Medical Malpractice Cases

Medical Malpractice Cases In St. Johns County Florida

Dr. BARBARA CHASE MCKINNEY Medical Malpractice Lawsuits - Court Case # 16-2000 CA 002671

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955092
Claim Number :34925-01
Date Submitted :10/8/2009
 
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
IndividualBARBARA CHASE MCKINNEY
Insurer TypeStreet Address of Practice
Licensed1350 13th Avenue South
CityStateZip CodeCounty
Jacksonville BeachFL32250St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
67619$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME67010Family Physicians or General Practitioners - Minor Surgery80143

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
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
1/1/200311/15/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Nasal pharyngeal invasive carcinoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Insured read pathological specimens submitted by surgeon.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Insured misread pathology submitted by surgeon.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/11/200716-2000 CA 002671
County Suit Filed inDate of Final Disposition
St. Johns9/18/2009
Other Defendants Involved in this Claim
Ioannides, M.D., Kryakos
O'Laughlin, M.D., Sabine
Sandler, M.D., E D
Baptist Medical Center-Beaches & Downtown
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
9/18/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$30,966
All Other Loss Adjustment Expense Paid$20,797
Injured Person's Total Non-Economic Loss$750,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Pachavit Kasemsap Medical Malpractice Lawsuits - Court Case # CA-08-1352

Indemnity Paid: $637,963.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264454
Claim Number :258698
Date Submitted :7/31/2012
 
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
IndividualPachavit Kasemsap
Insurer TypeStreet Address of Practice
Licensed2825 North State Road 7, Suite 300
CityStateZip CodeCounty
MargateFL33063Broward
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
345372$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87867Surgery - General 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLAGLER HOSPITAL100090
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
12/28/20062/14/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Epigastric pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparoscopic cholecystectomy with intra-operative cholangiogram.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged transection of the patient's common duct and hepatic artery.
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash.No delay.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/8/2008CA-08-1352
County Suit Filed inDate of Final Disposition
St. Johns7/27/2012
Other Defendants Involved in this Claim
Surgical Associates of North Florida, LLC
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
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$637,963
Loss Adjust Expense Paid to Defense Counsel$180,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$100,000$0
Wage Loss$0$0
Other Expenses$137,963$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.

This page is not displaying certain sensitive information.

Dr. Brett W Cutler Medical Malpractice Lawsuits - Court Case # CA02-2666

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850702
Claim Number :6301-01
Date Submitted :9/2/2008
 
Insurer Information
 
Insurer NameCoverage Type
PODIATRY INSURANCE COMPANY OF AMERICAPrimary
Insurer FEINProfessional License Number
58-1403235 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKaren Kessler
Street Address
110 Westwood Place
CityStateZip
BrentwoodTN37027
PhoneExtFaxE-Mail Address
(615) 371 - 87762249 kkessler@picagroup.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBrettWCutler
Insurer TypeStreet Address of Practice
Licensed105 Southpark Blvd.
CityStateZip CodeCounty
St. AugustineFL32086St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
1-6596$500,000$1,500,000
Profession or BusinessOther Profession or Business
Podiatric Physician 
License NumberSpecialty Code & ClassificationCertification Number
PO2940  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSt. Johns
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
3/27/20029/7/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Left heel pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
X-ray of left heel
Diagnostic Code :726.71
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
This is not a claim for malpractice.While getting an x-ray of the heel and repositioning her foot, the patient apparently lost her balance and fell.It appears that insured acted properly, notifying EMS, evaluating patient?s vitals, checking for obvious injury and keeping the patient mostly still until the arrival of EMS, at which time patient had no complaints other than some mild back tenderness and refused treatment.She was sent for an MRI, which shows she had a mild fracture that may have been a pathologic fracture from osteoporosis.Our expert questioned the nature of the injury and is of the opinion that patient and her husband were looking for gain.
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
12/16/2002CA02-2666
County Suit Filed inDate of Final Disposition
St. Johns8/20/2008
Other Defendants Involved in this Claim
PEARCE, BETH S
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
8/21/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$50,615
All Other Loss Adjustment Expense Paid$5,751
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None - specialty code #80993
 
Updates
 
No updates found.

