Medical Malpractice Cases

Medical Malpractice Cases In Pinellas County Florida

Dr. Joseph R Patterson Medical Malpractice Lawsuits - Court Case # 06-5012CI-13

Indemnity Paid: $10,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200643464
Claim Number :MM242494
Date Submitted :12/11/2006
 
Insurer Information
 
Insurer NameCoverage Type
EVANSTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
36-2950161 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualLinda MMurray
Street Address
Ten Parkway N., Suite 100
CityStateZip
DeerfieldIL60015
PhoneExtFaxE-Mail Address
(847) 572 - 6082 (847) 572 - 6338murray@markelcorp.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJosephRPatterson
Insurer TypeStreet Address of Practice
Licensed542 Tapiato Lane
CityStateZip CodeCounty
PoincianaFL34759Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MM-810999$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME9314Radiology - Diagnostic - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
LARGO MEDICAL CENTER100248
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/19/20042/9/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Claimant entered ER for x-rays to look for free intraperitoneal air.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
X-rays were taken.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
X-rays were misread.
Principal Injury Giving Rise To The Claim
Insured misread x-rays which led to a delay in diagnosis.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/31/200606-5012CI-13
County Suit Filed inDate of Final Disposition
Pinellas12/8/2006
Other Defendants Involved in this Claim
 
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
12/11/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$10,000,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$1,000,000
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
None.
 
Updates
 
No updates found.

 

 

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Dr. Thomas J Umstead Medical Malpractice Lawsuits - Court Case # 16-000127-CI

Indemnity Paid: $5,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201886940
Claim Number : 70490-A
Date Submitted : 11/7/2018
 
Insurer Information
 
Insurer Name Coverage Type
MEDMAL DIRECT INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
27-2813188  
Insurer Contact Information
Type First Name MI Last Name
Individual James P Lacey
Street Address
76 S. Laura Street, Suite 900
City State Zip
Jacksonville FL 32202
Phone Ext Fax E-Mail Address
(904) 482 - 4068   (888) 974 - 6458 claims@medmaldirect.com
 
Insured Information
 
Type First Name MI Last Name
Individual Thomas J Umstead
Insurer Type Street Address of Practice
Licensed 1812 Healthcare Drive
City State Zip Code County
New Port Richey FL 34655 Pasco
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FL707660 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME44331 Surgery - Obstetrics - Gynecology  

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
Hospital Inpatient Facility  
Name of Institution Code
N/A 000000
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
8/27/2014 5/25/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
VBAC delivery trial of labor.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vaginal delivery - trial of labor.
Diagnostic Code : 09
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death of a fetus due to trial of labor -VBAC.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/6/2016 16-000127-CI
County Suit Filed in Date of Final Disposition
Pinellas 2/8/2018
Other Defendants Involved in this Claim
Florida Hospital Tarpon Springs
Stage of Legal System at which Settlement was Reached or Award Made
During appeal.
Final Method of Claim Disposition
Disposed of by Court
Court Decision Other
Judgment for the plaintiff.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/4/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $5,000,000
Loss Adjust Expense Paid to Defense Counsel $221,794
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
None.
 
Updates
 
 
Date of Change: 11/7/2018 4:17:47 PM
Reason for Change: Final disposition date updated from 10/04/2018 to 02/08/2018.
 
Field Changed Former Value New Value
Date of Final Disposition 04-OCT-18 08-FEB-18

 

 

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Dr. Edison K Azenha Medical Malpractice Lawsuits - Court Case # 00-8274-CI-20

Indemnity Paid: $4,759,597.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641001
Claim Number :E27254-01
Date Submitted :1/10/2007
 
Insurer Information
 
Insurer NameCoverage Type
PROASSURANCE CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
38-2317569 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMaria Gonzalez
Street Address
2801 SW 149th Avenue, Suite 200
CityStateZip
MiramarFL33027
PhoneExtFaxE-Mail Address
(954) 602 - 5834  mgonzalez@pronational.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEdisonKAzenha
Insurer TypeStreet Address of Practice
Licensed3102 Jackson Avenue
CityStateZip CodeCounty
MiamiFL33133Dade
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-3002228-00$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME73973Surgery - Obstetrics - Gynecology0

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LARGO MEDICAL CENTER100248
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/20/19986/24/1998
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fibroid uterus
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Hysterectomy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose a bowel perforation
Principal Injury Giving Rise To The Claim
Sepsis, colostomy and amputation of two digits
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/12/200000-8274-CI-20
County Suit Filed inDate of Final Disposition
Pinellas5/31/2006
Other Defendants Involved in this Claim
A Women's Health & Pregnancy Center
Sider, Todd
West Coast Surgical Specialists
Haicken, Barry N
Largo Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Disposed of by Court
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/7/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$4,759,597
Loss Adjust Expense Paid to Defense Counsel$279,324
All Other Loss Adjustment Expense Paid$287,330
Injured Person's Total Non-Economic Loss$4,759,597
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured discussed claim with insurance personnel and medical experts.
 
