Medical Malpractice Cases

Medical Malpractice Cases In Highlands County Florida

Dr. JOhn Caruso Medical Malpractice Lawsuits - Court Case # GC04-117

Indemnity Paid: $4,075,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848871
Claim Number :29368-01
Date Submitted :3/11/2008
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJOhn Caruso
Insurer TypeStreet Address of Practice
Licensed3324 Commerce Center Lane
CityStateZip CodeCounty
SebringFL33870Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
18587$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS4638Family Physicians or General Practitioners - No Surgery80239

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HIGHLANDS REGIONAL MEDICAL CTR.100049
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
6/4/20029/18/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient sought treatment for benign prostatic hypertrophy and hypertension.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient underwent radical prostatectomy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
It is alleged that the insured failed to properly treat the patient's hypertension.
Principal Injury Giving Rise To The Claim
Cerebral vascular accident/stroke.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/23/2004GC04-117
County Suit Filed inDate of Final Disposition
Highlands2/19/2008
Other Defendants Involved in this Claim
Highlands Regional Medical Center
Pahk, M.D., Kye
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
2/19/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$4,075,000
Loss Adjust Expense Paid to Defense Counsel$119,964
All Other Loss Adjustment Expense Paid$133,685
Injured Person's Total Non-Economic Loss$4,075,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$424,086$1,300,000
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. Daniel Parnassa Medical Malpractice Lawsuits - Court Case # GC-12-546

Indemnity Paid: $1,100,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201472498
Claim Number : 40055/40251
Date Submitted : 3/31/2015
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Daniel   Parnassa
Insurer Type Street Address of Practice
Licensed 2237 US 27 S
City State Zip Code County
Sebring FL 33870 Highlands
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1601644 06 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME78117 Cardiovascular Disease - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Highlands
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
HIGHLANDS REGIONAL MEDICAL CTR. 100049
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
7/9/2010 1/7/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right ventricle abnormality
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ICD placement
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged inappropriate diagnosis of ARVD
Principal Injury Giving Rise To The Claim
Ventricular perforation, cardiac tamponade
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
6/13/2012 GC-12-546
County Suit Filed in Date of Final Disposition
Highlands 10/10/2014
Other Defendants Involved in this Claim
Sebring Heart Center
Florida Cardiovascular Institute
Matar, MD, Fadi
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
10/1/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,100,000
Loss Adjust Expense Paid to Defense Counsel $69,976
All Other Loss Adjustment Expense Paid $32,123
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $248,448 $0
Wage Loss $167,700 $1,042,120
Other Expenses $0 $1,000,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 3/31/2015 4:29:08 PM
Reason for Change: Report updated to reflect Court Document final disposition date of 10/10/14
 
Field Changed Former Value New Value
Date of Final Disposition 01-OCT-14 10-OCT-14

 

 

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Dr. RAMON NONATO N TORRES Medical Malpractice Lawsuits - Court Case # 09-781-GCS

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160938
Claim Number :29097
Date Submitted :9/8/2011
 
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
IndividualRAMON NONATONTORRES
Insurer TypeStreet Address of Practice
Licensed4638 Sun n' Lake Blvd.
CityStateZip CodeCounty
SebringFL33872Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600508 06$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78011Surgery - Cardiac 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL-HEARTLAND MEDICAL CTR.100109
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
9/4/200712/12/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Myocardial infarction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cardiac catheterization
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to recognize and treat injury to renal artery
Principal Injury Giving Rise To The Claim
Left nephrectomy and splenectomy
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
5/2/200909-781-GCS
County Suit Filed inDate of Final Disposition
Highlands8/10/2011
Other Defendants Involved in this Claim
Florida Heart Group
Florida Hospital Heartland
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
7/1/2011
 
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$72,688
All Other Loss Adjustment Expense Paid$47,825
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$50,991$218,024
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:9/8/2011 2:25:20 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 08/10/11
 
Field ChangedFormer ValueNew Value
Date of Final Disposition01-JUL-1110-AUG-11

 

 

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Dr. GREGORY R WHITE Medical Malpractice Lawsuits - Court Case # GC13-665

Indemnity Paid: $675,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201782203
Claim Number : EMC-FL-12-204654-2
Date Submitted : 6/2/2017
 
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 GREGORY R WHITE
Insurer Type Street Address of Practice
Self-Insurer 1210 US 27N
City State Zip Code County
LAKE PLACID FL 33852 Highlands
Policy Number Per Claim Policy Limits Aggregate Policy Limits
EMC-2012-Excess $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME39946 Emergency Medicine - No Major Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Highlands
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Hospital/Institution FLORIDA HOSPITAL - LAKE PLACID
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
1/15/2012 3/29/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
AAA
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 AAA
Principal Injury Giving Rise To The Claim
DEATH
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/9/2013 GC13-665
County Suit Filed in Date of Final Disposition
Highlands 6/2/2017
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
5/23/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $675,000
Loss Adjust Expense Paid to Defense Counsel $22,200
All Other Loss Adjustment Expense Paid $7,033
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. Magdy Kaldas Medical Malpractice Lawsuits - Court Case # GC 07-662

