate of Final Disposition
Escambia12/21/2007
Other Defendants Involved in this Claim
Sacred Heart Hospital
Tucker, M.D., Elizabeth
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
12/21/2007
 
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$30,028
All Other Loss Adjustment Expense Paid$16,268
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$110,878$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. William J Suggs Medical Malpractice Lawsuits - Court Case # 2003-CA-002524

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535141
Claim Number :18441
Date Submitted :5/9/2005
 
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
IndividualWilliamJSuggs
Insurer TypeStreet Address of Practice
Licensed1874 BELTLINE RD SW STE 100
CityStateZip CodeCounty
DECATURAL35601-5514Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600314 02$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME85384Surgery - Abdominal102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST HOSPITAL100093
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
12/30/20029/12/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Morbid obesity
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Gastric bypass
Diagnostic Code :DC998.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to recognize signs of a gastric pouch leak.
Principal Injury Giving Rise To The Claim
Gastric pouch leak
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/22/20042003-CA-002524
County Suit Filed inDate of Final Disposition
Escambia4/11/2005
Other Defendants Involved in this Claim
Tyson, M.D., John W
Agadzi, M.D., Victor
Nalley, M.D., James
Park, CRNA, Kilja
Baptist Hospital
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
4/11/2005
 
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$34,774
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$28,557$0
Wage Loss$0$2,000,000
Other Expenses$10,000$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. David Tenniswood Medical Malpractice Lawsuits - Court Case # 2013-CA-001109

Indemnity Paid: $900,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573717
Claim Number : 147357
Date Submitted : 4/17/2015
 
Insurer Information
 
Insurer Name Coverage Type
HEALTH CARE INDEMNITY, INC. Primary
Insurer FEIN Professional License Number
61-0904881  
Insurer Contact Information
Type First Name MI Last Name
Individual Teresa   Ross
Street Address
One Park Plaza P.O. Box 555
City State Zip
Nashville TN 37202
Phone Ext Fax E-Mail Address
(615) 344 - 5804     Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
Type First Name MI Last Name
Individual David   Tenniswood
Insurer Type Street Address of Practice
Licensed 2120 E Johnson Avenue Suite 101
City State Zip Code County
Pensacola FL 32514 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HCI-10112 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME108539 Physicians - Minor Surgery. NOC classification. 01

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 Escambia
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
WEST FLORIDA REG. MED. CTR (PENSACOLA) 100231
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
6/11/2012 8/7/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cholecystitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent robotic assisted laparoscopic cholecystectomy. Patient sustained a transection of common bile duct.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Transection of common bile duct.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
5/3/2013 2013-CA-001109
County Suit Filed in Date of Final Disposition
Escambia 2/24/2015
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/6/2015
 
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 $229,769
All Other Loss Adjustment Expense Paid $66,942
Injured Person's Total Non-Economic Loss $400,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $100,000 $0
Wage Loss $0 $400,000
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Staff education.
 
Updates
 
 
Date of Change: 4/17/2015 11:19:26 AM
Reason for Change: Additional lae payments made.
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 55591 66942
Specialty Code Physicians or Surgeons - Major Surgery. NOC classification. Physicians - Minor Surgery. NOC classification.
Amount of Loss Adjustment Expense Paid to Defense Counsel 217960 229769

 

 

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

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Dr. Gavin W Finley Medical Malpractice Lawsuits - Court Case # 2002 CA 002067

Indemnity Paid: $800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200533909
Claim Number :DK06620732-09T001
Date Submitted :1/7/2005
 
Insurer Information
 
Insurer NameCoverage Type
ST. PAUL FIRE & MARINE INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
41-0406690 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualPatriceAKane
Street Address
3230 West Commercial Blvd., #390
CityStateZip
Ft. LauderdaleFL33309
PhoneExtFaxE-Mail Address
(954) 677 - 33243324(954) 735 - 9028Pat.Kane@stpaul.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGavinWFinley
Insurer TypeStreet Address of Practice
Licensed1717 N E ST
CityStateZip CodeCounty
PENSACOLAFL32501-6339Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
DK06620732$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME54185Anesthesiology01

