Department File Number : | M201573233 |
Claim Number : | 2014-09-100-010 |
Date Submitted : | 1/16/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-114949 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Amy | A | Villareal | ||
Street Address | |||||
16255 Bay Vista Drive | |||||
City | State | Zip | |||
Tampa | FL | 33760 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 519 - 1274 | amy.villareal@baycare.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Claudia | Bundschu | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1901 Ulmerton Road #455 | ||||
City | State | Zip Code | County | ||
Clearwater | FL | 33762 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
114-67-161 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME85756 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SAINT ANTHONY'S HOSPITAL | 100067 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/1/2013 | 8/24/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Invasive lobular carcinoma of the left breast, with four positive nodes. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Ultrasounds of the L breast and MRI of the breast were previously read as benign. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
It was alleged that the MD failed to recognize and diagnose, via imaging studies, an abnormal mass in the left breast that was suggestive of malignancy | |||||
Principal Injury Giving Rise To The Claim | |||||
A delay in diagnosis led this pattient¿s breast cancer diagnosis to advance from a probable stage 1 in 2010. The delay had a negative impact on her prognosis and treatment options. | |||||
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 | 12/15/2014 | ||||
Other Defendants Involved in this Claim | |||||
Cressman, MD, Joanne St. Anthony's Hospital | |||||
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 | |||||
12/15/2014 |
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 | $33,018 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Any risk issues have been/will be addressed. |
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. CLAUDIA BUNDSCHU, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CLAUDIA BUNDSCHU, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).