Indemnity Paid: $600,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954960
Claim Number :EMC-AO-05-39153
Date Submitted :9/16/2009
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
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
IndividualMagdy Kaldas
Insurer TypeStreet Address of Practice
Licensed4609 Sweet Meadow Circle
CityStateZip CodeCounty
SarasotaFL34238Sarasota
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-3$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME71928Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
FLORIDA HOSPITAL-HEARTLAND MEDICAL CENTER LAKE PLACID 120013
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
7/14/20058/10/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Productive cough, shortness of breath, dizziness, tingling in right arm
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/14/2007GC 07-662
County Suit Filed inDate of Final Disposition
Highlands9/15/2009
Other Defendants Involved in this Claim
Florida Hospital Heartland Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
4/27/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$600,000
Loss Adjust Expense Paid to Defense Counsel$52,746
All Other Loss Adjustment Expense Paid$23,767
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. Fadi Matar Medical Malpractice Lawsuits - Court Case # GC-12-546

Indemnity Paid: $550,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201472499
Claim Number : 43613
Date Submitted : 4/1/2015
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Fadi   Matar
Insurer Type Street Address of Practice
Licensed 9809 Bay Island Dr.
City State Zip Code County
Tampa FL 33615 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600031 13 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME65062 Cardiovascular Disease - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Highlands
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
HIGHLANDS REGIONAL MEDICAL CTR. 100049
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
7/9/2010 1/7/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right ventricule abnormality
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ICD placement
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged inappropriate diagnosis of ARVD
Principal Injury Giving Rise To The Claim
Ventricular perforation, cardiac tamponade
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
6/3/2012 GC-12-546
County Suit Filed in Date of Final Disposition
Highlands 10/10/2014
Other Defendants Involved in this Claim
Parnassa, MD, Daniel
Florida Cardiovascular Institute
Sebring Heart Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/1/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $550,000
Loss Adjust Expense Paid to Defense Counsel $49,846
All Other Loss Adjustment Expense Paid $7,501
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $248,448 $0
Wage Loss $167,700 $1,042,120
Other Expenses $0 $1,000,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 4/1/2015 9:40:57 AM
Reason for Change: Report updated to reflect Court Document final disposition date of 10/10/14
 
Field Changed Former Value New Value
Date of Final Disposition 01-OCT-14 10-OCT-14

 

 

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Dr. Edward Amoah Medical Malpractice Lawsuits - Court Case # 08-26992-DIVI

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201472369
Claim Number : FP3746601
Date Submitted : 10/17/2014
 
Insurer Information
 
Insurer Name Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC Primary
Insurer FEIN Professional License Number
59-6614702  
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 Edward   Amoah
Insurer Type Street Address of Practice
Licensed 27455 Cashford Circle
City State Zip Code County
Wesley Chapel FL 33544 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FP-63721 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME88213 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 Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SAINT JOSEPH'S HOSPITAL 100075
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
7/21/2006 7/24/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe diverticulitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged improper use of gentamicin and failure to properly monitor the use thereof.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Bilateral vestifular dysfuction and nephrotoxicity
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
11/24/2008 08-26992-DIVI
County Suit Filed in Date of Final Disposition
Highlands 9/26/2014
Other Defendants Involved in this Claim
Grauer, Leopoldo
Bankole, Olayinka
University Community Home Health
Optin Care St. Petersburg
St. Joseph's 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
 
 
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 $317,526
All Other Loss Adjustment Expense Paid $137,418
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
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. Brett M Sasseen Medical Malpractice Lawsuits - Court Case # 2016-CA-000103GCA

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781826
Claim Number : 55121
Date Submitted : 4/14/2017
 
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 Brett M Sasseen
Insurer Type Street Address of Practice
Licensed 3600 S. Highland Ave.
City State Zip Code County
Sebring FL 33870 Highlands
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602310 08 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME82025 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 Highlands
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
HIGHLANDS REGIONAL MEDICAL CTR. 100049
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
6/4/2014 10/19/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe chest pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Percutaneous coronary intervention
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure
Principal Injury Giving Rise To The Claim
Acute myocardial infarction
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/2/2016 2016-CA-000103GCA
County Suit Filed in Date of Final Disposition
Highlands 4/4/2017
Other Defendants Involved in this Claim
Parnassa, MD, Daniel
Bennett, MD, Jennifer L
Greenberg, MD, Andrew S
Highlands Regional Medical Center
Sebring Heart Center
First Coast Cardiovascular Institute
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/4/2017
 
