Medical Malpractice Cases

Medical Malpractice Cases In Lee County Florida

Dr. Charles Cox Medical Malpractice Lawsuits - Court Case # 03-1699-CA-JSC

Indemnity Paid: $13,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057128
Claim Number :25214-02
Date Submitted :4/19/2010
 
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
IndividualCharles Cox
Insurer TypeStreet Address of Practice
Licensed3594 Broadway, Suite H
CityStateZip CodeCounty
Fort MyersFL33901Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
3393$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME18066Surgery - Opthalmology80114

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
11/3/20006/7/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
26 week premature newborn presented for ophthalmic monitoring.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured examined patient in office visit on 1/10/2001 and found no ridge, no neovascularization, no aggressive activity in the peripheral retinal vessels and four major vessels were of normal caliber and tortuosity.There was no evidence of retinopathy.The infant was immediately referred when the mother brought him for an exam 19 days later, or 4 days after scheduled and the insured found bilateral retinal hemorrhages.The critical, subsequent treater, did not see the child until 4 days later.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Subsequent treater examined on 2/01, 22 days later, and extrapolated backward to opine insured had missed ROP signs on 1/10/2001.
Principal Injury Giving Rise To The Claim
ROP, retinal detachment, blindness, both eyes.
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
4/14/200303-1699-CA-JSC
County Suit Filed inDate of Final Disposition
Lee3/31/2010
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/31/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$13,000,000
Loss Adjust Expense Paid to Defense Counsel$279,109
All Other Loss Adjustment Expense Paid$162,854
Injured Person's Total Non-Economic Loss$13,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
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. Charles Cox Medical Malpractice Lawsuits - Court Case # 03-1699-CA-JSC

Indemnity Paid: $13,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057132
Claim Number :25203-02
Date Submitted :4/19/2010
 
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
IndividualCharles Cox
Insurer TypeStreet Address of Practice
Licensed3594 Broadway, Suite H
CityStateZip CodeCounty
Fort MyersFL33901Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
3393$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME18066Surgery - Opthalmology80114

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
11/3/20006/7/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
26 week premature newborn presented for ophthalmic monitoring.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured examined patient in office visit on 1/10/2001 and found no ridge, no neovascularization, no aggressive activity in the peripheral retinal vessels and the four major vessels were of normal caliber and tortuosity.There was no evidence of retinopathy.The infant was immediately referred when the mother brought him for an exam 19 days later or 4 days after scheduled and the insured found bilateral retinal hemorrhages.The critical, subsequent treater, did not see the child until 4 days later.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Retinopathy of prematurity, retinal detachment, blindness, both eyes.
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
4/14/200303-1699-CA-JSC
County Suit Filed inDate of Final Disposition
Lee3/31/2010
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
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/31/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$13,000,000
Loss Adjust Expense Paid to Defense Counsel$276,359
All Other Loss Adjustment Expense Paid$166,618
Injured Person's Total Non-Economic Loss$13,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
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. Luciano Boemi Medical Malpractice Lawsuits - Court Case # 04-003135 CA

Indemnity Paid: $2,156,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265486
Claim Number :228819
Date Submitted :12/4/2012
 
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 320
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(954) 838 - 9988 (866) 636 - 5421alafrance@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLuciano Boemi
Insurer TypeStreet Address of Practice
Licensedc/o Cassie Boemi, 12966 White Violet Drive
CityStateZip CodeCounty
NaplesFL34119Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
60689$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75944Surgery - Plastic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other LocationSurgery Center
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/16/20035/7/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient desired cosmetic breast augmentation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vertical mastopexy and augmentation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Loss of bilateral nipples.
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
8/5/200404-003135 CA
County Suit Filed inDate of Final Disposition
Lee12/4/2012
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
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/29/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$2,156,000
Loss Adjust Expense Paid to Defense Counsel$1,100,000
All Other Loss Adjustment Expense Paid$89,804
Injured Person's Total Non-Economic Loss$2,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$156,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown.
 
