Department File Number : | M201782211 |
Claim Number : | 20732-02 |
Date Submitted : | 6/5/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Karen | Kessler | |||
Street Address | |||||
3000 Meridian Blvd., Suite 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2249 | kkessler@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Brad | S | Mattison | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3695 Boynton Beach Blvd. | ||||
City | State | Zip Code | County | ||
Boynton Beach | FL | 33436 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0009819 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO1994 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
BETHESDA HOSPITAL WEST | 23960098 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
5/24/2013 | 5/12/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Left foot plantar fibroma | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Left foot plantar fibroma excision | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient presented to the insured for excision of a fibroma. Surgery was performed on 05-24-13to remove the plantar fibroma from the left, plantar arch area. During the post-op period, patient claimed continued pain and swelling. She claims she developed CRPS and possible stress fractures and alleges insured failed to offer conservative treatment, failed to bill for the appropriate procedures performed and failed to obtain informed consent prior to performing the surgical procedure. | |||||
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 | ||||
8/6/2015 | 2015CA008969 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 5/22/2017 | ||||
Other Defendants Involved in this Claim | |||||
Oakwood Lakes Podiatry Group, PA | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $55,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $41,608 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $3,575 | ||||||||||||||||||||
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 - Specialty code #80993 |
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. BRAD S MATTISON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. BRAD S MATTISON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).