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 $47,516
All Other Loss Adjustment Expense Paid $3,049
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $105,000 $0
Wage Loss $0 $0
Other Expenses $3,490 $100,000
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. Domenick J Reina Medical Malpractice Lawsuits - Court Case # 13-CA-015491

Indemnity Paid: $485,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575560
Claim Number : 184160
Date Submitted : 2/1/2017
 
Insurer Information
 
Insurer Name Coverage Type
PROASSURANCE CASUALTY COMPANY Primary
Insurer FEIN Professional License Number
38-2317569  
Insurer Contact Information
Type First Name MI Last Name
Individual Denise   Stokes
Street Address
100 Brookwood Place
City State Zip
Birmingham AL 35209
Phone Ext Fax E-Mail Address
(205) 802 - 4790     dstokes@proassurance.com
 
Insured Information
 
Type First Name MI Last Name
Individual Domenick J Reina
Insurer Type Street Address of Practice
Licensed 4620 North Habana Ave, Suite 101
City State Zip Code County
Tampa FL 33614 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MP44402 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME55628 Pulmonary Diseases - 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 Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
3/16/2010 2/14/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
dry cough and shortness of breath
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
recommendation for follow up chest CT scan
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis made by our insured
Principal Injury Giving Rise To The Claim
Plaintiff alleges the unseen lesion in the lung should have been biopsied during the bronchoscopy and that the CT scan should have been repeated in 6 weeks, which the plaintiff failed to do.
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
2/27/2014 13-CA-015491
County Suit Filed in Date of Final Disposition
Highlands 7/27/2015
Other Defendants Involved in this Claim
Rozas, Smith, Chandler, Perez, Reina MD LLP
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
8/17/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $485,000
Loss Adjust Expense Paid to Defense Counsel $106,477
All Other Loss Adjustment Expense Paid $49,020
Injured Person's Total Non-Economic Loss $485,000
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
Insured discussed case with defense counsel, insurance personnel, and medical experts.
 
Updates
 
 
Date of Change: 5/6/2016 10:15:31 AM
Reason for Change: Updated non economic loss information.
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 48932 49020
Injured Person Total Non-Economic Loss 0 485000
Amount of Loss Adjustment Expense Paid to Defense Counsel 100275 106255
 
Date of Change: 7/13/2016 4:41:51 PM
Reason for Change: updated ALAE amounts
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 106255 106329
 
Date of Change: 10/7/2016 11:48:50 AM
Reason for Change: updated ALAE information
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 106329 106403
 
Date of Change: 11/3/2016 2:35:30 PM
Reason for Change: updated ALAE information
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 106403 106421
 
Date of Change: 2/1/2017 3:38:05 PM
Reason for Change: updated ALAE information
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 106421 106477

 

 

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Dr. D M Upadhyaya Medical Malpractice Lawsuits - Court Case # GC03-504

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641662
Claim Number :A02-27151-02
Date Submitted :7/21/2006
 
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
IndividualDMUpadhyaya
Insurer TypeStreet Address of Practice
LicensedP. O. Box 1923
CityStateZip CodeCounty
SebringFL33870Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6758$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME31944Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HIGHLANDS REGIONAL MEDICAL CTR.100049
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
9/3/200210/7/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Non-emergent c-section.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Spinal anesthesia given too high by non-defendant, Dr. Paul Webster, anesthesiologist for c-section.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient given a high spinal by anesthesiologist, resulting in loss of consciousness.Also it is alleged our insured should not have administered pitocin or methergine post c-section, due to its' potential hypotensive effect.
Principal Injury Giving Rise To The Claim
Severe anoxic brain damage, resulting in death a few days post-delivery.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/19/2003GC03-504
County Suit Filed inDate of Final Disposition
Highlands6/30/2006
Other Defendants Involved in this Claim
Highlands Regional Medical Center
Doctor's Pain Management Association
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/30/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$450,000
Loss Adjust Expense Paid to Defense Counsel$24,020
All Other Loss Adjustment Expense Paid$20,827
Injured Person's Total Non-Economic Loss$450,000
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. KYE K PAHK Medical Malpractice Lawsuits - Court Case # C-C003-125

Indemnity Paid: $425,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200533911
Claim Number :83-008786
Date Submitted :1/10/2005
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualHeidi Tam
Street Address
4601 Wilshire Blvd., Suite 100
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(323) 930 - 7078  heidi.tam@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKYEKPAHK
Insurer TypeStreet Address of Practice
Licensed4017 LAFAYETTE AVE
CityStateZip CodeCounty
SEBRINGFL33875-4931Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0118086410000-0000$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME24486Urology- minor surgery1

