Department File Number : | M201576663 |
Claim Number : | 59216901 |
Date Submitted : | 12/23/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-4235490 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Antrine | Long | |||
Street Address | |||||
361 Hillsboro Blvd. | |||||
City | State | Zip | |||
Deerfield Beach | FL | 33441 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 788 - 5184 | (954) 944 - 1382 | along@picinsurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Adam | Lipkin | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 779 Medical Drive | ||||
City | State | Zip Code | County | ||
Englewood | FL | 34223 | Sarasota | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
132942 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME82370 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Sarasota | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
ENGLEWOOD COMMUNITY HOSPITAL | 110004 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/16/2013 | 11/17/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented to the insured with acute appendicitis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
An appendectomy was performed 10 hours after the patient presented as there was no available OR staff | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient suffered a appendix rupture before the surgery and also developed an abscess which required additional surgeries by another physician. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/5/2015 | 2015 CA 003098 NC | ||||
County Suit Filed in | Date of Final Disposition | ||||
Sarasota | 11/10/2015 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
12/7/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $235,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $12,616 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,916 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None to report |
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.
Department File Number : | M202093119 |
Claim Number : | 59317401 |
Date Submitted : | 7/30/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
13-4235490 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Renee | M | Silvia | ||
Street Address | |||||
901 S. Mopac Expressway, Blg 5, Suite 500 | |||||
City | State | Zip | |||
Austin | TX | 78744 | |||
Phone | Ext | Fax | E-Mail Address | ||
(512) 425 - 5924 | renee-silvia@tmlt.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ADAM | P | LIPKIN | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 779 Medical Drive, Suite 1 | ||||
City | State | Zip Code | County | ||
Englewood | FL | 34223 | Sarasota | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
132942 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME82370 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Charlotte | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Patient's Home | |||||
Name of Institution | Code | ||||
ENGLEWOOD COMMUNITY HOSPITAL | 110004 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/8/2019 | 9/9/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient initially presented to the hospital with complaints of right upper quadrant pain. Ultrasound revealed a finding of a thickened gallbladder wall with gallstones and sludge, as well as edema. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient underwent surgery by the reporting physician for a severely diseased gallbladder with gallstones. A portion of the neck of the gallbladder was left in situ. Empyema of the gallbladder with frank pus was in the lumen. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Postop, the patient experienced abdominal pain, fever and chills. He underwent a second surgery with removal of abdominal stones in the infundibulum of the gallbladder. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
12/20/2019 | 2019-CA-006557-NC | ||||
County Suit Filed in | Date of Final Disposition | ||||
Sarasota | 7/20/2020 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
7/29/2020 |
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 | $19,799 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,450 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
No risk management issues identified. |
Updates | |
No updates found. |
Does Dr. ADAM LIPKIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ADAM LIPKIN, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).