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSanta Rosa
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
GULF BREEZE HOSPITAL110003
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
10/2/20002/9/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Below the knee amputation
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Possible laryngospasm during administration of anesthesia during surgery resulted in blocked airway, arrest and permanent brain injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Anoxic brain injury
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
10/2/20022002 CA 002067
County Suit Filed inDate of Final Disposition
Escambia12/9/2004
Other Defendants Involved in this Claim
The Anesthesia Group P.A.
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/9/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$800,000
Loss Adjust Expense Paid to Defense Counsel$34,786
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$162,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None known
 
Updates
 
No updates found.

 

 

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Dr. Michael Redmond Medical Malpractice Lawsuits - Court Case # 2004-CA-001193

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747090
Claim Number :26327-01
Date Submitted :9/28/2007
 
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
IndividualMichael Redmond
Insurer TypeStreet Address of Practice
Licensed8333 North Davis Highway
CityStateZip CodeCounty
PensacolaFL32514Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98491$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME26287Surgery - Opthalmology80114

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityWest Florida Medical Ctr Clinic, P.A.
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/16/20025/24/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Assessment for retinopathy of prematurity (ROP) of 3 1/2 month old infant.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to timely diagnose retinopathy of pre-maturity (ROP), timely detect bilateral detached retinas and failure to provide for proper treatment for ROP and request consultation with a retinal specialist.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Blindness.
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
8/2/20042004-CA-001193
County Suit Filed inDate of Final Disposition
Escambia9/10/2007
Other Defendants Involved in this Claim
Sueflow, M.D., Jerry A
West Florida Medical Center Clinic, P.A.
Sacred Heart Hospital of Pensacola
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
9/10/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$54,954
All Other Loss Adjustment Expense Paid$39,692
Injured Person's Total Non-Economic Loss$750,000
Deductible$100,000
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
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. Randall W Brown Medical Malpractice Lawsuits - Court Case # 2003CA000165

Indemnity Paid: $700,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538766
Claim Number :CN550331
Date Submitted :12/15/2005
 
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 AngelesCA90650
PhoneExtFaxE-Mail Address
(310) 556 - 7488 (310) 556 - 7400Tbinns@scpie-ahi.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRandallWBrown
Insurer TypeStreet Address of Practice
Licensed4400 BAYOU BLVD STE 44
CityStateZip CodeCounty
PENSACOLAFL32503-1910Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0166878799$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
DN9996Oral and Maxillofacial Surgery0000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FEscambia
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
11/1/20006/25/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Extraction of tooth #14 due to overbite.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Mandibular osteotomy with advancement of skeletal fixation; maxillary autogenous bone grafting for implant placement; mandibular (chin) osteoplasty to reduce chin protrusion.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
This was a highly disputed case of liability & damages as a result of orthognathic surgery performed by our insured. The patient had a skeletal deformity with pre-existing TMJ. extensive dental decay & missing orthodontic appliances. The patient's condition was also complicated by extensive gum disease due to continued smoking & poor dental hygiene. The patient alleges that she must undergo reconstructive surgery due to alleged misplacement of dental implants, loss of bone grafting & overbite that developed after the osteotomies performed by our insured.
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
1/17/20032003CA000165
County Suit Filed inDate of Final Disposition
Escambia11/12/2005
Other Defendants Involved in this Claim
Litvak, DDS, Michael
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
11/11/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$700,000
Loss Adjust Expense Paid to Defense Counsel$42,685
All Other Loss Adjustment Expense Paid$9,321
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
Review expert opinions.
 
Updates
 
 
Date of Change:12/15/2005 5:52:08 PM
Reason for Change:Additional information added.
 
Field ChangedFormer ValueNew Value
Principal InjuryPermanent loss of teeth, severe pain, suffering, facial disfigurement, multiple revision surgeries.This was a highly disputed case of liability & damages as a result of orthognathic surgery performed by our insured. The patient had a skeletal deformity with pre-existing TMJ. extensive dental decay & missing orthodontic appliances. The patient's condition was also complicated by extensive gum disease due to continued smoking & poor dental hygiene. The patient alleges that she must undergo reconstructive surgery due to alleged misplacement of dental implants, loss of bone grafting & overbite that developed after the osteotomies performed by our insured.