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityOutpatient facility
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Otheroutpatient facility
Date of OccurrenceDate Reported to Insurer
8/14/200011/13/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Churg-Strauss Syndrome (CSS). This is an inflammation of the blood vessels.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Dr. Pahk was the Urologist who was treating this patient for the above referenced condition with Cytoxan, however, this medication was causing a hemorrahagic cystitis (inflammation of the bladder and ureter).Therefore, Dr. Pahk performed a laser fulguration in an attempt to cauterize and stop the patient's bleeding.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The patient developed post-operative complications.The patient developed colovesical and colvaginal fistulas.
Principal Injury Giving Rise To The Claim
The patient had to undergo a sigmoid loop colostomy, cystectomy, vaginal suspension, left oophorectomy and bilateral cutaneous ureterostomies as a result of the laser fulguration precedure.
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
3/7/2003C-C003-125
County Suit Filed inDate of Final Disposition
Highlands12/8/2004
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
OtherSettlement
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/30/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$425,000
Loss Adjust Expense Paid to Defense Counsel$13,400
All Other Loss Adjustment Expense Paid$30,150
Injured Person's Total Non-Economic Loss$425,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$151,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
The insured is not provided with risk management services.
 
Updates
 
No updates found.

 

 

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Dr. Danilo A Sanchez Medical Malpractice Lawsuits - Court Case # 07000230GCAXSX

Indemnity Paid: $420,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264524
Claim Number :2007160075
Date Submitted :8/9/2012
 
Insurer Information
 
Insurer NameCoverage Type
OCEANUS INSURANCE COMPANY, A RISK RETENTION GROUPPrimary
Insurer FEINProfessional License Number
20-1066914 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKarenMRichards
Street Address
111 WestPort Plaza Drive, 9th Floor
CityStateZip
St. LouisMO63146
PhoneExtFaxE-Mail Address
(314) 514 - 2570n/a(562) 492 - 1865Karen.Richards@sedgwickcms.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDaniloASanchez
Insurer TypeStreet Address of Practice
Licensed1796 Highway 441 North
CityStateZip CodeCounty
OkeechobeeFL34972Okeechobee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
01-2005-001$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME29930Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
HIGHLANDS REGIONAL MEDICAL CTR.100049
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
6/10/200511/17/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Subsequent to being seen in the ED, thepatient suffered a cerebral bleed and subsequently died.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to diagnose a cerebral bleed resulted in death of patient.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ED physician failed to diagnose a cerebral bleed which resulted in the death of the patient.
Principal Injury Giving Rise To The Claim
Cerebral bleed
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/26/200707000230GCAXSX
County Suit Filed inDate of Final Disposition
Highlands2/29/2012
Other Defendants Involved in this Claim
Florida Hospital Heartland
Highlands Regional Medical Center
EMCARE of Florida, 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
OtherAppeal, then settlement
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/29/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$420,000
Loss Adjust Expense Paid to Defense Counsel$320,444
All Other Loss Adjustment Expense Paid$10,165
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
Risk Management Review
 
Updates
 
No updates found.

 

 

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Dr. A. R Massam Medical Malpractice Lawsuits - Court Case # GC03-229

Indemnity Paid: $360,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200432588
Claim Number :501914
Date Submitted :8/24/2004
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN HEALTHCARE INDEMNITY COMPANYPrimary
Insurer FEINProfessional License Number
59-2048400 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTerryMBinns
Street Address
1888 Century Park East, Suite 800
CityStateZip
Los AngelesCA90067
PhoneExtFaxE-Mail Address
(310) 556 - 7488 (310) 556 - 7400Tbinns@scpie-ahi.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualA.RMassam
Insurer TypeStreet Address of Practice
Licensed4325 SUN N LAKE BLVD STE 105
CityStateZip CodeCounty
SEBRINGFL33872-2171Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
60529$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME16216Surgery - OrthopedicUNK

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL-HEARTLAND MEDICAL CTR.100109
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/20/20009/4/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fractured tibia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Open reduction with internal fixation using screws and cables.
Diagnostic Code :UNK
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Non-union of fracture.
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
4/25/2003GC03-229
County Suit Filed inDate of Final Disposition
Highlands8/4/2004
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/4/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$360,000
Loss Adjust Expense Paid to Defense Counsel$8,500
All Other Loss Adjustment Expense Paid$573
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$50,000
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Interviews with investigator and defense counsel, answer interrogatories, deposition, etc.
 
Updates
 
No updates found.

