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. Deogracias L Caangay Medical Malpractice Lawsuits - Court Case # 15-001454CA

Indemnity Paid: $3,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885801
Claim Number : 15-001454CA
Date Submitted : 7/2/2018
 
Insurer Information
 
Insurer Name Coverage Type
HOMELAND INSURANCE COMPANY OF NEW YORK Excess
Insurer FEIN Professional License Number
52-1568827  
Insurer Contact Information
Type First Name MI Last Name
Individual Deogracias   Caangay
Street Address
3970 Hidden Acres Circle S
City State Zip
North Fort Myers FL 33903
Phone Ext Fax E-Mail Address
(239) 997 - 8336   (239) 997 - 8336 drdeo@caangay.com
 
Insured Information
 
Type First Name MI Last Name
Individual Deogracias L Caangay
Insurer Type Street Address of Practice
Licensed 9981 S. Healthpark Drive
City State Zip Code County
Fort Myers FL 33908 Lee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PHY - 0628-14 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME36038 Neonatal/Perinatal Medicine  

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 Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
LEE MEMORIAL HOSPITAL-HEALTHPARK 120005
Location of Institutional Injury Other Location of Institutional Injury
Other NICU
Date of Occurrence Date Reported to Insurer
11/13/2013 2/4/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The PICC was inserted and misplaced by the nurses of Lee Memorial, specifically Nurse Cynthia Mytnik and Nurse Cristina Reynolds.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PICC line insertion on the artery
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The PICC was not in the optimal place that it needed to be a central line and furthermore, Baby Jackson's left upper extremity began to show signs and symptoms of arterial vasoconstriction as a result of the PICC misplacement.
Principal Injury Giving Rise To The Claim
Ischemic amputation of left forearm.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
2/4/2015 15-001454CA
County Suit Filed in Date of Final Disposition
Lee 3/3/2018
Other Defendants Involved in this Claim
Liu, William F
Sultan, Shahid
Lee Memorial Health System
Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/3/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $3,000,000
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 Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
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. ROHIT R BHASIN Medical Malpractice Lawsuits - Court Case # 16-CA004224

Indemnity Paid: $1,199,352.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886151
Claim Number : 344563
Date Submitted : 8/14/2018
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual ROHIT R BHASIN
Insurer Type Street Address of Practice
Licensed 1660 MEDICAL BOULEVARD SUITE 200
City State Zip Code County
NAPLES FL 34110 Clay
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0967620 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME101430 Surgery - Neurology - Including Child  

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 Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other PHYSICIANS OFFICE
Date of Occurrence Date Reported to Insurer
8/1/2014 7/5/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
THE PATIENT WAS EVALUATED FOR SEIZURES AND SYNCOPAL EPISODES. THE FINAL DIAGNOSIS WAS PAPILLOEDEMA AND SHUNT MALFUNCTION.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
THE PATIENT WAS TREATED CONSERVATIVELY. CT SCAN OF THE PATIENT'S BRAIN WAS NEGATIVE FOR SHUNT FAILURE AND INTRACRANIAL PRESSURE.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED FAILURE TO DIAGNOSE AND TIMELY TREAT SHUNT MALFUNCTION AND BILATERAL PAPILLOEDEMA RESULTING IN BILATERAL BLINDNESS IN THE 52 YEAR OLD MALE.
Principal Injury Giving Rise To The Claim
BILATERAL BLINDNESS.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/14/2016 16-CA004224
County Suit Filed in Date of Final Disposition
Lee 7/12/2018
Other Defendants Involved in this Claim
FLORIDA NEUROLOGY GROUP, PL
LEE MEMORIAL HEALTH SYSTEM
SANTANA, LENAY
CUGINI, CHRISTY
MILLENNIUM PHYSICIAN GROUP, LLC
COLEMAN, AUSTIN
COLEMAN EYE CARE
NEUROSCIENCE AND SPINE ASSOCIATES, PL
LUSK, MICHAEL
AENLLE-MATUSZ, LISA
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
Disposed of by Arbitration
Court Decision Other
No Court Proceedings.  
Arbitration
Award for plaintiff.
Date of Payment
7/12/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,199,352
Loss Adjust Expense Paid to Defense Counsel $71,546
All Other Loss Adjustment Expense Paid $13,080
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.

