Medical Malpractice Cases

Medical Malpractice Cases In Pasco County Florida

Dr. Prospero A Cortorreal Medical Malpractice Lawsuits - Court Case # 512009CA002504

Indemnity Paid: $1,915,672.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057698
Claim Number :394-014922
Date Submitted :6/23/2010
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualGwendolyn  Jones
Street Address
101 Hudson Street
CityStateZip
Jersey CityNJ07302
PhoneExtFaxE-Mail Address
(201) 631 - 7732 (201) 631 - 5058gwendolyn.jones@chartisinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualProsperoACortorreal
Insurer TypeStreet Address of Practice
Licensed10051 5th Street, Suite 200
CityStateZip CodeCounty
St. PetersburgFL33702Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6793162$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME73702Internal Medicine - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MORTON PLANT HOSPITAL100127
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
1/17/200710/19/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Spinal abscess with cord compression.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delayed diagnosis
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Spinal cord compression
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
3/31/2009512009CA002504
County Suit Filed inDate of Final Disposition
Pasco6/10/2010
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/10/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,915,672
Loss Adjust Expense Paid to Defense Counsel$18,400
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
none
 
Updates
 
No updates found.

 

 

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Dr. Michael Loguidice Medical Malpractice Lawsuits - Court Case # 51 2009 CA 002504

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201059249
Claim Number :EMC-FL-08-82927
Date Submitted :11/30/2010
 
Insurer Information
 
Insurer NameCoverage Type
CONTINENTAL CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
36-2114545 
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
IndividualMichael Loguidice
Insurer TypeStreet Address of Practice
Licensed1230 Bellamare Trail
CityStateZip CodeCounty
New Port RicheyFL34655Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-6$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS8587Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MORTON PLANT HOSPITAL100127
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/12/200711/5/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Cauda Equine Compression
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged delay in obtained STAT MRI for immediate treatment, surgery
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Delay in obtaining MRI
Principal Injury Giving Rise To The Claim
Paralysis
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
3/30/200951 2009 CA 002504
County Suit Filed inDate of Final Disposition
Pasco11/29/2010
Other Defendants Involved in this Claim
JSA MEDICAL GROUP
Cortorreal, M.D., Prospero
Morton Plant 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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
9/21/2010
 
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$69,726
All Other Loss Adjustment Expense Paid$15,588
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. Frederick T Yonteck Medical Malpractice Lawsuits - Court Case # 51-2016-CA-003572

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201884291
Claim Number : Incident 105028
Date Submitted : 2/9/2018
 
Insurer Information
 
Insurer Name Coverage Type
MEDICUS INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-5623491  
Insurer Contact Information
Type First Name MI Last Name
Individual Diane   McNab
Street Address
4651 Salisbury Rd
City State Zip
Jacksonville FL 32256
Phone Ext Fax E-Mail Address
954490580     dmcnab@norcal-group.com
 
Insured Information
 
Type First Name MI Last Name
Individual Frederick T Yonteck
Insurer Type Street Address of Practice
Licensed 12802 Tampa Oaks Blvd
City State Zip Code County
Tampa FL 33637 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FL-16030904 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME87287 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
  F Hillsborough
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
FLORIDA HOSPITAL WESLEY CHAPEL 23960099
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
4/26/2014 4/28/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with symptoms of cough, vomiting and dizziness
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient presented with no focal neurological deficits. A CT Scan of the head revealed no abnormalities. The patient was admitted for intractable vomiting. The patient alleged practitioner failed to timely initiate stroke protocol and/or consult with a neurologist resulting in delay in treatment.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis
Principal Injury Giving Rise To The Claim
Neurological deficits.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
11/4/2016 51-2016-CA-003572
County Suit Filed in Date of Final Disposition
Pasco 1/25/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
1/31/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,000,000
Loss Adjust Expense Paid to Defense Counsel $60,000
All Other Loss Adjustment Expense Paid $60,000
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insureds conferenced with attorneys and claims specialist
 
Updates
 
No updates found.