 

 

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Dr. Randall W Brown Medical Malpractice Lawsuits - Court Case # 2003CA0165

Indemnity Paid: $700,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538920
Claim Number :CN550331
Date Submitted :12/15/2005
 
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 AngelesCA90650
PhoneExtFaxE-Mail Address
(310) 556 - 7488 (310) 556 - 7400Tbinns@scpie-ahi.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRandallWBrown
Insurer TypeStreet Address of Practice
Licensed4400 Bayou Blvd,. Suite 44
CityStateZip CodeCounty
PensacolaFL32503Palm Beach
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0166878799$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN9996Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia0000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPalm Beach
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
11/1/20006/25/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Extraction of tooth #14 due to overbite.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Mandibular osteotomy with advancement of skeletal fixation; maxillary autogenous bone grafting for implant placement; mandibular (chin) osteoplasty to reduce chin protrusion.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Reconstructive surgery.
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
1/17/20032003CA0165
County Suit Filed inDate of Final Disposition
Escambia11/12/2005
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 not subject to Arbitration.
Date of Payment
11/12/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$700,000
Loss Adjust Expense Paid to Defense Counsel$42,230
All Other Loss Adjustment Expense Paid$9,776
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
Review expert opinions, deposition.
 
Updates
 
No updates found.

 

 

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Dr. BRUCE RAYMON Medical Malpractice Lawsuits - Court Case # 03-CA-288

Indemnity Paid: $625,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640768
Claim Number :WFMC-00-0047
Date Submitted :5/24/2006
 
Insurer Information
 
Insurer NameCoverage Type
CLARENDON AMERICA INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
22-2328900 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy Thomas
Street Address
9821 Katy Freeway, Suite 600
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 243 - 7311nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBRUCE RAYMON
Insurer TypeStreet Address of Practice
Licensed5149 North 9th AvenueSuite 246
CityStateZip CodeCounty
PensacolaFL32504Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
SUN000022$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME40194Surgery - Neurology - Including Child 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
WEST FLORIDA REG. MED. CTR (PENSACOLA)100231
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
11/1/200011/14/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient with history of heart surgery was on Coumadin as anticoagulation prophylaxis and was cleared for surgery on anterior cervical diskectomy and fusion
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Treated post surgery with anticoagulation prophylaxis
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Bleeding into spinal cord resulting in paralysis
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
2/4/200303-CA-288
County Suit Filed inDate of Final Disposition
Escambia5/22/2006
Other Defendants Involved in this Claim
Phillips, M.D., Daniel
West Florida Medical Center Clinic
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
1/31/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$625,000
Loss Adjust Expense Paid to Defense Counsel$65,063
All Other Loss Adjustment Expense Paid$976
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. Daniel Phillips Medical Malpractice Lawsuits - Court Case # 03-CA-288

Indemnity Paid: $625,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640769
Claim Number :WFMC-00-0048
Date Submitted :5/24/2006
 
Insurer Information
 
Insurer NameCoverage Type
CLARENDON AMERICA INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
22-2328900 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy Thomas
Street Address
9821 Katy Freeway, Suite 600
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 243 - 7311nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDaniel Phillips
Insurer TypeStreet Address of Practice
Licensed8333 North Davis Highway
CityStateZip CodeCounty
PensacolaFL32514Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
SUN000022$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME40799Internal Medicine - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
WEST FLORIDA REG. MED. CTR (PENSACOLA)100231
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
11/1/200011/14/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient with history of heart surgery was on Coumadin as anticoagulation prophylaxis and was cleared for surgery on anterior cervical diskectomy and fusion
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Treated post surgery with anticoagulation prophylaxis
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Bleeding into spinal cord resulting in paralysis
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
2/4/200303-CA-288
County Suit Filed inDate of Final Disposition
Escambia5/22/2006
Other Defendants Involved in this Claim
Phillips, M.D., Daniel
West Florida Medical Center Clinic
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
1/31/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$625,000
Loss Adjust Expense Paid to Defense Counsel$57,528
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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Dr. Jennifer Allen Medical Malpractice Lawsuits - Court Case # 2003CA001335