Updates
 
 
Date of Change:10/17/2006 10:13:17 AM
Reason for Change:"Loss Adjusted/Counsel" and "Other Loss Adjustment" has been increased due to additional invoices being paid.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid275885302893
Amount of Loss Adjustment Expense Paid to Defense Counsel269135279324
 
Date of Change:1/10/2007 11:47:16 AM
Reason for Change:"Other Loss Adjustment" decreased due to reimbursements being made.
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid302893287330

 

 

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Dr. DANUTA JACKSON-CURTIS Medical Malpractice Lawsuits - Court Case # 03-008570 CI-021

Indemnity Paid: $3,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200538886
Claim Number :40-009108
Date Submitted :12/14/2005
 
Insurer Information
 
Insurer NameCoverage Type
TRUCK INSURANCE EXCHANGEPrimary
Insurer FEINProfessional License Number
95-2575892 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualHeidi Tam
Street Address
4680 Wilshire Blvd., Sixth Floor
CityStateZip
Los AngelesCA90010
PhoneExtFaxE-Mail Address
(323) 930 - 7078  heidi.tam@farmersinsurance.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDANUTA JACKSON-CURTIS
Insurer TypeStreet Address of Practice
Licensed28960 US Hwy. 19 North Suite 115
CityStateZip CodeCounty
ClearwaterFL33761Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0117776130000$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME61310Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
ALL CHILDREN'S HOSPITAL100250
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
4/29/20029/16/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Autopsy Report indicated: 1.Bronchopneumonia, bilateral, moderate 2. Acute fulminant lymphocytic myocarditis 3.Congestive hepatosplenomegaly.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Claimant contends that the child's respiratory distress was misdiagnosed as acute bronchospasm when it was actually a result of congestive heart failure brought on by lymphocytic myocarditis.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The child was dehydrated and was treated for dehydration with fluids.While a possibility, viral myocarditis would have been way down the list of suspicion.
Principal Injury Giving Rise To The Claim
The autopsy indicates the cause of death was Myocarditis.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/31/200303-008570 CI-021
County Suit Filed inDate of Final Disposition
Pinellas10/20/2005
Other Defendants Involved in this Claim
The Emergency Associates for Medicine, Inc.
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/26/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$3,000,000
Loss Adjust Expense Paid to Defense Counsel$469,961
All Other Loss Adjustment Expense Paid$99,957
Injured Person's Total Non-Economic Loss$3,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$63,842$0
Wage Loss$0$0
Other Expenses$3,469$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
This is a risk management issue.There are no risk management services available to the insured.
 
Updates
 
No updates found.

 

 

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Dr. Douglas Turnbull Medical Malpractice Lawsuits - Court Case # 10012955CL

Indemnity Paid: $2,142,834.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574447
Claim Number : FP3965701
Date Submitted : 4/30/2015
 
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 Douglas   Turnbull
Insurer Type Street Address of Practice
Licensed 1551 West Bay Drive
City State Zip Code County
Largo FL 33770 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FP-88501 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME100205 Urology - 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 Pinellas
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
LARGO MEDICAL CENTER 100248
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
11/21/2008 1/15/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Ureteral calculi requiring lithotripsy, cystoscopy in 81 year old male.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lithotripsy, cystoscopy and pain medication with morphine which patient had known "sensitivity to".
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient developed confusion and encephalopaty 12 -15 hours after administration of morphine. Patient deteriorated over weeks and died. Plaintiff maintained patient had known "sensitivity" to morphine and it was therefore contraindicated.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
9/8/2010 10012955CL
County Suit Filed in Date of Final Disposition
Pinellas 4/2/2015
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Disposed of by Court
Court Decision Other
Judgment for the plaintiff after appeal ...  
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 $2,142,834
Loss Adjust Expense Paid to Defense Counsel $128,058
All Other Loss Adjustment Expense Paid $73,237
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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

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Dr. E K EASTER Medical Malpractice Lawsuits - Court Case # 99-006161

Indemnity Paid: $1,945,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534309
Claim Number :DNT 13021863-10-97
Date Submitted :2/8/2005
 
Insurer Information
 
Insurer NameCoverage Type
CINCINNATI INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
31-0542366 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualDanielRWalsh
Street Address
6200 South Gilmore Rd
CityStateZip
FairfieldOH45014
PhoneExtFaxE-Mail Address
(513) 870 - 2728 (513) 603 - 5157dan_walsh@cinfin.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEKEASTER
Insurer TypeStreet Address of Practice
Licensed7401 8TH ST N
CityStateZip CodeCounty
ST PETERSBURGFL33702Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
DNT 130 21 86$2,000,000$2,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN5475DentistsAE5062726