 

 

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Dr. RAJESH BHAGVATIP DAVE Medical Malpractice Lawsuits - Court Case # 51-2006-CA-000801-WS

Indemnity Paid: $985,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849466
Claim Number :126647
Date Submitted :5/5/2008
 
Insurer Information
 
Insurer NameCoverage Type
NATIONAL FIRE INSURANCE COMPANY OF HARTFORDPrimary
Insurer FEINProfessional License Number
06-0464510 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTeresa Ross
Street Address
One Park Plaza P.O. Box 555
CityStateZip
NashvilleTN37202
PhoneExtFaxE-Mail Address
(615) 344 - 5804  Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRAJESH BHAGVATIP DAVE
Insurer TypeStreet Address of Practice
Licensed6630 Embassy Blvd., Suite D
CityStateZip CodeCounty
Port RicheyFL34668Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1087751660$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME63067Internal Medicine - No Surgery01

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
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
12/23/20036/23/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
High blood pressure & controlled hypertension.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allegations of failure to promptly diagnose & treat patient?s abnormal &/or ischemic cardiac condition.Additional allegations claim failure to perform a complete cardiac work up despite persistent & abnormal clinical signs/symptoms & abnormal EKGs.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Wrongful death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/9/200651-2006-CA-000801-WS
County Suit Filed inDate of Final Disposition
Pasco4/25/2008
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
4/24/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$985,000
Loss Adjust Expense Paid to Defense Counsel$71,055
All Other Loss Adjustment Expense Paid$35,633
Injured Person's Total Non-Economic Loss$200,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$785,000$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Staff education.
 
Updates
 
No updates found.

 

 

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

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Dr. OTSENRE MATOS Medical Malpractice Lawsuits - Court Case # 963386CA

Indemnity Paid: $960,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200744857
Claim Number :96M05382
Date Submitted :3/19/2007
 
Insurer Information
 
Insurer NameCoverage Type
FRONTIER INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
13-2559805 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNina LGorton
Street Address
195 lake louise marie road
CityStateZip
rock hillNY12775
PhoneExtFaxE-Mail Address
(845) 796 - 21005062(845) 807 - 4985NGorton@ftr.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualOTSENRE MATOS
Insurer TypeStreet Address of Practice
Licensed5330 GEORGE STREET
CityStateZip CodeCounty
NEW PORT RICHEYFL34652Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
KM0009544$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor Public Psychiatry 
License NumberSpecialty Code & ClassificationCertification Number
ME22865Psychiatry - All Other 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Patient's Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
2/5/19923/8/1996
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
DEPRESSION AFTER CAR ACCIDENT WHEREING PATIENT LOST RIGHT LEG
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
COUNSELING, MEDICATIONS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED FAILURE TO RECOGNIZE PATIENTS WARNING OF SUICIDE
Principal Injury Giving Rise To The Claim
ATTEMPTED SUICIDE
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
7/9/1996963386CA
County Suit Filed inDate of Final Disposition
Pasco12/4/1998
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/23/1998
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$960,000
Loss Adjust Expense Paid to Defense Counsel$558,730
All Other Loss Adjustment Expense Paid$16,378
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
THE INSURED HAS CONSULTED WITH DEFENSE COUNSEL, MEDICAL EXPERTS AND CLAIMS PERSONNEL REGARDING THIS MATTER.
 
Updates
 
No updates found.

 

 

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Dr. Sadras N Shanmugham Medical Malpractice Lawsuits - Court Case # 512004CA001354WS H

