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. 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. 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. 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. 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. 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. Robert Weaver Medical Malpractice Lawsuits - Court Case # H-27-CA-2004-385-DM

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538552
Claim Number :18802
Date Submitted :12/2/2005
 
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
IndividualRobert Weaver
Insurer TypeStreet Address of Practice
Licensed13 Mastic Court E
CityStateZip CodeCounty
HomosassaFL34446Citrus
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600869 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME70061Radiology - Diagnostic - Minor Surgery3101

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
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/12/200210/14/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Free air in peritoneal cavity
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT Scan
Diagnostic Code :562.11
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to identify and treat free air
Principal Injury Giving Rise To The Claim
Diverticulitis of colon
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
4/5/2004H-27-CA-2004-385-DM
County Suit Filed inDate of Final Disposition
Hernando11/30/2005
Other Defendants Involved in this Claim
Kanuri, MD, Ramakrishna
Piduri, MD, Mallik
Flatau, MD, Arthur
Pasco Hernando Surgical Assoc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/30/2005
 
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$24,860
All Other Loss Adjustment Expense Paid$13,347
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Fawzi Soliman Medical Malpractice Lawsuits - Court Case # H27-CA-2002-1719-DM

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640896
Claim Number :00-0259
Date Submitted :6/5/2006
 
Insurer Information
 
Insurer NameCoverage Type
CLARENDON NATIONAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
52-0266645 
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
IndividualFawzi Soliman
Insurer TypeStreet Address of Practice
Licensed12132 Cortez Blvd.
CityStateZip CodeCounty
BrooksvilleFL34613Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMP0005135$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME39643Surgery - General 

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 Outpatient FacilityGulf Coast Surgery Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
10/28/19992/20/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient underwent endarterectomy and suffered brain hemorrhage
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Endarterectomy - plaintiff alleging negligent suturing of carotid artery
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Surgery related
Principal Injury Giving Rise To The Claim
Alleged negligent suturing of carotid artery during surgery resulting in paralysis, brain damage, loss of cognitive function, dysphagia and speech disorder
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
1/1/2002H27-CA-2002-1719-DM
County Suit Filed inDate of Final Disposition
Hernando6/1/2006
Other Defendants Involved in this Claim
Gulf Coast Surgery Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/24/2006
 
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$27,337
All Other Loss Adjustment Expense Paid$20,900
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
We have expert testimony that this procedure has a complication rate of 2-6% and they see no negligence in the performance of this surgery by Dr. Soliman
 
Updates
 
No updates found.

 

 

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Dr. A H ARMASHI Medical Malpractice Lawsuits - Court Case # H27-CA2004-226-DM

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537276
Claim Number :20285-01
Date Submitted :10/12/2005
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATIONPrimary
Insurer FEINProfessional License Number
38-2102867 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy Kirsch
Street Address
327 Plaza Real, Suite 319
CityStateZip
Boca RatonFL33432
PhoneExtFaxE-Mail Address
(561) 362 - 3332 (561) 417 - 6125nkirsch@acaponline.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualAHARMASHI
Insurer TypeStreet Address of Practice
Licensed12228 Cortez Blvd.
CityStateZip CodeCounty
BrooksvilleFL34613Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
127679$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME66828Anesthesiology 

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
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
4/3/200210/2/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic neck and back pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Epidural injection of steroids for pain control.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
It is alleged that the injection needle injured spinal cord causing RSD and significant loss of use of left arm.
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
2/26/2004H27-CA2004-226-DM
County Suit Filed inDate of Final Disposition
Hernando9/26/2005
Other Defendants Involved in this Claim
Hernando Anesthesia Associates, P.A. d/b/a Active Pain Contr
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
9/6/2005
 
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$44,050
All Other Loss Adjustment Expense Paid$18,419
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured consulted with claims personnel and defense counsel.$250,000.00 was paid in full and final settlement of all claims on behalf of the insured.
 
Updates
 
No updates found.