 

 

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

This page is not displaying certain sensitive information.

Dr. Derek d Muehrcke Medical Malpractice Lawsuits - Court Case # 08-CA-858

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850375
Claim Number :25795/26616
Date Submitted :8/4/2008
 
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
IndividualDerekdMuehrcke
Insurer TypeStreet Address of Practice
Licensed1820 Barrs Street, Suite 701
CityStateZip CodeCounty
JacksonvilleFL32204Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600689 06$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME70163Surgery - Cardiac1601

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MFlagler
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLAGLER HOSPITAL100090
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
6/26/20076/28/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Coronary artery disease
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Left carotid endarterectomy
Diagnostic Code :429.2
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to perform surgery on correct side
Principal Injury Giving Rise To The Claim
Wrong side surgery
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/18/200808-CA-858
County Suit Filed inDate of Final Disposition
St. Johns7/23/2008
Other Defendants Involved in this Claim
Cardiothoracic and Vascular Surgical Assoc.
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
7/11/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$4,194
All Other Loss Adjustment Expense Paid$7,030
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$1,000$0
Wage Loss$20,800$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.

 

 

This page is not displaying certain sensitive information.

Dr. Marc A Warmuth Medical Malpractice Lawsuits - Court Case # CA06-40

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747776
Claim Number :21597
Date Submitted :1/30/2008
 
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
IndividualMarcAWarmuth
Insurer TypeStreet Address of Practice
Licensed67 South Dixie Highway
CityStateZip CodeCounty
St. AugustineFL32174Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600149 03$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME73421Neoplastic Diseases - No Surgery4814

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FVolusia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
7/28/200310/10/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Breast Cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Administration of chemotherapy
Diagnostic Code :233.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to recognize unresolved medical contraindications
Principal Injury Giving Rise To The Claim
ARDS
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/2/2006CA06-40
County Suit Filed inDate of Final Disposition
St. Johns12/14/2007
Other Defendants Involved in this Claim
North Florida Cancer 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
11/28/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$31,195
All Other Loss Adjustment Expense Paid$25,078
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$10,000$0
Wage Loss$0$0
Other Expenses$16,525$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
 
Date of Change:1/30/2008 12:21:52 PM
Reason for Change:Report updated to reflect Court Document final disposition date of 12/14/07
 
Field ChangedFormer ValueNew Value
Date of Final Disposition14-NOV-0714-DEC-07

 

 

This page is not displaying certain sensitive information.

Dr. Richard Caputo Medical Malpractice Lawsuits - Court Case # CA-2013-0851

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201469582
Claim Number :FP4374301
Date Submitted :1/30/2014
 
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
IndividualRichard Caputo
Insurer TypeStreet Address of Practice
Licensed301 Health Park Blvd., Suite 214
CityStateZip CodeCounty
St. AugustineFL32086St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
IN009562$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME26849Nephrology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLAGLER HOSPITAL100090
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
7/9/201111/6/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
ESRD patient presented to ED with chest pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Nephrology Consultation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failing to timely diagnose and treat the patients underlying sepsis and pericardial effusion.
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
5/31/2013CA-2013-0851
County Suit Filed inDate of Final Disposition
St. Johns1/23/2014
Other Defendants Involved in this Claim
Flagler Hospital
Kiekover, Brian
Mesri, Janet
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$350,000
Loss Adjust Expense Paid to Defense Counsel$18,697
All Other Loss Adjustment Expense Paid$7,889
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.

 

 

This page is not displaying certain sensitive information.

