Department File Number : | M201885815 |
Claim Number : | 320054 |
Date Submitted : | 7/5/2018 |
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 | Alexander | Dejesus | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1888 Hillview Street Suite 201 | ||||
City | State | Zip Code | County | ||
Sarasota | FL | 34239 | Sarasota | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0966041 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME77137 | Physical Medicine and Rehabilitation - All Other |
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 | ||||
Other Hospital/Institution | Health South Rehab Hospital of Sarasota | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Physical Therapy Department | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/23/2013 | 7/1/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Need for inpatient rehabilitation s/p acute care hospitalization for gluteal muscle tear an large hematoma in a patient with Klippel-Trenaunay-Weber Syndrome. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
There was none. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Sudden unexpected death of the patient. Autopsy revealed pulmonary embolism. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
4/28/2015 | 2014-CA-00468NC | ||||
County Suit Filed in | Date of Final Disposition | ||||
Sarasota | 6/14/2018 | ||||
Other Defendants Involved in this Claim | |||||
Perez-Singh, MD, Arnoldo Creevy, MD, Joseph Intercoastal Medical Group, 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 | |||||
No Payment Made | |||||
Court Decision | Other | ||||
Directed verdict for defendant. | |||||
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 | $81,361 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $108,549 | ||||||||||||||||||||
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 | |||||||||||||||||||||
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.
Does Dr. ALEXANDER DEJESUS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ALEXANDER DEJESUS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).