Medical Malpractice Cases

Medical Malpractice Cases In Marion County Florida

Dr. Uday S Mishra Medical Malpractice Lawsuits - Court Case # 05-2075-CAB

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641965
Claim Number :21670
Date Submitted :12/8/2006
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualUdaySMishra
Insurer TypeStreet Address of Practice
Licensed1315 South East 25th Loop #4
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601365 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME73537Internal Medicine - No Surgery49515

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
7/3/20043/2/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest pain, shortness of breath
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cardiac catheterization
Diagnostic Code :415.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to perform appropriate testing to diagnose patient's symptoms
Principal Injury Giving Rise To The Claim
Bilateral pulmonary emboli
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/10/200505-2075-CAB
County Suit Filed inDate of Final Disposition
Marion11/28/2006
Other Defendants Involved in this Claim
Mirza MD, Haris I
Sunshine State Medical Clinic, PA
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
8/8/2006
 
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$16,805
All Other Loss Adjustment Expense Paid$9,915
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$567,610
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:12/8/2006 8:52:19 AM
Reason for Change:Report updated to reflect Court document final disposition date of 11/28/06
 
Field ChangedFormer ValueNew Value
Date of Final Disposition01-AUG-0628-NOV-06

 

 

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Dr. CHRISTOPHER JOHNSON Medical Malpractice Lawsuits - Court Case # 09-1821-CA-G

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263454
Claim Number :EMC-FLXS-08XS-110182
Date Submitted :4/9/2012
 
Insurer Information
 
Insurer NameCoverage Type
EmCare Holdings, Inc.Primary
Insurer FEINProfessional License Number
75-173235SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy  Thomas
Street Address
2000 West Sam Houston Parkway South, 19th Floor; One Briarlake Plaza
CityStateZip
HoustonTX77042-361
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCHRISTOPHER JOHNSON
Insurer TypeStreet Address of Practice
Self-Insurer545 SE 41ST STREET
CityStateZip CodeCounty
OCALAFL34480Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2008-Excess$750,000$2,250,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS9235Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
12/19/20071/21/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
FEVER AND SEIZURES
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ADMINISTERED FOSPHENYTONIN BOLUS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
WRONG DOSAGE
Principal Injury Giving Rise To The Claim
BRAIN INJURY AND CARDIAC ARREST
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/8/200909-1821-CA-G
County Suit Filed inDate of Final Disposition
Marion3/27/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
2/14/2012
 
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$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Richard M Cowin Medical Malpractice Lawsuits - Court Case # 071205CAB

Indemnity Paid: $592,724.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200952695
Claim Number :06PMF100030
Date Submitted :2/27/2009
 
Insurer Information
 
Insurer NameCoverage Type
CAMPMED CASUALTY & INDEMNITY COMPANY, INC.Primary
Insurer FEINProfessional License Number
52-1827116 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyLPowell
Street Address
111 Berry St SE
CityStateZip
ViennaVA22180
PhoneExtFaxE-Mail Address
(800) 831 - 9506803(703) 242 - 3815npowell@thecampaniagroup.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRichardMCowin
Insurer TypeStreet Address of Practice
Licensed10900 SE 174 St.
CityStateZip CodeCounty
SummerfieldFL34491Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
26PMAF1000.0024$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Podiatric Physician 
License NumberSpecialty Code & ClassificationCertification Number
PO1295  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
7/28/20041/30/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
right heel spur
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
retrocaneal exostectomy right foot
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Postoperative infection led to osteomyelitis which required additional surgeries, removal of part of the bone and foot pain
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/16/2007071205CAB
County Suit Filed inDate of Final Disposition
Marion2/2/2009
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After arbitration is initiated or prior to suit being filed.
Final Method of Claim Disposition
Disposed of by Arbitration
Court DecisionOther
OtherArbitration award
Arbitration
Award for plaintiff.
Date of Payment
2/2/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$592,724
Loss Adjust Expense Paid to Defense Counsel$373,830
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$527,500
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$65,224$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured is not practicing podiatry. He has taken risk management seminars.
 
Updates
 
No updates found.