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPinellas
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
3/10/19974/16/1999
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Failure to diagnose
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Failure to daignose
Diagnostic Code :010
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose a virulent infectio in the jaw which communicated to the basilar artery resulting in rupture and death.
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
11/19/199999-006161
County Suit Filed inDate of Final Disposition
Pinellas9/13/2001
Other Defendants Involved in this Claim
Broome, Craig C
Miller, R H
Northeast Dental Associates
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
OtherDismissal with Prejudice
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/12/2001
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,945,000
Loss Adjust Expense Paid to Defense Counsel$42,950
All Other Loss Adjustment Expense Paid$7,110
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$8,500$0
Wage Loss$100,000$1,836,500
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Revised pre-screen proceedures
 
Updates
 
No updates found.

 

 

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Dr. WILLIAM S MAISTRELLIS Medical Malpractice Lawsuits - Court Case # None

Indemnity Paid: $1,500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433406
Claim Number :00001
Date Submitted :11/11/2004
 
Insurer Information
 
Insurer NameCoverage Type
Sugical Associates Of West FloridaPrimary
Insurer FEINProfessional License Number
59-3317557ME19478 & ME31191
Insurer Contact Information
TypeFirst NameMILast Name
IndividualBarbara  Knapp
Street Address
1106 Druid Rd So Suite 301
CityStateZip
ClearwaterFL33756
PhoneExtFaxE-Mail Address
(727) 446 - 5681128(727) 442 - 5505bperris@tbi.net
 
Insured Information
 
TypeFirst NameMILast Name
IndividualWILLIAMSMAISTRELLIS
Insurer TypeStreet Address of Practice
Self-Insurer1106 Druid Rd So
CityStateZip CodeCounty
ClearwaterFL33756Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
00001$25,000,000$750,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME19478Surgery - General 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPinellas
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
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/30/20021/23/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
444.21 Upper embolism of Artery
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
34101 Brachial Embolectomy 24495 Fasciotomy75658 Operative Arteriogarm
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Failure Timely to intervene to correct a thromboembolus in Mrs Holobicky's arm.
Severity Of Injury
Emotional Only - Fright, no physical damage

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/23/2004None
County Suit Filed inDate of Final Disposition
Pinellas6/21/2004
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After arbitration is initiated or prior to suit being filed.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/21/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,500,000
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 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
Notification to Physician in a timely manaor for ER
 
Updates
 
No updates found.

 

 

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

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Dr. Francisco Cardona Medical Malpractice Lawsuits - Court Case # 13-005310-CI

Indemnity Paid: $1,200,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201472731
Claim Number : 146386
Date Submitted : 11/20/2014
 
Insurer Information
 
Insurer Name Coverage Type
HEALTH CARE INDEMNITY, INC. Primary
Insurer FEIN Professional License Number
61-0904881  
Insurer Contact Information
Type First Name MI Last Name
Individual Teresa   Ross
Street Address
One Park Plaza P.O. Box 555
City State Zip
Nashville TN 37202
Phone Ext Fax E-Mail Address
(615) 344 - 5804     Teresa.Ross@HCAHealthcare.com
 
Insured Information
 
Type First Name MI Last Name
Individual Francisco   Cardona
Insurer Type Street Address of Practice
Licensed 6006 49th Street N Suite 200
City State Zip Code County
Saint Petersburg FL 33709 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HCI-10111 $750,000 $1,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME85176 Cardiovascular Disease - No Surgery 01

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 Pinellas
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
NORTHSIDE HOSPITAL 100238
Location of Institutional Injury Other Location of Institutional Injury
Other Emergency Room
Date of Occurrence Date Reported to Insurer
5/20/2011 4/12/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Myocardial infarction.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient presented with chest pain & given differential diagnosis of unstable angina. Physician called by ER physician & stated would see patient as soon as possible as he was currently with another patient. Allege delay in personally evaluating patient & failure to immediately order cardiac catheterization to prevent cardiac death.
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.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
5/24/2013 13-005310-CI
County Suit Filed in Date of Final Disposition
Pinellas 11/14/2014
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/7/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $1,200,000
Loss Adjust Expense Paid to Defense Counsel $55,427
All Other Loss Adjustment Expense Paid $24,277
Injured Person's Total Non-Economic Loss $600,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $600,000
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Review of policies and procedures.
 
Updates
 
No updates found.