 

 

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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. DEOGRACIAS L CAANGAY Medical Malpractice Lawsuits - Court Case # 15-001454-CA

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885293
Claim Number : PMG-13-AO-247138-1
Date Submitted : 5/14/2018
 
Insurer Information
 
Insurer Name Coverage Type
Pediatrix Medical Group, Inc. Primary
Insurer FEIN Professional License Number
26-359560  
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 DEOGRACIAS L CAANGAY
Insurer Type Street Address of Practice
Self-Insurer C/O SCHELL COOLEY, 5057 KELLER SPRINGS, SUITE 425
City State Zip Code County
ADDISON TX 75001 Out of state
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PHY-0071-12 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME36038 Neonatal/Perinatal Medicine  

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 Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
LEE MEMORIAL HOSPITAL-HEALTHPARK 120005
Location of Institutional Injury Other Location of Institutional Injury
Nursery  
Date of Occurrence Date Reported to Insurer
11/13/2013 11/18/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
NEWBORN
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
NEWBORN
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
OCCLUDED PICC LINE R/I LEFT ARM AMPUTATION
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/22/2015 15-001454-CA
County Suit Filed in Date of Final Disposition
Lee 5/14/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
4/27/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,000,000
Loss Adjust Expense Paid to Defense Counsel $510,583
All Other Loss Adjustment Expense Paid $223,652
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. SHAHID SULTAN Medical Malpractice Lawsuits - Court Case # 15-001454-CA

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885295
Claim Number : PMG-13-AO-247138-3
Date Submitted : 5/14/2018
 
Insurer Information
 
Insurer Name Coverage Type
Pediatrix Medical Group, Inc. Primary
Insurer FEIN Professional License Number
26-359560  
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 SHAHID   SULTAN
Insurer Type Street Address of Practice
Self-Insurer C/O RISSMAN, BARRETT, HURT, ET AL. 1 NORTH DALE MABRY HWY 11TH FL
City State Zip Code County
TAMPA FL 33609 Dade
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PHY-0071-12 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME33962 Neonatal/Perinatal Medicine  

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 Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
LEE MEMORIAL HOSPITAL-HEALTHPARK 120005
Location of Institutional Injury Other Location of Institutional Injury
Nursery  
Date of Occurrence Date Reported to Insurer
11/13/2013 11/18/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
NEWBORN
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
NEWBORN
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
OCCLUDED PICC LINE R/I LEFT ARM AMPUTATION
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/22/2015 15-001454-CA
County Suit Filed in Date of Final Disposition
Lee 5/14/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
4/27/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,000,000
Loss Adjust Expense Paid to Defense Counsel $0
All Other Loss Adjustment Expense Paid $25,000
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. 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. Margaret D Taha Medical Malpractice Lawsuits - Court Case # 12-CA-003043

Indemnity Paid: $850,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201472130
Claim Number : 5149624-01
Date Submitted : 8/25/2015
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Susan K Spielman
Street Address
5814 Reed Road
City State Zip
Fort Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0340     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Margaret D Taha
Insurer Type Street Address of Practice
Licensed 3660 Broadway
City State Zip Code County
Fort Myers FL 33901 Lee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
727692 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME101989 Radiology - Diagnostic - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
GULF COAST MEDICAL CENTER (PANAMA CITY) 100242
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
3/13/2010 6/8/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Reading of chest CT
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Delay in diagnosis of aortic aneurysm
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
10/18/2012 12-CA-003043
County Suit Filed in Date of Final Disposition
Lee 9/12/2014
Other Defendants Involved in this Claim
Johnson MD, Thomas B
Urgent Care Center of Southwest Florida LLC
Radiology Regional Center PA
Chowdhury MD, Khaza
Quiles-Cruz MD, Francisco
Hospitalist Group of Southwest Florida PA
Brown RN, Laurie
Watt RN, Karen
Pilla RN, Melissa
Lee Memorial Health System dba Gulf Coast Med Ctr
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/11/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $850,000
Loss Adjust Expense Paid to Defense Counsel $62,226
All Other Loss Adjustment Expense Paid $41,400
Injured Person's Total Non-Economic Loss $425,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change: 2/13/2015 11:09:48 AM
Reason for Change: ALE UPDATE
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 26611 36606
Amount of Loss Adjustment Expense Paid to Defense Counsel 53974 62184
 
Date of Change: 8/25/2015 4:55:57 PM
Reason for Change: ALE UPDATE
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 36606 41400
Amount of Loss Adjustment Expense Paid to Defense Counsel 62184 62226

 

 

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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. AYESHA WAHEED Medical Malpractice Lawsuits - Court Case # 14-CA-03522

Indemnity Paid: $687,500.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781911
Claim Number : VRP-14-SIR2-355006
Date Submitted : 4/24/2017
 
