Medical Malpractice Cases

Medical Malpractice Cases In Putnam County Florida

Dr. Lucien-Maximin Tchuisse Medical Malpractice Lawsuits - Court Case # 06-528-CA

Indemnity Paid: $225,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747677
Claim Number :34234-01
Date Submitted :11/16/2007
 
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
IndividualLucien-Maximin Tchuisse
Insurer TypeStreet Address of Practice
Licensed6061 St. Johns Avenue, Ste A
CityStateZip CodeCounty
PalatkaFL32177Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
68103$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME85684Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/3/20056/2/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient underwent an exploratory laparoscopy for possible endometriosis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Perforation of the bowel during the laparoscopic procedure.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient suffered severe abdominal scarring from an exploratory laparotomy to repair bowel perforation.Patient had a temporary colostomy as well.
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
10/27/200606-528-CA
County Suit Filed inDate of Final Disposition
Putnam10/26/2007
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
10/26/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$225,000
Loss Adjust Expense Paid to Defense Counsel$17,300
All Other Loss Adjustment Expense Paid$13,060
Injured Person's Total Non-Economic Loss$225,000
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. LAWRENCE FRIEDES Medical Malpractice Lawsuits - Court Case # 08 553 ca 53

Indemnity Paid: $225,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954225
Claim Number :SGI-06-73574
Date Submitted :7/7/2009
 
Insurer Information
 
Insurer NameCoverage Type
CITADEL INSURANCE, RISK RETENTION GROUPPrimary
Insurer FEINProfessional License Number
20-8474742 
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
IndividualLAWRENCE FRIEDES
Insurer TypeStreet Address of Practice
Licensed129 Marshall Creek Drive
CityStateZip CodeCounty
Saint AugustineFL32095St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMI AE 0801 046$1,000,000$24,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME81197Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
1/20/200611/15/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dehydration
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to timely treat
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
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
9/9/200808 553 ca 53
County Suit Filed inDate of Final Disposition
Putnam7/6/2009
Other Defendants Involved in this Claim
Yatco, M.D., Josephine
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
6/3/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$225,000
Loss Adjust Expense Paid to Defense Counsel$24,843
All Other Loss Adjustment Expense Paid$2,533
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. Robert L Thomas Medical Malpractice Lawsuits - Court Case # 54-2011-CA-23

Indemnity Paid: $210,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264995
Claim Number :FL-JEC-02
Date Submitted :10/4/2012
 
Insurer Information
 
Insurer NameCoverage Type
APPLIED MEDICO-LEGAL SOLUTIONS RISK RETENTION GROUP, INC.Primary
Insurer FEINProfessional License Number
81-0603029 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJulie Montague
Street Address
12700 Park Central Drive, Suite 900
CityStateZip
DallasTX75251
PhoneExtFaxE-Mail Address
(866) 520 - 6896  jmontague@bpmp.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertLThomas
Insurer TypeStreet Address of Practice
Licensed4311 North Salisbury Road
CityStateZip CodeCounty
JacksonvilleFL32216Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
G-AMS-115975$500,000$1,500,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS8592Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
6/5/20109/22/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Multi-organ dysfunction syndrome secondary to methadone toxicity.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured Physician evaluated and treated the patient in the emergency department following his field resuscitation. Lab studies, an EKG and head CT were ordered and results were noted to be normal. IV fluids and Narcan were administered. A chest CT revealed possible alveolitis with no evidence of pulmonary embolism. Insured Physician recommended admission for observation but the patient refused to be admitted. The patient was discharged to home with verbal and written instructions given to him and his family to observe closely for respiratory difficulty or alteration in mental status.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Altered mental status due to methadone overdose and possible pneumonia.
Principal Injury Giving Rise To The Claim
Plaintiff alleged the Insured Physician failed to recognize an abnormal and prolonged QT interval on the EKG resulting in the patient's sudden cardiac arrest and death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/14/201154-2011-CA-23
County Suit Filed inDate of Final Disposition
Putnam10/2/2012
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/2/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$210,000
Loss Adjust Expense Paid to Defense Counsel$78,097
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
Communicate and document patient leaving against medical advice.
 
Updates
 
No updates found.

