Medical Malpractice Cases

Medical Malpractice Cases In Walton County Florida

Dr. Anthony Mork Medical Malpractice Lawsuits - Court Case # 06CA-000249

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200850610
Claim Number :33602-01
Date Submitted :8/25/2008
 
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
IndividualAnthony Mork
Insurer TypeStreet Address of Practice
Licensed100 Coy Burgess Loop
CityStateZip CodeCounty
Defuniak SpringsFL32435Walton
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
73273$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME76160Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FWalton
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityMicrospine Surgery Center-Defuniak Sprin
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
1/29/20041/18/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stenosis of the L4-L5 and L5-S1 discs, causing left lower back pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Allegedly a L5-S1 laminoforaminoplasty.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Alleged improper performance of surgery caused nerve root trauma and a dural tear, retained bone spicules and a persistent spinal leak has rendered the patient disabled with back pain.
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
6/21/200606CA-000249
County Suit Filed inDate of Final Disposition
Walton7/28/2008
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/28/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$450,000
Loss Adjust Expense Paid to Defense Counsel$104,019
All Other Loss Adjustment Expense Paid$41,660
Injured Person's Total Non-Economic Loss$450,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$99,000$30,578
Wage Loss$80,000$355,000
Other Expenses$5,000$935,240
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. James W Howell Medical Malpractice Lawsuits - Court Case # 11CA000315

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201366888
Claim Number :282754
Date Submitted :4/23/2013
 
Insurer Information
 
Insurer NameCoverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)Primary
Insurer FEINProfessional License Number
95-3014772 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTiffanyDTaylor
Street Address
13450 West Sunrise Blvd
CityStateZip
SunriseFL33323
PhoneExtFaxE-Mail Address
(877) 320 - 0748  TTaylor@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJamesWHowell
Insurer TypeStreet Address of Practice
Licensed21 W. Main Avenue
CityStateZip CodeCounty
Defuniak SpringsFL32435Walton
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0072378$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS7047Family Physicians or General Practitioners - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FWalton
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
4/5/201012/13/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was admitted to the hospital with complaints of substernal chest pain and shortness of breath.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
A EKG and chest x-ray was performed.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
4/20/201111CA000315
County Suit Filed inDate of Final Disposition
Walton4/18/2013
Other Defendants Involved in this Claim
Doctors Medical Center of Walton County, P.A.
Healthmark of Walton Inc d/b/a Healthmark Regional Med Ctr
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
OtherVerdict for plaintiff, no judgement entered
Arbitration
Claim not subject to Arbitration.
Date of Payment
4/16/2013
 
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$170,000
All Other Loss Adjustment Expense Paid$0
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
Unknown
 
Updates
 
No updates found.

 

 

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

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Dr. ALFREDO CARTAYA Medical Malpractice Lawsuits - Court Case # 662014CA000489CAAXMX

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201677369
Claim Number : SM270738
Date Submitted : 2/29/2016
 
Insurer Information
 
Insurer Name Coverage Type
EVANSTON INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
36-2950161  
Insurer Contact Information
Type First Name MI Last Name
Individual CRYSTAL L ALSTONBAYTON
Street Address
4600 COX ROAD
City State Zip
GLEN ALLEN VA 23060
Phone Ext Fax E-Mail Address
(804) 864 - 3731   (855) 662 - 7535 CALSTONBAYTON@MARKELCORP.COM
 
Insured Information
 
Type First Name MI Last Name
Individual ALFREDO   CARTAYA
Insurer Type Street Address of Practice
Licensed 6150 AZALEA ROAD
City State Zip Code County
PENSACOLA FL 32504 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
SM895691 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME20546 Emergency Medicine - No Major Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Walton
City State Zip Code
     