Dr. THOMAS OSBORNE Medical Malpractice Lawsuits - Court Case # CA-12-1002-55

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201367600
Claim Number :VRP-11-169505
Date Submitted :7/2/2013
 
Insurer Information
 
Insurer NameCoverage Type
VIRTUAL RADIOLOGIC SERVICES AKA NIGHTHAWKPrimary
Insurer FEINProfessional License Number
27-007453 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTHOMAS OSBORNE
Insurer TypeStreet Address of Practice
Self-Insurer11995 SINGLETREE LANE, SUITE 500
CityStateZip CodeCounty
EDEN PRAIRIEMN55344Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
C111325$1,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME105251Radiology - Diagnostic - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MFlagler
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
FLAGLER HOSPITAL100090
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/20/20111/9/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
EPIGASTRIC PAIN
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT OF THE ABDOMEN AND PELVIS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ENTERITIS
Principal Injury Giving Rise To The Claim
BOWEL PERFORATION AND DEATH
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/11/2012CA-12-1002-55
County Suit Filed inDate of Final Disposition
St. Johns6/4/2013
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
9/18/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$14,804
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.

 

 

This page is not displaying certain sensitive information.

Dr. Don D Weiffenbach Medical Malpractice Lawsuits - Court Case # CA-00-1889

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200432394
Claim Number :11494
Date Submitted :11/9/2005
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualDonDWeiffenbach
Insurer TypeStreet Address of Practice
Licensed430 Oak Cove Road
CityStateZip CodeCounty
TitusvilleFL32780St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 0105131 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME10846Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MFlagler
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
FLAGLER HOSPITAL100090
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
7/3/19981/25/1999
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pulmonary embolus
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Emergency medicine evaluation
Diagnostic Code :415.1
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose PE
Principal Injury Giving Rise To The Claim
Pulmonary embolus
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/7/2000CA-00-1889
County Suit Filed inDate of Final Disposition
St. Johns7/16/2004
Other Defendants Involved in this Claim
Grobelny, MD, Mark
Emergency Physicians, Inc.
Flagler 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
8/4/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$4,187
All Other Loss Adjustment Expense Paid$3,607
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$10,534$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured.
 
Updates
 
 
Date of Change:11/9/2005 9:16:34 AM
Reason for Change:Corrected various fields pursuant to State audit
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid03607
Amount of Loss Adjustment Expense Paid to Defense Counsel623104187
Insured License NumberFL 010846ME10846
Date of Final Disposition05-AUG-0416-JUL-04
Defendant Entity NameFlagler Hospital
Payment Date05-AUG-0404-AUG-04
Defendant Last NameGrobelny, MD, Mark
Defendant Entity NameEmergency Physicians, Inc.
No Other Defendants10

 

 

This page is not displaying certain sensitive information.

One or more fields in this claim have failed internal data validation testing.

Dr. Mason Long Medical Malpractice Lawsuits - Court Case # CA06-447 55

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955378
Claim Number :33402-01
Date Submitted :11/10/2009
 
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
IndividualMason Long
Insurer TypeStreet Address of Practice
Licensed301 Health Park Blvd., Ste 325
CityStateZip CodeCounty
Saint AugustineFL32086St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
19954$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME55529Internal Medicine - No Surgery80257

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/12/200511/21/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Urinary frequency and dysuria.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Urinalysis-positive for white blood cells and trace blood.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient developed bladder cancer.Loss of bladder.
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
6/19/2006CA06-447 55
County Suit Filed inDate of Final Disposition
St. Johns10/20/2009
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/20/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$21,826
All Other Loss Adjustment Expense Paid$21,253
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Brian E Haycook Medical Malpractice Lawsuits - Court Case # CA-07-1800

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200953022
Claim Number :250765
Date Submitted :3/23/2009
 
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
IndividualBrianEHaycook
Insurer TypeStreet Address of Practice
LicensedOne Orthopedic Place
CityStateZip CodeCounty
Saint AugustineFL32086St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
68706$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87264Surgery - Orthopedic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLAGLER HOSPITAL100090
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/20/200610/6/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Three level disc disease
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lumbar discectomy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged iliac artery transection, the result of alleged negligent performance of a lumbar discectomy resulting in left foot drop and pain and weakness in left leg.
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
11/2/2007CA-07-1800
County Suit Filed inDate of Final Disposition
St. Johns3/13/2009
Other Defendants Involved in this Claim
Orthopaedic Assoicates of St. Augustine, PA
Cardiothoracic & Vascular Surgical Associates PA
Muehrcke, M.D., Derek D
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
3/6/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$250,000
Loss Adjust Expense Paid to Defense Counsel$103,000
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$100,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$150,000$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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

This page is not displaying certain sensitive information.