 

 

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Dr. Kathy Lee Medical Malpractice Lawsuits - Court Case # GC11-32

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471215
Claim Number :PLFLHH043544
Date Submitted :7/1/2014
 
Insurer Information
 
Insurer NameCoverage Type
Florida Hospital Heartland and Lake PlacidPrimary
Insurer FEINProfessional License Number
59-07255534171
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJudith AHenderson
Street Address
900 Hope Way
CityStateZip
Altamonte SpringsFL32714
PhoneExtFaxE-Mail Address
(407) 357 - 2292 (407) 975 - 1570judith.henderson@ahss.org
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKathy Lee
Insurer TypeStreet Address of Practice
Self-Insurer4200 Sun 'n Lake Boulevard
CityStateZip CodeCounty
SebringFL33872Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
8528-2010$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME94765Internal Medicine - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL-HEARTLAND MEDICAL CTR.100109
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
1/17/20099/14/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
ED visit with complaints of back pain and pneumonia with history of recent T10-11 vertebroplasty.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delay in diagnosis patient's cord compression at T10-11.
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
1/25/2011GC11-32
County Suit Filed inDate of Final Disposition
Highlands5/31/2012
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
5/31/2012
 
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$69,578
All Other Loss Adjustment Expense Paid$39,753
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.

 

 

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

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Dr. JOSE THOMAS-RICHARDS Medical Malpractice Lawsuits - Court Case # GR07-17

Indemnity Paid: $250,168.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160605
Claim Number :FL0087
Date Submitted :5/16/2011
 
Insurer Information
 
Insurer NameCoverage Type
HEALTHCARE UNDERWRITERS GROUP OF FLORIDA Primary
Insurer FEINProfessional License Number
32-0090369 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDavidWMcKenney
Street Address
1250 South Pine Island Road, #300
CityStateZip
PlantationFL33324
PhoneExtFaxE-Mail Address
(954) 923 - 1900 (954) 923 - 0019dmckenney@HUGroups.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJOSE THOMAS-RICHARDS
Insurer TypeStreet Address of Practice
Licensed1234 Main
CityStateZip CodeCounty
SebringFL33870Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
255-000$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS6774Surgery - Orthopedic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HIGHLANDS REGIONAL MEDICAL CTR.100049
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/18/20032/26/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ruptured left bicep tendon
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Re-attachment of the bicep tendon
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
no misdiagnosis
Principal Injury Giving Rise To The Claim
Limited mobility of left wrist
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/7/2007GR07-17
County Suit Filed inDate of Final Disposition
Highlands12/21/2010
Other Defendants Involved in this Claim
 
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
12/14/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,168
Loss Adjust Expense Paid to Defense Counsel$122,465
All Other Loss Adjustment Expense Paid$33,198
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$11,200$0
Wage Loss$6,400$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
no safety management steps taken
 
Updates
 
No updates found.

 

 

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Dr. D M Upadhyaya Medical Malpractice Lawsuits - Court Case # GC08-1426

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953596
Claim Number :37050-01
Date Submitted :5/7/2009
 
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
IndividualDMUpadhyaya
Insurer TypeStreet Address of Practice
LicensedP. O. Box 1923
CityStateZip CodeCounty
SebringFL33870Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6758$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME31944Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HIGHLANDS REGIONAL MEDICAL CTR.100049
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
8/17/20074/29/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Delivery of child.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Routine vaginal delivery, resulting in unexpected shoulder dystocia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Shoulder dystocia.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/6/2008GC08-1426
County Suit Filed inDate of Final Disposition
Highlands4/14/2009
Other Defendants Involved in this Claim
Sebring Hospital Management 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
4/14/2009
 
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$20,712
All Other Loss Adjustment Expense Paid$6,045
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. MAGDY KALDAS Medical Malpractice Lawsuits - Court Case # 10-143-GCS

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263481
Claim Number :EMC-09XS-FL-115235
Date Submitted :4/9/2012
 
Insurer Information
 
Insurer NameCoverage Type
EmCare Holdings, Inc.Primary
Insurer FEINProfessional License Number
75-173235SI
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
IndividualMAGDY KALDAS
Insurer TypeStreet Address of Practice
Self-Insurer4609 SWEET MEADOW CIRCLE
CityStateZip CodeCounty
SARASOTAFL34238Sarasota
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2009-Excess$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME71928Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
FLORIDA HOSPITAL-HEARTLAND MEDICAL CTR.100109
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
3/13/200910/12/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
FEVER
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EXAM AND LABS.XRAY OF ABDOMEN.ROCHEPIN WAS ORDERED AS WELL AS TYLENOL AND MOTRIN.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
SPINAL CORD COMPRESSION
Principal Injury Giving Rise To The Claim
PARALYSIS
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
11/11/201010-143-GCS
County Suit Filed inDate of Final Disposition
Highlands3/27/2012
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
 
 
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$52,329
All Other Loss Adjustment Expense Paid$14,455
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Jose R Thomas-Richards Medical Malpractice Lawsuits - Court Case # 11-249-GCS

