Medical Malpractice Cases

Medical Malpractice Cases In Nassau County Florida

Dr. Harvey G Phillips Medical Malpractice Lawsuits - Court Case # 12-CA-681

Indemnity Paid: $2,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367828
Claim Number :35355/41536
Date Submitted :7/29/2013
 
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
IndividualHarveyGPhillips
Insurer TypeStreet Address of Practice
Licensed4800 Belfort Rd., Ste. 300
CityStateZip CodeCounty
JacksonvilleFL32256Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600542 08$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME97783Surgery - Gastroenterology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FNassau
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST MEDICAL CENTER - NASSAU100140
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
9/4/20109/20/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Intractable abdominal pain and possible non-specific hepatic bile dilation.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Endoscopy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure.
Principal Injury Giving Rise To The Claim
Duodenal perforation.
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
9/5/201212-CA-681
County Suit Filed inDate of Final Disposition
Nassau7/19/2013
Other Defendants Involved in this Claim
Borland Groover Clinic
Baptist Medical Center - Nassau
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/11/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$2,000,000
Loss Adjust Expense Paid to Defense Counsel$66,554
All Other Loss Adjustment Expense Paid$14,563
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$2,084,529$0
Wage Loss$0$1,000,000
Other Expenses$0$1,000,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured.
 
Updates
 
No updates found.

 

 

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Dr. Jay E Jones Medical Malpractice Lawsuits - Court Case # 2013-CA-000254

Indemnity Paid: $700,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201472666
Claim Number : 42827
Date Submitted : 11/14/2014
 
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 Jay E Jones
Insurer Type Street Address of Practice
Licensed 3599 University Blvd., S. Ste. 300
City State Zip Code County
Jacksonville FL 32216 Duval
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600004 16 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME93060 Radiology - interventional  

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 Nassau
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
BAPTIST MEDICAL CENTER - NASSAU 100140
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
2/24/2010 10/10/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Renal carcinoma
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 and treatment of renal carcinoma
Principal Injury Giving Rise To The Claim
Renal carcinoma
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/18/2013 2013-CA-000254
County Suit Filed in Date of Final Disposition
Nassau 11/3/2014
Other Defendants Involved in this Claim
Shapiro, MD, Craig
Nephrology Assoc of NE Fl.
Drs. Mori Bean & Brooks
Baptist Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/3/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $700,000
Loss Adjust Expense Paid to Defense Counsel $32,938
All Other Loss Adjustment Expense Paid $7,650
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,300,000 $0
Wage Loss $250,000 $0
Other Expenses $0 $300,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Edmund McGrath Medical Malpractice Lawsuits - Court Case # 08-CA-287-DIV4

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955075
Claim Number :34012-01
Date Submitted :10/6/2009
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEdmund McGrath
Insurer TypeStreet Address of Practice
Licensed11437 Central Parkway, Ste 105
CityStateZip CodeCounty
JacksonvilleFL32224Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98026$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME50062Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FNassau
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST MEDICAL CENTER - NASSAU100140
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
3/31/20064/10/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fibroid uterus, chronic pelvic pain and menorrhagia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Total abdominal hysterectomy and bilateral salpingo-oophorectomy.
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
6/11/200808-CA-287-DIV4
County Suit Filed inDate of Final Disposition
Nassau9/14/2009
Other Defendants Involved in this Claim
Baptist Medical Center-Nassau
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
9/14/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$26,536
All Other Loss Adjustment Expense Paid$31,533
Injured Person's Total Non-Economic Loss$250,000
Deductible$50,000
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. Edward Tribuzio Medical Malpractice Lawsuits - Court Case # 09-CA-792

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201058059
Claim Number :38327-01
Date Submitted :7/22/2010
 
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
IndividualEdward Tribuzio
Insurer TypeStreet Address of Practice
Licensed1340 S 18th Street, Ste 204
CityStateZip CodeCounty
Fernandina BeachFL32034Nassau
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
47763$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME42515Family Physicians or General Practitioners - No Surgery80239

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MNassau
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
8/16/20052/20/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to have a punch biopsy performed on a mole.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
A punch biopsy was performed and found later to be melanoma after allegedly failing to timely examine the specimen.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failing to timely diagnose melanoma from the specimen following a punch biopsy.
Principal Injury Giving Rise To The Claim
The patient eventually expired from the spread of melanoma.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/14/200909-CA-792
County Suit Filed inDate of Final Disposition
Nassau7/12/2010
Other Defendants Involved in this Claim
LabCorp, Inc.
Diamon Systems, Inc.
Eng, M.D., William
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/12/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$6,517
All Other Loss Adjustment Expense Paid$3,368
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. John D Muir Medical Malpractice Lawsuits - Court Case # 2013-CA-32

