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. 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. 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. 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. Hugo L Mendonca Medical Malpractice Lawsuits - Court Case # 51-2002-CA-003347-WS

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850887
Claim Number :E30593
Date Submitted :6/24/2010
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeEntity Name
EntityProAssurance Casualty 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
IndividualHugoLMendonca
Insurer TypeStreet Address of Practice
Licensed7515 State Road 52, Suite 102
CityStateZip CodeCounty
HudsonFL34667Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-1000512-00$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME39430Surgery - Thoracic00000

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
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/22/200110/10/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal aortic aneurysm.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Endovascular repair of abdominal aortic aneurysm.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Death resulting from intraoperative and postoperative complications.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/16/200251-2002-CA-003347-WS
County Suit Filed inDate of Final Disposition
Pasco8/29/2008
Other Defendants Involved in this Claim
Hugo Mendonca, M.D., P.A.
Pasco-Hernando Surgical Associates, P.L.
Al'Kafaji, Aziz
Aziz Al'Kafaji, M.D., F.A.C.S., F.R.C.S., 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
9/11/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$22,739
All Other Loss Adjustment Expense Paid$18,771
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured has discussed case with insurance company personnel, medical experts and defense counsel.
 
Updates
 
 
Date of Change:11/12/2008 11:05:36 AM
Reason for Change:Report updated to reflect additional legal fees and expenses paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid1853318868
Amount of Loss Adjustment Expense Paid to Defense Counsel2190322664
 
Date of Change:6/24/2010 12:08:52 PM
Reason for Change:Report updated to reflect additional legal fees paid, as well as reduction in costs due to refund of duplicate payment.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid1886818771
Amount of Loss Adjustment Expense Paid to Defense Counsel2266422739

 

 

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Dr. Danny Abbruzzese Medical Malpractice Lawsuits - Court Case # 51-2003-CA-1355-WS

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200539031
Claim Number :16863
Date Submitted :12/28/2005
 
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
IndividualDanny Abbruzzese
Insurer TypeStreet Address of Practice
Licensed550 US Highway 27 North
CityStateZip CodeCounty
DavenportFL33837Polk
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600445 01$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME54821Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHernando
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SPRING HILL REGIONAL HOSPITAL111525
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
12/17/20001/2/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Headache
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Physical exam and prescribe medication
Diagnostic Code :430.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose aneurysm
Principal Injury Giving Rise To The Claim
Subarachnoid hemorrhage
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/17/200351-2003-CA-1355-WS
County Suit Filed inDate of Final Disposition
Pasco11/30/2005
Other Defendants Involved in this Claim
Cambo Medical Services, Inc.
Emergency Physicians Specialists, Inc.
Spring Hill Regional Hospital
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/15/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$43,025
All Other Loss Adjustment Expense Paid$11,700
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. Laszlo B Teleszky Medical Malpractice Lawsuits - Court Case # 03 CA 2099 WS

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535097
Claim Number :EMC-AO03-0051
Date Submitted :5/3/2005
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy  Thomas
Street Address
2000 West Sam Houston Parkway South, 19th Floor; One Briarlake Plaza
CityStateZip
HoustonTX77042-361
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLaszloBTeleszky
Insurer TypeStreet Address of Practice
Licensed14000 Fivay Road
CityStateZip CodeCounty
HudsonFL34673Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-1$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59346Family Physicians or General Practitioners - No Surgery80420

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
COLUMBIA REGIONAL MEDICAL CENTER BAYONET POINT 100256
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
8/16/20029/18/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ruptured diaphragm
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patinet presented to ER with complaints of abdominal pain.Physician ordered blood work, urinalysis and abdominal series as well as pain meds and antiemetics.He read the wet read of films which noted marked left diaphragm, questionable old trauma.It was not felt that the patient had an acute process
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Physician felt that if radiologists felt the patient had an acute process they would have notified him to suggest additional studies
Principal Injury Giving Rise To The Claim
Alleged failure to diagnose ruptured diaphragm resulting in death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/27/200403 CA 2099 WS
County Suit Filed inDate of Final Disposition
Pasco4/29/2005
Other Defendants Involved in this Claim
Mical, RN, Judith
Regional medical Center Bayonet Point
Florida ME-1 Medical Services, P.A.
All About Staffing, Inc.
EmCare of Florida, Inc.
EmCare, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/10/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$24,166
All Other Loss Adjustment Expense Paid$2,611
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. ANGELA CAPPIELLO Medical Malpractice Lawsuits - Court Case # 2000-6200