Indemnity Paid: $600,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200744366
Claim Number :941-0107351
Date Submitted :2/7/2007
 
Insurer Information
 
Insurer NameCoverage Type
ZURICH AMERICAN INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
36-4233459 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSonal Desai
Street Address
Zurich Insurance, 1900 American lane, Tower 1 13th Floor
CityStateZip
SchaumburgIL60196
PhoneExtFaxE-Mail Address
(847) 706 - 2426 (847) 605 - 6109Sonal.Desai@zurichna.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJennifer Allen
Insurer TypeStreet Address of Practice
Licensed4430 Yarmouth Place
CityStateZip CodeCounty
PensacolaFL32514Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
GPC2791295$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
OtherNurse Midwife
License NumberSpecialty Code & ClassificationCertification Number
ARNP2696662  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST HOSPITAL100093
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
5/21/20012/27/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Delivery of a child
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ALleged Negligent management of labor and delivery, especially the use of fundal pressure
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
non
Principal Injury Giving Rise To The Claim
should dystocia
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
7/29/20032003CA001335
County Suit Filed inDate of Final Disposition
Escambia1/16/2006
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 not subject to Arbitration.
Date of Payment
1/16/2006
 
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$103,551
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
unknown
 
Updates
 
No updates found.

 

 

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Dr. Marcelo C Branco Medical Malpractice Lawsuits - Court Case # 2015CA001615

Indemnity Paid: $560,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885241
Claim Number : 53787
Date Submitted : 7/19/2018
 
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 Marcelo C Branco
Insurer Type Street Address of Practice
Licensed 8333 N. David Hwy.
City State Zip Code County
Pensacola FL 32516 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600507 13 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME56014 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 Escambia
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
WEST FLORIDA REG. MED. CTR (PENSACOLA) 100231
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
6/2/2014 6/30/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Coronary artery atherosclerosis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cardiac catheterization
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged improper performance of cardiac catheterization with excessive Propofol
Principal Injury Giving Rise To The Claim
V-fib
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/6/2015 2015CA001615
County Suit Filed in Date of Final Disposition
Escambia 6/25/2018
Other Defendants Involved in this Claim
West Florida Regional Medical Center
NW Fl Heart 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
4/10/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $560,000
Loss Adjust Expense Paid to Defense Counsel $49,383
All Other Loss Adjustment Expense Paid $36,429
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $5,417 $0
Wage Loss $0 $200,300
Other Expenses $6,465 $180,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 7/19/2018 10:35:22 AM
Reason for Change: Report updated to reflect Court Document final disposition date of 6/25/18
 
Field Changed Former Value New Value
Date of Final Disposition 10-APR-18 25-JUN-18

 

 

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Dr. PHILIP BENTZ Medical Malpractice Lawsuits - Court Case # 98-2208-CA-01

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534643
Claim Number :MM00077968-105745
Date Submitted :3/15/2005
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN CONTINENTAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
44-0648645 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualPatriceAKane
Street Address
3230 West Commercial Blvd., #390
CityStateZip
Ft. LauderdaleFL33309
PhoneExtFaxE-Mail Address
(954) 677 - 33243324(954) 735 - 9028Pat.Kane@stpaul.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPHILIP BENTZ
Insurer TypeStreet Address of Practice
Licensed1717 N E ST
CityStateZip CodeCounty
PENSACOLAFL32501-6339Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MM00077968$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME34300Anesthesiology01

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST HOSPITAL100093
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/17/19972/26/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient's past med. history significant for COPD, PVD, hyperlipidemia, elevated cholesterol and obesity. Reports having osteoporosis. Had angioplasty therapy due to vascular disease, but it was unsuccessful. Due to complaints of pain in lower back, numbness & cold feet, a Doppler study was conducted & revealed severe bilateral lower extremity obstructive disease. Tests revealed occlusion of distal aorta & narrowing of each common iliac artery.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgeon performed aortic iliac bypass surgery. During procedure, it is alleged patient suffered an anoxic spinal cord injury. Also possibly during surgery, alleged he suffered a cerebral vascular accident.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis made
Principal Injury Giving Rise To The Claim
Alleged to have kept blood pressures too low resulting in ischemic cord injury.
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
12/22/199898-2208-CA-01
County Suit Filed inDate of Final Disposition
Escambia2/18/2005
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 not subject to Arbitration.
Date of Payment
2/18/2005
 
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$44,680
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None known
 
Updates
 
No updates found.

