Department File Number : | M201782909 |
Claim Number : | 334202 |
Date Submitted : | 8/28/2017 |
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 | Amber | S | Gordon | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1717 North E Street, Suite 422 | ||||
City | State | Zip Code | County | ||
Pensacola | FL | 32501 | Escambia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0936386 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME119452 | Neurology - including child - no surgery - All Other |
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 | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/9/2015 | 9/17/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Cervical impingement syndrome, myelomalacia and severe foraminal stenosis throughout C-spine. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
C-3 - C-5 anterior cervical interbody fusion. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Disputed allegations of failing to timely diagnose postoperative hematoma and urgently return the patient to surgery for decompression. | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged permanent neurologic deficits including burning/tingling in the upper/lower extremities and neck, incontinence and inability to ambulate without a walker. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/12/2016 | 2016-CA-000009 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Escambia | 8/18/2017 | ||||
Other Defendants Involved in this Claim | |||||
Baptist Medical Group, LLC dba Baptist Medical Group - Neuro | |||||
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 | |||||
8/18/2017 |
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 | $13,769 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,662 | ||||||||||||||||||||
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. |
This page is not displaying certain sensitive information.
Does Dr. AMBER S GORDON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. AMBER S GORDON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).