Updates
 
 
Date of Change:12/4/2012 10:17:39 AM
Reason for Change:Indemnity amount was corrected to $2,156,000 - medical expense amount was corrected to $156,000.
 
Field ChangedFormer ValueNew Value
Indemnity Paid21520002156000
Incurred Expense Mdeical152000156000

 

 

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

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Dr. DANIEL E DOSORETZ Medical Malpractice Lawsuits - Court Case # 022636CA FA

Indemnity Paid: $1,800,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745702
Claim Number :HM047002
Date Submitted :5/23/2007
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIAPrimary
Insurer FEINProfessional License Number
23-0342560 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCarolALobacz
Street Address
352 WILDWOOD LANE EAST
CityStateZip
DEERFIELD BEACHFL33442
PhoneExtFaxE-Mail Address
(954) 481 - 1989 (312) 894 - 3680carol.lobacz@cna.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDANIELEDOSORETZ
Insurer TypeStreet Address of Practice
Licensed2234 COLONIAL BLVD
CityStateZip CodeCounty
FORT MYERSFL33907-1412Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HPP1089982801$3,000,000$5,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME38701Additional Charges:Raditation Therapy 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
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
6/21/200011/13/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
GRADE III FIBRO HISTIOCYTOMA IN THE RIGHT THIGH POST RADICAL EXCISION OF A 10 CM TUMOR.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
RADIATION THERAPY
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
THERE WAS NO MISDIAGNOSIS MADE.
Principal Injury Giving Rise To The Claim
POST RADICAL EXCISION OF A 10 CM GRADE III B FIBROUS HISTIOCYTOMA IN THE RIGHT THIGH, PT UNDERWENT RADIATION THERAPY AND MAID CHEMOTHERAPY, WHICH MAY HAVE CONTRIBUTED TO HIS ULTIMATE RIGHT HIP DISARTICULATION.
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
3/22/2002022636CA FA
County Suit Filed inDate of Final Disposition
Lee4/10/2007
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
OtherSETTLEMENT
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/3/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,800,000
Loss Adjust Expense Paid to Defense Counsel$94,951
All Other Loss Adjustment Expense Paid$58,212
Injured Person's Total Non-Economic Loss$1,800,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
INSURED DISCUSSED CASE WITH DEFENSE COUNSEL AND INSURANCE PERSONNEL.
 
Updates
 
No updates found.

 

 

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Dr. Jorge M Rivera Medical Malpractice Lawsuits - Court Case # 03-CA-37101

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200533866
Claim Number :A03-28498-03
Date Submitted :1/3/2005
 
Insurer Information
 
Insurer NameCoverage Type
ANESTHESIOLOGISTS PROFESSIONAL ASSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
59-2820748 
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
IndividualJorgeMRivera
Insurer TypeStreet Address of Practice
Licensed3788 Harold Avenue
CityStateZip CodeCounty
Fort MyersFL33901Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
60600$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME54619Anesthesiology1

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
GULF COAST HOSPITAL (FORT MYERS)111522
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
4/15/20035/12/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Persistant vomitting, heartburn, abdominal pain related to fragile X syndrome.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Esophagogastroduodenoscopy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Respiratory depression, cardiac arrest during esophagogastroduodenoscopy, while under care of CRNA supervised by physician.
Principal Injury Giving Rise To The Claim
Hypoxic event; neurological damage.
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
9/23/200303-CA-37101
County Suit Filed inDate of Final Disposition
Lee12/15/2004
Other Defendants Involved in this Claim
CoreyCRNA, Lois
RossMD, Christian R
Gulf Coast 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
12/15/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$67,783
All Other Loss Adjustment Expense Paid$18,668
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
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. James E Sensecqua Medical Malpractice Lawsuits - Court Case # 03-CA-5225H

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537900
Claim Number :18502
Date Submitted :11/2/2005
 
