Department File Number : | M201886128 |
Claim Number : | 03-24-17 |
Date Submitted : | 8/13/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Quintero, Carlos B | Primary | ||||
Insurer FEIN | Professional License Number | ||||
99-9999999 | ME96465 | ||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | Naples Community Hospital | ||||
Street Address | |||||
350 7th Street N | |||||
City | State | Zip | |||
Naples | FL | 34102 | |||
Phone | Ext | Fax | E-Mail Address | ||
(239) 624 - 4010 | linda.roeback@nchmd.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Carlos | B | Quintero | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 350 7th Street N | ||||
City | State | Zip Code | County | ||
Naples | FL | 34102 | Collier | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
01 | $3,000,000 | $12,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME96465 | Internal Medicine - No Surgery |
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 Inpatient Facility | |||||
Name of Institution | Code | ||||
NAPLES COMM. HOSPITAL (N. COLLIER) | 100018 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/25/2012 | 11/21/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Right hip contusion with hematoma status post fall 3 days prior | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to maintain therapeutic anticoagulattion status. Alleged physician breached the standard of care by failing to include timely and robust anticoagulation therapy. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Cardioembolic stroke resulting in aphasia. | |||||
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 | ||||
8/6/2018 | 15-CA-0587 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Collier | 3/24/2017 | ||||
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 | |||||
4/13/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $955,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $197,259 | ||||||||||||||||||||
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 | |||||||||||||||||||||
No safety management steps necessary. |
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. CARLOS B QUINTERO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CARLOS B QUINTERO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).