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200432251
Claim Number :9410065375
Date Submitted :7/29/2004
 
Insurer Information
 
Insurer NameCoverage Type
STEADFAST INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
52-0981481 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLYNN CORBIN
Street Address
ATTN:LYNN CORBIN
CityStateZip
COCKEYSVILLEMD21030
PhoneExtFaxE-Mail Address
(410) 229 - 5897 (410) 229 - 5879LYNN.CORBIN@ZURICHNA.COM
 
Insured Information
 
TypeFirst NameMILast Name
IndividualANGELA CAPPIELLO
Insurer TypeStreet Address of Practice
Licensed1144 RIVER EDGE DRIVE
CityStateZip CodeCounty
TARPON SPRINGSFL34685Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
9115197$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME0048101Physicians or Surgeons 

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
Patient's Home 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
6/29/19986/11/1999
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Aneurysm
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to timely assess
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
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
9/1/20002000-6200
County Suit Filed inDate of Final Disposition
Pasco9/2/2003
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/30/2003
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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

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Dr. Veselin S Stoyanov Medical Malpractice Lawsuits - Court Case # 13-CA-3302

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471574
Claim Number :43909
Date Submitted :8/8/2014
 
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
IndividualVeselinSStoyanov
Insurer TypeStreet Address of Practice
Licensed7633 Cita Lane
CityStateZip CodeCounty
New Port RicheyFL34667Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600367 13$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME98240Internal 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
Patients' Room 
Date of OccurrenceDate Reported to Insurer
3/3/20102/8/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Lung cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to follow-up on abnormal PET scan and recommend biopsy
Principal Injury Giving Rise To The Claim
Lung 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
6/10/201313-CA-3302
County Suit Filed inDate of Final Disposition
Pasco8/1/2014
Other Defendants Involved in this Claim
Duncan, MD, Robert L
Kwiat, MD, GlennA
Medical Assoc. of West Florida
Access Health Care 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/1/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$51,092
All Other Loss Adjustment Expense Paid$15,828
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$150,000$0
Wage Loss$0$0
Other Expenses$0$50,000
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. Nancy W Finnerty Medical Malpractice Lawsuits - Court Case # 51-2006-CA001242ES

Indemnity Paid: $395,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746110
Claim Number :33447-01
Date Submitted :6/28/2007
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualNancyWFinnerty
Insurer TypeStreet Address of Practice
Licensed13417 US Highway 301 South
CityStateZip CodeCounty
Dade CityFL33525Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98659$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME48797Family Physicians or General Practitioners - No Surgery80239

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
EAST PASCO MEDICAL CENTER100046
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
8/2/200512/5/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chest wall pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Physician's office visit.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The patient's chest wall pain was treated conservatively as it was re-produceable; however, the patient suffered an acute and organizing inferolateral MI three days later.
Principal Injury Giving Rise To The Claim
Death of this 66 year old married female.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/11/200651-2006-CA001242ES
County Suit Filed inDate of Final Disposition
Pasco6/18/2007
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/18/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$395,000
Loss Adjust Expense Paid to Defense Counsel$8,055
All Other Loss Adjustment Expense Paid$10,401
Injured Person's Total Non-Economic Loss$395,000
Deductible$100,000
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. David Columbus Medical Malpractice Lawsuits - Court Case # 2010-CA-008517

Indemnity Paid: $380,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160776
Claim Number :10-09-0113-A
Date Submitted :12/2/2011
 
Insurer Information
 
Insurer NameCoverage Type
FD INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
20-3704679 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMelodee Dixon
Street Address
7751 Belfort Parkway, Suite 100
CityStateZip
JacksonvilleFL32256
PhoneExtFaxE-Mail Address
(904) 296 - 2887209(904) 296 - 8919mdixon@fldic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDavid Columbus
Insurer TypeStreet Address of Practice
Licensed2044 Trinity Oaks Blvd., Ste. 220
CityStateZip CodeCounty
New Port RicheyFL34655Pasco
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MG000613$500,000$1,500,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS6675Anesthesiology - Pain Management 