 

 

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

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Dr. ALAN V RICHMAN Medical Malpractice Lawsuits - Court Case # 073577CAG

Indemnity Paid: $575,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850084
Claim Number :280113
Date Submitted :1/12/2009
 
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
IndividualALANVRICHMAN
Insurer TypeStreet Address of Practice
Licensed131 SW 15TH ST
CityStateZip CodeCounty
OCALAFL34474-4029Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
632067$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME26579Pathology - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
10/29/20037/16/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
BREAST CANCER
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
BILATERAL MASTECTOMY
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO DIAGNOSE CANCER INSENTINAL LYMPH NODE BIOPSY
Principal Injury Giving Rise To The Claim
DELAY IN DIAGNOSIS & TREATMENT,METASTATIC CANCER
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/3/2007073577CAG
County Suit Filed inDate of Final Disposition
Marion6/23/2008
Other Defendants Involved in this Claim
MUNROE REGIONAL HEALTH SYS
MUNROE REGIONAL 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/27/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$575,000
Loss Adjust Expense Paid to Defense Counsel$24,005
All Other Loss Adjustment Expense Paid$18,396
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:7/28/2008 11:19:42 AM
Reason for Change:The ALE was reported incorrectly as $250,000.00. It should have been $575,000.00
 
Field ChangedFormer ValueNew Value
Indemnity Paid250000575000
 
Date of Change:1/12/2009 2:04:14 PM
Reason for Change:UPDATING ALE FOR THIS CASE.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel1442224005
All Other Loss Adjustment Expense Paid598918396

 

 

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Dr. Edson G Cortes Medical Malpractice Lawsuits - Court Case # 07-2566-CA-B

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953105
Claim Number :25495
Date Submitted :5/13/2009
 
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
IndividualEdsonGCortes
Insurer TypeStreet Address of Practice
Licensed1490 SE Magnolia Extension
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600362 06$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87022Radiology - interventional 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MARION COMMUNITY HOSPITAL100212
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
2/5/20054/27/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stroke
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT/MRI
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose stroke
Principal Injury Giving Rise To The Claim
Stroke
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/21/200707-2566-CA-B
County Suit Filed inDate of Final Disposition
Marion4/15/2009
Other Defendants Involved in this Claim
Marion Community Hospital
Reisner, MD, Frank
NES of Florida
Lossada, MD, Mery J
Patel, MD, SanjaiA
Sivasekaran, MD, Ratnasabapachy
Central Florida Medical Group
Moore, MD, Wendie K
Radiology Associate of Ocala
Cruz-Martinez, MD, Edgardo
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/26/2009
 
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$45,117
All Other Loss Adjustment Expense Paid$24,965
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$89,816$3,052,297
Wage Loss$286,954$109,445
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:5/13/2009 3:22:31 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 04/15/09
 
Field ChangedFormer ValueNew Value
Date of Final Disposition26-MAR-0915-APR-09

 

 

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Dr. Wendie K Moore Medical Malpractice Lawsuits - Court Case # 07-2566-CA-B

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953106
Claim Number :25496
Date Submitted :4/1/2009
 
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
IndividualWendieKMoore
Insurer TypeStreet Address of Practice
Licensed1490 SE Magnolia Extension
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600362 06$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME71107Radiology - interventional 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MARION COMMUNITY HOSPITAL100212
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
2/5/20054/27/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stroke
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT/MRI
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose stroke
Principal Injury Giving Rise To The Claim
Stroke
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/21/200707-2566-CA-B
County Suit Filed inDate of Final Disposition
Marion3/26/2009
Other Defendants Involved in this Claim
Marion Community Hospital
Reisner, MD, Frank
NES of Florida
Lossada, MD, Mery J
Patel, MD, Sanjai A
Sivasekaran, MD, Ratnasabapachy
Central Florida Medical Group
Cortes, MD, Edson G
Radiology Associates of Ocala
Crutz-Martinez, MD, Edgardo
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/26/2009
 
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$45,055
All Other Loss Adjustment Expense Paid$28,307
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$89,816$3,052,297
Wage Loss$286,954$109,445
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. FRANK REISNER Medical Malpractice Lawsuits - Court Case # 07-2566 CA B

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955810
Claim Number :NES-06-68750
Date Submitted :12/21/2009
 