Location where injury occured Other location where injury occured
Other Outpatient Facility HEALTHMARK EMERGENCY DEPT
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
6/8/2013 4/25/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
ON JUNE 8, 2013 CLMT PRESENTED TO HEALTHMARK EMERGENCY DEPARTMENT WITH FACIAL DROOPING, WEAKNESS AND WHAT WAS ALLEGED TO BE SIGNS OF A SLIGHT STROKE, AND THE ER PHYSICIAN TREATED HER FOR ¿EARLY BELLS PALSY¿. HOWEVER, ON JUNE 16, 2013 CLMT SUFFERED AN ISCHEMIC CVA THAT CAUSED PERMANENT DISFIGUREMENT, DISABILITY AND THE NEED FOR CONTINUING CARE.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CLMT PRESENTED TO HEALTHMARK ED WITH HISTORY OF HYPERTENSION AND ON BIRTH CONTROL. SHE HAD DROOPING FACE FOR ONE DAY PRIOR AND THIS WAS STILL PRESENT. EXAM FOUND MILD FACIAL WEAKNESS WITH NO FRONTALIS PALSY. EXTRA OCULAR MOTIONS AND SPEECH WERE NORMAL. LEFT UPPER EXTREMITY STRENTH 2/5 AND LEFT LOWER 4/5. RIGHT UPPER EXTREMITY AND RIGHT LOWER STRENGTH WAS 5/5. INSD DR DIAGNOSED CLMT WITH EARLY BELLS PALSY, INSTRUCTED HER TO FOLLOW UP WITH PCP IN SEVERAL DAYS, AVOID EXTREME TEMPS IN THE FACE AND PUT CLMT ON FERROUS SULFATE AND PREDNISONE ALONG WITH ZOVARAX. CLMT DID NOT SEE PCP, INSTEAD WENT TO HOSPITAL EIGHT DAYS LATER ON JUNE 16, 2013 WITH COMPLAINT OF WEAKNESS. THERE WAS TINGLING AND WEAKNESS IN LEFT ARM AND LEG AND NOTED SLURRED SPEECH SINCE THE PRIOR WEEK. CLMT ALSO NOTED LEFT FACIAL DROOP AND NUMBNESS IN FOREHEAD AND HEADACHE. CLMT NOTED GAIT CHANGES, PARALYSIS, PARESTHESIA, SENSORY CHANGES AND SPEECH CHANGES. EXAM SHOWED LEFT UPPER EXTREMITY SENSATION 2/5, SPEECH SLURRED AND HER MOTOR EXAM SHOWED 4/5 STRENGTH ON LEFT WITH EXAM NORMAL ON RIGHT AT 5/5. LEFT UPPER EXTREMITY WAS 2/5. MILD ATAXIA WITH DRIFT TO THE LEFT. CT SHOWED HYPODENSITY ON THE RIGHT PUTAMEN CONCERNING FOR CVA. DIAGNOSIS WAS PRIMARY STROKE, CEREBRAL ARTERY OCCLUSION WITH CEREBRAL INFARCT. ALSO NOTED IN THE ER TO HAVE PTOSIS OF THE LEFT EYE, FACIAL NUMBNESS TO THE LEFT SIDE OF THE FACE, PARESTHESIA DESCRIBED AS TINGLING TO THE LEFT SIDE OF THE FOREHEAD AND HER HAND GRASPS WERE UNEQUAL WITH RIGHT STRONGER THAN LEFT.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
CLAIMANT TREATED FOR EARLY BELLS PALSY INSTEAD OF BEING TREATED FOR STROKE
Principal Injury Giving Rise To The Claim
ALLEGED THAT DR CARATAYA AND HEALTHMARK EMPLOYEES OR STAFF FAILED TO PROPERLY CARE FOR CLMT WHEN SHE PRESENTED TO HEALTHMARK ED ON JUNE 8, 2013 WITH SIGNS OF A SLIGHT STROKE. THE ER PHYSICIAN TREATED THE CLMT FOR EARLY BELLS PALSY ; HOWEVER, ON JUNE 16, 2013, CLMT SUFFERED AN ISCHEMIC CVA THAT CAUSED PERMANENT DISFIGUREMENT, DISABILITY, AND THE NEED FOR CONTINUING CARE.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
8/12/2014 662014CA000489CAAXMX
County Suit Filed in Date of Final Disposition
Walton 6/10/2015
Other Defendants Involved in this Claim
HEALTHMARK OF WALTON, INC
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
Other ORDER OF DISMISSAL WITH PREJUDICE
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/19/2015
 
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 $21,949
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $15,000
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
NONE
 
Updates
 
No updates found.