 

 

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

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Dr. Paul Velt Medical Malpractice Lawsuits - Court Case # CA2007-2662

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057363
Claim Number :28116
Date Submitted :5/19/2010
 
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
IndividualPaul Velt
Insurer TypeStreet Address of Practice
Licensed500 Vonderburg Drive Suite 111
CityStateZip CodeCounty
BrandonFL33511Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600551 10$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME73819Radiology - Diagnostic - No 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
Hospital Inpatient Facility 
Name of InstitutionCode
SPRING HILL REGIONAL HOSPITAL111525
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
7/22/20059/2/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ventral hernia resulting in sepsis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparoscopic repair of hernia
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose a perforated bowel on CT scan
Principal Injury Giving Rise To The Claim
Sepsis
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
4/22/2009CA2007-2662
County Suit Filed inDate of Final Disposition
Hernando5/11/2010
Other Defendants Involved in this Claim
Palmer, MD, Kevin
West Coast Surgical Assoc.
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
5/11/2010
 
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$24,853
All Other Loss Adjustment Expense Paid$20,174
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. M J Marcus Medical Malpractice Lawsuits - Court Case # 2012-CA-002072

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201469393
Claim Number :33525
Date Submitted :1/13/2014
 
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
IndividualMJMarcus
Insurer TypeStreet Address of Practice
Licensed821 Medical Court East
CityStateZip CodeCounty
InvernessFL34452Citrus
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1616028 01$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME20810Otorhinolaryngology - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
2/15/20103/26/2010
 
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.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/6/20122012-CA-002072
County Suit Filed inDate of Final Disposition
Hernando1/2/2014
Other Defendants Involved in this Claim
Access Healthcare
Barnhurst, PA, Mark A
Gonzalez, MD, Mariel
Citrus Memorial Hospital
Zeljko, MD, Tomislav
Physicians of Central Florida, PA
Farag, MD, Nagy
Brady, ARNP, Craig
Phoenix Emergency Services of Inverrness
Tatambhotla, MD, Goptal
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
1/2/2014
 
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$103,746
All Other Loss Adjustment Expense Paid$41,441
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$140,000$0
Wage Loss$0$0
Other Expenses$8,230$7,200
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 A Manubay Medical Malpractice Lawsuits - Court Case # CA093545

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263881
Claim Number :283919
Date Submitted :5/16/2012
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSusan KSpielman
Street Address
5814 Reed Road
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340  reportaclaim@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJohnAManubay
Insurer TypeStreet Address of Practice
Licensed14540 Cortez Blvd, Ste 123
CityStateZip CodeCounty
BrooksvilleFL34613Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
631160$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75741Surgery - General 

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
Hospital Inpatient Facility 
Name of InstitutionCode
OAK HILL HOSPITAL100264
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/7/20074/20/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hernia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical repair
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Improper treatment and delay in diagnosis
Principal Injury Giving Rise To The Claim
Hypoxic brain damage with amputations
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
11/16/2009CA093545
County Suit Filed inDate of Final Disposition
Hernando5/16/2012
Other Defendants Involved in this Claim
Oak Hill Hospital
West Coast Surgical Associates PL
Palmer MD, Kevin
Piduru MD, Mallik A
Nature Coast Surgical Associates PA
Abuzarad MD, Husam
Physicians Partners Network PA
Bourghli MD, Mahmoud
Delta Health PA
Menendez MD, Francisco
Gil MD, Surrinder
Soliman MD, FawziM
Fawzi M Soliman MD PA dba Gulf Coast Surg Ctr
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
10/4/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$27,229
All Other Loss Adjustment Expense Paid$9,943
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
N/A
 
Updates
 
No updates found.

 

 

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Dr. Kevin V Palmer Medical Malpractice Lawsuits - Court Case # CA093545

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264434
Claim Number :5140577-01
Date Submitted :9/23/2013
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSusan KSpielman
Street Address
5814 Reed Road
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340  reportaclaim@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKevinVPalmer
Insurer TypeStreet Address of Practice
Licensed11373 Cortez Blvd, Ste 201
CityStateZip CodeCounty
BrooksvilleFL34613Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
733257$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME70806Surgery - Vascular 