Indemnity Paid: $850,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849033
Claim Number :20270-01
Date Submitted :3/26/2008
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATIONPrimary
Insurer FEINProfessional License Number
38-2102867 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualBarbaraAEvans
Street Address
1301 N. Hagadorn Road
CityStateZip
East LansingMI48823
PhoneExtFaxE-Mail Address
(517) 324 - 6570 (517) 333 - 2806bevans@apassurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSadrasNShanmugham
Insurer TypeStreet Address of Practice
Licensed8425 Northcliffe Blvd, #106
CityStateZip CodeCounty
Spring HillFL34606Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
126720$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME46586Internal Medicine - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MHernando
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
8/31/20019/24/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient who had previously been diagnosed with asthma was referred to insured after complaining of wheezing, red/sore throat and congestion.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Chest x-ray ordered and pulmonary function test performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged two year delay in diagnosis and treatment of chondrosarcoma of the cricoid ring.
Principal Injury Giving Rise To The Claim
Plaintiff alleged that delayed diagnosis of cancer led to a more radical surgery which included removal of of his entire voice box.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/12/2004512004CA001354WS H
County Suit Filed inDate of Final Disposition
Pasco3/25/2008
Other Defendants Involved in this Claim
Florida Allergy, LLP
Kratz Allergy, Asthma & Immunology Associates, PA
Kratz, Jaime
Good Shepherd Medical Clinic, P.A.
Paquette, Raymond J
Hernando HMA, Inc.
Brooksville Regional Hospital
Spring Hill Regional Hospital
Emergency Physician Specialists, Inc.
Florida Emergency Medicine Specialists, 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
3/11/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$850,000
Loss Adjust Expense Paid to Defense Counsel$63,363
All Other Loss Adjustment Expense Paid$24,681
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 deceased.The personal representative of insured's estate consulted with claims personnel and defense counsel.$850,000 was paid in full and final settlement of all claims on behalf of the insured.
 
Updates
 
No updates found.

 

 

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Dr. Gajanan A Kulkarni Medical Malpractice Lawsuits - Court Case # 51-2002-CA 1933WS-G

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200432914
Claim Number :E29922
Date Submitted :9/22/2004
 
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
IndividualGajananAKulkarni
Insurer TypeStreet Address of Practice
Licensed5802 State Road 54
CityStateZip CodeCounty
New Port RicheyFL34652Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-1002779-00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44512Hematology - No Surgery00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
COMMUNITY HOSPITAL OF NEW PORT RICHEY100191
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
6/15/20001/19/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Respiratory failure secondary to pneumonia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prescribed Agrylin for platelet disorder, allegedly aggravated pneumonia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
N/A
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
9/9/200251-2002-CA 1933WS-G
County Suit Filed inDate of Final Disposition
Pasco7/23/2004
Other Defendants Involved in this Claim
Pasco Hernando Oncology Associates, P.A.
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/2/2004
 
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$26,374
All Other Loss Adjustment Expense Paid$31,584
Injured Person's Total Non-Economic Loss$750,000
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
 
No updates found.

 

 

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Dr. Gopal Chalavarya Medical Malpractice Lawsuits - Court Case # 51-2008-CA-2758-WJ

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955244
Claim Number :26417
Date Submitted :10/30/2009
 
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 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualGopal Chalavarya
Insurer TypeStreet Address of Practice
Licensed7614 Jacque Road
CityStateZip CodeCounty
HudsonFL34667Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600390 06$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53574Cardiovascular Disease - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
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
3/20/200610/26/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Coronary Artery Disease
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 refer to an electrophysiologist and implant an ICD
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
4/15/200851-2008-CA-2758-WJ
County Suit Filed inDate of Final Disposition
Pasco10/21/2009
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/21/2009
 
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$18,826
All Other Loss Adjustment Expense Paid$13,351
Injured Person's Total Non-Economic Loss$750,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. MICHAEL A DEPAUW Medical Malpractice Lawsuits - Court Case # 512012CA001595

Indemnity Paid: $750,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201680500
Claim Number : EMC-FL-11XS-257842
Date Submitted : 11/30/2016
 
Insurer Information
 
Insurer Name Coverage Type
EmCare Holdings, Inc. Primary
Insurer FEIN Professional License Number
75-173235 SI
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
1900 W. LOOP S., STE. 1500
City State Zip
Houston TX 77027
Phone Ext Fax E-Mail Address
(713) 935 - 2404   (713) 461 - 8130 kathy_stockton@westernlitigation.com
 
Insured Information
 
Type First Name MI Last Name
Individual MICHAEL A DEPAUW
Insurer Type Street Address of Practice
Self-Insurer 5637 MARINE PARKWAY
City State Zip Code County
NEW PORT RICHEY FL 34652 Pasco
Policy Number Per Claim Policy Limits Aggregate Policy Limits
EMC-2011-Excess $250,000 $750,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS6141 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
  F Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Hospital/Institution COMMUNITY HOSPITAL OF NEW PORT RICHEY
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
6/15/2009 8/3/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
SWELLING OF FACE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO DIAGNOSE
Principal Injury Giving Rise To The Claim
STROKE
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/6/2012 512012CA001595
County Suit Filed in Date of Final Disposition
Pasco 10/22/2016
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
1/27/2016
 