 

 

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Dr. JOSE L GARCIA-RIOS Medical Malpractice Lawsuits - Court Case # 06CA000196

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200848924
Claim Number :277164
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
IndividualJOSELGARCIA-RIOS
Insurer TypeStreet Address of Practice
Licensed217 GOVERNMENT AVE
CityStateZip CodeCounty
NICEVILLEFL32578-1875Okaloosa
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
622616$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME21273Pathology - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FOkaloosa
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityPATHOLOGY LAB
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
10/1/20037/20/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
LUNG MASS
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
EVALUATE BRONCHIAL WASHINGS
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
IMPROPER INTERPRETATION OF PAT HOLOGY
Principal Injury Giving Rise To The Claim
UNNECESSARY SURGERY
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
6/7/200606CA000196
County Suit Filed inDate of Final Disposition
Walton3/5/2008
Other Defendants Involved in this Claim
PATHOLOGY SERVICES
FAZAD, FAWZI
REODICA, SOLOMON
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
3/14/2008
 
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$32,788
All Other Loss Adjustment Expense Paid$17,524
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 11:36:30 AM
Reason for Change:UPDATING ALE IN THIS CASE.
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel2900932788
All Other Loss Adjustment Expense Paid656017524

 

 

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Dr. Anthony Mork Medical Malpractice Lawsuits - Court Case # 11CA349

Indemnity Paid: $125,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368220
Claim Number :40936-01
Date Submitted :9/6/2013
 
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
IndividualAnthony Mork
Insurer TypeStreet Address of Practice
Licensed101 Microspine Way
CityStateZip CodeCounty
Defuniak SpringsFL32435Walton
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
73273$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME76160Surgery - Orthopedic80154

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FWalton
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityMicroSpine, Inc.
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
10/13/200811/10/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Debilitating back pain, diagnosed with painful discs L3-L5 and L5-S1.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Lumbar transpedicular micro discectomy via lateral extraforaminal approach L3-L5 and L5-S1.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Patient suffered transection of her left ureter, resulting in multiple corrective surgical procedures.
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
5/17/201111CA349
County Suit Filed inDate of Final Disposition
Walton8/12/2013
Other Defendants Involved in this Claim
Microspine, Inc.
Microspine Physicians Group, LLC
Microspine Orthopedic Physicians, LLC
Microspine Surgery Center-DeFuniak Springs, 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
8/12/2013
 
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$51,908
All Other Loss Adjustment Expense Paid$27,622
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.

 

 

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Dr. Solomon Reodica Medical Malpractice Lawsuits - Court Case # 06 CA 0001 96

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200849039
Claim Number :33863-01
Date Submitted :3/27/2008
 
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
IndividualSolomon Reodica
Insurer TypeStreet Address of Practice
Licensed349 Hidden Lakes Terrace
CityStateZip CodeCounty
Defuniak SpringsFL32433Walton
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
04279$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME25250Family Physicians or General Practitioners - Minor Surgery80294

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FWalton
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
WALTON REGIONAL HOSPITAL100081
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
11/18/20033/14/2006
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was admitted for severe headache and hypertension.Imaging revealed abnormal density in the left upper lobe.Bronchoscopy pathology was suspicious for adenocarcinoma.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Left thoracotomy and lobectomy.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The treating pathologist's report was suspicious for cancer, however; final pathology confirmed the lesion was benign.
Principal Injury Giving Rise To The Claim
Even though the patient was a long-time smoker suffering from COPD, the plaintiff alleges she now suffers from exertional SOB, fatigue and is O2 dependant and as a result of the lobectomy.
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
6/2/200606 CA 0001 96
County Suit Filed inDate of Final Disposition
Walton3/7/2008
Other Defendants Involved in this Claim
Garcia-Rios, M.D., Jose
Fawaz, M.D., Fawzi
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
3/7/2008
 
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$25,999
All Other Loss Adjustment Expense Paid$14,458
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.

 

 

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Dr. DALE K JOHNS Medical Malpractice Lawsuits - Court Case # 03-CA-4496

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200534722
Claim Number :17961
Date Submitted :3/25/2005
 
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
IndividualDALEKJOHNS
Insurer TypeStreet Address of Practice
Licensed928 Mar Walt Drive, Suite 101
CityStateZip CodeCounty
Fort Walton BeachFL32547Okaloosa
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 0104970 04$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME10074Neurology - Including Child - Minor Surgery2101

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MOkaloosa
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
12/21/20006/19/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Neurologic deterioration
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
X-ray
Diagnostic Code :DC724.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of progressing neurologic deterioration resulting in paraplegia.
Principal Injury Giving Rise To The Claim
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
10/13/200303-CA-4496
County Suit Filed inDate of Final Disposition
Walton3/16/2005
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
3/16/2005
 
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$22,425
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$400,000$200,000
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. Marcene F Kreifels Medical Malpractice Lawsuits - Court Case # 08CA-000380

Indemnity Paid: $85,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200955135
Claim Number :1001240-01
Date Submitted :2/24/2010
 