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263547
Claim Number :HM156502-11
Date Submitted :4/16/2012
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJameela Maddox
Street Address
333 s Wabash
CityStateZip
ChicgoIL60604
PhoneExtFaxE-Mail Address
(312) 822 - 5000  Jameela.Maddox@cna.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJoseRThomas-Richards
Insurer TypeStreet Address of Practice
Licensed3750 EMERGENCY LANE SUITE
CityStateZip CodeCounty
SEBRINGFL33870Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
NSD-4014074966$250,000$750,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
OS6774Dentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HIGHLANDS REGIONAL MEDICAL CTR.100049
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
8/13/200810/22/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
ALLEGES NEGLIGENCE TO THE LEFT WRIST DURING THE OPERATIVEPROCEDURE BY FAILING TO REDUCE A DORSALLY ANGULATEDCOMMINUTED INTRAARTICULAR LEFT DISTAL RADIUS FRACTURE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PATIENT PRESENTED WITH A FRACTURED DISTAL LEFT RADIUSWITH DORSAL ANGULATION AND A LEFT ULNAR MINIMALLYDISPLACED FRACTURE
Diagnostic Code :110
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
SURGERY PERFORMED; OPEN REDUCTION INTERNAL FIXATION WITHSCREWS AND IMMOBILIZATION IN A SHORT ARM PLASTER CAST.
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
4/18/201111-249-GCS
County Suit Filed inDate of Final Disposition
Highlands3/15/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Award for plaintiff.
Date of Payment
3/15/2012
 
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$24,469
All Other Loss Adjustment Expense Paid$6,856
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$86,280$0
Wage Loss$77,435$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
DR. THOMAS-RICHARDS GAVE UP HIS MEDICAL PRACTICE AND HIS MEDICAL LICENSE IN APRIL 2011.
 
Updates
 
 
Date of Change:4/16/2012 5:33:23 PM
Reason for Change:update
 
Field ChangedFormer ValueNew Value
Safety Management Steps TakenFULL AND FINAL SETTLEMENTDR. THOMAS-RICHARDS GAVE UP HIS MEDICAL PRACTICE AND HIS MEDICAL LICENSE IN APRIL 2011.
Incurred Expense Mdeical086280
Final DiagnosisALLEGES NEGLENCE TO THE LEFT WRIST DURING THE OPERATIVEPROCEDURE BY FAILING TO REDUCE A DORSALLY ANGULATEDCOMMINUTED INTRAARTICULAR LEFT DISTAL RADIUS FRACTUREALLEGES NEGLIGENCE TO THE LEFT WRIST DURING THE OPERATIVEPROCEDURE BY FAILING TO REDUCE A DORSALLY ANGULATEDCOMMINUTED INTRAARTICULAR LEFT DISTAL RADIUS FRACTURE
Incurred Expense Wage Loss077435
County Suit Filed InHighlands
Specialty CodePhysicians - Minor SurgeryDentists - Engaged in oral surgery or operative dentistry on patients rendered unconscious through the administering of any anesthesia or analgesia
Court Case Number11-249-GCS
Legal System StageWithin the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).Within 90 days of suit being filed.
Injured Person First NameCheryCheryl

 

 

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Dr. JOSE THOMAS-RICHARDS Medical Malpractice Lawsuits - Court Case # 11-249-GCS

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263857
Claim Number :HM156504-11
Date Submitted :5/11/2012
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJameela Maddox
Street Address
333 s Wabash
CityStateZip
ChicgoIL60604
PhoneExtFaxE-Mail Address
(312) 822 - 5000  Jameela.Maddox@cna.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJOSE THOMAS-RICHARDS
Insurer TypeStreet Address of Practice
Licensed3750 EMERGENCY LANE SUITE 1
CityStateZip CodeCounty
SEBRINGFL33870Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
NSD-4014074966$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS6774Surgery - Hand 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HIGHLANDS REGIONAL MEDICAL CTR.100049
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/24/201010/22/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
THE SURGICAL PROCEDURE USED WAS NOT THE APPROPRIATE METHOD OF REPAIR.AS A RESULT A 2ND SURGERY WAS REQUIRED TO REPAIR THE WRIST FRACTURE.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
INJURY TO LEFT RADIUS AND LEFT CALCANEAL METATARSAL.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
INSURED PERFORMED A CLOSED REDUCTION INTRA-ARTICLAR FRACTURE, DISPLACEMENT OF THE DISTAL LEFT RADIUS AND PERCUTANEOUS K-WIRE FIXATION WTH W WIRES AND IMMOBILZATION OF THE FRACTURE OF THE DISTAL LEFT RADIUS IN A SHORT ARM CAST. HE SHOULD HAVE USED AN OPEN REDUCTION, INTERNAL FIXATION REPAIR.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/10/201111-249-GCS
County Suit Filed inDate of Final Disposition
Highlands4/10/2012
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
Judgment for the plaintiff. 
Arbitration
Award for plaintiff.
Date of Payment
4/10/2012
 