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
IndividualJamesESensecqua
Insurer TypeStreet Address of Practice
Licensed1550 BARKLEY CIR
CityStateZip CodeCounty
FORT MYERSFL33907-4539Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600129 03$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME50875Cardiovascular Disease - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LEE MEMORIAL HOSPITAL-HEALTHPARK120005
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/28/20036/2/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Supraventricular tachyarrhythmia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Introventricular ablation
Diagnostic Code :425.4
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure
Principal Injury Giving Rise To The Claim
Transeptal puncture and anoxic encephalopathy
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
12/30/200303-CA-5225H
County Suit Filed inDate of Final Disposition
Lee9/13/2005
Other Defendants Involved in this Claim
Lee Memorial Hospital
Florida Heart Associates
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
11/1/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$393,458
All Other Loss Adjustment Expense Paid$98,365
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$1,300,000$30,000,000
Wage Loss$75,000$1,200,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. EDWARD J TOGGART Medical Malpractice Lawsuits - Court Case # 006098

Indemnity Paid: $900,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848209
Claim Number :278588
Date Submitted :2/5/2009
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMary Osborn
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(800) 463 - 37766604(260) 486 - 0785Mary.Osborn@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEDWARDJTOGGART
Insurer TypeStreet Address of Practice
Licensed8540 COLLEGE PKWY
CityStateZip CodeCounty
FORT MYERSFL33919-5143Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
619813$1,500,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME35976Cardiovascular Disease - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
NAPLES COMM. HOSPITAL (N. COLLIER)100018
Location of Institutional InjuryOther Location of Institutional Injury
OtherCardiac Cath Lab
Date of OccurrenceDate Reported to Insurer
1/7/19994/11/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
alleged pre existing back problems
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ASSISTED IN LIFTING PATIENT
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
IMPROPER SUPPORT FOR PATIENT
Principal Injury Giving Rise To The Claim
DROPPED PATIENT AND RE-INJUREDBACK
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
7/24/2006006098
County Suit Filed inDate of Final Disposition
Lee12/21/2007
Other Defendants Involved in this Claim
SOUTHWEST FLORIDA HEART
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/27/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$900,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$52,500
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:2/5/2009 3:51:48 PM
Reason for Change:Updated ALE
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid052500

 

 

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Dr. Danny Beitelschies Medical Malpractice Lawsuits - Court Case # 00 8830CA WCM

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535341
Claim Number :D00-19615-98
Date Submitted :6/1/2005
 
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
IndividualDanny Beitelschies
Insurer TypeStreet Address of Practice
Licensed2675 Winkler Avenue, Suite 440
CityStateZip CodeCounty
Fort MyersFL33901Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
21194$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Physician Assistant 
License NumberSpecialty Code & ClassificationCertification Number
PA2032Family Physicians or General Practitioners - No Surgery71529

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
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
2/24/19986/7/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ventral epidural abscess.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured participated in post coroanry artery bypass surgery follow-up. The claimant developed a sternal wound infection and later, an epidural abscess.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of epidural abscess.
Principal Injury Giving Rise To The Claim
Quadriplegia.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/16/200000 8830CA WCM
County Suit Filed inDate of Final Disposition
Lee4/29/2005
Other Defendants Involved in this Claim
Metke, M.D., Michael P
Sharkey, M.D., Richard G
Sidell, M.D., Peter
Lee Memorial Health Systems
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/29/2005
 
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$3,290
All Other Loss Adjustment Expense Paid$1,292
Injured Person's Total Non-Economic Loss$750,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$294,462$3,500,519
Wage Loss$0$68,534
Other Expenses$28,000$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. Rudolf Kotula Medical Malpractice Lawsuits - Court Case # 03-CA-31461

Indemnity Paid: $650,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746649
Claim Number :28114-01
Date Submitted :8/20/2007
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRudolf Kotula
Insurer TypeStreet Address of Practice
Licensed2675 Winkler Ave, Ste 300
CityStateZip CodeCounty
Fort MyersFL33901Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98061$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME83661Internal Medicine - No Surgery80257

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
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
1/4/20023/19/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Wound infection.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Gentamycin administration.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Vestibular toxicity.
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
8/7/200303-CA-31461
County Suit Filed inDate of Final Disposition
Lee8/1/2007
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
8/1/2007
 