 

 

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

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Dr. Paul B Goldenfarb Medical Malpractice Lawsuits - Court Case # 04-3503-CI21

Indemnity Paid: $1,100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200744963
Claim Number :26169-01
Date Submitted :3/23/2007
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPaulBGoldenfarb
Insurer TypeStreet Address of Practice
Licensed1200 Druid Road, South, Ste 8
CityStateZip CodeCounty
ClearwaterFL33756Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
04126$1,500,000$4,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME24039Internal Medicine - No Surgery80259

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MORTON PLANT HOSPITAL100127
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
5/13/20025/13/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stage II colon cancer.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Chemotherapy consisting of 5FU and leucovorin.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
This 58 year old married female was hospitalized from chemotherapy induced diarrhea with weakness and dehydration and ultimately expired from a pulmonary embolism.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/9/200404-3503-CI21
County Suit Filed inDate of Final Disposition
Pinellas3/5/2007
Other Defendants Involved in this Claim
Kudelko, D.O., Paul E
Morton Plant Mease Healthcare
McCance, M.D., Gigi
Gonzalez, A.R.N.P., Elizabeth
Patel, M.D., Hitesh
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/5/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,100,000
Loss Adjust Expense Paid to Defense Counsel$20,765
All Other Loss Adjustment Expense Paid$15,438
Injured Person's Total Non-Economic Loss$1,100,000
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. Raymond Perez Medical Malpractice Lawsuits - Court Case # 05006301C-013

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747518
Claim Number :32130-02
Date Submitted :10/31/2007
 
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
IndividualRaymond Perez
Insurer TypeStreet Address of Practice
LicensedP. O. Box 5300
CityStateZip CodeCounty
Spring HillFL34611Hernando
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
98561$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS8252Radiology - Diagnostic - Minor Surgery80280

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
5/10/20043/2/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with complaints of abdominal pain, nausea and vomiting and was ultimately diagnosed with a 90% occlusion of the superior mesenteric artery.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose a 90% occlusion of the superior mesenteric artery on a CT of the abdomen/pelvis.
Principal Injury Giving Rise To The Claim
Development of ischemic colitis, resulting in need for 2 surgeries to include a bowel transplant.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/23/200505006301C-013
County Suit Filed inDate of Final Disposition
Pinellas10/11/2007
Other Defendants Involved in this Claim
Ledesma, M.D., Dwayne
Freedland, D.O., Curtis
Barnes, M.D., Elbert
Lura, M.D., Glen
Klibanoff, M.D., Alan
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/11/2007
 
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$77,267
All Other Loss Adjustment Expense Paid$104,297
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Oscar Del Rio Medical Malpractice Lawsuits - Court Case # 04-003597-CI-11

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851264
Claim Number :EMC-03XS-74279
Date Submitted :11/4/2008
 
Insurer Information
 
Insurer NameCoverage Type
EmCare Holdings, Inc.Primary
Insurer FEINProfessional License Number
75-173235SI
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
IndividualOscar Del Rio
Insurer TypeStreet Address of Practice
Self-Insurer1712 Glen Echo Way
CityStateZip CodeCounty
MariettaGA30062Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2003-Excess$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME81707Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
MEASE HOSPITAL - DUNEDIN100043
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
7/9/200310/7/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pain in right lower groin
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged delay in diagnosis of ruptured iliac artery
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/13/200404-003597-CI-11
County Suit Filed inDate of Final Disposition
Pinellas10/30/2008
Other Defendants Involved in this Claim
Morton Plant Mease Healthacare
Tampa Bay Womens Care
Wolff, Joy L
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/4/2007
 
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$29,587
All Other Loss Adjustment Expense Paid$22,929
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. MICHAEL MASTRY Medical Malpractice Lawsuits - Court Case # 06-579CI11

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851071
Claim Number :03-0327A
Date Submitted :10/7/2008
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCECILIA SALA
Street Address
4211 BOYSCOUT BLVD., STE. 160
CityStateZip
TAMPAFL33624
PhoneExtFaxE-Mail Address
(813) 874 - 0768 (813) 874 - 0710csala@che.org
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMICHAEL MASTRY
Insurer TypeStreet Address of Practice
Licensed700 Central Avenue, Suite 400
CityStateZip CodeCounty
St. PetersburgFL33701Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
031-0350$1,000,000$30,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME56298Gynecology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAYFRONT MEDICAL CENTER100032
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
8/2/20038/5/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient with pre-eclampsia admitted to rule out eclampsia.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Emergent c-section performed after patient coded, unsuccessful resuscitative attempts. Infant intubated, coded, and subsequently expired at another facility.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to monitor patient led to demise of mother and infant.
Principal Injury Giving Rise To The Claim
Maternal and infant deaths due to complications of pregnancy-related hypertension.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/26/200606-579CI11
County Suit Filed inDate of Final Disposition
Pinellas9/18/2008
Other Defendants Involved in this Claim
Bayview OB/GYN, PA
McNeill, Jr., Thomas
Bayfront Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/18/2008
 
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$142,425
All Other Loss Adjustment Expense Paid$0
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$3,092,434
Other Expenses$531,638$407,335
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Defense counsel discussed claim with physician.
 