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$41,788
All Other Loss Adjustment Expense Paid$10,857
Injured Person's Total Non-Economic Loss$0
Deductible$10,000
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$93,663$0
Wage Loss$50,000$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
INSURED RETIRED NO LONGER PRACTICING
 
Updates
 
 
Date of Change:5/11/2012 9:50:54 AM
Reason for Change:added claimants address
 
Field ChangedFormer ValueNew Value
Injured Person Address Street6425 Oceanside Ave
Injured Person Address Zip Code3387033876
 
Date of Change:5/11/2012 11:14:34 AM
Reason for Change:changes per adjuster
 
Field ChangedFormer ValueNew Value
Incurred Expense Wage Loss050000
Legal System StageWithin the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Principal InjuryINSURED PERFORMED A CLOSED REDUCTION OINTRA-ARTICLAR FRACTURE, DISPLACEMENT OF THE DISTAL LEFT RADIUS AND PERCUTANEOUS K-WIRE FIXATION WTH W WIRES AND IMMOBILZATION OF THE FRACTURE OF THE DISTAL LEFT RADIUS IN A SHORT ARM CAST.INSURED PERFORMED A CLOSED REDUCTION INTRA-ARTICLAR FRACTURE, DISPLACEMENT OF THE DISTAL LEFT RADIUS AND PERCUTANEOUS K-WIRE FIXATION WTH W WIRES AND IMMOBILZATION OF THE FRACTURE OF THE DISTAL LEFT RADIUS IN A SHORT ARM CAST. HE SHOULD HAVE USED AN OPEN REDUCTION, INTERNAL FIXATION REPAIR.
Amount of Loss Adjustment Expense Paid to Defense Counsel041788
Profession or BusinessDentistryMedical Doctor
Specialty CodeDentistsSurgery - Hand
Final DiagnosisALLEGED NEGLIGENT SURGERY PROCEDURES CAUSED ADDITIONAL SURGERY AND PERMANENT DISABILITIESTHE SURGICAL PROCEDURE USED WAS NOT THE APPROPRIATE METHOD OF REPAIR.AS A RESULT A 2ND SURGERY WAS REQUIRED TO REPAIR THE WRIST FRACTURE.
Incurred Expense Mdeical093663
Amount of Deductible Paid by Defendant4178810000

 

 

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Dr. Kevin Strathy Medical Malpractice Lawsuits - Court Case # 09-85 GCS

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955071
Claim Number :253763
Date Submitted :10/6/2009
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualAngela LaFrance
Street Address
13450 W. Sunrise Blvd., Suite 160
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(954) 838 - 9988 (866) 636 - 5421alafrance@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKevin Strathy
Insurer TypeStreet Address of Practice
Licensed805 US Highway 27 South
CityStateZip CodeCounty
SebringFL33870Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
68712$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME86065Surgery - Plastic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
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
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
10/27/20064/13/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Drooping eyelids.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Bilateral upper lid blepharoplasty.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Corneal burn and decreased visual accuity.
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
2/13/200909-85 GCS
County Suit Filed inDate of Final Disposition
Highlands10/1/2009
Other Defendants Involved in this Claim
Novamed Surgery Center of Sebring, LLC
Surgical Center of Central Florida, Inc.
Kevin M. Strathy, M.D., P.A.
Sebring Plastic Surgery
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/10/2009
 
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$26,200
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$200,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$25,000$25,000
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. James F Zimmer Medical Malpractice Lawsuits - Court Case # GC03-454

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641709
Claim Number :17524
Date Submitted :7/26/2006
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJamesFZimmer
Insurer TypeStreet Address of Practice
Licensed306 Avenue Suite C
CityStateZip CodeCounty
Winter HavenFL33881Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PRF 1400518 00$2,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59108Radiology - Diagnostic - Minor Surgery3006

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPolk
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL-HEARTLAND MEDICAL CENTER LAKE PLACID 120013
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
11/10/19994/14/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Lung cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Chest x-ray
Diagnostic Code :231.2
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to idenitfy mass-like density in right lung
Principal Injury Giving Rise To The Claim
Lung cancer
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/18/2003GC03-454
County Suit Filed inDate of Final Disposition
Highlands7/13/2006
Other Defendants Involved in this Claim
Patel, MD, Deepak T
Florida Hospital Heartland
Radiology Consultants
Soham Pulmonary Group
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/19/2006
 
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$53,993
All Other Loss Adjustment Expense Paid$28,027
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$220,109$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. Robert A Midence Medical Malpractice Lawsuits - Court Case # GC03-259