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$42,011
All Other Loss Adjustment Expense Paid$23,232
Injured Person's Total Non-Economic Loss$650,000
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. MARY KAY K PETERSON Medical Malpractice Lawsuits - Court Case # 03-CA1436

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536358
Claim Number :16430
Date Submitted :8/15/2005
 
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
IndividualMARY KAYKPETERSON
Insurer TypeStreet Address of Practice
Licensed3680 Broadway
CityStateZip CodeCounty
Fort MyersFL33901Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600266 01$2,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME77132Radiology - Diagnostic - Minor Surgery3806

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityRadiology Regional Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
7/30/200110/11/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pain management for post-cervical fusion with new symptoms
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Myelogram
Diagnostic Code :780.3
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure causing spillage of contrast into head.
Principal Injury Giving Rise To The Claim
Seizure
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
2/13/200303-CA1436
County Suit Filed inDate of Final Disposition
Lee8/11/2005
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
8/11/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$62,665
All Other Loss Adjustment Expense Paid$20,366
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$58,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Cecile Saint Paul Medical Malpractice Lawsuits - Court Case # 032380CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537344
Claim Number :212848
Date Submitted :10/13/2005
 
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
13450 West Sunrise Blvd., Suite 160
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(954) 858 - 0480 (954) 838 - 7480JMaldonado@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCecile Saint Paul
Insurer TypeStreet Address of Practice
Licensed1412 ROYAL PALM SQUARE BLVD STE 102
CityStateZip CodeCounty
FORT MYERSFL33919-1075Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
58878$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME55639Surgery - Obstetrics - Gynecology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LEE MEMORIAL HOSPITAL-HEALTHPARK120005
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
4/22/20002/14/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Nine weeks pregnant
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Ultrasound was not performed
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Stillbirth due to a failue to examine and treat the patient when she complained via phone of diminished fetal movement.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/21/2001032380CA
County Suit Filed inDate of Final Disposition
Lee9/29/2005
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
10/4/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$16,000
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.

 

 

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

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Dr. Julio E Conrado Medical Malpractice Lawsuits - Court Case # 06-CA-001526

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200744543
Claim Number :30030-03
Date Submitted :2/22/2007
 
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
IndividualJulioEConrado
Insurer TypeStreet Address of Practice
Licensed5030-A Mason Corbin Ct.
CityStateZip CodeCounty
Fort MyersFL33907Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
47909$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME70286Pulmonary Diseases - No Surgery80269

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LEE MEMORIAL HOSPITAL-HEALTHPARK120005
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
12/23/20032/3/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Laparoscopic hysterectomy.Post-operative respiratory insufficiency and hypoxemia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Monitoring following conservative treatment of respiratory insufficiency.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Anoxic encephalopathy.
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
8/3/200606-CA-001526
County Suit Filed inDate of Final Disposition
Lee2/1/2007
Other Defendants Involved in this Claim
Andrade, M.D., Diego
Sachs, M.D., Morris M
Brown, M.D., Charles S
Lee Memorial Health Systems
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
2/1/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$5,207
All Other Loss Adjustment Expense Paid$1,808
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Harris A Sachs Medical Malpractice Lawsuits - Court Case # 06-CA-001526

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200744544
Claim Number :30030-02
Date Submitted :2/22/2007
 
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
IndividualHarrisASachs
Insurer TypeStreet Address of Practice
Licensed5030-A Mason Corbin Ct.
CityStateZip CodeCounty
Fort MyersFL33907Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
47341$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME57078Pulmonary Diseases - No Surgery80269

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LEE MEMORIAL HOSPITAL-HEALTHPARK120005
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
12/23/20032/3/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Laparoscopic hysterectomy.Post-operative respiratory failure and ARDS.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Management of hypoxemia and fluid balance and shock.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Hypoxic encephalopathy.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/6/200606-CA-001526
County Suit Filed inDate of Final Disposition
Lee1/31/2007
Other Defendants Involved in this Claim
Andrade, M.D., Diego
Brown, M.D., Charles S
Conrado, M.D., Julio
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/31/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$17,117
All Other Loss Adjustment Expense Paid$9,606
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Sharon Salamat Medical Malpractice Lawsuits - Court Case # 10-CA-001660