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
Hospital Inpatient Facility 
Name of InstitutionCode
OAK HILL HOSPITAL100264
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/7/20074/20/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hernia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical Repair
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Improper treatment and delay in diagnosis
Principal Injury Giving Rise To The Claim
Hypoxic brain damage with amputations
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/16/2009CA093545
County Suit Filed inDate of Final Disposition
Hernando7/18/2012
Other Defendants Involved in this Claim
HCA Health Services of Florida Inc dba Oak Hill Hospital
Piduru MD, Mallik A
West Coast Surgical Associates PL
Manubay MD, John A
Nature Coast Surgical Associates PA
Abuzarad MD, Husam
Physicians Partners Network PA
Bourghli MD, Mahmoud
Delta Health PA
Menendez MD, Francisco
Gil MD, Surrinder
Soliman MD, FawziM
Fawzi M Soliman MD PA dba Gulf Coast Surgery Ctr
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
3/27/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$33,720
All Other Loss Adjustment Expense Paid$12,031
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
N/A
 
Updates
 
 
Date of Change:2/15/2013 12:10:57 PM
Reason for Change:Update ALE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid1202412031
Amount of Loss Adjustment Expense Paid to Defense Counsel3228633713
 
Date of Change:9/23/2013 3:01:07 PM
Reason for Change:Update ALE
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel3371333720

 

 

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Dr. John A Manubay Medical Malpractice Lawsuits - Court Case # CA093545

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264435
Claim Number :5140577-03
Date Submitted :2/15/2013
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSusan KSpielman
Street Address
5814 Reed Road
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340  reportaclaim@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJohnAManubay
Insurer TypeStreet Address of Practice
Licensed14540 Cortez Blvd, Ste 123
CityStateZip CodeCounty
BrooksvilleFL34613Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
631160$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75741Surgery - General 

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
Hospital Inpatient Facility 
Name of InstitutionCode
OAK HILL HOSPITAL100264
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/7/20074/20/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hernia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical Repair
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Improper treatment and delay in diagnosis
Principal Injury Giving Rise To The Claim
Hypoxic brain damage with amputations
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/16/2009CA093545
County Suit Filed inDate of Final Disposition
Hernando7/18/2012
Other Defendants Involved in this Claim
Piduru MD, Mallik A
Palmer MD, Kevin
West Coast Surgical Associates PL
Nature Coast Surgical Associates PA
Aabuzarad MD, Husam
HCA Health Services of Florida Inc dba Oak Hill Hospital
Physicians Partners Network PA
Bourghli MD, Mahmoud
Delta Health PA
Menendez MD, Francisco
Gil MD, Surrinder
Soliman MD, FawziM
Fawzi M Soliman MD PA dba Gulf Coast Surgery Ctr
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
10/4/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$29,739
All Other Loss Adjustment Expense Paid$11,869
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
N/A
 
Updates
 
 
Date of Change:2/15/2013 1:12:03 PM
Reason for Change:Update ALE
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel2948329739
All Other Loss Adjustment Expense Paid1186811869

 

 

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Dr. Mallik A Piduru Medical Malpractice Lawsuits - Court Case # CA093545

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264436
Claim Number :5140577-04
Date Submitted :2/15/2013
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSusanKSpielman
Street Address
5814 Reed Road
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340  reportaclaim@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMallikAPiduru
Insurer TypeStreet Address of Practice
Licensed11373 Cortez Blvd, Ste 201
CityStateZip CodeCounty
BrooksvilleFL34613Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
733261$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44053Surgery - Vascular 

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
Hospital Inpatient Facility 
Name of InstitutionCode
OAK HILL HOSPITAL100264
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/7/20074/20/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hernia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgical Repair
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Improper treatment and delay in diagnosis
Principal Injury Giving Rise To The Claim
Hypoxic brain damage with amputations
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/16/2009CA093545
County Suit Filed inDate of Final Disposition
Hernando7/18/2012
Other Defendants Involved in this Claim
HCA Health Services of Florida Inc dba Oak Hill Hospital
Palmer MD, Kevin
West Coast Surgical Associates PL
Manubay MD, John A
Nature Coast Surgical Associates PA
Abuzarad MD, Husam
Physicians Partners Network PA
Bourghli MD, Mahmoud
Delta Health PA
Menendez MD, Francisco
Gil MD, Surrinder
Soliman MD, FawziM
Fawzi M Soliman MD PA dba Gulf Coast Surgery Ctr
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
3/27/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$35,453
All Other Loss Adjustment Expense Paid$11,985
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
N/A
 