Updates
 
No updates found.

 

 

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Dr. HAROLD J COLBASSANI Medical Malpractice Lawsuits - Court Case # 99-07409

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433465
Claim Number :MM00005701-405299
Date Submitted :11/22/2004
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN CONTINENTAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
44-0648645 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualPatriceAKane
Street Address
3230 West Commercial Blvd., #390
CityStateZip
Ft. LauderdaleFL33309
PhoneExtFaxE-Mail Address
(954) 677 - 33243324(954) 735 - 9028Pat.Kane@stpaul.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualHAROLDJCOLBASSANI
Insurer TypeStreet Address of Practice
Licensed32615 US HIGHWAY 19 N
CityStateZip CodeCounty
PALM HARBORFL34684-3176Hillsborough
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MM00005701$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME58082Surgery - Neurology - Including Child01

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FHillsborough
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SAINT JOSEPH HOSP. OF PORT CHARLOTTE100077
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/3/19985/24/2000
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Revision of brain shunt
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Revision of brain shunt
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None
Principal Injury Giving Rise To The Claim
Alleging exacerbation of underlying neurological condition.
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
5/10/200099-07409
County Suit Filed inDate of Final Disposition
Pinellas10/20/2004
Other Defendants Involved in this Claim
Deweese, William
St. Joseph's 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
10/20/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$110,301
All Other Loss Adjustment Expense Paid$31,040
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$98,000$212,000
Wage Loss$96,000$494,000
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None known
 
Updates
 
No updates found.

 

 

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Dr. ROBERT P NANTAIS Medical Malpractice Lawsuits - Court Case # 02-9397-CI-11

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640500
Claim Number :B02-26546-00
Date Submitted :5/5/2006
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualROBERTPNANTAIS
Insurer TypeStreet Address of Practice
Licensed2191 Ninth Avenue North, Ste 120
CityStateZip CodeCounty
Saint PetersburgFL33713Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
33501$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME64261Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
EDWARD WHITE HOSPITAL100239
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/18/20007/9/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Reoccuring left hip dislocations.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Left total hip revision.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
A 57 year old married female developed a post-operative MRSA wound infection, which ultimately required hemipelvectomy.
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
1/13/200302-9397-CI-11
County Suit Filed inDate of Final Disposition
Pinellas4/7/2006
Other Defendants Involved in this Claim
Edward White 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
4/7/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$114,044
All Other Loss Adjustment Expense Paid$47,231
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. Michael Lawless Medical Malpractice Lawsuits - Court Case # 03-7763-CI-20

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642631
Claim Number :03-3101
Date Submitted :10/13/2006
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCECILIA SALA
Street Address
4211 BOYSCOUT BLVD., STE. 160
CityStateZip
TAMPAFL33624
PhoneExtFaxE-Mail Address
(813) 874 - 0768 (813) 874 - 0710csala@che.org
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMichael Lawless
Insurer TypeStreet Address of Practice
Licensed603 7th ST S, Suite # 360
CityStateZip CodeCounty
St. PetersburgFL33701Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
031-0350$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME75819Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAYFRONT MEDICAL CENTER100032
Location of Institutional InjuryOther Location of Institutional Injury
OtherEmergency Department
Date of OccurrenceDate Reported to Insurer
9/20/20015/27/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Presented to the ED with headache, nausea and vomiting.Blood Glucose level was 729.Diagnosed with diabetic ketoacidosis.Transferred to All Children's Hospital for further care.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
During transport to All Children's Hospital, the patient had a seizure with bilateral upper extremity posturing and no response to pain stimuli.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Allegedly, the 9-year-old child sustained brain stem herniation syndrome and is severely neurologically impaired.
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
10/3/200303-7763-CI-20
County Suit Filed inDate of Final Disposition
Pinellas9/27/2006
Other Defendants Involved in this Claim
Estate of Sheree English, RN
Bayfront Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/18/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$131,751
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$5,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$1,249,876$0
Wage Loss$0$1,734,852
Other Expenses$0$25,213,272
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Defense counsel discussed the case with the physician.
 
Updates
 
No updates found.

