Medical Malpractice Cases

Medical Malpractice Cases In Hernando County Florida

Dr. George S Sidhom Medical Malpractice Lawsuits - Court Case # CA09-465

Indemnity Paid: $1,537,227.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160146
Claim Number :28230/36353
Date Submitted :3/17/2011
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCathy Tschanz
Street Address
8427 South Park Circle, Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813  ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGeorgeSSidhom
Insurer TypeStreet Address of Practice
Licensed5193 Mariner Blvd.
CityStateZip CodeCounty
Spring HillFL34609Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600118 08$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME66412Physical Medicine and Rehabilitation - Pain Management 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHernando
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Patient's Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
8/11/20069/15/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Back pain; lumbar spine failed surgery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prescription of pain medications
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly manage pain medications
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
2/13/2009CA09-465
County Suit Filed inDate of Final Disposition
Hernando3/9/2011
Other Defendants Involved in this Claim
Hernando Pain Management Center
Brandon Pain Clinic
George S. Sidhom M.D., P.A.
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/9/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,537,227
Loss Adjust Expense Paid to Defense Counsel$184,720
All Other Loss Adjustment Expense Paid$77,152
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$537,227
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:3/17/2011 2:34:31 PM
Reason for Change:Report updated to correct the Indemnity Paid amount.
 
Field ChangedFormer ValueNew Value
Indemnity Paid1537227371537227

 

 

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Dr. Pariksith Singh Medical Malpractice Lawsuits - Court Case # 17-000614-CA

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886721
Claim Number : 60937
Date Submitted : 10/12/2018
 
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 Pariksith   Singh
Insurer Type Street Address of Practice
Licensed 14690 Spring Hill Dr., Ste. 101
City State Zip Code County
Spring Hill FL 34609 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600367 17 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME71088 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Hernando
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
2/18/2015 2/6/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
MSSA
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to follow-up on positive blood culture results
Principal Injury Giving Rise To The Claim
MSSA
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/2/2017 17-000614-CA
County Suit Filed in Date of Final Disposition
Hernando 9/20/2018
Other Defendants Involved in this Claim
Vennamaneni, MD, Manjusri
Weiss, MD, Henry J
Ganti, MD, Krishna
Oak Hill Hospital
Markova-Acevedo, MD, Yuliya
Almisegger, ARNP, James
Kersey, PAC, Brian
Baig, ARNP, Sarah
Access Healthcare
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
9/20/2018
 
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 $7,561
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $36,918
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,094,823 $150,000
Wage Loss $0 $0
Other Expenses $0 $200,000
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. Lingappa Amarchand Medical Malpractice Lawsuits - Court Case # CA2013-311

Indemnity Paid: $956,250.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201677030
Claim Number : 42850
Date Submitted : 2/5/2016
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Lingappa   Amarchand
Insurer Type Street Address of Practice
Licensed 14690 Spring Hill Drive, Suite 101
City State Zip Code County
Spring Hill FL 34609 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600367 13 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME64872 Cardiovascular Disease - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Hernando
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SPRING HILL REGIONAL HOSPITAL 111525
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
4/28/2012 6/27/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fluid overload
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to manage and adjust IV fluids
Principal Injury Giving Rise To The Claim
Heart failure
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
11/25/2012 CA2013-311
County Suit Filed in Date of Final Disposition
Hernando 12/30/2015
Other Defendants Involved in this Claim
Juvvadi, MD, Raghu
Spring Hill Regional Hospital
Access Health Care
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other Plaintiff verdict - high/low
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/13/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $956,250
Loss Adjust Expense Paid to Defense Counsel $146,662
All Other Loss Adjustment Expense Paid $80,800
Injured Person's Total Non-Economic Loss $795,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $40,000 $0
Wage Loss $0 $0
Other Expenses $7,000 $645,000
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. REBECCA B BATISTA Medical Malpractice Lawsuits - Court Case # 2017-CA-1298

Indemnity Paid: $907,828.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201887141
Claim Number : 161320
Date Submitted : 11/27/2018
 