Insurer Information
 
Insurer NameCoverage Type
EVEREST INDEMNITY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
22-3520347 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualFRANK REISNER
Insurer TypeStreet Address of Practice
Licensed216 NE 12th Avenue
CityStateZip CodeCounty
OcalaFL34470Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6500000204-061$1,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME38249Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
OCALA REGIONAL MEDICAL CENTER100212
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/6/20055/4/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Occluded carotid artery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose and timely treat
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
Principal Injury Giving Rise To The Claim
Dissected carotid artery resulting in diability
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
9/14/200707-2566 CA B
County Suit Filed inDate of Final Disposition
Marion12/18/2009
Other Defendants Involved in this Claim
Marion Community Hospital
NES of Florida
Lossada, M.D., Mary J
Patel, M.D., Sanjai
Sivasekaran, M.D., Ratnasabapachy
Moore, M.D., Wendie K
Cortes, M.D., EdsonG
Cruz-Martinez, M.D., Edgardo
Florida Medical Group, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/1/2009
 
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$116,311
All Other Loss Adjustment Expense Paid$34,248
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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Dr. Baudouin LeClercq Medical Malpractice Lawsuits - Court Case # 09-2063-CA-B

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056287
Claim Number :37999-02
Date Submitted :2/2/2010
 
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
IndividualBaudouin LeClercq
Insurer TypeStreet Address of Practice
Licensed2980 SE 3rd Court
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99480$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME81654Nephrology - Minor Surgery80287

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/22/200812/4/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dialysis catheter related infection, fever, abdominal pain and end stage renal disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Blood cultures, intravenous antibiotics, dialysis and observation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/6/200909-2063-CA-B
County Suit Filed inDate of Final Disposition
Marion1/12/2010
Other Defendants Involved in this Claim
Lakhminarayanan, M.D., Suresh
Seek, M.D., Melvin
Munroe Regional Medical Center
Ocala Critical Care & Kidney Group, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/12/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$17,161
All Other Loss Adjustment Expense Paid$6,090
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. William Trice Medical Malpractice Lawsuits - Court Case # 11-002625-CA-B

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264423
Claim Number :41523-01
Date Submitted :7/25/2012
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualWilliam Trice
Insurer TypeStreet Address of Practice
Licensed2723 Southeast Maricamp Road
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
4359$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME25927Internal Medicine - No Surgery80257

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
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
9/12/20074/7/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Routine annual exams and complaints of a decrease in ejaculant.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allegations of failing to monitor PSA levels and complete rectal exams in a patient with increased PSA velocity.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose prostate cancer.
Principal Injury Giving Rise To The Claim
Alleged failure to timely diagnose prostate cancer, resulted in metastatic disease and fatal prognosis.
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
9/19/201111-002625-CA-B
County Suit Filed inDate of Final Disposition
Marion6/28/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/28/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$22,153
All Other Loss Adjustment Expense Paid$26,678
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. Srisha Rao Medical Malpractice Lawsuits - Court Case # 07-2087-CA-B

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851317
Claim Number :34956-01
Date Submitted :11/6/2008
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSrisha Rao
Insurer TypeStreet Address of Practice
Licensed2111 SW 20th Place
CityStateZip CodeCounty
OcalaFL34474Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
48306$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME73544Cardiovascular Disease - No Surgery80255

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
OCALA REGIONAL MEDICAL CENTER100212
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
11/21/200511/21/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Atrial flutter with rapid ventricular response.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Synchronized electrical cardioversion.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Allegations of failing to anticoagulate prior to cardioversion, resulting in right kidney infarct from thrombolism and loss of right kidney.
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
8/28/200707-2087-CA-B
County Suit Filed inDate of Final Disposition
Marion10/15/2008
Other Defendants Involved in this Claim
Cardiology Associates of Ocala, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/15/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$450,000
Loss Adjust Expense Paid to Defense Counsel$42,827
All Other Loss Adjustment Expense Paid$15,803
Injured Person's Total Non-Economic Loss$450,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Osvaldo Velez-Leon Medical Malpractice Lawsuits - Court Case # 01-0033-CA-G

Indemnity Paid: $425,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534605
Claim Number :A01-23545-97
Date Submitted :3/10/2005
 
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
IndividualOsvaldo Velez-Leon
Insurer TypeStreet Address of Practice
Licensed6129 Raliegh Street Apt. 815
CityStateZip CodeCounty
OrlandoFL32835Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
27151$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME67294Internal Medicine - No Surgery80257

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
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
2/1/19971/9/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Colon cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose colon cancer following scant hematochezia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Anal irritation vs. colon cancer.
Principal Injury Giving Rise To The Claim
death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/19/200101-0033-CA-G
County Suit Filed inDate of Final Disposition
Marion2/16/2005
Other Defendants Involved in this Claim
 
