| Department File Number : | M201677565 |
| Claim Number : | 2014-FL-4-22-13 |
| Date Submitted : | 3/14/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS CASUALTY RISK RETENTION GROUP, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 27-3867083 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kimberly | Pollick | |||
| Street Address | |||||
| 510 Druid Road, Suite D | |||||
| City | State | Zip | |||
| Clearwater | FL | 33756 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 581 - 6400 | kim@physicianscasualty.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | ARQUIMEDES | LOSADA | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1987 NW 87th Court Suite 201 | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33172 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PCX-2014-718 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME82253 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| AVENTURA HOSPITAL AND MEDICAL CTR. | 100131 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/18/2013 | 11/15/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient present with altered mental status. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Failure to order appropriate tests. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Post-surgical infection. | |||||
| 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 | ||||
| 2/27/2015 | 15-004134 CA 01 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 2/23/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Furman, Neil Espinosa, Juan Aventura Hospital and 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 | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 3/14/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $127,500 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $4,395,521 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $2,177,767 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Make sure all orders are carried out by nursing staff. | |||||||||||||||||||||
| 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 : | M201677478 |
| Claim Number : | 26955-1 |
| Date Submitted : | 3/7/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| LANCET INDEMNITY RISK RETENTION GROUP INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 26-1479165 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Christopher | Teter | |||
| Street Address | |||||
| 2810 West St. Isabel Street Suite 100 | |||||
| City | State | Zip | |||
| Tampa | FL | 33602 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (813) 290 - 8282 | 265 | cteter@lancetindemnity.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Arquimedes | Losada | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2001 W. 68TH ST. | ||||
| City | State | Zip Code | County | ||
| Hialeah | FL | 33016 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| LR09090100073 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME82253 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| PALMETTO GENERAL HOSPITAL | 100187 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/5/2011 | 3/11/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Treatment was sought for an elective catheterization. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Claimant was prescribed effient after a cardiac catheterization based on the recommendation and direction of the cardiologist that performed the procedure. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged brain bleed as a result of the prescription of effient. | |||||
| 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 | ||||
| 6/28/2013 | 13-22859-CA-42 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 2/11/2016 | ||||
| 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 | |||||
| 2/11/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $120,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $74,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insurer is unaware of what steps have been taken. | |||||||||||||||||||||
| 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 : | M201989583 |
| Claim Number : | A000000024779 |
| Date Submitted : | 8/9/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| ADMIRAL INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 22-2235730 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Denise | Padilla | |||
| Street Address | |||||
| 1000 Howard Blvd, Ste. 300 | |||||
| City | State | Zip | |||
| Mount Laurel | NJ | 08054 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (856) 505 - 8115 | dpadilla@admiralins.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Arquimedes | Losada | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 15845 W. Prestuick Place | ||||
| City | State | Zip Code | County | ||
| Miami Lakes | FL | 33014 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| EO000033466-03 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME82253 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Lee | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| PROMISE HOSPITAL OF FORT MYERS | 23960107 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/27/2016 | 6/13/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Alleged failure to properly optimize the nutritional status of the patient to aid in improved wound healing. The patient presented to this provider with Stage IV pressure ulcer to her sacrum while receiving care from home health care. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| This provider was the patient¿s attending physician during hospitalization after the patient developed Stage IV pressure ulcer to her sacrum while receiving care from home health care. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient was admitted to the hospital under the care of this provider after developing Stage IV pressure ulcer to her sacrum while receiving care from home health care. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 1/30/2019 | ||||
| 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 | ||||
| Other | Mediation- Settled between parties. | ||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 5/7/2019 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $10,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $17,275 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
| Deductible | $5,000 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| None | |||||||||||||||||||||
| Updates | |
| No updates found. |
Does Dr. ARQUIMEDES LOSADA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ARQUIMEDES LOSADA, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).