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 Christina J Stoker
Street Address
1100 Dr. Martin Luther King Jr. Blvd, Ste. 500
City State Zip
Nashville TN 37203
Phone Ext Fax E-Mail Address
(615) 344 - 1779   (866) 715 - 7235 christina.stoker@hcahealthcare.com
 
Insured Information
 
Type First Name MI Last Name
Individual REBECCA B BATISTA
Insurer Type Street Address of Practice
Licensed 11375 CORTEZ BLVD
City State Zip Code County
BROOKSVILLE FL 34613 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HCI-10115 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME104274 Emergency Medicine - Including 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 Hernando
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
OAK HILL HOSPITAL 100264
Location of Institutional Injury Other Location of Institutional Injury
Other EMERGENCY ROOM
Date of Occurrence Date Reported to Insurer
10/12/2015 4/25/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
BROUGHT TO FACILITY WITH STROKE/CVA, POSSIBLE OVERDOSE.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
MONITORED FOR DRUG OVERDOSE SIGNS/SYMPTOMS.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
NEUROLOGICAL INJURIES FROM STROKE.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/7/2017 2017-CA-1298
County Suit Filed in Date of Final Disposition
Hernando 11/9/2018
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 not subject to Arbitration.
Date of Payment
10/5/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $907,828
Loss Adjust Expense Paid to Defense Counsel $64,881
All Other Loss Adjustment Expense Paid $27,291
Injured Person's Total Non-Economic Loss $907,828
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
REFERRED TO RISK MANAGEMENT.
 
Updates
 
No updates found.

 

Dr. RONDA DEDRICK Medical Malpractice Lawsuits - Court Case # CA 10-2509

Indemnity Paid: $875,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201369188
Claim Number :EMC-09-XS-115099
Date Submitted :12/13/2013
 
Insurer Information
 
Insurer NameCoverage Type
EmCare Holdings, Inc.Primary
Insurer FEINProfessional License Number
75-173235SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRONDA DEDRICK
Insurer TypeStreet Address of Practice
Self-Insurer13075 KINGSBORO ROAD
CityStateZip CodeCounty
WEEKI WACHEEFL34614Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2009-Excess$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
OtherNURSE PRACTITIONER
License NumberSpecialty Code & ClassificationCertification Number
ARNP2890652  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHernando
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BROOKSVILLE REGIONAL HOSPITAL 100071
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
4/13/20093/30/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Flr to timely dx and tx cervical spine compression r/i neurological deficit
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Flr to timely dx and tx cervical spine compression r/i neurological deficit
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Flr to timely dx and tx cervical spine compression r/i neurological deficit
Principal Injury Giving Rise To The Claim
Flr to timely dx and tx cervical spine compression r/i neurological deficit
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
3/28/2010CA 10-2509
County Suit Filed inDate of Final Disposition
Hernando11/13/2013
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
9/12/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$875,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Paul Rohart Medical Malpractice Lawsuits - Court Case # CA-08-1249

Indemnity Paid: $850,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955628
Claim Number :SGI-06-75034
Date Submitted :12/1/2009
 
Insurer Information
 
Insurer NameCoverage Type
The Schumacher GroupPrimary
Insurer FEINProfessional License Number
72-1383025 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPaul Rohart
Insurer TypeStreet Address of Practice
Self-Insurer109 Carlyle Circle
CityStateZip CodeCounty
Palm HarborFL34683Palm Beach
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMI AE 0801 046$1,000,000$1,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59841Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHernando
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BROOKSVILLE REGIONAL HOSPITAL 100071
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
1/26/200712/17/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to E.D. with history of low back pain, increasingly painful with walking.Denied trauma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose cauda equina
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
Principal Injury Giving Rise To The Claim
ower extremity numbness and some paralysis along with bladder and bowel 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
5/6/2008CA-08-1249
County Suit Filed inDate of Final Disposition
Hernando11/30/2009
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
11/13/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$850,000
Loss Adjust Expense Paid to Defense Counsel$103,743
All Other Loss Adjustment Expense Paid$15,755
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
Subject of this report stated that patient had no signs or symptoms of cauda equina during ED visit.
 
Updates
 
No updates found.