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265362
Claim Number :37451-03
Date Submitted :11/13/2012
 
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
IndividualSharon Salamat
Insurer TypeStreet Address of Practice
Licensed12545 SW 68th Court
CityStateZip CodeCounty
Punta GordaFL33156Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
9917$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME60617Surgery - Gynecology80167

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLee
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
4/21/20087/30/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
20 year old at 12 weeks gestation, presented for evaluation and treatment of potential congenital adrenal hyperplasia and delta 508 mutation for cystic fibrosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Physician made decimal error in calculating dexamethasone dosage.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Mother developed temporary side effects from high dosage dexamethasone.Mother had pre-existing and continuing hypertension and developed placental insufficiency.Fetus had IUGR and premature delivery at 22 weeks, developed necrotizing entercolitis and died.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/3/201010-CA-001660
County Suit Filed inDate of Final Disposition
Lee10/18/2012
Other Defendants Involved in this Claim
Maternal Fetal Medicine of SW Florida, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/18/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$66,563
All Other Loss Adjustment Expense Paid$68,446
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Jan Malat Medical Malpractice Lawsuits - Court Case # 11-CA003196

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367759
Claim Number :41805-01
Date Submitted :7/23/2013
 
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
IndividualJan Malat
Insurer TypeStreet Address of Practice
Licensed877 111th Avenue N, Suite 1
CityStateZip CodeCounty
NaplesFL34108Collier
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98363$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME61096Radiology - Diagnostic - No Surgery80253

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCollier
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityRadiology Regional Center, P.A.
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
6/16/20076/6/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient complained of bump on testicle of 1 month duration which had resolved and resolved associated tenderness.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Scrotal ultrasound interpretation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to report findings consistent with testicular cancer.Strongly disputed by qualified expert radiologists, who opined the interpretation and report met the standard of care.
Principal Injury Giving Rise To The Claim
Growth and metasteses of testicular cancer resulting in multiple excisions of metastatic tissue and complications of aggressive, effective surgical, radiation and chemotherapy treatment.
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
11/9/201111-CA003196
County Suit Filed inDate of Final Disposition
Lee7/1/2013
Other Defendants Involved in this Claim
Radiology Regional Center, P.A.
Rizzo, D.O., Jasper
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
7/1/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$24,447
All Other Loss Adjustment Expense Paid$20,553
Injured Person's Total Non-Economic Loss$500,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Norma Appelbaum Medical Malpractice Lawsuits - Court Case # 10-CA-001139

Indemnity Paid: $485,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264455
Claim Number :39100-01
Date Submitted :7/31/2012
 
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
IndividualNorma Appelbaum
Insurer TypeStreet Address of Practice
Licensed3512 Del Prado Blvd.
CityStateZip CodeCounty
Cape CoralFL33904Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
25883$500,000$1,500,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN12052Dental General Practice - NOC80211

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/31/20078/27/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient appeared for root canal treatment for #4 and 31 with crowns for 4,5 & 15. Attempted sinus lift 4-2; however, perforation found at site of previous extraction and infection developed.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Sinus lift 2-4.Patient did not reveal previous history of severe sinusitis; cocaine abuse and smoking.Infection developed and spread in sinuses requiring oral surgery and ENT referral and followup.Trigeminal neuropathy developed, which became refractory to rhizotomy and ablation procedures.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Followup ENT surgical procedures and neurosurgery treatment to ablate pain source.
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
5/28/201010-CA-001139
County Suit Filed inDate of Final Disposition
Lee7/10/2012
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
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/10/2012
 
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$64,656
All Other Loss Adjustment Expense Paid$20,139
Injured Person's Total Non-Economic Loss$485,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$364,000$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. JAMES PENUEL JR. Medical Malpractice Lawsuits - Court Case # 07-CA-006902

Indemnity Paid: $475,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955571
Claim Number :34521-05
Date Submitted :11/24/2009
 