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
Otherduring trial
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/16/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$425,000
Loss Adjust Expense Paid to Defense Counsel$66,023
All Other Loss Adjustment Expense Paid$54,324
Injured Person's Total Non-Economic Loss$425,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$75,000$0
Wage Loss$450,000$0
Other Expenses$30,000$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Richard M Cowin Medical Malpractice Lawsuits - Court Case # 08-CA-003796

Indemnity Paid: $406,250.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954813
Claim Number :06PMF100039
Date Submitted :9/8/2009
 
Insurer Information
 
Insurer NameCoverage Type
CAMPMED CASUALTY & INDEMNITY COMPANY, INC.Primary
Insurer FEINProfessional License Number
52-1827116 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyLPowell
Street Address
111 Berry St SE
CityStateZip
ViennaVA22180
PhoneExtFaxE-Mail Address
(800) 831 - 9506803(703) 242 - 3815npowell@thecampaniagroup.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRichardMCowin
Insurer TypeStreet Address of Practice
Licensed10900 SE 174th Street
CityStateZip CodeCounty
SummerfieldFL34491Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
26PMAF1000.0024$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Podiatric Physician 
License NumberSpecialty Code & ClassificationCertification Number
PO1295  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
OtherAdvanced Surgery Center
Date of OccurrenceDate Reported to Insurer
11/17/20051/9/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
callous/lesion on plantar surface of left foot
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
tibial and fibular planing, left foot and excision of porokeratotic lesion, plantar surface of left foot sub 1st metatarsal
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
infection
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/9/200808-CA-003796
County Suit Filed inDate of Final Disposition
Marion8/7/2009
Other Defendants Involved in this Claim
Richard M. Cowin DPM, PA
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
8/7/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$406,250
Loss Adjust Expense Paid to Defense Counsel$186,830
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured is no longer practicing podiatry. Nonetheless, insured has taken continuing education courses.
 
Updates
 
 
Date of Change:9/8/2009 2:23:38 PM
Reason for Change:Incorrect Insured name entered initially
 
Field ChangedFormer ValueNew Value
Name of InstitutionN/A
Insured Zip Code2218034491
Insured Address CityViennaSummerfield
Insured Middle InitialLM
Insured First NameNancyRichard
Insured Address State CodeVAFL
Insured Address Street111 Berry St SE10900 SE 174th Street
Insured Last NamePowellCowin
Insured License NumberPO1295

 

 

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

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Dr. Martin E Burger Medical Malpractice Lawsuits - Court Case # 2011-CA-3766

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368038
Claim Number :5148590-01
Date Submitted :1/27/2014
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSusanKSpielman
Street Address
5814 Reed Road
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340  reportaclaim@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMartinEBurger
Insurer TypeStreet Address of Practice
Licensed320 W Roosevelt Road
CityStateZip CodeCounty
LombardIL60148Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
674507$500,000$1,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS8473Ophthalmology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MAlachua
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other LocationLange Eye Care Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
6/26/200710/21/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Blurred vision
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lasik surgery
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Improper candidate for surgery
Principal Injury Giving Rise To The Claim
Loss of visual acuity
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/2/20112011-CA-3766
County Suit Filed inDate of Final Disposition
Marion8/21/2013
Other Defendants Involved in this Claim
Atkins OD, Brian R
Lange Eye Care and Associates PA
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
8/20/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$96,108
All Other Loss Adjustment Expense Paid$25,202
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change:1/27/2014 4:20:53 PM
Reason for Change:ALE UPDATE
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel8783096108
All Other Loss Adjustment Expense Paid1996525202

 

 

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Dr. Francisco J Camino Medical Malpractice Lawsuits - Court Case # 11-0184-CA-B