 

 

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Dr. MAYLIN LOPEZ CORTES Medical Malpractice Lawsuits - Court Case # 26868801

Indemnity Paid: $750,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781024
Claim Number : EMC-AO-14XS-331717
Date Submitted : 2/1/2017
 
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 MAYLIN   LOPEZ CORTES
Insurer Type Street Address of Practice
Self-Insurer 10461 QUALITY DRIVE
City State Zip Code County
SPRING HILL FL 34609 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
Emcare 2014-Excess $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME117226 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 Hernando
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
SPRING HILL REGIONAL HOSPITAL 111525
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
7/26/2014 12/19/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
STROKE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO DIAGNOSE AND TREAT
Principal Injury Giving Rise To The Claim
STROKE
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
5/4/2015 26868801
County Suit Filed in Date of Final Disposition
Hernando 2/1/2017
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
1/12/2017
 
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 $56,660
All Other Loss Adjustment Expense Paid $29,165
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. Sanford R Dolgin Medical Malpractice Lawsuits - Court Case # H27-CA-2002001725-DM

Indemnity Paid: $650,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200743902
Claim Number :A02-25618-00
Date Submitted :1/11/2007
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSanfordRDolgin
Insurer TypeStreet Address of Practice
Licensed4714 North Armenia Ave, Ste 200
CityStateZip CodeCounty
TampaFL33603Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
9795$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME60810Surgery - Otorhinolaryngology80159

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SPRING HILL REGIONAL HOSPITAL111525
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/2/20002/20/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Facial trauma from horse kick with comminuted facial fracture and facial laceration with loose and expelled teeth.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laceration repairs and open reduction and fracture stabilization with internal titanium plates and septoplasty.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Plaintiff alleges that a palate fracture was not diagnosed or treated timely.
Principal Injury Giving Rise To The Claim
Crossbite and residual pain and loss of jaw function.
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
7/18/2002H27-CA-2002001725-DM
County Suit Filed inDate of Final Disposition
Hernando12/20/2006
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff after appeal ... 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/20/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$650,000
Loss Adjust Expense Paid to Defense Counsel$187,259
All Other Loss Adjustment Expense Paid$163,852
Injured Person's Total Non-Economic Loss$650,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$155,231$7,200
Wage Loss$148,000$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. THOMAS ARMBRUSTER Medical Malpractice Lawsuits - Court Case # CA 08-2704

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201058350
Claim Number :2-08-0008A
Date Submitted :8/23/2010
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA HEALTHCARE PROVIDERS INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
20-0143902 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLinda Collins
Street Address
4655 Salisbury Road, Ste. 110
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887214(904) 394 - 7134lcollins@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTHOMAS ARMBRUSTER
Insurer TypeStreet Address of Practice
Licensed13908 Lakeshore Blvd., Ste. 250
CityStateZip CodeCounty
HudsonFL34667Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CM01000189$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME58500Surgery - Obstetrics - Gynecology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SPRING HILL REGIONAL HOSPITAL111525
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
10/29/20062/15/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Birth.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No procedure performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis made.
Principal Injury Giving Rise To The Claim
Alleged brachial plexus injury resulting during vaginal delivery.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/1/2007CA 08-2704
County Suit Filed inDate of Final Disposition
Hernando8/23/2010
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
7/7/2010
 
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$159,474
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
Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed this case with the Insured.
 
Updates
 
No updates found.

 

 

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Dr. Ravishankar Rao Medical Malpractice Lawsuits - Court Case # 2015-CA-0834

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782683
Claim Number : 52519
Date Submitted : 8/15/2017
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Ravishankar   Rao
Insurer Type Street Address of Practice
Licensed 15435 Cortez Blvd.
City State Zip Code County
Brooksville FL 34613 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600565 13 $500,000 $150,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME63596 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Hernando
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SPRING HILL REGIONAL HOSPITAL 111525
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
2/22/2013 3/3/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Bowel obstruction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely order surgical consult and treat bowel obstruction and ischemia
Principal Injury Giving Rise To The Claim
Cardiorespiratory arrest
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/8/2015 2015-CA-0834
County Suit Filed in Date of Final Disposition
Hernando 8/10/2017
Other Defendants Involved in this Claim
Kuruscz, III, MD, Henry
Spring Hill 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/13/2017
 