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 $93,774
All Other Loss Adjustment Expense Paid $72,457
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Adam S Greenfield Medical Malpractice Lawsuits - Court Case # 2014-CA-4474-WS

Indemnity Paid: $700,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574895
Claim Number : 316162
Date Submitted : 6/10/2015
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Tiffany D Taylor
Street Address
13450 West Sunrise Blvd
City State Zip
Sunrise FL 33323
Phone Ext Fax E-Mail Address
(877) 320 - 0748     TTaylor@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Adam S Greenfield
Insurer Type Street Address of Practice
Licensed 10806 US Highway 19, #102A
City State Zip Code County
Port Richey FL 34668 Pasco
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0068723 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS7496 Family Physicians or General Practitioners - 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 Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
MORTON PLANT NORTH BAY HOSPITAL RECOVERY CENTER 23960102
Location of Institutional Injury Other Location of Institutional Injury
Other Emergency Room
Date of Occurrence Date Reported to Insurer
11/20/2013 3/13/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented with dizziness, facial numbness, and double vision which resolved. He ultimately suffered a stroke and died.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient was evaluated in the ER and discharged.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged failure to admit the patient for complete workup and evaluation resulting in his death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/5/2014 2014-CA-4474-WS
County Suit Filed in Date of Final Disposition
Pasco 6/4/2015
Other Defendants Involved in this Claim
Morton Plant North Bay Hospital
Gutierrez, PA-C, Anna I
Ellis, M.D., Beth
Bay area Emergency Physicians, 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 Decision Other
Other Dismissed
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/22/2015
 
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 $31,000
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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

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Dr. Joel Goldberg Medical Malpractice Lawsuits - Court Case # S1-07-CA-1675WS

Indemnity Paid: $600,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849883
Claim Number :35037-01
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
IndividualJoel Goldberg
Insurer TypeStreet Address of Practice
Licensed6640 Embassy Blvd, Ste 104
CityStateZip CodeCounty
Port RicheyFL34668Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
11979$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN7496Dental General Practice - NOC80211

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
11/22/200412/5/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient had tooth #2 extracted as it was loose and it was alleged that undiagnosed squamous cell carcinoma caused tooth to be loose.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis and treatment of squamous cell carcinoma of the oral cavity.
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
4/13/2007S1-07-CA-1675WS
County Suit Filed inDate of Final Disposition
Pasco5/27/2008
Other Defendants Involved in this Claim
Joel H. Goldberg, D.M.D., P.A.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/27/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$600,000
Loss Adjust Expense Paid to Defense Counsel$3,110
All Other Loss Adjustment Expense Paid$13,905
Injured Person's Total Non-Economic Loss$600,000
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. JOSEPH PARISE Medical Malpractice Lawsuits - Court Case # 51-2006-CA-0906-WS

Indemnity Paid: $550,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201470518
Claim Number :FP3336301
Date Submitted :4/21/2014
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKelly Andrews
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(904) 360 - 3038  kandrews@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJOSEPH PARISE
Insurer TypeStreet Address of Practice
Licensed10632 Pontofino Circle
CityStateZip CodeCounty
New Port RicheyFL34655Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CL098561$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75349Radiology - Diagnostic - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
COMMUNITY HOSPITAL OF NEW PORT RICHEY100191
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
11/18/200111/14/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Renal Cell Carcinoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to interpret CT scan.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis related to alleged failure to properly interpret CT.
Principal Injury Giving Rise To The Claim
Delay in diagnosis, resulting in death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/5/200651-2006-CA-0906-WS
County Suit Filed inDate of Final Disposition
Pasco4/7/2014
Other Defendants Involved in this Claim
Purcell, M.D., Lee
Hale, M.D , Brian
Community Hospital of New Port Richey
Trinity Outpatient Center
Radiology Doctors, P.A.
Radiology Associates of Clearwater, MD,PA
Jacob, M.D. , 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 not subject to Arbitration.
Date of Payment
4/9/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$550,000
Loss Adjust Expense Paid to Defense Counsel$136,175
All Other Loss Adjustment Expense Paid$69,915
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Jaime Kratz Medical Malpractice Lawsuits - Court Case # 512004CA1354 WS H