 

 

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Dr. Douglas Bond Medical Malpractice Lawsuits - Court Case # 02-CA-2709

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433390
Claim Number :WFMC-E16-31195
Date Submitted :11/9/2004
 
Insurer Information
 
Insurer NameCoverage Type
CLARENDON AMERICA INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
22-2328900 
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
IndividualDouglas Bond
Insurer TypeStreet Address of Practice
Licensed3936 North Davis Highway, Suite B
CityStateZip CodeCounty
PensacolaFL32503Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
SUN000022$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS5036Family Physicians or General Practitioners - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FEscambia
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
5/1/20008/2/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Complaints of chest pain on 3 visits.It was felt the symptoms were non-cardiac.She was given Lipitor for cholesterol and then referred to cardiologist on third visit.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Was seen in physician's office on 3 visits with same complaints, but was not admitted to hospital until 2 months later.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Costochondritis or esophageal reflux
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
12/20/200202-CA-2709
County Suit Filed inDate of Final Disposition
Escambia11/4/2004
Other Defendants Involved in this Claim
Phillips, Daniel F
West Florida Medical Center
Morgan, Charlie
The Center for Patient Care
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
7/13/2004
 
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$2,565
All Other Loss Adjustment Expense Paid$1,172
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. John W Tyson Medical Malpractice Lawsuits - Court Case # 2013-CA-1802

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575906
Claim Number : 44653/44654
Date Submitted : 9/25/2015
 
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 John W Tyson
Insurer Type Street Address of Practice
Licensed 4012 N. 9th Ave.
City State Zip Code County
Pensacola FL 32503 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600314 13 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME80209 Surgery - General  

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 Escambia
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
GULF BREEZE HOSPITAL 110003
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
1/28/2011 4/30/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Diverticulitis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Hartman reversal of colostomy
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly reattach colon
Principal Injury Giving Rise To The Claim
Chronic pelvic pain and gastrointestinal symtpoms
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
7/24/2013 2013-CA-1802
County Suit Filed in Date of Final Disposition
Escambia 9/16/2015
Other Defendants Involved in this Claim
The Surgery Group
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other Settled during trial
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/16/2015
 
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 $64,305
All Other Loss Adjustment Expense Paid $39,980
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $255,907 $1,903,205
Wage Loss $0 $160,000
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. LEO T GONZALES Medical Malpractice Lawsuits - Court Case # 2011CA000863

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201677817
Claim Number : MM261001
Date Submitted : 4/4/2016
 
Insurer Information
 
Insurer Name Coverage Type
EVANSTON INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
36-2950161  
Insurer Contact Information
Type First Name MI Last Name
Individual CRYSTAL L ALSTONBAYTON
Street Address
4600 COX ROAD
City State Zip
GLEN ALLEN VA 23060
Phone Ext Fax E-Mail Address
(804) 864 - 3731   (855) 662 - 7535 CALSTONBAYTON@MARKELCORP.COM
 