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264207
Claim Number :34392
Date Submitted :8/10/2012
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualFranciscoJCamino
Insurer TypeStreet Address of Practice
Licensed2126 SE 25th Loop
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1602248 03$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME65355Infectious Diseases - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
OCALA REGIONAL MEDICAL CENTER100212
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
11/24/20097/2/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Spinal cord abscess
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 order appropriate diagnostics
Principal Injury Giving Rise To The Claim
Epidural abscess
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/7/201111-0184-CA-B
County Suit Filed inDate of Final Disposition
Marion7/10/2012
Other Defendants Involved in this Claim
Sanon, DO, Reginald
Syfert, MD, Dale
Hood, MD, Robert
Rao, MD, Narsing
Florida EM-1 Medical Services
Ocala Regional Medical Center
Inpatient Consultants of Florida
Munroe Regional Medical Center
West Marion Community 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
6/4/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$41,832
All Other Loss Adjustment Expense Paid$14,448
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$250,000$100,000
Wage Loss$0$0
Other Expenses$0$4,500,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:8/10/2012 1:29:18 PM
Reason for Change:Report updated to reflect final Court Document date of 07/10/12
 
Field ChangedFormer ValueNew Value
Date of Final Disposition04-JUN-1210-JUL-12

 

 

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Dr. Michael Crimi Medical Malpractice Lawsuits - Court Case # 03-665 CAG

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057242
Claim Number :VBT7347
Date Submitted :5/4/2010
 
Insurer Information
 
Insurer NameCoverage Type
ST. PAUL FIRE & MARINE INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
41-0406690 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSusan Bowers
Street Address
200 N. LaSalle St, Ste 2200
CityStateZip
ChicagoIL60601
PhoneExtFaxE-Mail Address
(312) 917 - 2135 (312) 917 - 1423sbowers1@travelers.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMichael Crimi
Insurer TypeStreet Address of Practice
Licensed10762 S US Highway 441
CityStateZip CodeCounty
BelleviewFL34420Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
00X113077763$1,000,000$5,000,000
Profession or BusinessOther Profession or Business
Otherphysician assistant
License NumberSpecialty Code & ClassificationCertification Number
PA2607  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Otherphysician's office
Date of OccurrenceDate Reported to Insurer
5/7/200111/14/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Normal pressure hydrocephalus
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Normal pressure hydrocephalus
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose along with subsequent delay in treatment
Principal Injury Giving Rise To The Claim
Memory loss along with limited cognitive function impairment
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
6/2/200303-665 CAG
County Suit Filed inDate of Final Disposition
Marion4/3/2010
Other Defendants Involved in this Claim
Express Care of Belleview
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/2/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$145,679
All Other Loss Adjustment Expense Paid$57,230
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$54,000$1,100,000
Wage Loss$441,000$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. ROBERT HOOD Medical Malpractice Lawsuits - Court Case # 11-3045-CAB

Indemnity Paid: $325,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471201
Claim Number :EMC-10XS-FL-115292
Date Submitted :6/27/2014
 
Insurer Information
 
Insurer NameCoverage Type
EmCare Holdings, Inc.Primary
Insurer FEINProfessional License Number
75-173235SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualROBERT HOOD
Insurer TypeStreet Address of Practice
Self-Insurer10853 SW 71ST CIRCLE
CityStateZip CodeCounty
OCALAFL32084St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2009-Excess$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME65749Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
11/16/200910/9/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
H1N1
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
H1N1
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
H1N1
Principal Injury Giving Rise To The Claim
DEATH
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/20/201111-3045-CAB
County Suit Filed inDate of Final Disposition
Marion10/21/2013
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
11/12/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$325,000
Loss Adjust Expense Paid to Defense Counsel$162,642
All Other Loss Adjustment Expense Paid$114,491
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Brannon R Moye Medical Malpractice Lawsuits - Court Case # 11-2505-CAG

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265535
Claim Number :37175/38755
Date Submitted :12/10/2012
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBrannonRMoye
Insurer TypeStreet Address of Practice
Licensed2300 SE 17th St., Bldg. 800
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1602507 03$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME96670Radiology - interventional 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
3/3/20094/14/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Breast Cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis
Principal Injury Giving Rise To The Claim
Breast Cancer
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/30/201111-2505-CAG
County Suit Filed inDate of Final Disposition
Marion12/5/2012
Other Defendants Involved in this Claim
Advanced Imaging Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/5/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$300,000
Loss Adjust Expense Paid to Defense Counsel$23,079
All Other Loss Adjustment Expense Paid$11,397
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$100,000$0
Wage Loss$25,000$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. Lillian A Mitchell Medical Malpractice Lawsuits - Court Case # 07-2185-CA-G

Indemnity Paid: $300,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851837
Claim Number :25283
Date Submitted :4/1/2009
 