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
IndividualJAMES PENUEL JR.
Insurer TypeStreet Address of Practice
Licensed7152 Coca Sabal Lane
CityStateZip CodeCounty
Fort MyersFL33908Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99273$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME40176Gastroenterology - Minor Surgery80274

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LEE MEMORIAL HOSPITAL-HEALTHPARK120005
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
11/23/20043/12/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Distended atonic colon.Recurrent obstructive diverticulitis with massive distention.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Decompressive colonoscopy, remove from bowel perforation site.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Colon perforation and sepsis, ARDS, kidney failure and prolonged hospitalization.
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
9/12/200707-CA-006902
County Suit Filed inDate of Final Disposition
Lee11/13/2009
Other Defendants Involved in this Claim
Herrera, M.D., Juan
Digestive Health Associates
Kammerlocher, M.D., Thad
Kowalsky, M.D., Thomas
Lee Memorial Health System
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
11/13/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$475,000
Loss Adjust Expense Paid to Defense Counsel$21,884
All Other Loss Adjustment Expense Paid$16,706
Injured Person's Total Non-Economic Loss$475,000
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. Brian Schwartz Medical Malpractice Lawsuits - Court Case # 06-CA-001766

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851559
Claim Number :33559-01
Date Submitted :11/26/2008
 
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
IndividualBrian Schwartz
Insurer TypeStreet Address of Practice
Licensed15781 Old Wedgewood Ct.
CityStateZip CodeCounty
Fort MyersFL33908Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99338$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME70198Surgery - Urological80145

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SOUTHWEST FLORIDA REG. MED. CTR100220
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/13/20041/6/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Prostate cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Nerve sparing prostatectomy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Alleged lack of informed consent as to treatment options-death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/9/200606-CA-001766
County Suit Filed inDate of Final Disposition
Lee11/4/2008
Other Defendants Involved in this Claim
Hart, M.D., Lowell
Florida Cancer Associates
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
11/4/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$450,000
Loss Adjust Expense Paid to Defense Counsel$85,116
All Other Loss Adjustment Expense Paid$62,024
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. Saurabh N Patel Medical Malpractice Lawsuits - Court Case # 08-CA-025737

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471186
Claim Number :080934
Date Submitted :6/25/2014
 
Insurer Information
 
Insurer NameCoverage Type
OPHTHALMIC MUTUAL INSURANCE COMPANY (A R.R.G.)Primary
Insurer FEINProfessional License Number
94-3047990 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualBarbara JChapman
Street Address
101 East Kennedy Blvd
CityStateZip
TampaFL33602
PhoneExtFaxE-Mail Address
(813) 209 - 9611127(813) 209 - 9511bchapman@lacavajacobson.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSaurabhNPatel
Insurer TypeStreet Address of Practice
Licensed27160 Bay Landing Drive Suite 100
CityStateZip CodeCounty
Bonita SpringsFL34135Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
OMC0011187$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME90577Surgery - Opthalmology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
3/20/20076/15/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Mr. Mayer presented to Dr. Patel on referral for loss of vision in bottom portion of left eye for one week which progressed to the upper eye. There were no symptoms of GCA noted in any testing or history taken.Dr. Patel diagnosed Acute Optic Neuropathy, APD, macular Pucker, and ERM.Patient's vision did not improve, and after third visit, stated he had headache and was referred to Bascom Palmer Institute. He was questionably diagnosed with Giant Cell Arteritis (GCA). Testing ordered included MRI, CT, labs (no CRP) and ECHO, which were all negative except for the MRI due to cancellation due to the patient having a pacemaker.The final diagnosis was NAAION vs. GCA.Patient maintained partial left eye vision.No definitive diagnosis was ever obtained.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
NAAION or GCAunable to definitively diagnose. e
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
naaion VS gca
Principal Injury Giving Rise To The Claim
DECREASED VISUAL ACUITY IN LEFT EYE.
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
11/4/200808-CA-025737
County Suit Filed inDate of Final Disposition
Lee7/20/2010
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
7/20/2010
 
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$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
Research on GCA and it presentations.
 
Updates
 
No updates found.