Insurer Information
 
Insurer Name Coverage Type
VIRTUAL RADIOLOGIC SERVICES AKA NIGHTHAWK Primary
Insurer FEIN Professional License Number
27-007453  
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 AYESHA   WAHEED
Insurer Type Street Address of Practice
Self-Insurer C/O 11995 SINGLETREE LANE, STE. 500
City State Zip Code County
EDEN PRAIRIE MN 55344 Out of state
Policy Number Per Claim Policy Limits Aggregate Policy Limits
1031971370XSCLM $1,000,000 $4,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME110164 Radiology - Diagnostic - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
CAPE CORAL HOSPITAL 100244
Location of Institutional Injury Other Location of Institutional Injury
Other RADIOLOGY
Date of Occurrence Date Reported to Insurer
12/5/2013 8/4/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PERIUMBILICAL ABDOMINAL PAIN WITH VOMITING.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT SCAN WAS DONE.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO EVIDENCE OF SMALL BOWEL OBSTRUCTION AND POST SURGICAL CHANGES OF GASTRIC BYPASS SURGERY.
Principal Injury Giving Rise To The Claim
SMALL BOWEL OBSTRUCTION
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/22/2014 14-CA-03522
County Suit Filed in Date of Final Disposition
Lee 4/24/2017
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
2/16/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $687,500
Loss Adjust Expense Paid to Defense Counsel $69,873
All Other Loss Adjustment Expense Paid $31,451
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. 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. Steven E Levine Medical Malpractice Lawsuits - Court Case # 16-CA-002290

Indemnity Paid: $600,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884595
Claim Number : 1027037-01
Date Submitted : 8/22/2018
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Steven E Levine
Insurer Type Street Address of Practice
Licensed 4105 W Riverside Dr
City State Zip Code County
Fort Myers FL 33901 Lee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
790118 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME39822 Pathology - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
   
Date of Occurrence Date Reported to Insurer
5/20/2015 7/22/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Diagnosis of cancer of the right breast
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Bilateral mastectomy
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Incorrect diagnosis
Principal Injury Giving Rise To The Claim
Unnecessary bilateral mastectomy
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/28/2016 16-CA-002290
County Suit Filed in Date of Final Disposition
Lee 2/28/2018
Other Defendants Involved in this Claim
FL Cancer Specialists PL dba FL Cancer Specialists & Researc
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/28/2018
 
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 $37,555
All Other Loss Adjustment Expense Paid $15,872
Injured Person's Total Non-Economic Loss $500,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
 
Date of Change: 8/22/2018 2:34:04 PM
Reason for Change: ALE UPDATE
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 28030 37555
All Other Loss Adjustment Expense Paid 11377 15872

 

 

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Dr. Lenay Santana Medical Malpractice Lawsuits - Court Case # 16-CA-004224

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884793
Claim Number : 345462
Date Submitted : 3/23/2018
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Lenay   Santana
Insurer Type Street Address of Practice
Licensed 777 West Hickpoochee Avenue Suite C
City State Zip Code County
Labelle FL 33935 Hendry
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0944197 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME117089 Neurology - including child - no surgery - All Other  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Hendry
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Physician's office
Date of Occurrence Date Reported to Insurer
8/26/2014 8/1/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
50 year old male, father of 10 year old son with history if arachnoid shunt since age 5 (with undiagnosed shunt malfunction) recently medicated with Keppra complained of headaches, blurred vision and was referred by PCP to our insured to rule out seizure disorder.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured sent patient to Lee Memorial ED with request for Neurological consult and to address patient severe complaints. Insured saw patient follow up two days later. Patient had stopped Keppra and had remarkable improvement. Insured ordered a video EEG with return visit planned. Patient never returned and was lost to our followup.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient was found to have a shunt malfunction and became legally blind five months later.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/15/2016 16-CA-004224
County Suit Filed in Date of Final Disposition
Lee 3/12/2018
Other Defendants Involved in this Claim
Coleman, Austin
Lee Memorial Hospital
Lusk, Michael
Aenlle-Matusz, Lisa
Neuroscience & Spine 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/12/2018
 
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 $48,983
All Other Loss Adjustment Expense Paid $42,585
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. WILLIAM F LIU Medical Malpractice Lawsuits - Court Case # 15-001454-CA

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885294
Claim Number : PMG-13-AO-247138-2
Date Submitted : 5/14/2018
 
Insurer Information
 
Insurer Name Coverage Type
Pediatrix Medical Group, Inc. Primary
Insurer FEIN Professional License Number
26-359560  
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 WILLIAM F LIU
Insurer Type Street Address of Practice
Self-Insurer C/O RISSMAN, BARRETT, HURT, ET AL. 1 NORTH DALE MABRY HWY 11TH FL
City State Zip Code County
TAMPA FL 33609 Broward
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PHY-0071-12 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME46994 Neonatal/Perinatal Medicine  

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 Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
LEE MEMORIAL HOSPITAL-HEALTHPARK 120005
Location of Institutional Injury Other Location of Institutional Injury
Nursery  
Date of Occurrence Date Reported to Insurer
11/13/2013 11/18/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
NEWBORN
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
NEWBORN
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
OCCLUDED PICC LINE R/I LEFT ARM AMPUTATION
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/22/2015 15-001454-CA
County Suit Filed in Date of Final Disposition
Lee 5/14/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
4/27/2018
 