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
IndividualLillianAMitchell
Insurer TypeStreet Address of Practice
Licensed9401 SW Hwy 200, Suite 703
CityStateZip CodeCounty
OcalaFL34481Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601625 02$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME76394Internal Medicine - No Surgery3506

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
11/27/20053/16/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pulmonary embolism
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delay in diagnosis of pulmonary embolism
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleges failure to diagnose pulmonary embolism
Principal Injury Giving Rise To The Claim
Pulmonary embolism
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/8/200707-2185-CA-G
County Suit Filed inDate of Final Disposition
Marion2/9/2009
Other Defendants Involved in this Claim
Urban, MD, Paul
Central Florida Heart Center, PA
Paul Urban MD, PA
Marion Community Hospital, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/16/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$300,000
Loss Adjust Expense Paid to Defense Counsel$32,200
All Other Loss Adjustment Expense Paid$14,616
Injured Person's Total Non-Economic Loss$300,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$4,826$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:4/1/2009 3:50:46 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 02/09/09
 
Field ChangedFormer ValueNew Value
Date of Final Disposition15-DEC-0809-FEB-09

 

 

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Dr. Joseph Locker Medical Malpractice Lawsuits - Court Case # 07-203-CAG

Indemnity Paid: $297,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747104
Claim Number :34698-01
Date Submitted :10/1/2007
 
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
IndividualJoseph Locker
Insurer TypeStreet Address of Practice
Licensed3040 SW 27th Ave, Ste 103
CityStateZip CodeCounty
OcalaFL34474Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
36446$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME80326Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
OCALA REGIONAL MEDICAL CENTER100212
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/3/20059/28/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right humerus fracture.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Reamed intramedullary nailing.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
This 37 year old male suffered injury to his radial nerve, resulting in decreased function of his right arm.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/16/200707-203-CAG
County Suit Filed inDate of Final Disposition
Marion9/11/2007
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
9/11/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$297,500
Loss Adjust Expense Paid to Defense Counsel$13,794
All Other Loss Adjustment Expense Paid$11,689
Injured Person's Total Non-Economic Loss$297,500
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
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. KENNETH ALLWOOD Medical Malpractice Lawsuits - Court Case # 02-1966 CA-G

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746390
Claim Number :EMC-02-0070
Date Submitted :7/30/2007
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKENNETH ALLWOOD
Insurer TypeStreet Address of Practice
Licensed9108 ROYAL GATE DRIVE
CityStateZip CodeCounty
WINDERMEREFL34786Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-0$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME76673Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
4/4/20015/16/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
STROKE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
FAILURE TO TIMELY DIAGNOSE STROKE
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
DIAGNOSIS - DELAY
Principal Injury Giving Rise To The Claim
STROKE - DISABILITY
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
12/17/200302-1966 CA-G
County Suit Filed inDate of Final Disposition
Marion7/26/2007
Other Defendants Involved in this Claim
HILDNER, M.D., JOSEPH
PEAD, M.D., CHRISTOPHER
MUNROE REGIONAL MEDICAL CENTER
FISHER, P.A., DAVID
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
1/2/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$138,232
All Other Loss Adjustment Expense Paid$17,261
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
SETTLED BY PARTIES.
 
Updates
 
No updates found.

 

 

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Dr. Joseph Oibo Medical Malpractice Lawsuits - Court Case # 06-170-CA-B

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849885
Claim Number :33131-02
Date Submitted :6/18/2008
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJoseph Oibo
Insurer TypeStreet Address of Practice
Licensed150 SE 17th Street, Ste 801
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98629$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME70676Internal Medicine - No Surgery80257

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/31/20029/21/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Metastatic adenocarcinoma of the colon.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was treated in the office for abdominal pain by insured's nurse practitioner.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Allegations of failing to timely diagnose colon cancer.
Principal Injury Giving Rise To The Claim
Death of this 34 year old female.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/16/200606-170-CA-B
County Suit Filed inDate of Final Disposition
Marion5/29/2008
Other Defendants Involved in this Claim
Raum, M.D., Mary E
Fusco, M.D., Frank
Family Care Specialists, Inc.
Advanced Medical Network, LLC
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/29/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$36,689
All Other Loss Adjustment Expense Paid$14,832
Injured Person's Total Non-Economic Loss$250,000
Deductible$25,000
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. Jose L Roman Medical Malpractice Lawsuits - Court Case # 05-1954-CAG