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 $57,799
All Other Loss Adjustment Expense Paid $10,561
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $100,000 $0
Wage Loss $0 $0
Other Expenses $0 $1,500,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 8/15/2017 11:24:52 AM
Reason for Change: Report updated to reflect Court Document final disposition date of 08/10/17
 
Field Changed Former Value New Value
Date of Final Disposition 13-JUL-17 10-AUG-17

 

 

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Dr. Niloufer Kero Medical Malpractice Lawsuits - Court Case # 97-1383 CA01

Indemnity Paid: $497,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848457
Claim Number :E24511-01
Date Submitted :8/20/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Indemnity Company, Inc.
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNiloufer Kero
Insurer TypeStreet Address of Practice
Licensed11373 Cortez Blvd., Suite 401
CityStateZip CodeCounty
BrooksvilleFL34613Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-1004364-00$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME43867Surgery - Obstetrics - Gynecology00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHernando
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
OAK HILL HOSPITAL100264
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
10/19/19944/19/1996
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Term pregnancy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Termination of pregnancy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Neurogenic bladder.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/18/199797-1383 CA01
County Suit Filed inDate of Final Disposition
Hernando1/29/2008
Other Defendants Involved in this Claim
Sztulman, Luciano
Niloufer Kero, M.D., d/b/a Suncoast Obstetrics and Gynecolog
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
1/30/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$497,500
Loss Adjust Expense Paid to Defense Counsel$130,164
All Other Loss Adjustment Expense Paid$62,598
Injured Person's Total Non-Economic Loss$497,500
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:8/20/2009 12:02:18 PM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel128715130164
All Other Loss Adjustment Expense Paid6192762598

 

 

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Dr. Michael K Herron Medical Malpractice Lawsuits - Court Case # 2016CA1419

Indemnity Paid: $490,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884336
Claim Number : 342608
Date Submitted : 2/14/2018
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Michael K Herron
Insurer Type Street Address of Practice
Licensed 8303 South Suncoast Blvd.
City State Zip Code County
Homosassa FL 34446 Citrus
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0751285 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME84779 Radiology - Diagnostic - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Location Spring Hill MRI
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other RADIOLOGY
Date of Occurrence Date Reported to Insurer
9/15/2014 5/12/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with pain in his lower back radiating down to his leg.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
A lumbar MRI was interpreted by the insured.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to identify the beginning process of an infection resulting in osteomyelitis.
Principal Injury Giving Rise To The Claim
Unable to walk long distances without a cane.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/16/2017 2016CA1419
County Suit Filed in Date of Final Disposition
Hernando 1/30/2018
Other Defendants Involved in this Claim
Spring Hill MRI
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
1/30/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $490,000
Loss Adjust Expense Paid to Defense Counsel $46,537
All Other Loss Adjustment Expense Paid $15,719
Injured Person's Total Non-Economic Loss $490,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $92,500 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Manjusri Vennamaneni Medical Malpractice Lawsuits - Court Case # 17-000614-CA

Indemnity Paid: $401,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886718
Claim Number : 60881
Date Submitted : 10/12/2018
 
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 Manjusri   Vennamaneni
Insurer Type Street Address of Practice
Licensed 14690 Spring Hill Dr. Ste. 101
City State Zip Code County
Spring Hill FL 34609 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600367 17 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME93756 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Hernando
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
2/18/2015 2/6/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
MSSA
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to follow-up on positive blood culture results
Principal Injury Giving Rise To The Claim
MSSA
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/2/2017 17-000614-CA
County Suit Filed in Date of Final Disposition
Hernando 9/20/2018
Other Defendants Involved in this Claim
Weiss, MD, Henry J
Singh, MD, Pariksith
Ganti, MD, Krishna
Oak Hill Hospital
Markova-Acevedo, MD, Yuliya
Almisegger, ARNP, James
Kersey, PAC, Brian
Baig, ARNP, Sarah
Access Healthcare
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
9/20/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $401,000
Loss Adjust Expense Paid to Defense Counsel $71,500
All Other Loss Adjustment Expense Paid $8,357
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,094,823 $150,000
Wage Loss $0 $0
Other Expenses $0 $200,000
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. Mark A Barnhurst Medical Malpractice Lawsuits - Court Case # 2012-CA-002072