Dr. Howard B Epstein Medical Malpractice Lawsuits - Court Case # CA03-706

Indemnity Paid: $240,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534885
Claim Number :A01-24835-01
Date Submitted :4/11/2005
 
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
IndividualHowardBEpstein
Insurer TypeStreet Address of Practice
Licensed545 Health Blvd.
CityStateZip CodeCounty
Daytona BeachFL32114St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
33098$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44446Surgery - Urological80145

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLAGLER HOSPITAL100219
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
9/27/200110/9/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right uretral obstruction, secondary to aortic abdominal aneurysm.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Right ureterolysis and ureterostomy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/2/2003CA03-706
County Suit Filed inDate of Final Disposition
St. Johns3/11/2005
Other Defendants Involved in this Claim
Atlantic Urological 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
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/11/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$240,000
Loss Adjust Expense Paid to Defense Counsel$35,912
All Other Loss Adjustment Expense Paid$19,718
Injured Person's Total Non-Economic Loss$240,000
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.

 

 

This page is not displaying certain sensitive information.

Dr. Anil K Mandal Medical Malpractice Lawsuits - Court Case # 16-2008-MI-002540

Indemnity Paid: $187,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201470537
Claim Number :FP3769401
Date Submitted :4/22/2014
 
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
IndividualAnilKMandal
Insurer TypeStreet Address of Practice
Licensed665 State Road, Suite 1
CityStateZip CodeCounty
St. AugustineFL32084St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
IN024646$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME74439Nephrology - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MDuval
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
SAINT LUKES' HOSPITAL100151
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
4/5/20069/26/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented to hospital with uncontrolled abdominal pain, hypertension and end stage renal disease. A small bowel perforation was discovered during his hospital course.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient suffered an anoxic neuro event in addition to the bowel perforation after he coded and was Resuscitated, but his condition did not improve and patient subsequently expired.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Plaintiffs allege that a failure to timely assess and monitor patient's condition of bowel perforation and sepsis led to patient¿s demise.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/9/200816-2008-MI-002540
County Suit Filed inDate of Final Disposition
St. Johns4/16/2014
Other Defendants Involved in this Claim
St. Lukes Hospital
Harmon, M.D., Ira
Hoffman, M.D. , Jeffrey
Borland-Grover Clinic
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/16/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$187,500
Loss Adjust Expense Paid to Defense Counsel$140,261
All Other Loss Adjustment Expense Paid$52,080
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.

This page is not displaying certain sensitive information.

Dr. Pachavit Kasemsap Medical Malpractice Lawsuits - Court Case # CA-10-766

Indemnity Paid: $175,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161418
Claim Number :32355
Date Submitted :8/23/2011
 
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
IndividualPachavit Kasemsap
Insurer TypeStreet Address of Practice
Licensed12682 NW 32nd Place
CityStateZip CodeCounty
SunriseFL33323Broward
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600940 07$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87867Surgery - General 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MBroward
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLAGLER HOSPITAL100090
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
9/10/200711/23/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Hemorrhoids
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Hemorrhoidectomy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly diagnose the patient with Grade IV hemorrhoids and negligently performing surgery
Principal Injury Giving Rise To The Claim
Chronic rectal pain
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/19/2010CA-10-766
County Suit Filed inDate of Final Disposition
St. Johns8/22/2011
Other Defendants Involved in this Claim
Surgical Associates of North Florida, 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
8/22/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$175,000
Loss Adjust Expense Paid to Defense Counsel$28,031
All Other Loss Adjustment Expense Paid$5,610
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
Risk management has counseled insured
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Douglas Dew Medical Malpractice Lawsuits - Court Case # CA03-930

Indemnity Paid: $170,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200952929
Claim Number :28974-01
Date Submitted :3/12/2009
 
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
IndividualDouglas Dew
Insurer TypeStreet Address of Practice
LicensedP. O. Box 1459
CityStateZip CodeCounty
PalatkaFL32178Putnam
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
10404$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME51037Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLAGLER HOSPITAL100219
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
5/5/20017/29/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fracture/dislocation of left hip.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ORIF left acetabulum.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Allegations of performing an inadequate fixation, resulting in dislocation; however, the patient's non-compliance was arguable the cause of his dislocation and additional surgeries.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/23/2004CA03-930
County Suit Filed inDate of Final Disposition
St. Johns2/18/2009
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
2/18/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$170,000
Loss Adjust Expense Paid to Defense Counsel$108,500
All Other Loss Adjustment Expense Paid$86,033
Injured Person's Total Non-Economic Loss$170,000
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.