Indemnity Paid: $235,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368674
Claim Number :41555
Date Submitted :10/18/2013
 
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
IndividualJohnDMuir
Insurer TypeStreet Address of Practice
Licensed841 Prudential Dr., Ste. 1802
CityStateZip CodeCounty
JacksonvilleFL32207Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600517 10$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME60704Pulmonary Diseases - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MNassau
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST MEDICAL CENTER - NASSAU100140
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
8/21/20106/8/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Broken left arm
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 properly medicate and monitor patient
Principal Injury Giving Rise To The Claim
Overmedication
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/16/20132013-CA-32
County Suit Filed inDate of Final Disposition
Nassau10/2/2013
Other Defendants Involved in this Claim
Blecha, MD, Richard
Tribizio, MD, Edward
Baptist - Nassau
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
10/2/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$235,000
Loss Adjust Expense Paid to Defense Counsel$59,166
All Other Loss Adjustment Expense Paid$13,222
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$39,000$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. David G Pietrasiuk Medical Malpractice Lawsuits - Court Case # 10-CA-60

Indemnity Paid: $175,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573970
Claim Number : 161954
Date Submitted : 5/11/2016
 
Insurer Information
 
Insurer Name Coverage Type
PROASSURANCE CASUALTY COMPANY Primary
Insurer FEIN Professional License Number
38-2317569  
Insurer Contact Information
Type First Name MI Last Name
Individual Tracy M Harris
Street Address
100 Brookwood Place
City State Zip
Birmingham AL 35209
Phone Ext Fax E-Mail Address
(205) 439 - 7932     tharris@proassurance.com
 
Insured Information
 
Type First Name MI Last Name
Individual David G Pietrasiuk
Insurer Type Street Address of Practice
Licensed 820 Prudential Drive, Suite 713
City State Zip Code County
Jacksonville FL 32207 Duval
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MP68983 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME44560 Emergency Medicine - No Major Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Duval
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
BAPTIST MEDICAL CENTER AND WOLFSON 100088
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
11/28/2007 9/11/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dislodged G-tube
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Re-insertion of G-Tube
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Peritonitis, sepsis
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/26/2010 10-CA-60
County Suit Filed in Date of Final Disposition
Nassau 3/10/2015
Other Defendants Involved in this Claim
Baptist Medical Center South
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
3/19/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $175,000
Loss Adjust Expense Paid to Defense Counsel $52,220
All Other Loss Adjustment Expense Paid $16,232
Injured Person's Total Non-Economic Loss $175,000
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: 7/7/2015 9:41:53 AM
Reason for Change: update ALAE
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 48297 16232
Amount of Loss Adjustment Expense Paid to Defense Counsel 63876 52105
 
Date of Change: 5/11/2016 4:05:47 PM
Reason for Change: Updated non economic loss information.
 
Field Changed Former Value New Value
Injured Person Total Non-Economic Loss 0 175000
Amount of Loss Adjustment Expense Paid to Defense Counsel 52105 52220

 

 

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

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Dr. Edward Tribuzio Medical Malpractice Lawsuits - Court Case # 2013-CA-32-A

Indemnity Paid: $125,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368788
Claim Number :43226-02
Date Submitted :10/25/2013
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEdward Tribuzio
Insurer TypeStreet Address of Practice
Licensed1340 S 18th Street, Suite 204
CityStateZip CodeCounty
Fernandina BeachFL32034Nassau
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
47763$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME42515Family Physicians or General Practitioners - No Surgery80239

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MNassau
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST MEDICAL CENTER - NASSAU100140
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
8/21/20106/22/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Mentally retarded adult presented for surgical repair of a left comminuted humeral fracture.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Disputed allegations of a prematue discharge as attending hospitalist.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Re-injury of the fracture requiring additional treatment.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/22/20132013-CA-32-A
County Suit Filed inDate of Final Disposition
Nassau10/11/2013
Other Defendants Involved in this Claim
Blecha, M.D., Richard M
Muir, M.D., John
Baptist Medical Center-Nassau
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/11/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$125,000
Loss Adjust Expense Paid to Defense Counsel$45,367
All Other Loss Adjustment Expense Paid$19,957
Injured Person's Total Non-Economic Loss$125,000
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 F Drewry Medical Malpractice Lawsuits - Court Case # 2007-CA-00162

