| Department File Number : | M201781274 |
| Claim Number : | 23276-01 |
| Date Submitted : | 2/23/2017 |
| 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 | Brian | G | Timm | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 161 Riverside Dr. | ||||
| City | State | Zip Code | County | ||
| Binghamton | NY | 13905 | Out of state | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1PD0055149 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Podiatric Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PO3367 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Collier | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| NAPLES COMM. HOSPITAL (N. COLLIER) | 100018 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/1/2015 | 12/22/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Left ankle fracture | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| ORIF of left, calcaneal fracture | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient presented to the insured on 03-28-14 with a left ankle fracture. Surgery was discussed for the fracture, and patient was advised that she might ultimately require a triple arthrodesis. Surgery was subsequently performed on 04-01-1 without complication. Patient ultimately had continued pain, swelling and difficulty walking. She alleges that the surgery was improperly performed and that revision surgery was required. | |||||
| 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 | ||||
| 4/29/2016 | 16-CA-769 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Collier | 2/16/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| Family Foot & Leg Center, P.A. | |||||
| 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 | Settled during mediation | ||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 2/15/2017 | |||||
| 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 | $24,216 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $5,012 | ||||||||||||||||||||
| 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.
| Department File Number : | M201885533 |
| Claim Number : | 20676-01 |
| Date Submitted : | 6/11/2018 |
| 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 | Angeline | Schave | |||
| Street Address | |||||
| 3000 Meridian Blvd. Ste. 400 | |||||
| City | State | Zip | |||
| Franklin | TN | 37067 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 371 - 8776 | 2998 | (615) 986 - 1945 | aschave@picagroup.com | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Brian | G | Timm | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 161 Riverside Dr. M08 | ||||
| City | State | Zip Code | County | ||
| Binghamton | NY | 13905 | Out of state | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1PD0040968 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Podiatric Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PO3367 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Collier | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/25/2012 | 4/16/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Dysvascular foot osteomyelitis, second metatarsal, left foot and gastroc equinus | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Endoscopic gastroc recession; Transmetatarsal amputation, left foot and leg | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient was first treated by insured on 2/23/12 as a consultation for possible amputation of the left foot. Prior to the initial visit with the insured, the patient was being treated by another doctor for an ulceration under the left second metatarsal. Despite the patient undergoing vascular intervention and treatment in a wound care center, the ulceration only worsened. Cultures taken revealed a bacterial infection and the insured elected to perform the transmetatarsal amputation on 2/25/12, to prevent the infection from spreading. Patient did well post op but eventually developed some necrosis along the incision and after consultation with a vascular surgeon, it was determined a below knee amputation was best course of action. Patient alleges the insured failed to properly care and treat him and performed an unnecessary transmetatarsal amputation. | |||||
| Severity Of Injury | |||||
| Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 5/30/2018 | ||||
| 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 | |||||
| 5/31/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $111,082 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $23,677 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| 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. BRIAN G TIMM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. BRIAN G TIMM, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).