Indemnity Paid: $510,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848520
Claim Number :125716
Date Submitted :8/19/2009
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Indemnity Company, Inc.
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
IndividualJaime Kratz
Insurer TypeStreet Address of Practice
Licensed11031 US 19, Suite 102
CityStateZip CodeCounty
New Port RicheyFL34668Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP41529$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME62584Allergy00000

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
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
5/8/20029/16/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Shortness of breath asthma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Advair, Provental inhalers and antibiotics were prescribed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose non-sympomatic cricoid tumor.
Principal Injury Giving Rise To The Claim
Permanent tracheostomy.
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
8/9/2004512004CA1354 WS H
County Suit Filed inDate of Final Disposition
Pasco1/30/2008
Other Defendants Involved in this Claim
Allergy, Asthma & Immunology Associates, P.A.
Florida Allergy, LLP
Shanmugham, Sadras
Good Shepherd Medical Clinic, 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
2/4/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$510,000
Loss Adjust Expense Paid to Defense Counsel$187,511
All Other Loss Adjustment Expense Paid$99,947
Injured Person's Total Non-Economic Loss$510,000
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:8/19/2009 3:53:57 PM
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 Counsel178268187511
All Other Loss Adjustment Expense Paid9971899947

 

 

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Dr. Eladio T Menorca Medical Malpractice Lawsuits - Court Case # 512003-CA1728-WS

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433229
Claim Number :B03-24753-99
Date Submitted :10/26/2004
 
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
IndividualEladioTMenorca
Insurer TypeStreet Address of Practice
Licensed7535 Medical Drive
CityStateZip CodeCounty
HudsonFL34667Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
32246$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME33343Physicians - No Surgery80268

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityNew Port Richey Surgery Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/26/19996/2/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Testicular Cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Diagnosis of hydrocele followed by exploration of the left scrotal sac.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Hydrocele.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/29/2003512003-CA1728-WS
County Suit Filed inDate of Final Disposition
Pasco10/7/2004
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/7/2004
 
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$30,967
All Other Loss Adjustment Expense Paid$16,804
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. Vincent G Cotroneo Medical Malpractice Lawsuits - Court Case # 2004-CA

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534334
Claim Number :19754
Date Submitted :2/10/2005
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualVincentGCotroneo
Insurer TypeStreet Address of Practice
LicensedPO Box 1175
CityStateZip CodeCounty
New Port RicheyFL34656Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601167 01$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME25679Radiology - Diagnostic - No Surgery03506

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
COMMUNITY HOSPITAL OF NEW PORT RICHEY100191
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/28/20013/30/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hematuria
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Bilateral retrograde pyelogram
Diagnostic Code :DC233.9
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of high-grade papillary transitional cell carcinoma
Principal Injury Giving Rise To The Claim
Kidney cancer
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/3/20042004-CA
County Suit Filed inDate of Final Disposition
Pasco2/3/2005
Other Defendants Involved in this Claim
Otheguy, M.D., Juan
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/3/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$21,000
All Other Loss Adjustment Expense Paid$15,000
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
Risk Management has counseled insured.
 
Updates
 
No updates found.

