Department File Number : | M201885658 |
Claim Number : | 45373-2 |
Date Submitted : | 6/18/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Bay Medical Sacred Heart | Primary | ||||
Insurer FEIN | Professional License Number | ||||
90-079972 | 3982 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | BRIAN | A | CATRON | ||
Street Address | |||||
2591 Wexford Bayne Road, Suite 401 | |||||
City | State | Zip | |||
Sewickley | PA | 15143 | |||
Phone | Ext | Fax | E-Mail Address | ||
(724) 934 - 6615 | BRIAN.CATRON@VCM-LLC.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Cyril | DeSilva | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 801 E. 6th Street, Suite 302 | ||||
City | State | Zip Code | County | ||
Panama City | FL | 32401 | Bay | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
LHP SIR 2015 | $1,000,000 | $4,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME103399 | Surgery - Neurology - Including Child |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Bay | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAY MEDICAL CENTER | 100026 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/10/2014 | 10/19/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Cervical Myelopathy | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to properly treat cervical myelopathy. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged dysphagia with permanent PEG tube for nutrition. | |||||
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 | ||||
4/27/2017 | 2017-000461-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Bay | 5/17/2018 | ||||
Other Defendants Involved in this Claim | |||||
Bay Medical Sacred Heart | |||||
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 | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $48,892 | ||||||||||||||||||||
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 addressed or will be addressed in the future. |
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 : | M201885993 |
Claim Number : | 45373-1 |
Date Submitted : | 7/25/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Bay Medical Sacred Heart | Primary | ||||
Insurer FEIN | Professional License Number | ||||
90-079972 | 3982 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | BRIAN | A | CATRON | ||
Street Address | |||||
2591 Wexford Bayne Road, Suite 401 | |||||
City | State | Zip | |||
Sewickley | PA | 15143 | |||
Phone | Ext | Fax | E-Mail Address | ||
(724) 934 - 6615 | BRIAN.CATRON@VCM-LLC.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Cyril | DeSilva | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 801 E. 6th Street Suite 302 | ||||
City | State | Zip Code | County | ||
Panama City | FL | 32401 | Bay | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
LHP SIR 2015 | $1,000,000 | $4,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME103399 | Surgery - Neurology - Including Child |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Bay | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAY MEDICAL CENTER | 100026 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/10/2014 | 10/19/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Four level disease. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Four level anterior cervical discectomy and fusion. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged dysphagia with permanent PEG tube for nutrition. | |||||
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 | ||||
4/27/2017 | 2017-000461-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Bay | 5/17/2018 | ||||
Other Defendants Involved in this Claim | |||||
Bay Medical Sacred Heart | |||||
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 | |||||
7/14/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $58,154 | ||||||||||||||||||||
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 addressed or will be addressed in the future. |
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. CYRIL DESILVA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. CYRIL DESILVA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).