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057262
Claim Number :22403
Date Submitted :6/14/2010
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualWilliamFDrewry
Insurer TypeStreet Address of Practice
Licensed4800 Belfort Road
CityStateZip CodeCounty
JacksonvilleFL32256Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600542 03$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME69725Surgery - Gastroenterology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MNassau
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST MEDICAL CENTER - NASSAU100140
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/1/20057/22/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Rectal bleeding
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Colonoscopy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure
Principal Injury Giving Rise To The Claim
Perforation
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/22/20072007-CA-00162
County Suit Filed inDate of Final Disposition
Nassau6/3/2010
Other Defendants Involved in this Claim
Borland Groover Clinic
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
5/6/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$100,000
Loss Adjust Expense Paid to Defense Counsel$81,304
All Other Loss Adjustment Expense Paid$18,151
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:6/14/2010 10:20:55 AM
Reason for Change:Report updated to reflect Court Document final disposition date of 6/3/10
 
Field ChangedFormer ValueNew Value
Date of Final Disposition06-MAY-1003-JUN-10

 

 

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Dr. Gil A Cu Medical Malpractice Lawsuits - Court Case # 45-2010-CA-000060-A

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573831
Claim Number : 173176
Date Submitted : 7/6/2015
 
Insurer Information
 
Insurer Name Coverage Type
PROASSURANCE CASUALTY COMPANY Primary
Insurer FEIN Professional License Number
38-2317569  
Insurer Contact Information
Type First Name MI Last Name
Individual Joe H Grasse
Street Address
100 Brookwood Place
City State Zip
Birmingham AL 35209
Phone Ext Fax E-Mail Address
(205) 439 - 7969     jgrasse@proassurance.com
 
Insured Information
 
Type First Name MI Last Name
Individual Gil A Cu
Insurer Type Street Address of Practice
Licensed 4131 University Blvd South, Bldg 6
City State Zip Code County
Jacksonville FL 32216 Duval
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MP39836 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME69707 Nephrology - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Duval
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
BAPTIST MEDICAL CENTER AND WOLFSON 100088
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
11/28/2007 8/29/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Plaintiff alleges Dr. Cu failed to insure that no substances were placed in his G-tube following replacement until a GI consult was obtained and tests confirmed that there was proper placement, resulting in development of peritonitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Plaintiff alleges Dr. Cu failed to insure that no substances were placed in his G-tube following replacement until a GI consult was obtained and tests confirmed that there was proper placement, resulting in development of peritonitis.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Plaintiff alleges Dr. Cu failed to insure that no substances were placed in his G-tube following replacement until a GI consult was obtained and tests confirmed that there was proper placement, resulting in development of peritonitis.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/11/2011 45-2010-CA-000060-A
County Suit Filed in Date of Final Disposition
Nassau 3/11/2015
Other Defendants Involved in this Claim
Baptist Medical Center - Nassau
Freed, Harris
Pietrasiuk, David G
Stage of Legal System at which Settlement was Reached or Award Made
Claim or suit abandoned.
Final Method of Claim Disposition
No Payment Made
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $51,543
All Other Loss Adjustment Expense Paid $19,049
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
 
 
Date of Change: 7/6/2015 11:20:41 AM
Reason for Change: update ALAE
 
Field Changed Former Value New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel 44741 51543
All Other Loss Adjustment Expense Paid 17513 19049

 

 

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

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Dr. Craig J Shapiro Medical Malpractice Lawsuits - Court Case # 2013-CA-000254

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201472665
Claim Number : 41320
Date Submitted : 11/14/2014
 
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 Craig J Shapiro
Insurer Type Street Address of Practice
Licensed 2 Shircliff Way Ste. 415
City State Zip Code County
Jacksonville FL 32204 Duval
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1600639 09 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME94599 Nephrology - 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 Nassau
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Outpatient Facility  
Name of Institution Code
BAPTIST MEDICAL CENTER - NASSAU 100140
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
2/24/2010 10/10/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Renal carcinoma
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 and treatment of renal carcinoma
Principal Injury Giving Rise To The Claim
Renal carcinoma
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/18/2013 2013-CA-000254
County Suit Filed in Date of Final Disposition
Nassau 11/3/2014
Other Defendants Involved in this Claim
Jones, MD, Jay E
Nephrology Assoc. of NE Fl.
Drs. Mori Bean & Brooks
Baptist Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
No Payment Made
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $37,364
All Other Loss Adjustment Expense Paid $22,705
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $1,300,000 $0
Wage Loss $250,000 $0
Other Expenses $0 $300,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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