Insurer Information
 
Insurer NameCoverage Type
FLORIDA MEDICAL MALPRACTICE JUAPrimary
Insurer FEINProfessional License Number
59-1625412 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualSUSAN SPIELMAN
Street Address
5814 Reed Street
CityStateZip
Fort WayneIN46835
PhoneExtFaxE-Mail Address
(260) 486 - 0340 (260) 486 - 0782SUSAN.SPIELMAN@MEDPRO.COM
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMarceneFKreifels
Insurer TypeStreet Address of Practice
Licensed1198 S Ferdon Blvd
CityStateZip CodeCounty
CrestviewFL32536Okaloosa
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
FL005001$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME50036Family Physicians or General Practitioners - Minor Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MWalton
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
5/31/20068/25/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Office visit and lab work (both plaintiff and wife longstanding patients)
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prescription of diabetes medication (Amaryl) by phone
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Improper prescription of diabetic medication to plaintiff (was not a diabetic)
Principal Injury Giving Rise To The Claim
Development of hypoxic encephalopathy and subsequent death of 84 year old married male.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/12/200808CA-000380
County Suit Filed inDate of Final Disposition
Walton9/28/2009
Other Defendants Involved in this Claim
Marcene F Kreifels MD PA
Abbott, Shane G
Presceiption Place of DeFuniak Springs Inc dba The Prescript
Prescription Place of DeFuniak Springs Inc dba The Prescript
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
9/25/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$85,000
Loss Adjust Expense Paid to Defense Counsel$36,353
All Other Loss Adjustment Expense Paid$31,883
Injured Person's Total Non-Economic Loss$70,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change:2/24/2010 3:53:24 PM
Reason for Change:Update ALE financial info
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel3486436353
All Other Loss Adjustment Expense Paid2784031883

 

 

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Dr. Christopher J Bacani Medical Malpractice Lawsuits - Court Case # 2016-CA-62

Indemnity Paid: $75,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783656
Claim Number : 335900
Date Submitted : 11/17/2017
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Christopher J Bacani
Insurer Type Street Address of Practice
Licensed 4901 Grande Drive
City State Zip Code County
Pensacola FL 32504 Escambia
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0951458 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME96365 Anesthesiology - All Other  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Escambia
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
SACRED HEART HOSPITAL (PENSACOLA) 100025
Location of Institutional Injury Other Location of Institutional Injury
Operating Suite  
Date of Occurrence Date Reported to Insurer
6/12/2014 11/10/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Chronic pelvic pain with failed medical management.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
General anesthesia administration for planned diagnostic laparoscopy.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of incorrect timing and administration of Robinol and Neostigmine resulting in bradycardia with cardiac arrest.
Principal Injury Giving Rise To The Claim
Patient suffered intraoperative cardiac arrest and was successfully resuscitated. She now claims to suffer from anxiety with tremors and rapid heartbeat; all pre-existing conditions.
Severity Of Injury
Emotional Only - Fright, no physical damage

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
2/26/2016 2016-CA-62
County Suit Filed in Date of Final Disposition
Walton 11/6/2017
Other Defendants Involved in this Claim
Panhandle Anesthesiology Associates, PA
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/6/2017
 
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 $12,508
All Other Loss Adjustment Expense Paid $3,045
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. JAMES C SHEPPARD Medical Malpractice Lawsuits - Court Case # 2015-CA-527

Indemnity Paid: $15,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783580
Claim Number : MM276589
Date Submitted : 11/4/2017
 
Insurer Information
 
Insurer Name Coverage Type
EVANSTON INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
36-2950161  
Insurer Contact Information
Type First Name MI Last Name
Individual CRYSTAL L ALSTONBAYTON
Street Address
4600 COX ROAD
City State Zip
GLEN ALLEN VA 23060
Phone Ext Fax E-Mail Address
(804) 864 - 3731   (855) 662 - 7535 CALSTONBAYTON@MARKELCORP.COM
 
Insured Information
 
Type First Name MI Last Name
Individual JAMES C SHEPPARD
Insurer Type Street Address of Practice
Licensed 796 TRIPLE G ROAD
City State Zip Code County
DE FUNIAK SPRINGS FL 32433 Walton
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MM824995 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME12154 Physicians - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Walton
City State Zip Code
     