 

 

This page is not displaying certain sensitive information.

Dr. LUIZ KUNTZ Medical Malpractice Lawsuits - Court Case # CA992262

Indemnity Paid: $150,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200115641
Claim Number :15548-01
Date Submitted :2/19/2007
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATIONPrimary
Insurer FEINProfessional License Number
38-2102867 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualChristine Sampson
Street Address
200 East Gaines Street
CityStateZip
TallahasseeFL32399
PhoneExtFaxE-Mail Address
(850) 413 - 5358 (850) 921 - 8243Christine.Sampson@fldfs.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualLUIZ KUNTZ
Insurer TypeStreet Address of Practice
Licensed301 HEALTH PARK BLVD. #326
CityStateZip CodeCounty
ST. AUGUSTINEFL32086St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
126104$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME21798Cardiovascular Disease - Minor Surgery80281

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLAGLER HOSPITAL100090
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
5/15/19978/23/1999
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
SUBSEQUENT SURGERY TO REMOVE A PORTION OF THE GUIDE WIRE THAT EMBEDDED IN HER HEART.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
THE PLAINTIFF ALLEGED THAT INSURED FAILED TO INSPECT A GUIDEWIRE AFTER INSERTION OF PICC LINE RESULTING IN SUBSEQUENT SURGERY TO REMOVE A PORTION OF THE GUIDE WIRE THAT EMBEDDED IN HER HEART.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
N/A
Principal Injury Giving Rise To The Claim
PORTION OF GUIDEWIRE EMBEDDED IN PATIENTS HEART.
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
1/19/2000CA992262
County Suit Filed inDate of Final Disposition
St. Johns2/26/2001
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$150,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$150,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
INSURED CONSULTED WITH DEFENSE COUNSEL AND CLAIMS PERSONNEL REGARDING THIS MATTER.
 
Updates
 
 
Date of Change:2/19/2007 3:58:47 PM
Reason for Change:OIR updating Historical Closed Claim data.
 
Field ChangedFormer ValueNew Value
Injured Person Address CountySt. Johns
County Injury Occurred InSt. Johns
Insured Last NameKUNTZ, MDKUNTZ
Insured License NumberME0021798ME21798
Portal User Nameplcr_migration_dccs plcr_migration_dccsChristine Sampson

 

 

This page is not displaying certain sensitive information.

One or more fields in this claim have failed internal data validation testing.

Dr. Tod Northrup Medical Malpractice Lawsuits - Court Case # CA 08-2316 55

Indemnity Paid: $147,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954458
Claim Number :37035-01
Date Submitted :7/28/2009
 
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
IndividualTod Northrup
Insurer TypeStreet Address of Practice
Licensed150 Southpark Blvd, Ste 102
CityStateZip CodeCounty
Saint AugustineFL32086St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
74333$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS7217Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
FLAGLER HOSPITAL100090
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
6/5/20074/23/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to have a salvage right knee surgery after many attempts at revision by other surgeons.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient had a rare neurovascular event following a right tibial tubercle plasty with right osteotomy and internal fixation removal; an expected complication from this salvage procedure.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Post operative tingling and numbness in right extremity following the revision/salvage surgery.
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
2/26/2009CA 08-2316 55
County Suit Filed inDate of Final Disposition
St. Johns7/2/2009
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
7/2/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$147,500
Loss Adjust Expense Paid to Defense Counsel$8,919
All Other Loss Adjustment Expense Paid$1,543
Injured Person's Total Non-Economic Loss$147,500
Deductible$5,000
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
No steps required.Incident was an expected complication from the insured's courtesy salvage procedure as a last option for patient.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Janice L Vucinich Medical Malpractice Lawsuits - Court Case # CA 99-309