 

 

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Dr. Mohammad M Kaleem Medical Malpractice Lawsuits - Court Case # 03-665-CA

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642201
Claim Number :18162
Date Submitted :9/12/2006
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMohammadMKaleem
Insurer TypeStreet Address of Practice
Licensed524 Zeagler Drive
CityStateZip CodeCounty
PalatkaFL32177Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600844 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78625Cardiovascular Disease - Minor Surgery70415

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
12/29/20027/23/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Acute Myocardial Infarction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EKG and enzymes
Diagnostic Code :410.9
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis and management of myocardial infarction
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
1/16/200403-665-CA
County Suit Filed inDate of Final Disposition
Putnam8/31/2006
Other Defendants Involved in this Claim
Putnam Community Medical Center
Milanick MD, John C
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
9/5/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$200,000
Loss Adjust Expense Paid to Defense Counsel$140,813
All Other Loss Adjustment Expense Paid$52,588
Injured Person's Total Non-Economic Loss$200,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$75,000$0
Wage Loss$156,525$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. JOHN WALSH Medical Malpractice Lawsuits - Court Case # 07028CA52

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850241
Claim Number :278479
Date Submitted :1/12/2009
 
Insurer Information
 
Insurer NameCoverage Type
MEDICAL PROTECTIVE COMPANY (THE)Primary
Insurer FEINProfessional License Number
35-0506406 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualMary Osborn
Street Address
5814 Reed Rd
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(800) 463 - 37766604(260) 486 - 0785Mary.Osborn@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJOHN WALSH
Insurer TypeStreet Address of Practice
Licensed530 ZEAGLER DRSUITE A
CityStateZip CodeCounty
PALATKAFL32177Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
706171$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78805Physicians or Surgeons - major surgery.NOC classification. 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/1/20059/16/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PERIPHERAL VASCULAR DISEASE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SURGERY
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
IMPROPER PERFORMANCE OF SURGERY
Principal Injury Giving Rise To The Claim
AMPUTATION OF RIGHT LEG
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
1/28/200707028CA52
County Suit Filed inDate of Final Disposition
Putnam6/23/2008
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
6/30/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$200,000
Loss Adjust Expense Paid to Defense Counsel$21,147
All Other Loss Adjustment Expense Paid$9,225
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change:1/12/2009 1:34:14 PM
Reason for Change:UPDATING ALE ON THIS CASE.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel1672921147
All Other Loss Adjustment Expense Paid67609225

 

 

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Dr. THOMAS B PINSON Medical Malpractice Lawsuits - Court Case # 09-103-CA-53

Indemnity Paid: $150,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954589
Claim Number :MM250449
Date Submitted :8/18/2009
 
Insurer Information
 
Insurer NameCoverage Type
EVANSTON INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
36-2950161 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCherry ERadin
Street Address
Ten Parkway North
CityStateZip
DeerfieldIL60015
PhoneExtFaxE-Mail Address
(847) 572 - 6085 (847) 572 - 6338radin@markelcorp.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTHOMASBPINSON
Insurer TypeStreet Address of Practice
Licensed113 W. Hickory Street
CityStateZip CodeCounty
NeoshoMO64850Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MM813933$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME86842Emergency Medicine - Including Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
8/10/20069/23/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented to the emergency room with chest pain that started about four hours before she saw the insured doctor.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured doctor's clinical impression was acute chest pain and wellens' syndrome, and ordered EKG, CBC, chemistries and chest x-rays. The patient expired from a dissecting aortic aneurysm after seeing other docotrs. The autopsy revealed dissecting aortic aneurysm, hemoperocardium, mild aortic arteriosclerosis, acute pulmonary and vesceral congestion, and crebra edema. The cause of death was hemopericardium due to dissecting aortic aneurysm.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
It was alleged the patient expired from a dissecting aortic aneurysm due to the insured doctor's not ordering a CT scan and not noting the widening of the mediastinum.
Principal Injury Giving Rise To The Claim
The patient expired from a dissecting aortic aneurysm.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/5/200909-103-CA-53
County Suit Filed inDate of Final Disposition
Putnam7/23/2009
Other Defendants Involved in this Claim
Vista Staffing Solutions
Putnam Emergency Group, LLC
Amin, MohammadB
Mohammad Basi Amin, MD, PA
Putnam Community 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 DecisionOther
No Court Proceedings. 
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$150,000
Loss Adjust Expense Paid to Defense Counsel$16,808
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
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
None
 
Updates
 
No updates found.