 

 

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Dr. HELENE HARPER Medical Malpractice Lawsuits - Court Case # 512011ca

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201470546
Claim Number :EMC-AO-11XS-204745-H
Date Submitted :4/22/2014
 
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
IndividualHELENE HARPER
Insurer TypeStreet Address of Practice
Self-Insurer510 SHORE DR. E
CityStateZip CodeCounty
OLDSMARFL34677Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2011-Excess$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME50361Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MORTON PLANT HOSPITAL100127
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
7/17/20106/24/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
EYE PAIN
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
eye exam.no fb seen.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
conjunctivitis
Principal Injury Giving Rise To The Claim
acute hemorrhage
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
10/26/2011512011ca
County Suit Filed inDate of Final Disposition
Pasco4/22/2014
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
Directed verdict for plaintiff. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
2/27/2014
 
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$166,792
All Other Loss Adjustment Expense Paid$42,457
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. BETHANY L BERGHOFFER Medical Malpractice Lawsuits - Court Case # 512011ca

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201470547
Claim Number :EMC-AO-11XS-204745-B
Date Submitted :4/22/2014
 
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
IndividualBETHANYLBERGHOFFER
Insurer TypeStreet Address of Practice
Self-Insurer8926 HANDEL LOOP
CityStateZip CodeCounty
NEW PORT RICHEYFL34654Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2011-Excess$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
OtherPHYSICIAN ASSISTANT
License NumberSpecialty Code & ClassificationCertification Number
PA9104980  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
MORTON PLANT HOSPITAL100127
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
7/17/20106/24/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
EYE PAIN
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
eye exam.no fb seen.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
conjunctivitis
Principal Injury Giving Rise To The Claim
acute hemorrhage
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
10/26/2011512011ca
County Suit Filed inDate of Final Disposition
Pasco4/22/2014
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
Directed verdict for plaintiff. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
2/27/2014
 
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$166,792
All Other Loss Adjustment Expense Paid$42,457
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. Dennis K Dixon Medical Malpractice Lawsuits - Court Case # 512012CP001610

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201472463
Claim Number : 43631/43632
Date Submitted : 12/19/2014
 
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 Dennis K Dixon
Insurer Type Street Address of Practice
Licensed 611 S. Ft. Harrison Ave. #354
City State Zip Code County
Clearwater FL 33756 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602917 01 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME108864 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
  F Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
MORTON PLANT HOSPITAL 100127
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
5/28/2012 1/14/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Aneurysm
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose aneurysm
Principal Injury Giving Rise To The Claim
Aneurysm
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
4/26/2013 512012CP001610
County Suit Filed in Date of Final Disposition
Pasco 12/15/2014
Other Defendants Involved in this Claim
Morton Plant Hospital
Pasco County Em. Phys. 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/1/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $43,123
All Other Loss Adjustment Expense Paid $9,754
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 $250,000
Other Expenses $0 $250,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
 
Date of Change: 12/19/2014 12:16:54 PM
Reason for Change: Report updated to reflect Court Document final disposition date of 12/15/14
 
Field Changed Former Value New Value
Date of Final Disposition 01-OCT-14 15-DEC-14

 

 

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Dr. Edward Amoah Medical Malpractice Lawsuits - Court Case # 57-2009-CA-5039-es

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201576291
Claim Number : FP3826601
Date Submitted : 11/10/2015
 
Insurer Information
 
Insurer Name Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC Primary
Insurer FEIN Professional License Number
59-6614702  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway W. Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Edward   Amoah
Insurer Type Street Address of Practice
Licensed 27455 Cashford Circle
City State Zip Code County
Wesley Chapel FL 33544 Pasco
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FP-63721 $500,000 $1,500,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME88213 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Hospital/Institution Florida Hospital Zephyrhills #100046
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
8/21/2008 2/9/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Saddle type pulmonary embolism.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No treatment procedure.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in the diagnosis and treatment of a pulmonary embolism.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/3/2009 57-2009-CA-5039-es
County Suit Filed in Date of Final Disposition
Pasco 10/26/2015
Other Defendants Involved in this Claim
Mack, Arthur
Florida Hospital Zephyrhills
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other Settlement during trial.
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $338,428
All Other Loss Adjustment Expense Paid $234,463
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate
 
Updates
 
No updates found.