Indemnity Paid: $130,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848166
Claim Number :E28328
Date Submitted :8/11/2009
 
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
IndividualJaniceLVucinich
Insurer TypeStreet Address of Practice
Licensed6 E. Street
CityStateZip CodeCounty
Saint AugustineFL32080St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PNFL-1007278-00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME51366Radiology - Diagnostic - No Surgery0

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
8/1/19987/7/1999
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Coronary artery disease
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to timely diagnose congestive heart failure (CHF) on x-ray
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis made
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
10/8/1999CA 99-309
County Suit Filed inDate of Final Disposition
St. Johns1/8/2008
Other Defendants Involved in this Claim
Baringer, Dudley A
Healing Arts Urgent Care 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
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$130,000
Loss Adjust Expense Paid to Defense Counsel$158,084
All Other Loss Adjustment Expense Paid$103,402
Injured Person's Total Non-Economic Loss$130,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insured discussed claim with insurance personnel and medical experts.
 
Updates
 
 
Date of Change:8/11/2009 3:58:25 PM
Reason for Change:Additional invoices paid after file closed.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel156033158084
All Other Loss Adjustment Expense Paid101712103402

 

 

This page is not displaying certain sensitive information.

Dr. Robert E Dupree Medical Malpractice Lawsuits - Court Case # CA02 1623 55

Indemnity Paid: $125,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642025
Claim Number :A02-25755-00
Date Submitted :8/22/2006
 
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
IndividualRobertEDupree
Insurer TypeStreet Address of Practice
Licensed201 Healthpark Blvd, Ste 215
CityStateZip CodeCounty
Saint AugustineFL32086St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
42031$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME55260Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
FLAGLER HOSPITAL100219
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/10/20003/14/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Heavy menstrual flow with increased pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Laparoscopic transvaginal hysterectomy and left salpingo-oophorectomy with lysis of adhesions.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Bowel perforation resulting in colostomy.
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
8/5/2002CA02 1623 55
County Suit Filed inDate of Final Disposition
St. Johns8/2/2006
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
8/2/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$125,000
Loss Adjust Expense Paid to Defense Counsel$98,969
All Other Loss Adjustment Expense Paid$37,954
Injured Person's Total Non-Economic Loss$125,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Stephen Strout Medical Malpractice Lawsuits - Court Case # CA09-3707

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057639
Claim Number :38967-01
Date Submitted :6/16/2010
 
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
IndividualStephen Strout
Insurer TypeStreet Address of Practice
Licensed10 A St. Johns Park
CityStateZip CodeCounty
Saint AugustineFL32086St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
69050$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN15749Periodontics80211

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSt. Johns
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
4/4/20087/17/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient suffered permanent damage to her lingual nerve during the extraction of all 4 wisdom teeth.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Instrumental and soft tissue damage to lingual nerve.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.(This injury is a known complication)
Principal Injury Giving Rise To The Claim
Wound excision being made too close to the operative site.
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
11/25/2009CA09-3707
County Suit Filed inDate of Final Disposition
St. Johns5/27/2010
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/27/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$100,000
Loss Adjust Expense Paid to Defense Counsel$2,416
All Other Loss Adjustment Expense Paid$960
Injured Person's Total Non-Economic Loss$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.

 

 

This page is not displaying certain sensitive information.

Dr. Gerard J Budd Medical Malpractice Lawsuits - Court Case # CA 01-1054

Indemnity Paid: $99,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433112
Claim Number :13455
Date Submitted :10/7/2004
 
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
IndividualGerardJBudd
Insurer TypeStreet Address of Practice
Licensed880 A1A North, Suite 16
CityStateZip CodeCounty
Ponte Vedra BeachFL32082St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600180 00$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44413Emergency Medicine - No Major Surgery052483970