Location where injury occured Other location where injury occured
Prison  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other JAIL INFIRMARY
Date of Occurrence Date Reported to Insurer
3/23/2013 7/22/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CLMT PRESENTED TO MEDICAL STAFF WITH 2 SMALL SORES WITH SLIGHT DRAINAGE. SHE ALSO HAD HILLS AND MILD TEMPERATURE. REDNESS TO ABDOMEN AND THIGHS, MORE DRAINAGE AND HIGHER TEMPERATURES DEVELOPED DAYS LATER.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
WOUNDS WORSENED, PAIN WORSENED HOSPITALIZATION DELAYED CAUSINSING INFECTION TO DEVELOP AND S/P SURGERY AFTER MRSA DEVELOPED
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO DIAGNOS THE PRESENSE OF MRSA
Principal Injury Giving Rise To The Claim
DELAY IN TREATMENT OF ANTIBIOTICS AND ESCALATION TO HOSPITAL TREATMENT CAUSING THE WOUND TO WORSEN AND MRSA TO DEVELOP S/P THE WOUND TO REQUIRE SURGICAL REMEDY
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
10/30/2015 2015-CA-527
County Suit Filed in Date of Final Disposition
Walton 8/11/2017
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 Decision Other
Summary judgment for the defendant.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/17/2017
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $15,000
Loss Adjust Expense Paid to Defense Counsel $19,996
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $10,000
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
NONE
 
Updates
 
No updates found.

 

 

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Dr. James W Howell Medical Malpractice Lawsuits - Court Case # 12CA866

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575041
Claim Number : 286597
Date Submitted : 6/25/2015
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Tiffany D Taylor
Street Address
13450 West Sunrise Blvd
City State Zip
Sunrise FL 33323
Phone Ext Fax E-Mail Address
(877) 320 - 0748     TTaylor@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual James W Howell
Insurer Type Street Address of Practice
Licensed 21 W. Main Avenue
City State Zip Code County
Defuniak Springs FL 32435 Walton
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0072378 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
OS7047 Family Physicians or General Practitioners - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Walton
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
WALTON REGIONAL HOSPITAL 100081
Location of Institutional Injury Other Location of Institutional Injury
Other Emergency Room
Date of Occurrence Date Reported to Insurer
3/10/2009 5/19/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dizziness and migraine.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to order CT scan.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose pituitary adenoma.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
9/10/2012 12CA866
County Suit Filed in Date of Final Disposition
Walton 6/12/2015
Other Defendants Involved in this Claim
Tempkin-Smith, MD, Stacy
Doctor's Medical Center of Walton County, PA
Healthmark of Walton, Inc. dba Healthmark Reg Medical Center
Allen, PA-C, Christy
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
No Payment Made
Court Decision Other
Other DISMISSED
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $183,442
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
UNKNOWN
 
Updates
 
No updates found.

 

 

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Dr. Stacy Temkin-Smith Medical Malpractice Lawsuits - Court Case # 12CA866

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575042
Claim Number : 295338
Date Submitted : 6/25/2015
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Tiffany D Taylor
Street Address
13450 West Sunrise Blvd
City State Zip
Sunrise FL 33323
Phone Ext Fax E-Mail Address
(877) 320 - 0748     TTaylor@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Stacy   Temkin-Smith
Insurer Type Street Address of Practice
Licensed 21 W. Main Avenue
City State Zip Code County
Defuniak Springs FL 32435 Walton
Policy Number Per Claim Policy Limits Aggregate Policy Limits
0072378 $250,000 $750,000
Profession or Business Other Profession or Business
Osteopathic Physician  
License Number Specialty Code & Classification Certification Number
OS9742 Family Physicians or General Practitioners - Minor Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  M Walton
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
WALTON REGIONAL HOSPITAL 100081
Location of Institutional Injury Other Location of Institutional Injury
Other Emergency Room
Date of Occurrence Date Reported to Insurer
3/10/2009 4/30/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Diziness and migraine.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to order CT scan.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose pituitary adenoma.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
9/10/2012 12CA866
County Suit Filed in Date of Final Disposition
Walton 6/12/2015
Other Defendants Involved in this Claim
Allen, PA-C, Christy
Howell, DO, James W
Doctor's Medical Center of Walton County, PA
Healthmark of Walton, Inc. dba Healthmark Reg 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
No Payment Made
Court Decision Other
Other Dismissed
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $2,100
All Other Loss Adjustment Expense Paid $0
Injured Person's Total Non-Economic Loss $0
Deductible $0
Injured Person's Total Economic Loss
  Incurred to Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown.
 
Updates
 
No updates found.

 

 

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