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200744759
Claim Number :31033-01
Date Submitted :3/8/2007
 
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
IndividualJoseLRoman
Insurer TypeStreet Address of Practice
Licensed8150 SW State Road 200, Ste 400
CityStateZip CodeCounty
OcalaFL34481Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
33369$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME65784Internal Medicine - No Surgery80257

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
3/28/20047/14/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Flu-like symptoms which later became bacterial endocarditis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lab work indicating bacteria was allegedly not properly followed up on.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Flu as opposed to bacterial infection.
Principal Injury Giving Rise To The Claim
Bacterial endocarditis, resulting in value replacements.
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
9/15/200505-1954-CAG
County Suit Filed inDate of Final Disposition
Marion2/16/2007
Other Defendants Involved in this Claim
Nichols, A.R.N.P., Lorna
Advanced Medical Network
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
2/16/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$16,336
All Other Loss Adjustment Expense Paid$8,295
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$110,000$25,000
Wage Loss$75,000$0
Other Expenses$6,500$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. Joseph C Hildner Medical Malpractice Lawsuits - Court Case # 02-1966 CA-G

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200745442
Claim Number :116524
Date Submitted :4/7/2008
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProNational Insurance Company
Street Address
13919 Carrollwood Village Run
CityStateZip
TampaFL33618-2746
PhoneExtFaxE-Mail Address
(813) 969 - 2010 (813) 969 - 2120SNorris@ProAssurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJosephCHildner
Insurer TypeStreet Address of Practice
Licensed5051 S.E. 110th Street
CityStateZip CodeCounty
BelleviewFL34420Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-3003126-00$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53903Family Physicians or General Practitioners - No Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
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
1/1/20015/7/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient with history of A-fib, diabetes, poorly controlled hypertension andhyperlipidemia was seen for follow-up of medical conditions.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Exam and prescriptions including daily aspirin.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
A month later, the patient suffered a CVA resulting in 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
10/21/200202-1966 CA-G
County Suit Filed inDate of Final Disposition
Marion4/13/2007
Other Defendants Involved in this Claim
Pead, Christopher S
Joseph C. Hildner, M.D., P.A. d/b/a Family Doctors of Bellev
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/19/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$80,431
All Other Loss Adjustment Expense Paid$38,352
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:4/7/2008 9:50:32 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel7368380431
All Other Loss Adjustment Expense Paid2877838352

 

 

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Dr. William T Overcash Medical Malpractice Lawsuits - Court Case # 01-1264-CA-B

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433791
Claim Number :A01-23855-99
Date Submitted :12/20/2004
 
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
IndividualWilliamTOvercash
Insurer TypeStreet Address of Practice
Licensed2965 S.E. 3rd Court
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
36376$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME56492Surgery - General80143

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/15/19993/20/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Gastric cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Subtotal gastrectomy, omenectomy & pyloroplasty.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
none.
Principal Injury Giving Rise To The Claim
Death due to bleed from anastomotic leak.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/21/200101-1264-CA-B
County Suit Filed inDate of Final Disposition
Marion11/23/2004
Other Defendants Involved in this Claim
Mishkind, M.D., Mark
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
11/23/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$38,282
All Other Loss Adjustment Expense Paid$25,859
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$70,000$0
Wage Loss$100,000$750,000
Other Expenses$10,000$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. Mark T Mishkind Medical Malpractice Lawsuits - Court Case # 01-1264-CA-B

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433792
Claim Number :B01-23855-99
Date Submitted :12/20/2004
 
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
IndividualMarkTMishkind
Insurer TypeStreet Address of Practice
Licensed2965 Southeast 3rd Court
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
36375$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME70506Surgery - General0

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MMarion
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MUNROE REGIONAL MEDICAL CENTER100062
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/15/19993/20/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Gastric cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Subtotal gastrectomy, omenectomy & pyloroplasty.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
none.
Principal Injury Giving Rise To The Claim
Death due to bleed from anastomotic leak.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/21/200101-1264-CA-B
County Suit Filed inDate of Final Disposition
Marion11/23/2004
Other Defendants Involved in this Claim
Mishkind, M.D., Mark
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
11/23/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$31,325
All Other Loss Adjustment Expense Paid$42,319
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$70,000$0
Wage Loss$100,000$750,000
Other Expenses$10,000$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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