Indemnity Paid: $400,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201680646
Claim Number : 40372/40520
Date Submitted : 12/16/2016
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Mark A Barnhurst
Insurer Type Street Address of Practice
Licensed 14690 Spring Hill Dr. Ste. 101
City State Zip Code County
Spring Hill FL 34609 Citrus
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602528 03 $250,000 $750,000
Profession or Business Other Profession or Business
Physician Assistant  
License Number Specialty Code & Classification Certification Number
PA9101148 Additional Charges: Employed Physicians or Surgeons Assistants  

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 Citrus
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility Access Health Care Walk-In Clinic
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
2/24/2010 2/21/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
TIAs
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose TIAs
Principal Injury Giving Rise To The Claim
Stroke
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/6/2012 2012-CA-002072
County Suit Filed in Date of Final Disposition
Hernando 12/1/2016
Other Defendants Involved in this Claim
Access Health 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/1/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $400,000
Loss Adjust Expense Paid to Defense Counsel $113,623
All Other Loss Adjustment Expense Paid $40,312
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $56,000 $0
Wage Loss $0 $0
Other Expenses $5,100 $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. Adrian I Medina Medical Malpractice Lawsuits - Court Case # H27CA20040003210

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538248
Claim Number :40-009531
Date Submitted :11/11/2005
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualHeidi Tam
Street Address
4680 Wilshire Blvd., Sixth Floor
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(323) 930 - 7078  heidi.tam@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAdrianIMedina
Insurer TypeStreet Address of Practice
Licensed1328 HOMESTEAD RD N
CityStateZip CodeCounty
LEHIGH ACRESFL33936-6024Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0118060060000$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME74141Surgery - Orthopedic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHernando
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other LocationPhysician's Office
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
9/12/200111/11/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Radial Head Fracture.The patient has a bowing deformity of the ulna that is bowed towards the radius.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured doctor undertook his care on September 12, 2001.He diagnosed him as sustaining a type-A Monteggia fracture of the right ulnar with a non-displaced fracture of the shaft and a radial ulnar subluxation of the radial head and partial radial nerve palsy.He had a closed reduction manipulation of the elbow and placed in a long arm cast.Insured doctor and his physician's assistant continued with the follow up care of the patient at least through November 16, 2001.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Plaintiff alleges that the insured failed to see the radial head dislocation evident on all x-rays after he performed the closed reduction, failed to recognize the progressive ulnar angulation and allowed the bone to heal in a deformed position, resulting in Bowing deformity of the ulna that is bowed towards the radius.
Principal Injury Giving Rise To The Claim
Bowing deformity of the ulna that is bowed towards the radius.
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
4/13/2004H27CA20040003210
County Suit Filed inDate of Final Disposition
Hernando10/21/2005
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
10/25/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$8,351
All Other Loss Adjustment Expense Paid$9,301
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$5,000$75,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured doctor diagnosed the patient with a type A-Monteggia fracture of the right ulnar with a non-displaced fracture of the shaft and a radial ulnar subluxation of the radial and partial radial nerve palsy.Insured relied on his physician's assistant for all of the follow up appointments and did not review the x-rays himself which revealed that the dislocation was getting worse.Insured is currenly not practicing.
 
Updates
 
No updates found.