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
9/24/20095/28/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Back pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Cervical steroid spinal injection.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis made.
Principal Injury Giving Rise To The Claim
12-level spinal fusion, recurrent urinary infections and bladder surgery.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/3/20102010-CA-008517
County Suit Filed inDate of Final Disposition
Pasco6/2/2011
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
5/6/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$380,000
Loss Adjust Expense Paid to Defense Counsel$99,581
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
Circumstances of this case have been discussed with the Insured and Risk Management was notified.Risk Management has discussed the case with the Insured.
 
Updates
 
 
Date of Change:12/2/2011 12:13:37 PM
Reason for Change:Corrected ALAE expense.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel4730499581

 

 

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Dr. DAVID NILES Medical Malpractice Lawsuits - Court Case # 51 2003 CA 003664WS-

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200744762
Claim Number :EMC-AO-04-34189-DN
Date Submitted :3/8/2007
 
Insurer Information
 
Insurer NameCoverage Type
COLUMBIA CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
47-0490411 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDAVID NILES
Insurer TypeStreet Address of Practice
Licensed650 RICHMOND CLOSE
CityStateZip CodeCounty
TARPON SPRINGSFL34688Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-2$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS5288Emergency 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
COMMUNITY HOSPITAL OF NEW PORT RICHEY100191
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
5/14/20028/19/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
SEPTIC SHOCK SECONDARY TO STREP PNEUMONIA BACTEREMIA AND DIC
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
VITALS TAKEN, FULL LABS ORDERED, GENTAMYCIN ORDERED, ADMITTED AND PATIENT'S CARE TAKEN OVER BY PCP
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
ALLEGED FAILURE TO TIMELY INSTITUTE ANTIBIOTICS AND ALLEGED FAILURE TO PROPERLY PROVIDE FLUID RESUSCITATION
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/2/200451 2003 CA 003664WS-
County Suit Filed inDate of Final Disposition
Pasco3/7/2007
Other Defendants Involved in this Claim
SICHELMAN, M.D., ALAN K
GELLADY, M.D., ANDREW M
EMCARE OF FLORIDA, INC.
FLORIDA EM-1 MEDICAL SERVICES PA
UBILLUS, M.D., RICARDO E
GULF CARDIOLOGY ASSOCIATES
COMMUNITY HOSPITAL OF NEW PORT RICHEY
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
9/1/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$81,498
All Other Loss Adjustment Expense Paid$9,917
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
IN REALITY, GENTAMYCIN WAS ORDERED IN A GOOD RESPONSE TIME OF 22:15 FOR PATIENT FIRST SEEN AT 19:30
 
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Dr. Teresa L Conrad Medical Malpractice Lawsuits - Court Case # 2002-CA-1562 WS

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536447
Claim Number :A02-25594-00
Date Submitted :8/24/2005
 
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
IndividualTeresaLConrad
Insurer TypeStreet Address of Practice
Licensed1501 South Pinellas Avenue, Suite T
CityStateZip CodeCounty
Tarpon SpringsFL34689Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
38720$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME67035Surgery - Obstetrics - Gynecology80153

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
Hospital Inpatient Facility 
Name of InstitutionCode
HELEN ELLIS MEMORIAL HOSPITAL100055
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
6/1/20002/19/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Spontaneous vaginal delivery with shoulder dystocia in 16 year old mother.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vaginal delivery with mother in McRobert's position and suprapubic pressure applied.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Erb's palsy in a female infant following shoulder dystocia.
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
6/6/20022002-CA-1562 WS
County Suit Filed inDate of Final Disposition
Pasco7/29/2005
Other Defendants Involved in this Claim
Helen Ellis 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
Summary judgment for the plaintiff. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
7/29/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$38,959
All Other Loss Adjustment Expense Paid$21,765
Injured Person's Total Non-Economic Loss$350,000
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
 
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