 

 

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Dr. JEFFREY LEIMBACHER Medical Malpractice Lawsuits - Court Case # 13 1506 CI 19

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201472771
Claim Number : EMC-FL-12XS-257887
Date Submitted : 11/24/2014
 
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
9821 Katy Freeway
City State Zip
Houston TX 77024
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 JEFFREY   LEIMBACHER
Insurer Type Street Address of Practice
Self-Insurer 13896 SPOONBILL LANDE
City State Zip Code County
CLEARWATER FL 33762 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
EMC-2012-Excess $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME37128 Emergency Medicine - No Major Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Pinellas
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
LARGO MEDICAL CENTER 100248
Location of Institutional Injury Other Location of Institutional Injury
Critical Care Unit  
Date of Occurrence Date Reported to Insurer
2/28/2011 7/3/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
SEIZURES
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
MEDICATED AND INTUBATED
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
ANOXIC BRAIN INJURY
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
2/8/2013 13 1506 CI 19
County Suit Filed in Date of Final Disposition
Pinellas 11/24/2014
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
10/30/2014
 
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 $66,611
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. ALFRED FRANKEL Medical Malpractice Lawsuits - Court Case # 3-11330C119

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201573317
Claim Number : EMC-FL-13XS-273034
Date Submitted : 1/28/2015
 
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
9821 Katy Freeway
City State Zip
Houston TX 77024
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 ALFRED   FRANKEL
Insurer Type Street Address of Practice
Self-Insurer 6000 49TH STREET N.
City State Zip Code County
SAINT PETERSBURG FL 33709 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
EMC-2013-XS $750,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME11657 Emergency Medicine - No Major Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Pinellas
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
NORTHSIDE HOSPITAL 100238
Location of Institutional Injury Other Location of Institutional Injury
Critical Care Unit  
Date of Occurrence Date Reported to Insurer
9/27/2011 5/9/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
HYPERTENSIVE EMERGENCY
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
TREATED AND DISCHARGED
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
NO MISDIAGNOSIS
Principal Injury Giving Rise To The Claim
HEMIPARESIS AND PROFOUND APHASIA
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
12/10/2013 3-11330C119
County Suit Filed in Date of Final Disposition
Pinellas 1/8/2015
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
12/2/2014
 
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 $12,986
All Other Loss Adjustment Expense Paid $137,310
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. Thomas M McNeill Medical Malpractice Lawsuits - Court Case # 14-009369-CI

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575675
Claim Number : 1020301-01
Date Submitted : 2/20/2017
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Thomas M McNeill
Insurer Type Street Address of Practice
Licensed 829 Marco Drive NE
City State Zip Code County
Saint Petersburg FL 33702 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
775559 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME64913 Surgery - Obstetrics  

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 Pinellas
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
BAYFRONT MEDICAL CENTER 100032
Location of Institutional Injury Other Location of Institutional Injury
Radiology, Emergency Room  
Date of Occurrence Date Reported to Insurer
10/29/2013 7/21/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Uterine abruption in auto accident
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Admit to hospital and monitor
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Delay in performing C-section delivery
Principal Injury Giving Rise To The Claim
Hypoxic encepholopathy resulting in neurological injury
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
12/22/2014 14-009369-CI
County Suit Filed in Date of Final Disposition
Pinellas 8/26/2015
Other Defendants Involved in this Claim
Women's Care Florida LLC
Bayfront HMA Medical Center 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
8/25/2015
 
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 $19,489
All Other Loss Adjustment Expense Paid $9,114
Injured Person's Total Non-Economic Loss $500,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change: 1/28/2016 9:28:58 AM
Reason for Change: ALE UPDATE 1/28/2016
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 4954 5795
Amount of Loss Adjustment Expense Paid to Defense Counsel 10290 15641
 
Date of Change: 8/11/2016 10:39:07 AM
Reason for Change: ALE UPDATED 8/11/2016
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 5795 7989
Amount of Loss Adjustment Expense Paid to Defense Counsel 15641 18607
 
Date of Change: 2/20/2017 3:18:06 PM
Reason for Change: ALE UPDATE 2/20/2017
 
Field Changed Former Value New Value
All Other Loss Adjustment Expense Paid 7989 9114
Claim Number 1020301 1020301-01
Amount of Loss Adjustment Expense Paid to Defense Counsel 18607 19489

 

 

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Dr. Jeffrey Marder Medical Malpractice Lawsuits - Court Case # 10-17850-CI-19

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263502
Claim Number :2010-09-300-0006
Date Submitted :4/11/2012
 
Insurer Information
 
Insurer NameCoverage Type
LEXINGTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
25-1149494 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualPaulJMasterson
Street Address
DULAC, Inc. PO Box 18606
CityStateZip
TampaFL33679
PhoneExtFaxE-Mail Address
(813) 545 - 1061  paul.masterson@dulaccorp.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJeffrey Marder
Insurer TypeStreet Address of Practice
Licensed12225 28th Street N., Suite #A
CityStateZip CodeCounty
St. PetersburgFL33716Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
839-6469$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME45544Anesthesiology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityBayfront Same Day Surgery
Name of InstitutionCode
BAYFRONT MEDICAL CENTER100032
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
3/26/20103/31/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Management of neck pain from workplace accident/fall.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient admitted for performance of left C4-7 facet block under fluoroscopy.Procedure performed by pain management physician.Dr. Marder evaluated the patientand cleared the patient.The patient was noted to have absence of respiratory effort at the end of the procedure.Dr. Marder assisted with resuscitation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis of the patient's condition.
Principal Injury Giving Rise To The Claim
Anoxic encephalopathy.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/29/201010-17850-CI-19
County Suit Filed inDate of Final Disposition
Pinellas3/15/2012
Other Defendants Involved in this Claim
Trimble, Gerald
West Florida Pain Management, P.A.
Woods, Thomas
Swymer, Robert
Bayfront Anesthesia Services, P.A.
Bayfront Same Day Surgery, LLC
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/15/2012
 