 

 

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Dr. Bruce Paley Medical Malpractice Lawsuits - Court Case # 62859-10

Indemnity Paid: $149,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201056033
Claim Number :37744-01
Date Submitted :1/13/2010
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBruce Paley
Insurer TypeStreet Address of Practice
Licensed2 Cedarford Court
CityStateZip CodeCounty
Palm CoastFL32137Flagler
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
46729$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
OS5622Dermatology - No Surgery80256

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FFlagler
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
3/21/200610/8/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with squamous cell lesions about her arms and legs.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured excised multiple skin lesions.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Plaintiff allege untimely diagnosis and treatment of squamous cell lesion on patient's thumb.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/28/200962859-10
County Suit Filed inDate of Final Disposition
Putnam12/23/2009
Other Defendants Involved in this Claim
Jain, M.D., Vidya
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/23/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$149,000
Loss Adjust Expense Paid to Defense Counsel$26,103
All Other Loss Adjustment Expense Paid$15,553
Injured Person's Total Non-Economic Loss$149,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. John Milanick Medical Malpractice Lawsuits - Court Case # 12-518-CA

Indemnity Paid: $149,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201471584
Claim Number :FP4354701
Date Submitted :8/12/2014
 
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
IndividualJohn Milanick
Insurer TypeStreet Address of Practice
Licensed6500 Crill Avenue, Bldg. 1, Suite 4
CityStateZip CodeCounty
PalatkaFL32177Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
FP-CL099475$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME54477Internal Medicine - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityMedex Medical Express
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
OtherClinic
Date of OccurrenceDate Reported to Insurer
8/10/20129/13/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Alcohol intoxication.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alcohol breath test.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Patient left her job due to suspicion of drinking at work.
Severity Of Injury
Emotional Only - Fright, no physical damage

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/13/201212-518-CA
County Suit Filed inDate of Final Disposition
Putnam7/25/2014
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 DecisionOther
No Court Proceedings. 
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$149,000
Loss Adjust Expense Paid to Defense Counsel$52,328
All Other Loss Adjustment Expense Paid$34,081
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.

 

 

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

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Dr. Miguel G Dejuk Medical Malpractice Lawsuits - Court Case # 10-794-CA

Indemnity Paid: $110,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201160807
Claim Number :34771
Date Submitted :6/13/2011
 
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
IndividualMiguelGDejuk
Insurer TypeStreet Address of Practice
Licensed800 Zeagler Dr.
CityStateZip CodeCounty
PalatkaFL32177Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601562 06$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME55591Internal Medicine - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPutnam
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
5/1/20088/11/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Prostate cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of prostate cancer
Principal Injury Giving Rise To The Claim
Prostate cancer
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/8/201010-794-CA
County Suit Filed inDate of Final Disposition
Putnam6/7/2011
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
6/7/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$110,000
Loss Adjust Expense Paid to Defense Counsel$26,636
All Other Loss Adjustment Expense Paid$4,680
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$188,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

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Dr. EDWARD D RISCH Medical Malpractice Lawsuits - Court Case # 03-520-CA-DIV53

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535956
Claim Number :A02-26640-02
Date Submitted :7/20/2005
 
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
IndividualEDWARDDRISCH
Insurer TypeStreet Address of Practice
LicensedP. O. BOX 8065
CityStateZip CodeCounty
PalatkaFL32178Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
10386$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME39524Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/6/20027/19/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Arthritis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Right total hip replacement, under epidural anesthesia.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis.
Principal Injury Giving Rise To The Claim
Post surgical epidural hematoma resulting in lower extremity paraplegia.
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
10/1/200303-520-CA-DIV53
County Suit Filed inDate of Final Disposition
Putnam6/28/2005
Other Defendants Involved in this Claim
Edwards, CRNA, Willie
De Latorre, M.D., Robert
Putnam Comm Hospital
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/28/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$100,000
Loss Adjust Expense Paid to Defense Counsel$23,057
All Other Loss Adjustment Expense Paid$14,826
Injured Person's Total Non-Economic Loss$100,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$300,000$1,000,000
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. Charles T Donaldson Medical Malpractice Lawsuits - Court Case # 05-041-CA-53

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640739
Claim Number :SG-AO-04-34944
Date Submitted :5/22/2006
 
Insurer Information
 
Insurer NameCoverage Type
EVEREST INDEMNITY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
22-3520347 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy Thomas
Street Address
9821 Katy Freeway, Suite 600
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 243 - 7311nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCharlesTDonaldson
Insurer TypeStreet Address of Practice
Licensed7 Sea Oats Terrace
CityStateZip CodeCounty
Ormond BeachFL32176Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
4700000046-041$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME43351Emergency Medicine - No Major Surgery80102

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/19/200410/21/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient to ER with complaints of dizziness, shortness of breath and diaphoresis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vitals taken along with chest x-ray.Diagnosed as normal and non-cardiac; patient then discharged.Film re-read and cardiac changes noted; patient on way back to ER and expired
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Alleged failure to diagnose cardiac event resulting in death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/12/200505-041-CA-53
County Suit Filed inDate of Final Disposition
Putnam5/19/2006
Other Defendants Involved in this Claim
Elliott, NP, Mark
Putnam Emergency Group
Putnam Community 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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/23/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$100,000
Loss Adjust Expense Paid to Defense Counsel$13,005
All Other Loss Adjustment Expense Paid$1,665
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. MARK D ELLIOTT Medical Malpractice Lawsuits - Court Case # 05-041-CA-53