Updates
 
 
Date of Change:9/17/2012 3:34:29 PM
Reason for Change:ALE UPDATE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid1186811985
Amount of Loss Adjustment Expense Paid to Defense Counsel2948333892
 
Date of Change:2/15/2013 1:13:52 PM
Reason for Change:Update ALE
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel3389235453

 

 

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Dr. Kevin Palmer Medical Malpractice Lawsuits - Court Case # CA-2007-2662

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265397
Claim Number :131198
Date Submitted :11/19/2012
 
Insurer Information
 
Insurer NameCoverage Type
NATIONAL FIRE INSURANCE COMPANY OF HARTFORDPrimary
Insurer FEINProfessional License Number
06-0464510 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTeresa Ross
Street Address
One Park Plaza P.O. Box 555
CityStateZip
NashvilleTN37202
PhoneExtFaxE-Mail Address
(615) 344 - 5804  Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKevin Palmer
Insurer TypeStreet Address of Practice
Licensed11373 Cortez Blvd #201
CityStateZip CodeCounty
BrooksvilleFL34613Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ2075006282$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME70806Physicians or Surgeons - Major Surgery.NOC classification.01

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
7/22/20055/2/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ventral hernia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent elective ventral hernia repair on 7/22/05 by laparoscopy.Between 7/22/05 postoperative period & 7/25/05 she deteriorated. She was returned to surgery on 7/25/05 where three small perforations were found that were approximately 2 inches long. They were repaired, mesh was removed & end-to-end anastomosis was done. She remained in the ICU & had a very stormy hospital course complicated by respiratory failure, requiring trachesotomy, sepsis, acute renal failure, anemia, hyperthermia, encephalopathy, intra-abdominal infection, peritonitis, fungal aortic valve endocarditis, & C-diff.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Three small bowel perforations.
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
12/12/2007CA-2007-2662
County Suit Filed inDate of Final Disposition
Hernando11/12/2012
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
10/31/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$316,738
All Other Loss Adjustment Expense Paid$193,492
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$250,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.
 
Updates
 
No updates found.

 

 

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

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Dr. Krishna Ganti Medical Malpractice Lawsuits - Court Case # CA-11-748

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265414
Claim Number :41076-01
Date Submitted :11/19/2012
 
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
IndividualKrishna Ganti
Insurer TypeStreet Address of Practice
Licensed11373 Cortez Blvd., Ste 203
CityStateZip CodeCounty
BrooksvilleFL34613Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
46540$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME48997Surgery - Otorhinolaryngology80159

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
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
10/20/200612/10/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Mass on neck and tongue.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Exam and FNA of neck lesion which was benign.Patient advised of need for surgical biopsy and refused.Patient stated he was unaware of tongue lesion.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient alleged 3-year delay in diagnosis of tongue cancer.
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
4/22/2011CA-11-748
County Suit Filed inDate of Final Disposition
Hernando10/22/2012
Other Defendants Involved in this Claim
Bikkasani, M.D., Naveen
Advanced Imaging Concepts
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
10/22/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$16,969
All Other Loss Adjustment Expense Paid$5,969
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Vincent T Buckman Medical Malpractice Lawsuits - Court Case # CA-09-3473

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367023
Claim Number :269132
Date Submitted :5/8/2013
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTiffanyDTaylor
Street Address
13450 West Sunrise Blvd
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(877) 320 - 0748  TTaylor@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualVincentTBuckman
Insurer TypeStreet Address of Practice
Licensed8425 Balm Street
CityStateZip CodeCounty
Weeki WacheeFL34607Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0070439$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME91222Family Physicians or General Practitioners - Minor 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
Physician's Office 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
OtherPhysician's Office
Date of OccurrenceDate Reported to Insurer
2/22/20074/15/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented for complaints of diffuse abdominal pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Urine culture performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged failure to obtain a complete history from the patient including a list of current medications resulting in liver failure and requiring a liver transplant.
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
10/16/2009CA-09-3473
County Suit Filed inDate of Final Disposition
Hernando5/7/2013
Other Defendants Involved in this Claim
Quest Diagnostics Incorporated
Quest Diagnostics Clinical Laboratories
Heron Springs Family Medicine, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$251,000
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$250,000$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.