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 $781
All Other Loss Adjustment Expense Paid $28,861
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. Paul L DiGiorgi Medical Malpractice Lawsuits - Court Case # 16-CA-002124

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201680745
Claim Number : 335860
Date Submitted : 12/29/2016
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Paul L DiGiorgi
Insurer Type Street Address of Practice
Licensed 9981 S Healthpark Drive Suite 120
City State Zip Code County
Fort Myers FL 33908 Lee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0948901 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME98545 Surgery - Thoracic  

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 Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
LEE MEMORIAL HOSPITAL-HEALTHPARK 120005
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
8/19/2013 11/6/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented for mitral valve repair procedure. He has recovered.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured performed a mitral valve repair procedure.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Reduced ejection fraction due to occlusion of the posterior descending branch of the circumflex coronary artery.
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
6/14/2016 16-CA-002124
County Suit Filed in Date of Final Disposition
Lee 11/29/2016
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/29/2016
 
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 $27,541
All Other Loss Adjustment Expense Paid $8,679
Injured Person's Total Non-Economic Loss $500,000
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
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. Bradley W Trope Medical Malpractice Lawsuits - Court Case # 14-CA-003522

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201781217
Claim Number : 50546
Date Submitted : 4/13/2017
 
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 Bradley W Trope
Insurer Type Street Address of Practice
Licensed 625 Del Prado Blvd. S.
City State Zip Code County
Cape Coral FL 33990 Lee
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1601624 10 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME92678 Gastroenterology - 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 Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
CAPE CORAL HOSPITAL 100244
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
12/5/2013 8/25/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Small bowel perforation
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose and treat small bowel obstruction
Principal Injury Giving Rise To The Claim
Ischemic bowel
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/22/2014 14-CA-003522
County Suit Filed in Date of Final Disposition
Lee 4/4/2017
Other Defendants Involved in this Claim
Waheed, MD, Ayesha
Singh, MD, Pradeep
Rodriguez, MD, Freddie
Lee Memorial Health System
Virtual Radiologic Professionals
Inpatient Specialists SWFL
Associates in Digestive Health
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/6/2017
 
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 $310,570
All Other Loss Adjustment Expense Paid $57,980
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,480,000 $17,900,000
Wage Loss $0 $100,000
Other Expenses $0 $100,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change: 4/13/2017 11:29:42 AM
Reason for Change: Report updated to reflect Court Document final disposition date of 4/4/17
 
Field Changed Former Value New Value
Date of Final Disposition 06-FEB-17 04-APR-17

 

 

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Dr. Daniel W Gorski Medical Malpractice Lawsuits - Court Case # 13CA-002750

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575786
Claim Number : 305744
Date Submitted : 12/31/2015
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W. Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Daniel W Gorski
Insurer Type Street Address of Practice
Licensed 1 Tampa General Circle, Suite A-327
City State Zip Code County
Tampa FL 33606 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
919546 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME84885 Anesthesiology  

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 Lee
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility Riverwalk Surgery Center
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
11/17/2011 5/6/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Recurrent patellar dislocation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Post-op femoral nerve block and popliteal nerve block following left laparoscopic lateral meniscectomy and lateral release.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Left femoral and popliteal nerve palsy and disability from employment, chronic pain and muscule atrophy.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/14/2013 13CA-002750
County Suit Filed in Date of Final Disposition
Lee 8/13/2015
Other Defendants Involved in this Claim
Florida Gulf to Bay Anesthesiology Ass
Riverwalk Surgery Center, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other Pending Dismissal
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 $97,546
All Other Loss Adjustment Expense Paid $98,804
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
 
 
Date of Change: 12/31/2015 10:41:22 AM
Reason for Change: Reported wrong address for insured, corrected descriptions and financial information entered.
 
Field Changed Former Value New Value
Safety Management Steps Taken Unknown Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
All Other Loss Adjustment Expense Paid 0 98804
Indemnity Paid 0 500000
Cause of Injury Post-op femoral nerve block and popliteal nerve block following left laparoscopic laterla nenisectomy and lateral release. Post-op femoral nerve block and popliteal nerve block following left laparoscopic lateral meniscectomy and lateral release.
Settlement Reached 0 1
Insured Address Street 2011 NW 23 Terrace 1 Tampa General Circle, Suite A-327
Amount of Loss Adjustment Expense Paid to Defense Counsel 0 97546
Insured Zip Code 33993 33606
Insured Address City Cape Coral Tampa
Insured Address County Lee Hillsborough
Principal Injury Left femoral and poplireal nerve palsy and disability from employment, chronic pain and muscule atrophy. Left femoral and popliteal nerve palsy and disability from employment, chronic pain and muscule atrophy.

 

 

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

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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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