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200640740
Claim Number :SG-AO-04-34944-ME
Date Submitted :5/22/2006
 
Insurer Information
 
Insurer NameCoverage Type
EVEREST INDEMNITY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
22-3520347 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy Thomas
Street Address
9821 Katy Freeway, Suite 600
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 243 - 7311nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMARKDELLIOTT
Insurer TypeStreet Address of Practice
Licensed9934 SE 64th Avenue
CityStateZip CodeCounty
BelleviewFL34420Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
4700000046-041$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
OtherNurse Practitioner
License NumberSpecialty Code & ClassificationCertification Number
RN3069752  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/19/200410/21/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient to ER with complaints of dizziness, shortness of breath and diaphoresis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Vitals taken and chest x-ray; diagnosed as normal; patient discharge; over-read of films revealed cardiac changes and patient advised to return to E.R.;Expired en route.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Diagnosis delay
Principal Injury Giving Rise To The Claim
Alleged delay in diagnose cardiac event resulting in death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/12/200505-041-CA-53
County Suit Filed inDate of Final Disposition
Putnam5/19/2006
Other Defendants Involved in this Claim
Putnam Emergency Group
Putnam Community Medical Center
Donaldson, M.D., Charles T
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
8/23/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$100,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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Dr. Vidya S Jain Medical Malpractice Lawsuits - Court Case # 09-027-CA

Indemnity Paid: $75,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201058875
Claim Number :267941
Date Submitted :10/21/2010
 
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 - 9988 (866) 636 - 5421alafrance@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualVidyaSJain
Insurer TypeStreet Address of Practice
Licensed800 Zeagler Drive, Suite 100
CityStateZip CodeCounty
PalatkaFL32177Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
347482$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME57658Surgery - Hand 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
OtherExam room
Date of OccurrenceDate Reported to Insurer
1/22/20072/26/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Status post removal of squamous cell carcinoma, the patient presented to the insured for a non-healing wound on right thumb.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured physician treated patient conservatively, recommending that the patient begin hydrogen peroxide soaks and a CT scan was ordered.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Loss of thumb.
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
8/5/200909-027-CA
County Suit Filed inDate of Final Disposition
Putnam9/24/2010
Other Defendants Involved in this Claim
Paley, D.O., Bruce H
Bruce H. Paley, P.A.
Vidya S. Jain, 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
9/23/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$75,000
Loss Adjust Expense Paid to Defense Counsel$109,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$75,000
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
Unkown.
 
Updates
 
No updates found.

 

 

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

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Dr. MOHAMED AKHIYAT Medical Malpractice Lawsuits - Court Case # 05-240-CA

Indemnity Paid: $70,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200851550
Claim Number :31684-01
Date Submitted :11/25/2008
 
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
IndividualMOHAMED AKHIYAT
Insurer TypeStreet Address of Practice
Licensed6061 St. Johns Avenue, Ste A
CityStateZip CodeCounty
PalatkaFL32177Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
47430$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59459Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
11/21/200110/22/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Infant was deliverd by C-section w/o complication and followed by a pediatrician and nursing staff.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured delivered infant by C-section w/o complication and handed child to the pediatrician.Plaintiff alleges insd. should have verbally advised the pediatrician that the infant's mother was a hepatitis B carrier even though this information was disclosed by insd. multiple times according to protocol in written form, which was provided to the pediatrician and hospital.Infant was discharged by pediatrician w/o receiving a hepatitis B innoculation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
The child has tested positive as a carrier of hepatitis B.
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
5/21/200505-240-CA
County Suit Filed inDate of Final Disposition
Putnam11/5/2008
Other Defendants Involved in this Claim
Putnam Community Medical Center
Kalmadi, M.D., Sujith
Family Medical Center
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
OtherSettlement reached during trial
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/5/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$70,000
Loss Adjust Expense Paid to Defense Counsel$64,705
All Other Loss Adjustment Expense Paid$27,169
Injured Person's Total Non-Economic Loss$70,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$2,431$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. GREGORY JUNGENBURG Medical Malpractice Lawsuits - Court Case # 07-005-CA

Indemnity Paid: $55,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200952033
Claim Number :SGI-06-67362
Date Submitted :1/12/2009
 