 

 

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Dr. Bradley S Stellpflug Medical Malpractice Lawsuits - Court Case # H27CA-2007-1256

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953636
Claim Number :SGI-06-67244
Date Submitted :5/11/2009
 
Insurer Information
 
Insurer NameCoverage Type
CITADEL INSURANCE, RISK RETENTION GROUPPrimary
Insurer FEINProfessional License Number
20-8474742 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBradleySStellpflug
Insurer TypeStreet Address of Practice
Licensed4381 Hunters Pass
CityStateZip CodeCounty
Spring HillFL34609Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMI AE 0801 046$1,000,000$24,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS8784Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHernando
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SPRING HILL REGIONAL HOSPITAL111525
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/23/20052/14/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Perianal abscess
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to admit, obtain consult
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Diagnosed with cyst as opposed to abscess
Principal Injury Giving Rise To The Claim
Prolonged hospitalization, surgeries, colostomy
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
8/2/2007H27CA-2007-1256
County Suit Filed inDate of Final Disposition
Hernando5/10/2009
Other Defendants Involved in this Claim
Hernando Emergency Group, LLC
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
4/2/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$61,660
All Other Loss Adjustment Expense Paid$11,243
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. Charmin Kuhn Medical Malpractice Lawsuits - Court Case # CA 09-184

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955212
Claim Number :37613-03
Date Submitted :10/22/2009
 
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
IndividualCharmin Kuhn
Insurer TypeStreet Address of Practice
Licensed10200 Yale Avenue
CityStateZip CodeCounty
Spring HillFL34611Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
59162$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Physician Assistant 
License NumberSpecialty Code & ClassificationCertification Number
PA9101155Physicians or Surgeons Assistants71520

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHernando
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Patient's Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
6/28/20069/5/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with complaints of shortness of breath, mild chest pain and left neck pain and was diagnosed with hypertension, diabetes and dyslipidemia.Some four months later, he died of an acute MI.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly monitor, evaluate and treat patient for underlying hypertension, dyslipidemia and neck pain.
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
2/27/2009CA 09-184
County Suit Filed inDate of Final Disposition
Hernando10/1/2009
Other Defendants Involved in this Claim
Denner, D.O., Mark
The Springs Family Medical Center, P.A.
Idicula, M.D., Joseph
Bikkasani, M.D., Naveen
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
10/1/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$8,215
All Other Loss Adjustment Expense Paid$2,790
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Shilen N Patel Medical Malpractice Lawsuits - Court Case # 2015-CA-766

Indemnity Paid: $350,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201678816
Claim Number : 51460/61
Date Submitted : 6/24/2016
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Shilen N Patel
Insurer Type Street Address of Practice
Licensed 7324 Littel Road
City State Zip Code County
New Port Richey FL 34654 Pasco
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1603159 00 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME113239 Oncology - 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 Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
OAK HILL HOSPITAL 100264
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
4/12/2014 11/12/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Thrombotic thrombocytopenic purpura
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to treat TTP
Principal Injury Giving Rise To The Claim
TTP
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
7/20/2015 2015-CA-766
County Suit Filed in Date of Final Disposition
Hernando 6/8/2016
Other Defendants Involved in this Claim
Belicena, MD, Maria
Abbruzzese, MD, Danny
Adler, ARNP, Suzanne
Oak Hill 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/8/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $350,000
Loss Adjust Expense Paid to Defense Counsel $59,818
All Other Loss Adjustment Expense Paid $7,618
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 $3,065 $500,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. BRADLEY STELLPFLUG Medical Malpractice Lawsuits - Court Case # H-27-CA-2006-1047-DM

Indemnity Paid: $325,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851582
Claim Number :617171
Date Submitted :12/3/2008
 
Insurer Information
 
Insurer NameCoverage Type
APPLIED MEDICO-LEGAL SOLUTIONS RISK RETENTION GROUP, INC.Primary
Insurer FEINProfessional License Number
81-0603029 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRebeccaVGluff
Street Address
7369 Sheridan Street, Suite 301
CityStateZip
HollywoodFL33024
PhoneExtFaxE-Mail Address
(608) 879 - 2092 (608) 879 - 2746Becky.Gluff@cambridge-na.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBRADLEY STELLPFLUG
Insurer TypeStreet Address of Practice
Licensed10461 Quality Drive
CityStateZip CodeCounty
Spring HillFL34609Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
115097$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS8784Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHernando
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SPRING HILL REGIONAL HOSPITAL111525
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/10/200410/31/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Sepsis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Kidney Stones - Sepsis
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Kidney Stones
Principal Injury Giving Rise To The Claim
Sepsis
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/18/2006H-27-CA-2006-1047-DM
County Suit Filed inDate of Final Disposition
Hernando7/21/2008
Other Defendants Involved in this Claim
Spring Hill Regional 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
7/29/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$325,000
Loss Adjust Expense Paid to Defense Counsel$23,885
All Other Loss Adjustment Expense Paid$11,735
Injured Person's Total Non-Economic Loss$325,000
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
No safety steps taken.
 
