Department File Number : | M201676930 |
Claim Number : | 15003-11946 |
Date Submitted : | 1/27/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
SOUTH PINELLAS MEDICAL TRUST | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-6599936 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Gail | F | Moulds Esquire | ||
Street Address | |||||
100 Second Avenue South, Suite 902S | |||||
City | State | Zip | |||
St. Petersburg | FL | 33701 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 551 - 0000 | (727) 896 - 5535 | gmoulds@deaconandmoulds.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Anilkumar | N | Raiker | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 6499 38th Avenue North` | ||||
City | State | Zip Code | County | ||
St. Petersburg | FL | 33710 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
49558-15 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME51314 | Hematology - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SAINT PETERSBURG GENERAL HOSPITAL | 100180 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/23/2012 | 8/6/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Death due to Intracranial Hemorrhage | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Platelets ordered by Dr. were not given | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Bleeding, low platelets | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/21/2015 | None 1 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 12/16/2015 | ||||
Other Defendants Involved in this Claim | |||||
Saint Petersburg General Hospital OB GYN Specialists Blanco P.A., James | |||||
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 Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
1/19/2016 |
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 | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 |
Updates | |
No updates found. |
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Does Dr. ANILKUMAR N RAIKER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ANILKUMAR N RAIKER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).