Insurer Information
 
Insurer NameCoverage Type
CITADEL INSURANCE, RISK RETENTION GROUPPrimary
Insurer FEINProfessional License Number
20-8474742 
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
IndividualGREGORY JUNGENBURG
Insurer TypeStreet Address of Practice
Licensed155654 Some Street
CityStateZip CodeCounty
PalatkaFL32177Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
CMI AE 0801 046$1,000,000$1,000,000
Profession or BusinessOther Profession or Business
OtherPhysician Assistant
License NumberSpecialty Code & ClassificationCertification Number
PA1724  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
2/22/20052/22/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Splenic injury
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to diagnose splenic injury, failure to admit and monitor
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Failure to properly diagnose a splenic injury and to provide appropriate treatment resulting in death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/12/200807-005-CA
County Suit Filed inDate of Final Disposition
Putnam1/11/2009
Other Defendants Involved in this Claim
Donaldson, Charles T
Hood, Bold R
Putnam Emergency Group
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
12/30/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$55,000
Loss Adjust Expense Paid to Defense Counsel$59,409
All Other Loss Adjustment Expense Paid$7,225
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
NA.
 
Updates
 
No updates found.

 

 

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Dr. John Papavasiliou Medical Malpractice Lawsuits - Court Case # 11-404 CA

Indemnity Paid: $50,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201265296
Claim Number :FL-SEC-09
Date Submitted :11/5/2012
 
Insurer Information
 
Insurer NameCoverage Type
APPLIED MEDICO-LEGAL SOLUTIONS RISK RETENTION GROUP, INC.Primary
Insurer FEINProfessional License Number
81-0603029 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJulie Montague
Street Address
12700 Park Central Drive, Suite 900
CityStateZip
DallasTX75251
PhoneExtFaxE-Mail Address
(866) 520 - 6896  jmontague@bpmp.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJohn Papavasiliou
Insurer TypeStreet Address of Practice
Licensed4311 Salisbury Road
CityStateZip CodeCounty
JacksonvilleFL32216Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
G-AMS-115975$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME66371Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
12/16/20105/25/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Nausea and vomiting from possible food poisoning, alcohol ingestion.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Administration of intravenous Phenergan.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Effective administration of medication without side effects or adverse reaction.
Principal Injury Giving Rise To The Claim
Necrosis of the left thumb and index finger.
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
9/21/201111-404 CA
County Suit Filed inDate of Final Disposition
Putnam10/11/2012
Other Defendants Involved in this Claim
Putnam Community 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
10/11/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$50,000
Loss Adjust Expense Paid to Defense Counsel$22,016
All Other Loss Adjustment Expense Paid$11,000
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
Monitor administration of IV medications.
 
Updates
 
No updates found.

 

 

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Dr. Bold R Hood Medical Malpractice Lawsuits - Court Case # 05-317-CA

Indemnity Paid: $49,249.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955808
Claim Number :SH-8-39181
Date Submitted :12/21/2009
 
Insurer Information
 
Insurer NameCoverage Type
AIG SPECIALTY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
02-0309086 
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
IndividualBoldRHood
Insurer TypeStreet Address of Practice
Licensed14529 Marsh View Drive
CityStateZip CodeCounty
Jacksonville BeachFL32250Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
4762470$100,000$1,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME63113Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/28/20038/15/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Bowel obstruction
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to order appropriate tests
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
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
8/9/200505-317-CA
County Suit Filed inDate of Final Disposition
Putnam12/17/2009
Other Defendants Involved in this Claim
Putnam Community 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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
10/19/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$49,249
Loss Adjust Expense Paid to Defense Counsel$44,184
All Other Loss Adjustment Expense Paid$6,567
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. Edward D Risch Medical Malpractice Lawsuits - Court Case # 05-417-CA

Indemnity Paid: $45,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954296
Claim Number :33112-01
Date Submitted :7/14/2009
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEdwardDRisch
Insurer TypeStreet Address of Practice
LicensedP. O. Box 1459
CityStateZip CodeCounty
PalatkaFL32178Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
10386$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME39524Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MPutnam
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
PUTNAM COMMUNITY MEDICAL CENTER100232
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/6/20039/20/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient suffered left knee pain and instability.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured performed a lateral release of the patella.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient suffered post operative pain which was expected or a known complication and a revision procedure.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/19/200505-417-CA
County Suit Filed inDate of Final Disposition
Putnam6/22/2009
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
6/22/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$45,000
Loss Adjust Expense Paid to Defense Counsel$12,296
All Other Loss Adjustment Expense Paid$5,947
Injured Person's Total Non-Economic Loss$45,000
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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