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433415
Claim Number :216865
Date Submitted :11/12/2004
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJosie  Maldonado
Street Address
The Doctors Company, 13450 West Sunrise Blvd, Suite 160
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(954) 858 - 0480 (954) 838 - 7480JMaldonado@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertAMidence
Insurer TypeStreet Address of Practice
Licensed3425 S. Highlands Avenue
CityStateZip CodeCounty
SebringFL33870Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
58219$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME60055Internal Medicine - Minor Surgery000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HIGHLANDS REGIONAL MEDICAL CTR.100049
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
10/13/20009/28/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pain and Diverticulosis/Diverticulitis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Colonoscopy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None
Principal Injury Giving Rise To The Claim
Post colonoscopy bowel perforation and subsequent hernia.
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
5/12/2003GC03-259
County Suit Filed inDate of Final Disposition
Highlands10/22/2004
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/2/2004
 
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$29,000
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$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. Felix D Oyola Medical Malpractice Lawsuits - Court Case # GC02-679

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640378
Claim Number :A01-25107-01
Date Submitted :4/26/2006
 
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
IndividualFelixDOyola
Insurer TypeStreet Address of Practice
Licensed3140 NW Medical Center Lane, Ste 180
CityStateZip CodeCounty
Lake CityFL32055Columbia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
25597$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59691Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLORIDA HOSPITAL-HEARTLAND MEDICAL CTR.100109
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/9/200111/28/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Uterine fibroid mass.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Total abdominal hysterectomy with bilateral salpingo oophorectomy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Staph aureus infection with cellulitis and necrotizing fascitis.
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
1/9/2003GC02-679
County Suit Filed inDate of Final Disposition
Highlands3/30/2006
Other Defendants Involved in this Claim
Florida Hospital Heartland
Lopez, M.D., Arnaldo
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
3/30/2006
 
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$134,006
All Other Loss Adjustment Expense Paid$67,163
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. Kwabena K Pobi Medical Malpractice Lawsuits - Court Case # GC13-324

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471323
Claim Number :2013439849
Date Submitted :7/15/2014
 
Insurer Information
 
Insurer NameCoverage Type
Pobi, Kwabena KPrimary
Insurer FEINProfessional License Number
999999ME101313
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJulianne Sais
Street Address
3700 Crestwook Parkway, Suite 600
CityStateZip
DuluthGA30096
PhoneExtFaxE-Mail Address
(561) 784 - 3894 (562) 492 - 1865julianne.sais@sedgwickcms.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKwabenaKPobi
Insurer TypeStreet Address of Practice
Self-Insurer2373 U.S. Highway 27 South
CityStateZip CodeCounty
SebringFL33870Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
999999$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME101313Surgery - Urological 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
HIGHLANDS REGIONAL MEDICAL CTR.100049
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/15/20101/7/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Significantly reduced renal function
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Total left laparoscopic nephrectomy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis
Principal Injury Giving Rise To The Claim
Patient developed postop respiratory failure due to pulmonary embolism, thereby resulting in death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/1/2013GC13-324
County Suit Filed inDate of Final Disposition
Highlands7/15/2014
Other Defendants Involved in this Claim
Highlands regional Medical ctr
Segring HMA Physician Management, 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 not subject to Arbitration.
Date of Payment
7/15/2014
 
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$132,000
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$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. Jose R Thomas-Richards Medical Malpractice Lawsuits - Court Case # 11928GCS

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265100
Claim Number :HM156505-11
Date Submitted :10/11/2012
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJameela Maddox
Street Address
333 s Wabash
CityStateZip
ChicgoIL60604
PhoneExtFaxE-Mail Address
(312) 822 - 5000  Jameela.Maddox@cna.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJoseRThomas-Richards
Insurer TypeStreet Address of Practice
Licensed3750 EMERGENCY LANE
CityStateZip CodeCounty
SEBRINGFL33870Highlands
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
NSD-4014074966$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS6774Physicians or Surgeons 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHighlands
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other LocationEMERGENCY ROOM
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/24/201010/22/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CLAIMANT ALLEGES RIGHT UPPER EXTREMITY PAIN WITH RESIDUAL NUMBNESS SUBSEQUENT TO SURGEY.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PATIENT PRESENT TO EMERGENCY ROOM AFTER A TRIP AND FALL ON THE FLOOR AT HOME.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
INSURED PERFORMED SURGERY, OPEN REDUCTION INTERNAL FIXATION, RESIDUAL RADIAL NERVE PALSY
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
8/17/201111928GCS
County Suit Filed inDate of Final Disposition
Highlands9/12/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Settlement Reached Prior to Pre-Suit Period
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Award for plaintiff.
Date of Payment
9/18/2012
 
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$17,839
All Other Loss Adjustment Expense Paid$895
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
FULL AND FINAL SETTLEMENT OF DISPUTED CLAIM WITH NO ADMISSION OF LIABILITY
 
Updates
 
No updates found.

 

 

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

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