 

 

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

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Dr. Michael Herron Medical Malpractice Lawsuits - Court Case # CA12-1182

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471604
Claim Number :294919
Date Submitted :8/14/2014
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTiffanyDTaylor
Street Address
13450 West Sunrise Blvd
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(877) 320 - 0748  TTaylor@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMichael Herron
Insurer TypeStreet Address of Practice
Licensed8303 South Suncoast Blvd.
CityStateZip CodeCounty
HomosassaFL34446Citrus
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0751285$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME84779Radiology - Diagnostic - Minor 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
Hospital Inpatient Facility 
Name of InstitutionCode
BROOKSVILLE REGIONAL HOSPITAL 100071
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
10/31/20094/16/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The insured performed a Thorocentesis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Following a Thorocentesis procedure performed by the insured he issued an order to "Hold Plavix in A.M."
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/13/2012CA12-1182
County Suit Filed inDate of Final Disposition
Hernando7/31/2014
Other Defendants Involved in this Claim
Beinhauer, M.D., Gerald
Brookville 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
7/21/2014
 
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$74,287
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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

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Dr. Robert L Hartzell Medical Malpractice Lawsuits - Court Case # H27-CA2002-1328-DM

Indemnity Paid: $245,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537984
Claim Number :A01-25212-99
Date Submitted :11/4/2005
 
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 Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertLHartzell
Insurer TypeStreet Address of Practice
Licensed4107 Daisy Drive
CityStateZip CodeCounty
Spring HillFL34607Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
16212$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53790Family Physicians or General Practitioners - No Surgery80239

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
Hospital Inpatient Facility 
Name of InstitutionCode
SPRING HILL REGIONAL HOSPITAL111525
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/13/199912/14/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
14 year old with history of Crohns was admitted with abdominal pain, nausea, vomitting and marked weakness.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient developed hemiparesis and neuro consult was ordered.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death secondary to CVA.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/5/2002H27-CA2002-1328-DM
County Suit Filed inDate of Final Disposition
Hernando10/11/2005
Other Defendants Involved in this Claim
Mwaisela, M.D., Francis
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/11/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$245,000
Loss Adjust Expense Paid to Defense Counsel$49,703
All Other Loss Adjustment Expense Paid$28,814
Injured Person's Total Non-Economic Loss$245,000
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. Samir Shakfeh Medical Malpractice Lawsuits - Court Case # H 27 CA 2003 374

Indemnity Paid: $240,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535236
Claim Number :071379
Date Submitted :5/17/2005
 
Insurer Information
 
Insurer NameCoverage Type
TDC SPECIALTY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
95-4241120 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSallyLCleaver
Street Address
12121 Wilshire Blvd., Suite 601
CityStateZip
Los AngelesCA90025
PhoneExtFaxE-Mail Address
(310) 571 - 0730523(310) 571 - 0886scleaver@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSamir Shakfeh
Insurer TypeStreet Address of Practice
Licensed221 MARINER BLVD
CityStateZip CodeCounty
SPRING HILLFL34609-5692Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
P90875-03$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62854Surgery - Obstetrics - Gynecology 

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
SPRING HILL REGIONAL HOSPITAL111525
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/26/200112/23/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient suffered from fibroids, pelvic adhesions, and pelvic pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent total abdominal hysterectomy & bilateral salpingo-oophorectomy. Insured's op report indicated the fascia was closed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient alleged insured failed to close fascia & failed to timely dx bowel obstruction necessitating second surgery resulting in abdominal bloating, discomfort, pain, scarring, & decreased ability to work.
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
4/1/2003H 27 CA 2003 374
County Suit Filed inDate of Final Disposition
Hernando4/25/2005
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
4/25/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$240,000
Loss Adjust Expense Paid to Defense Counsel$50,954
All Other Loss Adjustment Expense Paid$28,835
Injured Person's Total Non-Economic Loss$53,000
Deductible$20,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$187,000$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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