 

 

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Dr. JENNIFER NUSS Medical Malpractice Lawsuits - Court Case # 2015 CA 1443 WS

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885479
Claim Number : EMC-FL-14XS-390130
Date Submitted : 6/7/2018
 
Insurer Information
 
Insurer Name Coverage Type
EmCare Holdings, Inc. Primary
Insurer FEIN Professional License Number
75-173235 SI
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
1900 W. LOOP S., STE. 1500
City State Zip
Houston TX 77027
Phone Ext Fax E-Mail Address
(713) 935 - 2404   (713) 461 - 8130 kathy_stockton@westernlitigation.com
 
Insured Information
 
Type First Name MI Last Name
Individual JENNIFER   NUSS
Insurer Type Street Address of Practice
Self-Insurer C/O 100 S. ASHLEY DRIVE, SUITE 1400
City State Zip Code County
TAMPA FL 33601 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HAZ1040025381-12 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME77945 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
  F Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
COMMUNITY HOSPITAL OF NEW PORT RICHEY 100191
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
7/8/2014 1/6/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
SPINAL CORD COMPRESSION
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED FAILURE TO TREAT
Principal Injury Giving Rise To The Claim
GUADRIPLEGIA
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/2/2015 2015 CA 1443 WS
County Suit Filed in Date of Final Disposition
Pasco 6/7/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/17/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $273,235
All Other Loss Adjustment Expense Paid $154,817
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. CAROLYN E JOHNSTONE Medical Malpractice Lawsuits - Court Case # 2015 CA 1443 WS

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885480
Claim Number : EMC-FL-14-282950
Date Submitted : 6/7/2018
 
Insurer Information
 
Insurer Name Coverage Type
EmCare Holdings, Inc. Primary
Insurer FEIN Professional License Number
75-173235 SI
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
1900 W. LOOP S., STE. 1500
City State Zip
Houston TX 77027
Phone Ext Fax E-Mail Address
(713) 935 - 2404   (713) 461 - 8130 kathy_stockton@westernlitigation.com
 
Insured Information
 
Type First Name MI Last Name
Individual CAROLYN E JOHNSTONE
Insurer Type Street Address of Practice
Self-Insurer 11190 HEALTH PARK BLVD.
City State Zip Code County
NAPLES FL 34110 Collier
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HAZ1040025381-12 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME116380 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
  F Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
COMMUNITY HOSPITAL OF NEW PORT RICHEY 100191
Location of Institutional Injury Other Location of Institutional Injury
Other ER
Date of Occurrence Date Reported to Insurer
7/8/2014 1/6/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
SPINAL CORD COMPRESSION
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED FAILURE TO TREAT
Principal Injury Giving Rise To The Claim
GUADRIPLEGIA
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
6/2/2015 2015 CA 1443 WS
County Suit Filed in Date of Final Disposition
Pasco 6/7/2018
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/17/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $500,000
Loss Adjust Expense Paid to Defense Counsel $0
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Patrick L Agdamag Medical Malpractice Lawsuits - Court Case # 2013-CA-006053

Indemnity Paid: $475,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575536
Claim Number : 45210/45211
Date Submitted : 9/8/2015
 
Insurer Information
 
Insurer Name Coverage Type
MAG MUTUAL INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
58-1449198  
Insurer Contact Information
Type Entity Name
Entity MAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
City State Zip
Orlando FL 32819
Phone Ext Fax E-Mail Address
(407) 370 - 3813   (407) 370 - 2247 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Patrick L Agdamag
Insurer Type Street Address of Practice
Licensed 202 Manatee Lane
City State Zip Code County
Tarpon Springs FL 34689 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 1602917 01 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME104157 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
  F Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
MORTON PLANT NORTH BAY HOSPITAL RECOVERY CENTER 23960102
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
11/2/2011 6/21/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Perforated ulcer
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 diagnoe a perforated ulcer
Principal Injury Giving Rise To The Claim
Perforated ulcer
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
11/25/2013 2013-CA-006053
County Suit Filed in Date of Final Disposition
Pasco 8/31/2015
Other Defendants Involved in this Claim
Morton Plant North Bay Hospital
Pasco County Emergency Physicians
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/4/2015
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $475,000
Loss Adjust Expense Paid to Defense Counsel $118,879
All Other Loss Adjustment Expense Paid $26,735
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
Risk management has counseled insured
 
Updates
 
 
Date of Change: 9/8/2015 1:35:37 PM
Reason for Change: Report updated to reflect Court Document final disposition date of 8/31/15
 
Field Changed Former Value New Value
Date of Final Disposition 04-AUG-15 31-AUG-15