 

 

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Dr. Rajan K Sareen Medical Malpractice Lawsuits - Court Case # 03-CA-5118H

Indemnity Paid: $425,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641918
Claim Number :18274
Date Submitted :11/7/2006
 
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
IndividualRajanKSareen
Insurer TypeStreet Address of Practice
LicensedPO BOX 51108
CityStateZip CodeCounty
FORT MYERSFL33994-1108Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600672 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53094Internal Medicine - No Surgery49524

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
10/29/20018/20/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Shortness of breath, wheezing
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :453.9
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose DVT in leg
Principal Injury Giving Rise To The Claim
Pulmonary embolisim
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/9/200403-CA-5118H
County Suit Filed inDate of Final Disposition
Lee8/14/2006
Other Defendants Involved in this Claim
Lehigh Acres Fire Control & Rescue
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$425,000
Loss Adjust Expense Paid to Defense Counsel$58,160
All Other Loss Adjustment Expense Paid$32,161
Injured Person's Total Non-Economic Loss$425,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:11/7/2006 2:52:39 PM
Reason for Change:Report updated to reflect Court document final disposition date of 08/14/06.
 
Field ChangedFormer ValueNew Value
Date of Final Disposition05-JUL-0614-AUG-06

 

 

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Dr. MICHAEL CORBIN Medical Malpractice Lawsuits - Court Case # 08-CA-0009322

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953068
Claim Number :005060714
Date Submitted :3/27/2009
 
Insurer Information
 
Insurer NameCoverage Type
NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PAPrimary
Insurer FEINProfessional License Number
25-0687550 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJeanCBates
Street Address
1515 Wilson Blvd.
CityStateZip
ArlingtonVA22209
PhoneExtFaxE-Mail Address
(703) 907 - 3828 (703) 276 - 9419bates@prms.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMICHAEL CORBIN
Insurer TypeStreet Address of Practice
Licensed1010 Seminole Dr. #1013
CityStateZip CodeCounty
Fort LauderdaleFL33304Broward
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSC03-0941481$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME88058Psychiatry - All Other 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
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
3/3/20074/10/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Depression and substance abuse
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Inpatient psyciahtric evaluation
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged misdiagnosis of suicidality
Principal Injury Giving Rise To The Claim
Suicide by hanging 10 days after discharge
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/2/200808-CA-0009322
County Suit Filed inDate of Final Disposition
Lee3/4/2009
Other Defendants Involved in this Claim
Lee Mental Health 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
3/4/2009
 
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$172,187
All Other Loss Adjustment Expense Paid$0
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$400,000$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None
 
Updates
 
No updates found.

 

 

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Dr. Richard Liu Medical Malpractice Lawsuits - Court Case # 11CA000638

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265378
Claim Number :39036-01
Date Submitted :11/16/2012
 
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
IndividualRichard Liu
Insurer TypeStreet Address of Practice
Licensed14171 Metropolis Avenue, Ste 101
CityStateZip CodeCounty
Fort MyersFL33912Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99165$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME81018Surgery - Otorhinolaryngology80159

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLee
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
2/19/20098/12/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
32 year old morbidly obese nurse BMA 42.4 declined CPAP and underwent uvulopalatopharyngoplasty and tongue base reduction and SMR.Discharged same day with no complications.Given/pain medication.Vomited, aspirated and arrested at home the following afternoon under the care of nurse husband.Resuscitated but brain inactive and life support removed.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient did well first day but nausea and pain the next day.ENT exam at hospital showed minimal swelling; however, toxicology showed elevated hydrocodone levels in excess of prescribed.Husband had reported no difficulty breathing that a.m. to insured.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
EMS found patient in cardiac and respiratory arrest with vomitus in oral pharynx and suctioned from airway.Patient had no brain activity after resuscitation in hospital and removed from life support.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/28/201111CA000638
County Suit Filed inDate of Final Disposition
Lee10/19/2012
Other Defendants Involved in this Claim
Ear, Nose & Throat Specialists, M.D., P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/19/2012
 