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$43,132
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$1,400,000$2,500,000
Wage Loss$30,000$250,000
Other Expenses$0$5,000,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Defense counsel discussed case with physician including monitoring and supervision of Certified Registered Nurse Anesthetists.
 
Updates
 
No updates found.

 

 

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Dr. Beth A Girgis Medical Malpractice Lawsuits - Court Case # 10-14334CI-19

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368647
Claim Number :1012875-01
Date Submitted :10/16/2013
 
Insurer Information
 
Insurer NameCoverage Type
NATIONAL FIRE AND MARINE INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
47-6021331 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualPamelaAPrudlow
Street Address
5814 Reed Road
CityStateZip
Ft. WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0370 (260) 486 - 0785pamela.prudlow@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBethAGirgis
Insurer TypeStreet Address of Practice
Licensed701 Sixth Street South
CityStateZip CodeCounty
Saint PetersburgFL33701Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HN006333$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME92385Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
BAYFRONT MEDICAL CENTER100032
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
1/30/20092/6/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Presented to ER with ankle fracture from accident.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Pain medications given.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to appropriately monitor patient after administering pain medication.
Principal Injury Giving Rise To The Claim
Respiratory arrest and brain damage.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/24/201010-14334CI-19
County Suit Filed inDate of Final Disposition
Pinellas9/16/2013
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/20/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,000,000
Loss Adjust Expense Paid to Defense Counsel$16,145
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
No updates found.

 

 

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Dr. Michael J Antonelli Medical Malpractice Lawsuits - Court Case # 12-8055-CI-21

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368464
Claim Number :1012854-01
Date Submitted :9/24/2013
 
Insurer Information
 
Insurer NameCoverage Type
NATIONAL FIRE AND MARINE INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
47-6021331 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualPamelaAPrudlow
Street Address
5814 Reed Road
CityStateZip
Ft. WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0370 (260) 486 - 0785pamela.prudlow@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMichaelJAntonelli
Insurer TypeStreet Address of Practice
Licensed701 Sixth Street South
CityStateZip CodeCounty
Saint PetersburgFL33701Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HN006333$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS10636Anesthesiology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAYFRONT MEDICAL CENTER100032
Location of Institutional InjuryOther Location of Institutional Injury
Recovery Room 
Date of OccurrenceDate Reported to Insurer
7/13/20112/27/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
History of heart condition. Elective hernia repair.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Anesthesia for hernia surgery.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to administer appropriate medications to patient post-op.
Principal Injury Giving Rise To The Claim
Cardiac arrest and permanent brain injury.
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
7/11/201212-8055-CI-21
County Suit Filed inDate of Final Disposition
Pinellas8/26/2013
Other Defendants Involved in this Claim
Pedro J. Morales, MD, PA
Freddie L. McRae, MD, PA
Morales, Pedro J
McRae, Freddie L
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
8/5/2013
 
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$30,224
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$1,000,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
 
Date of Change:9/24/2013 4:38:24 PM
Reason for Change:Needed to add amount paid for non-economic loss.
 
Field ChangedFormer ValueNew Value
Injured Person Total Non-Economic Loss01000000

 

 

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Dr. Steven G Epstein Medical Malpractice Lawsuits - Court Case # 48803380

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201987549
Claim Number : HMA64747
Date Submitted : 1/9/2019
 
Insurer Information
 
Insurer Name Coverage Type
COLUMBIA CASUALTY COMPANY Primary
Insurer FEIN Professional License Number
47-0490411  
Insurer Contact Information
Type First Name MI Last Name
Individual SHARI R MCGEE
Street Address
333 S. WABASH AVE.
City State Zip
CHICAGO IL 60604
Phone Ext Fax E-Mail Address
(312) 822 - 2535     shari.mcgee@cna.com
 
Insured Information
 
Type First Name MI Last Name
Individual Steven G Epstein
Insurer Type Street Address of Practice
Licensed 603 7th Street S
City State Zip Code County
St Petersburg FL 33701 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
NSD 5091270271 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME48465 Surgery - General  

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 Pinellas
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
BAYFRONT MEDICAL CENTER 100032
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
10/24/2014 6/24/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient transferred from another hospital for vascular surgery consult following a football injury involving the patient's knee.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to timely assess injury and perform popliteal artery grafting resulting in right leg above the knee amputation.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Complications of football injury to knee.
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
4/15/2016 48803380
County Suit Filed in Date of Final Disposition
Pinellas 1/3/2019
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Settlement Reached Prior to Pre-Suit Period
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/7/2018
 
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 $105,942
All Other Loss Adjustment Expense Paid $77,740
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
ENFORCING GUIDELINES AND POLICIES TO PREVENT RISKS.
 
