Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201573156 |
Claim Number : | 32803 |
Date Submitted : | 1/9/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MAG MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1449198 | |||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | MAG MUTUAL INSURANCE COMPANY | ||||
Street Address | |||||
8427 South Park Circle Suite 130 | |||||
City | State | Zip | |||
Orlando | FL | 32819 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 370 - 3813 | (407) 370 - 2247 | ctschanz@magmutual.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Constantine | Toumbis | |||
Insurer Type | Street Address of Practice | ||||
Licensed | PO Box 1990 | ||||
City | State | Zip Code | County | ||
Crystal River | FL | 34423 | Citrus | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PSL 1616017 00 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME80012 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Citrus | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Citrus Health & Rehabilitation Center | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/28/2009 | 4/1/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Post-surgical wound and congestive heart failure | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Right-sided nerve root decompression | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to identify and treat post-surgical wound and congestive heart failure | |||||
Principal Injury Giving Rise To The Claim | |||||
Post-surgical wound and congestive heart failure | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/12/2011 | 2011-CA-810 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Citrus | 12/26/2014 | ||||
Other Defendants Involved in this Claim | |||||
Agbo, MD, Felix C Citrus Memorial Hospital Citrus Health & Rehabilitation Center Citrus Ortho & Joint Institute | |||||
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 | |||||
No Payment Made | |||||
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? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $88,802 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $38,865 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Risk management has counseled insured |
Updates | |||||||
Date of Change: | 1/9/2015 3:19:34 PM | ||||||
Reason for Change: | Report updated to reflect correct Insurer Claim Number | ||||||
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Department File Number : | M201574315 |
Claim Number : | 41625 |
Date Submitted : | 4/16/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MAG MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1449198 | |||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | MAG MUTUAL INSURANCE COMPANY | ||||
Street Address | |||||
8427 South Park Circle Suite 130 | |||||
City | State | Zip | |||
Orlando | FL | 32819 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 370 - 3813 | (407) 370 - 2247 | ctschanz@magmutual.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Constantine | Toumbis | |||
Insurer Type | Street Address of Practice | ||||
Licensed | PO Box 1990 | ||||
City | State | Zip Code | County | ||
Crystal River | FL | 34423 | Citrus | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PSL 1616017 03 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME80012 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Citrus | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SEVEN RIVERS COMMUNITY HOSPITAL | 100249 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/23/2010 | 6/18/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Degenerative spondylolisthesis and bilateral severe foraminal stenosis | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Placement of pedicle screws | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged improper and inappropriate placement of pedicle screws | |||||
Principal Injury Giving Rise To The Claim | |||||
Lower extremity weakness | |||||
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 | ||||
12/6/2012 | 2012-CA-1784 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Citrus | 4/8/2015 | ||||
Other Defendants Involved in this Claim | |||||
Poe, MD, Larry Citrus Orthopaedic & Joint Institute Radsource, LLC Imaging Specialists, PLLC | |||||
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 | |||||
No Payment Made | |||||
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? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $18,702 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $11,256 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Risk management has counseled insured |
Updates | |
No updates found. |
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Does Dr. CONSTANTINE A TOUMBIS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CONSTANTINE A TOUMBIS, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).