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$48,956
All Other Loss Adjustment Expense Paid$37,264
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. Robert J Brueck Medical Malpractice Lawsuits - Court Case # 03 CA 4876H

Indemnity Paid: $375,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851754
Claim Number :124554
Date Submitted :7/27/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMaria Gonzalez
Street Address
2801 SW 149th Avenue, Suite 200
CityStateZip
MiramarFL33027
PhoneExtFaxE-Mail Address
(954) 602 - 5834  mgonzalez@pronational.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertJBrueck
Insurer TypeStreet Address of Practice
Licensed3700 Central Avenue, Suite 1
CityStateZip CodeCounty
Fort MyersFL33901Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP38242$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME33768Surgery - Plastic0

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityAssociates in Cosmetic Surgery
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/15/20027/29/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Evaluation for bilateral subcutaneous mastectomies.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Bilateral subcutaneous mastectomies.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis made.
Principal Injury Giving Rise To The Claim
Distortion of both breasts-scarring.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/15/200303 CA 4876H
County Suit Filed inDate of Final Disposition
Lee12/10/2008
Other Defendants Involved in this Claim
Brueck, Golosow, Kim & Associates, PL
Robert J. Brueck, MDPA
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$375,000
Loss Adjust Expense Paid to Defense Counsel$76,578
All Other Loss Adjustment Expense Paid$35,749
Injured Person's Total Non-Economic Loss$375,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured discussed claim with insurance personnel and medical experts.
 
Updates
 
 
Date of Change:7/27/2009 10:21:29 AM
Reason for Change:Additional invoices paid after file closed.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel7398376578
All Other Loss Adjustment Expense Paid3324235749

 

 

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Dr. MICHAEL BAYS Medical Malpractice Lawsuits - Court Case # 10-CA-002420

Indemnity Paid: $365,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201470846
Claim Number :FP3956701
Date Submitted :5/20/2014
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKelly Andrews
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(904) 360 - 3038  kandrews@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMICHAEL BAYS
Insurer TypeStreet Address of Practice
Licensed4790 Barkley Circle, Bldg. A
CityStateZip CodeCounty
Fort MyersFL33907Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CL099177$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS6177Gastroenterology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityGastroenterology Assoc. of S. Florida
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
11/18/200812/18/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Monitoring Colonoscopy-constipation recently.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Colonoscopy and polypectomy x 6
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
CT 6 months later identified cm mass in tissue adjacent to ileocecal valve. Expert reviewer opined colonoscopy performed within the standard of care.
Principal Injury Giving Rise To The Claim
Delay in diagnosis of focal invasive adenocarcinoma.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/10/201010-CA-002420
County Suit Filed inDate of Final Disposition
Lee8/28/2013
Other Defendants Involved in this Claim
Gastroenterology Associates of S.W. Florida.
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
OtherOrder of dismissal
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/28/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$365,000
Loss Adjust Expense Paid to Defense Counsel$85,168
All Other Loss Adjustment Expense Paid$37,074
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Donald A Hill Medical Malpractice Lawsuits - Court Case # 03CA4608

Indemnity Paid: $347,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535334
Claim Number :A03-28263-02
Date Submitted :6/1/2005
 
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
IndividualDonaldAHill
Insurer TypeStreet Address of Practice
Licensed1318 Gasparilla Drive
CityStateZip CodeCounty
Fort MyersFL33901Lee
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98665$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME77857Emergency Medicine - No Major Surgery80102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLee
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
GULF COAST HOSPITAL (FORT MYERS)111522
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
1/3/20024/8/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest Pain/GERD
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged unstable angina - impending MI.
Principal Injury Giving Rise To The Claim
Death from subsequent MI seven days later.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/13/200303CA4608
County Suit Filed inDate of Final Disposition
Lee5/5/2005
Other Defendants Involved in this Claim
Gulf Coast 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
5/4/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$347,500
Loss Adjust Expense Paid to Defense Counsel$36,668
All Other Loss Adjustment Expense Paid$24,048
Injured Person's Total Non-Economic Loss$347,500
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$27,000$0
Wage Loss$0$337,000
Other Expenses$9,000$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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