Updates
 
No updates found.

 

Dr. Jeffrey I Marder Medical Malpractice Lawsuits - Court Case # 13-006733-CI

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885450
Claim Number : 1012911-02
Date Submitted : 6/5/2018
 
Insurer Information
 
Insurer Name Coverage Type
NATIONAL FIRE & MARINE INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
47-6021331  
Insurer Contact Information
Type First Name MI Last Name
Individual Pamela A Prudlow
Street Address
5814 Reed Road
City State Zip
Ft. Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0370   (260) 486 - 0785 pamela.prudlow@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Jeffrey I Marder
Insurer Type Street Address of Practice
Licensed 701 6th Street South
City State Zip Code County
Saint Petersburg FL 33701 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HN006333 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME45544 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
  M Pinellas
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
BAYFRONT MEDICAL CENTER 100032
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
10/29/2010 4/17/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Shoulder injury.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged improper monitoring during shoulder surgery.
Principal Injury Giving Rise To The Claim
Bradycardia, asystolic arrest and anoxic brain injury.
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
6/27/2013 13-006733-CI
County Suit Filed in Date of Final Disposition
Pinellas 5/4/2018
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
4/4/2018
 
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 $67,878
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $500,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
No updates found.

 

 

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Dr. Michael J Antonelli Medical Malpractice Lawsuits - Court Case # 13-006733-CI

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201885451
Claim Number : 1012911-03
Date Submitted : 6/5/2018
 
Insurer Information
 
Insurer Name Coverage Type
NATIONAL FIRE & MARINE INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
47-6021331  
Insurer Contact Information
Type First Name MI Last Name
Individual Pamela A Prudlow
Street Address
5814 Reed Road
City State Zip
Ft. Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0370   (260) 486 - 0785 pamela.prudlow@medpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Michael J Antonelli
Insurer Type Street Address of Practice
Licensed 701 6th Street South
City State Zip Code County
Saint Petersburg FL 33701 Pinellas
Policy Number Per Claim Policy Limits Aggregate Policy Limits
HN006333 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
OS10636 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
  M Pinellas
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
BAYFRONT MEDICAL CENTER 100032
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
10/29/2010 4/17/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Shoulder injury.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Surgery.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged improper monitoring during shoulder surgery.
Principal Injury Giving Rise To The Claim
Bradycardia, asystolic arrest and anoxic brain injury.
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
6/27/2013 13-006733-CI
County Suit Filed in Date of Final Disposition
Pinellas 5/4/2018
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
4/4/2018
 
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 $50,251
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $500,000
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
n/a
 
Updates
 
No updates found.

 

 

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Dr. Cheryl Quigley Medical Malpractice Lawsuits - Court Case # CRC-02-10343-CI

Indemnity Paid: $975,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849227
Claim Number :223350
Date Submitted :4/16/2008
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualAngela LaFrance
Street Address
13450 W. Sunrise Blvd., Suite 160
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(954) 838 - 99886216(866) 636 - 5421alafrance@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCheryl Quigley
Insurer TypeStreet Address of Practice
Licensed1551 West Bay Drive
CityStateZip CodeCounty
LargoFL33770Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0059463$2,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME64214Internal Medicine - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPinellas
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LARGO MEDICAL CENTER100248
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
7/12/20008/29/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hyponatremia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Sodium replacement
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Cognitive impairment from development of central pontine myelinolysis
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/10/2003CRC-02-10343-CI
County Suit Filed inDate of Final Disposition
Pinellas4/1/2008
Other Defendants Involved in this Claim
Ettien, M.D., James
Stenzel, M.D., Michael
Diagnostic Clinic
Seltzer, D.O., Steven
Bowers, M.D., Ronald
Averill, M.D., Francis
Huffman, M.D., Cynthia
Largo Medical Center
Weot, M.D., Christine
Rehab Associates of West Florida, P.A.
HealthSouth Corporation
HealthSouth Rehabilitative Hospital
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/1/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$975,000
Loss Adjust Expense Paid to Defense Counsel$45,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$275,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$300,000$0
Wage Loss$300,000$0
Other Expenses$100,000$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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