Insured Information
 
Type First Name MI Last Name
Individual LEO T GONZALES
Insurer Type Street Address of Practice
Licensed 8383 N DAVIS HWY
City State Zip Code County
PENSACOLA FL 32514 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MM819711 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME74826 Emergency Medicine - No Major 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 Escambia
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
WEST FLORIDA REG. MED. CTR (PENSACOLA) 100231
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
5/21/2009 9/12/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CLMT PRESENTED WITH BACK PAIN AND CHRONIC BACK PAIN WHICH ONSET ABOUT 5 DAYS PRIOR AND WAS STILL PRESENT AT TIME OF TREATMENT. CLMT ALLEGES DULL ACHING AND ¿PAIN¿. CLMT DESCRIBES AS BEING SEVERE AND IN THE AREA OF THE LOWER LUMBAR SPINE AND RADIATING TO THE RT FOOT AND TO THE LT FOOT. WORSENED BY SITTING STANDING OR WALKING. RELIEVED BY LYING DOWN. MODERATE CONTINUAL BLADDER DYSFUNCTION. DYSFUNCTION IS DESCRIBED AS INCONTINENCE. BOWEL DYSFUNCTION. SENSORY LOSS. MEMORY LOSS. CLMT COMPLAINS THAT SHE WOKE UP THE SAME MORNING UNABLE TO FEEL HER VAGINA.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CLMT FOUND TO HAVE HERNIATED DISK AND URINARY RETENTION (LIKELY DUE TO NARCOTIC/MUSCLE RELAXANT OVERUSE) CLMT ADVISED TO USE HEAT 30 MINUTES ON AND 30 MINUTES OFF, GENTLE STRETCHNG, MASSAGE 4-6 TIMES PER DAY. ALSO PRESCRIBED CIPRO 500 MG 1 TAB EVERY 12 HOURS FOR 10 DAYS. ALSO ADVISED TO FOLLOW-UP WITH UROLIGIST BY PHYSICIAN ASSISTANT. ER PHYSICIAN ORDERED NARCOTIC ANALGESICS TO BE ADMINISTERED FOR PAIN. MRI ORDERED BY PA THAT REVEALED A DISC PROTRUSION WITH NERVE ROOT IMPINGEMENT. ALSO THE MRI SHOWED PREVIOUS SURGERY. CATHEDER USED TO VOID BLADDER.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
THERE WAS NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
MATTER INVOLVES CLMT CASE AGAINST ER PHYSICIAN AND THE EMPLOYER. THE CLMT WAS TREATED AT WEST FLORIDA HOSPITAL ER FOR VARIOUS COMPLAINTS INCLUDING BACK PAIN, URINARY RETENTION AND VAGINAL NUMBNESS. A PA¿S EXAM WAS REVIEWED BY ER PHYSICIAN AND TREATMENT WAS AGREED UPON. THE PA ORDERED A MRI TO RUL OUT EMERGENT NEUROLOGICAL CONDITIONS AND DETERMINED CAUDA EQUINA SYNDROME WAS NOT PRESENT.
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
5/23/2011 2011CA000863
County Suit Filed in Date of Final Disposition
Escambia 1/18/2016
Other Defendants Involved in this Claim
WEST FLORIDA REGIONAL MEDICAL CENTER, INC
SHERIDAN HEALTHCARE INC
TIVA HEALTHCARE INC
Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other SETTLEMENT REACHED BETWEEN PARTIES
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/29/2015
 
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 $92,718
All Other Loss Adjustment Expense Paid $31,436
Injured Person's Total Non-Economic Loss $0
Deductible $25,000
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
NONE
 
Updates
 
No updates found.

 

 

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Dr. Miguel Mancao Medical Malpractice Lawsuits - Court Case # 2012-CA-001723

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366678
Claim Number :42781-01
Date Submitted :4/3/2013
 
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
IndividualMiguel Mancao
Insurer TypeStreet Address of Practice
Licensed4901 Grande Drive
CityStateZip CodeCounty
PensacolaFL32504Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98553$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME56634Anesthesiology80151

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MBay
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SACRED HEART HOSPITAL (PENSACOLA)100025
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/18/20102/28/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cerebrospinal fluid leak.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lumbar drain placement.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Disputed allegations of failure to appropriately place the lumbar drain in such a way as to avoid nerve injury, resulting in left leg/foot dysfunction.
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
7/25/20122012-CA-001723
County Suit Filed inDate of Final Disposition
Escambia3/8/2013
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 not subject to Arbitration.
Date of Payment
3/8/2013
 
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$10,249
All Other Loss Adjustment Expense Paid$7,514
Injured Person's Total Non-Economic Loss$500,000
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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