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSt. Johns
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
12/27/19991/10/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Rash on legs
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prescribed antifungal cream
Diagnostic Code :701.3
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to instruct patient on usage and risk of prescription
Principal Injury Giving Rise To The Claim
Allergic reaction
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
6/12/2001CA 01-1054
County Suit Filed inDate of Final Disposition
St. Johns8/23/2002
Other Defendants Involved in this Claim
Boudreaux, Clarence E
Beaches Dermatology
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
9/16/2002
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$99,000
Loss Adjust Expense Paid to Defense Counsel$10,680
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$99,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. Howard B Epstein Medical Malpractice Lawsuits - Court Case # CA05-66 DIV 55

Indemnity Paid: $90,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200641486
Claim Number :A04-30623-03
Date Submitted :6/30/2006
 
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
IndividualHowardBEpstein
Insurer TypeStreet Address of Practice
Licensed545 Health Blvd
CityStateZip CodeCounty
Daytona BeachFL32114Volusia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
33098$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME44446Surgery - Urological80145

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
12/4/20035/4/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Benign prostate hypertrophy.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Microwave thermotherapy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Urinary incontinence.
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
2/1/2005CA05-66 DIV 55
County Suit Filed inDate of Final Disposition
St. Johns6/8/2006
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
6/8/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$90,000
Loss Adjust Expense Paid to Defense Counsel$103,398
All Other Loss Adjustment Expense Paid$24,702
Injured Person's Total Non-Economic Loss$90,000
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.

 

 

This page is not displaying certain sensitive information.

Dr. Monali Manikal Medical Malpractice Lawsuits - Court Case # CA11 0454

Indemnity Paid: $75,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201263144
Claim Number :40860-01
Date Submitted :3/19/2012
 
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
IndividualMonali Manikal
Insurer TypeStreet Address of Practice
Licensed100 Whetstone Place, Ste 205
CityStateZip CodeCounty
Saint AugustineFL32086St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
79557$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME81118Pediatrics - No Surgery80267

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
11/25/200810/25/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient presented to undergo a circumcision.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
During circumcision, unnecessarily excising into the left lateral glands region and within the inferior aspect of the foreskin and failure to manage excessive post-op bleeding.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
The patient suffered possible tissue damage and scarring following a complicated circumcision on this 5 week old child.
Severity Of Injury
Temporary: Slight - Lacerations, contusions, minor scars, rash.No delay.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/18/2011CA11 0454
County Suit Filed inDate of Final Disposition
St. Johns2/27/2012
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
2/27/2012
 
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$15,899
All Other Loss Adjustment Expense Paid$10,311
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
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

Dr. MICHAEL GRINNEY Medical Malpractice Lawsuits - Court Case # CA 11-63

Indemnity Paid: $75,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201470606
Claim Number :EMC-FL-10XS-191573
Date Submitted :4/28/2014
 
Insurer Information
 
Insurer NameCoverage Type
EmCare Holdings, Inc.Primary
Insurer FEINProfessional License Number
75-173235SI
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathyAStockton
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 2404 (713) 461 - 8130kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMICHAEL GRINNEY
Insurer TypeStreet Address of Practice
Self-Insurer105 ISTORIA RD
CityStateZip CodeCounty
SAINT AUGUSTINEFL32095St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
EMC-2010-Excess$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME101581Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
FLAGLER HOSPITAL100090
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
1/20/20109/13/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
LEFT ARM PAIN AND SWELLING FOLLOWING BLOOD TEST
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EXAMINATION AND FOLLOW-UP INSTRUCTIONS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ARM PAIN AND SWELLING
Principal Injury Giving Rise To The Claim
PSEUDOANEURYSM
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
1/20/2011CA 11-63
County Suit Filed inDate of Final Disposition
St. Johns4/28/2014
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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
4/10/2014
 
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$182,506
All Other Loss Adjustment Expense Paid$6,906
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.

 

 

This page is not displaying certain sensitive information.