 

 

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Dr. Wali U Khan Medical Malpractice Lawsuits - Court Case # 2000-3202CA

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200537260
Claim Number :A99-21904-97
Date Submitted :10/12/2005
 
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
IndividualWaliUKhan
Insurer TypeStreet Address of Practice
Licensed38135 Market Square
CityStateZip CodeCounty
ZephyrhillsFL33540Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
24417$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME41877Cardiovascular Disease - Minor Surgery80422

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPasco
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
12/11/199712/11/1999
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Suspected coronary artery disease.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Right sided cardiac catheterization.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis and treatment of ischemic neuritis following cardiac catheterization.
Principal Injury Giving Rise To The Claim
Ischemic neuritis of right lower extremity.
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
5/25/20002000-3202CA
County Suit Filed inDate of Final Disposition
Pasco9/14/2005
Other Defendants Involved in this Claim
Florida Medical 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
9/14/2005
 
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$62,485
All Other Loss Adjustment Expense Paid$56,947
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. NORMAN S HOWELL Medical Malpractice Lawsuits - Court Case # 512002CA1246

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849755
Claim Number :551 01 832789
Date Submitted :6/2/2008
 
Insurer Information
 
Insurer NameCoverage Type
CHICAGO INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
36-6042949 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualRuby Thompson
Street Address
33 West Monroe
CityStateZip
ChicagoIL60603
PhoneExtFaxE-Mail Address
(312) 456 - 5227 (312) 577 - 9507rthomps2@ffic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNORMANSHOWELL
Insurer TypeStreet Address of Practice
Licensed3539 Little Road
CityStateZip CodeCounty
TrilbyFL63501Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSP 2006400$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS6391Internal Medicine - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPasco
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherDoctor's Office
Date of OccurrenceDate Reported to Insurer
3/29/200012/5/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Colon/Rectal Cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient presented to physician's office 3/29/00 with complaints of rectal bleeding for 3-4 weeks. Insured ordered occult blood testing and flexiable sigmoidoscopy.Patient stated he would not be in town for 2-3 weeks so he would not be able to schedule the sigmoidoscopy and he would call when he returned.
Diagnostic Code :050
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Results of patient endoscopy on 10/31/00 revealed adenocarcinoma.Patient alleged a delay in the diagnosis of colon cancer.
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
5/30/2002512002CA1246
County Suit Filed inDate of Final Disposition
Pasco3/3/2003
Other Defendants Involved in this Claim
Gulf View Walk In Clinic
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/3/2003
 
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$35,691
All Other Loss Adjustment Expense Paid$5,025
Injured Person's Total Non-Economic Loss$200,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$250,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None
 
Updates
 
No updates found.

 

 

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

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Dr. Sidharth Panchamia Medical Malpractice Lawsuits - Court Case # 2018-CA-000042-CAAXE

Indemnity Paid: $401,058.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886722
Claim Number : 59391/63486
Date Submitted : 10/12/2018
 
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   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Sidharth   Panchamia
Insurer Type Street Address of Practice
Licensed 777 N. Ashley Dr. Unit 2103
City State Zip Code County
Tampa FL 33602 Hillsborough
Policy Number Per Claim Policy Limits Aggregate Policy Limits
PSL 16003305 01 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME106682 Anesthesiology  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Pasco
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility Florida Medical Clinic Ambulatory Surg.
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Special Procedure Room  
Date of Occurrence Date Reported to Insurer
4/6/2016 9/27/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe headache and neck pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cervical epidural steroid injection
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to obtain informed consent, provide interpreter, and provide appropriate pain management treatment
Principal Injury Giving Rise To The Claim
Right-sided hemiparesis and numbness
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/4/2018 2018-CA-000042-CAAXE
County Suit Filed in Date of Final Disposition
Pasco 9/20/2018
Other Defendants Involved in this Claim
Florida Medical 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 Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/20/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $401,058
Loss Adjust Expense Paid to Defense Counsel $21,233
All Other Loss Adjustment Expense Paid $15,402
Injured Person's Total Non-Economic Loss $0
Deductible $200,000
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $56,000 $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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