Updates
 
No updates found.

 

 

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Dr. Raghu Juvvadi Medical Malpractice Lawsuits - Court Case # CA2013-311

Indemnity Paid: $318,750.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201677029
Claim Number : 41728
Date Submitted : 2/5/2016
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Raghu   Juvvadi
Insurer Type Street Address of Practice
Licensed 14690 Spring Hill Drive, Suite 101
City State Zip Code County
Spring Hill FL 34609 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600367 13 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME101869 Surgery - Nephrology  

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 Hernando
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SPRING HILL REGIONAL HOSPITAL 111525
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
4/27/2012 6/27/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fluid overload
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to manage and adjust IV fluids
Principal Injury Giving Rise To The Claim
Heart failure
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
11/25/2012 CA2013-311
County Suit Filed in Date of Final Disposition
Hernando 12/30/2015
Other Defendants Involved in this Claim
Amarchand, MD, Lingappa
Spring Hill Regional Hospital
Access Health Care
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other Plaintiff verdict - high/low
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/13/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $318,750
Loss Adjust Expense Paid to Defense Counsel $159,948
All Other Loss Adjustment Expense Paid $84,832
Injured Person's Total Non-Economic Loss $265,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $40,000 $0
Wage Loss $0 $0
Other Expenses $7,000 $645,000
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. Shilen N Patel Medical Malpractice Lawsuits - Court Case # CA-15-378

Indemnity Paid: $300,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885380
Claim Number : 51476
Date Submitted : 5/25/2018
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Shilen N Patel
Insurer Type Street Address of Practice
Licensed 7324 Little Rd.
City State Zip Code County
New Port Richey FL 34654 Pasco
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1603159 00 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME113239 Oncology - 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 Hernando
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
BROOKSVILLE REGIONAL HOSPITAL 100071
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
12/26/2012 11/13/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Coagulopathy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to appropriately workup and treat coagulopathy
Principal Injury Giving Rise To The Claim
PE
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/15/2015 CA-15-378
County Suit Filed in Date of Final Disposition
Hernando 4/25/2018
Other Defendants Involved in this Claim
Allen-Khalil, MD, Lisa
Schultz, MD, Jason D
Ocala Oncology Center
Brooksville Regional Medical Center
Emcare, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/25/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $300,000
Loss Adjust Expense Paid to Defense Counsel $57,010
All Other Loss Adjustment Expense Paid $17,066
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
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. SISTO P SERAFINI Medical Malpractice Lawsuits - Court Case # 2017-CA-001340

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886853
Claim Number : 164991
Date Submitted : 10/26/2018
 
Insurer Information
 
Insurer Name Coverage Type
NORCAL MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
94-2301054  
Insurer Contact Information
Type First Name MI Last Name
Individual Jessica   Lance
Street Address
4651 Salisbury Rd Suite 410
City State Zip
Jacksonville FL 32256
Phone Ext Fax E-Mail Address
(904) 309 - 8129     jlance@norcal-group.com
 
Insured Information
 
Type First Name MI Last Name
Individual SISTO P SERAFINI
Insurer Type Street Address of Practice
Licensed Ste 103
City State Zip Code County
Spring Hill FL 34609 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
721079N $250,000 $750,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS11153 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Hernando
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
   
Date of Occurrence Date Reported to Insurer
4/9/2014 8/10/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
rheumatoid arthritis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
treated with prescription of methotrexate
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
no misdiagnosis made
Principal Injury Giving Rise To The Claim
alleged methotrexate toxicity
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/9/2018 2017-CA-001340
County Suit Filed in Date of Final Disposition
Hernando 9/24/2018
Other Defendants Involved in this Claim
JSA Healthcare
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
8/31/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $34,116
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 $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
discussed with insured. will contact risk management if necessary
 
Updates
 
No updates found.