Dr. ERICA EL-ANNAN Medical Malpractice Lawsuits - Court Case # CA11-15855

Indemnity Paid: $60,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201262753
Claim Number :HM151190
Date Submitted :1/24/2012
 
Insurer Information
 
Insurer NameCoverage Type
CONTINENTAL CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
36-2114545 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJameela Maddox
Street Address
333 S Wabash
CityStateZip
ChicagoIL60604
PhoneExtFaxE-Mail Address
(312) 822 - 5171  Jameela.Maddox@cna.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualERICA EL-ANNAN
Insurer TypeStreet Address of Practice
Licensed2510 U.S. 1 SOUTH, SUITE B
CityStateZip CodeCounty
ST. AUGUSTINEFL32086St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
DNC311643926$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN16541Dentists 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
7/2/20107/7/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Claimant,s theory is that the work performed was too aggressive for a minor child, and that the teeth were over-prepared leaving her with reduced and potentially unusable tooth structure for future restorations leaving her with no choice but to place implants as a consequence. Claimant contends that Dr. Elannan recommend non-age appropriate restorative procedures for a minor child.Further, that Dr. Elannan negligently prepared and placed ceramic crowns on Ms. Senea,s upper teeth which were clinically unacceptable, and that Dr. Elannan failed to inform Ms. Senea or her mother of the fact that the work was unacceptable or to timely rectify the problems.Claimant additionally believes that this has caused her significant humiliation when temporary tooth fell outduring class at school, as well as the pain, discomfort and the fear of having to go through additional dental procedures in the future to repair the problems.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
PATIENT PRESENTED FOR PRE-OP PHOTOSANDDIAGNOSTIC CASTS, GINGIVECTOMY AND ROUGH PREP ON #5-12, AND TEMPORARIES WERE PLACED.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
ALLEGED OPEN MARGINS IN VENEERS NEED TO BE REPLACED
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
2/11/2011CA11-15855
County Suit Filed inDate of Final Disposition
St. Johns12/21/2011
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Award for plaintiff.
Date of Payment
12/21/2011
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$60,000
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
SETTLEMENT
 
Updates
 
 
Date of Change:1/24/2012 10:52:04 AM
Reason for Change:date of suit incorrect - changed to 02/11/2011
 
Field ChangedFormer ValueNew Value
Date Suit Filed29-APR-1111-FEB-11

 

 

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

This page is not displaying certain sensitive information.

Dr. BRADLEY CHERRY Medical Malpractice Lawsuits - Court Case # CA12-1360

Indemnity Paid: $48,500.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368677
Claim Number :6006997
Date Submitted :10/18/2013
 
Insurer Information
 
Insurer NameCoverage Type
OMS NATIONAL INSURANCE COMPANY, RISK RETENTION GROUPPrimary
Insurer FEINProfessional License Number
36-3571664 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualJanetLMeyer
Street Address
6133 North River Road, Suite 650
CityStateZip
RosemontIL60018
PhoneExtFaxE-Mail Address
(847) 653 - 8823 (847) 653 - 8485janet.meyer@fortressins.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBRADLEY CHERRY
Insurer TypeStreet Address of Practice
Licensed109 Nature Walk Parkway, Suite 106
CityStateZip CodeCounty
St. AugustineFL32092St. Johns
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
2000357$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN17470Oral and Maxillofacial Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSt. Johns
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
11/22/201011/22/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was seen on referral from her pediatric dentist for the extraction of tooth J.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The insured extracted tooth #12 in error, reimplanted tooth #12, then extracted intended tooth J.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleging problems with other teeth due to extraction.
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
11/21/2012CA12-1360
County Suit Filed inDate of Final Disposition
St. Johns9/6/2013
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
10/15/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$48,500
Loss Adjust Expense Paid to Defense Counsel$16,002
All Other Loss Adjustment Expense Paid$2,776
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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

This page is not displaying certain sensitive information.

Alachua Baker Bay Bradford Brevard Broward Calhoun Charlotte Citrus Clay Collier Columbia Dade Desoto Dixie Duval Escambia Flagler Franklin Gadsden Hamilton Hardee Hendry Hernando Highlands Hillsborough Indian River Jackson Lake Lee Leon Levy Madison Manatee Marion Martin Monroe Nassau Okaloosa Okeechobee Orange Osceola Out of state Palm Beach Pasco Pinellas Polk Putnam Santa Rosa Sarasota Seminole St. Johns St. Lucie Sumter Suwannee Taylor Volusia Walton