 

 

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Dr. MOHAMED A SHAHOUT Medical Malpractice Lawsuits - Court Case # x2017-CA-412

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884895
Claim Number : 347464
Date Submitted : 3/29/2018
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual MOHAMED A SHAHOUT
Insurer Type Street Address of Practice
Licensed 11375 Cortez Blvd
City State Zip Code County
Brooksville FL 34613 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
1129158 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME89389 Anesthesiology - 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 Citrus
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
OAK HILL HOSPITAL 100264
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
4/7/2016 9/20/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Constipation and rectal bleeding.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Anesthesia during colonoscopy for 67 year old female with multiple comorbidities.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
During procedure patient desaturated and suffered an an anoxic brain injury requiring intubation, feeding tube and complete care.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/19/2017 x2017-CA-412
County Suit Filed in Date of Final Disposition
Hernando 3/23/2018
Other Defendants Involved in this Claim
Oak Hill 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/23/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $34,391
All Other Loss Adjustment Expense Paid $3,977
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $210,000 $0
Wage Loss $0 $0
Other Expenses $30,000 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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Dr. John A Manubay Medical Malpractice Lawsuits - Court Case # 2017-CA-398

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885345
Claim Number : 1038473-01
Date Submitted : 8/28/2018
 
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 Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual John A Manubay
Insurer Type Street Address of Practice
Licensed 11343 Cortez Blvd
City State Zip Code County
Brooksville FL 34613 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
631160 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME75741 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 Hernando
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
   
Date of Occurrence Date Reported to Insurer
5/23/2014 11/7/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Intermittently painful and enlarging right breast mass with blood tinged nipple discharge
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
excisional biopsy on right breast mass, subcutaneous mastectomy without reconstruction of right breast
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
negligent in the care and treatment of patient
Principal Injury Giving Rise To The Claim
benign pathology, infection, loss of breast tissue, disfiguration, and need for future surgery
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/4/2017 2017-CA-398
County Suit Filed in Date of Final Disposition
Hernando 5/14/2018
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 not subject to Arbitration.
Date of Payment
5/7/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $44,477
All Other Loss Adjustment Expense Paid $19,133
Injured Person's Total Non-Economic Loss $110,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
 
Date of Change: 8/28/2018 10:20:03 AM
Reason for Change: ALE UPDATE
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 43077 44477
All Other Loss Adjustment Expense Paid 18296 19133

 

 

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Dr. John A Manubay Medical Malpractice Lawsuits - Court Case # 272017CA001123CAXMX

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201887184
Claim Number : 1038006-01
Date Submitted : 12/4/2018
 
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 Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual John A Manubay
Insurer Type Street Address of Practice
Licensed 11343 Cortez Blvd
City State Zip Code County
Brooksville FL 34613 Hernando
Policy Number Per Claim Policy Limits Aggregate Policy Limits
631160 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME75741 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 Hernando
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SPRING HILL REGIONAL HOSPITAL 111525
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
5/8/2015 10/26/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right upper quadrant pain with nausea, admitted.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical consultation, laparoscopic cholecystectomy
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failing to recognize surgical error and treat injury in a timely manner
Principal Injury Giving Rise To The Claim
Gastric anatomy is permanently and radically altered, constant abdominal pain
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/16/2017 272017CA001123CAXMX
County Suit Filed in Date of Final Disposition
Hernando 11/26/2018
Other Defendants Involved in this Claim
Access Health Care Physicians LLC dba Access Health Care Phy
Hernando HMA LLC dba Bayfront Health-Spring Hill
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
11/21/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $250,000
Loss Adjust Expense Paid to Defense Counsel $28,064
All Other Loss Adjustment Expense Paid $10,964
Injured Person's Total Non-Economic Loss $250,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
 
Date of Change: 12/4/2018 3:00:54 PM
Reason for Change: update the non-economic information
 
Field Changed Former Value New Value
Injured Person Total Non-Economic Loss 0 250000

 

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