Department File Number : | M201885592 |
Claim Number : | 158199-2 |
Date Submitted : | 6/13/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTH CARE INDEMNITY, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
61-0904881 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Christina | J | Stoker | ||
Street Address | |||||
1100 Charlotte Ave, Ste 500 | |||||
City | State | Zip | |||
Nashville | TN | 37203 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 344 - 1779 | (615) 344 - 5889 | christina.stoker@hcahealthcare.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | DAVID | S | LEVITAN | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 8333 N DAVIS HWY FL 4 | ||||
City | State | Zip Code | County | ||
PENSACOLA | FL | 32514 | Escambia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HCI-10115 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | PHYSICIAN ASSISTANT | ||||
License Number | Specialty Code & Classification | Certification Number | |||
PA2690 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Escambia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
WEST FLORIDA REG. MED. CTR (PENSACOLA) | 100231 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | EMERGENCY ROOM | ||||
Date of Occurrence | Date Reported to Insurer | ||||
9/19/2015 | 5/13/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient had been seen in the ER the previous day. This Defendant did not become aware of that until the patient called the Defendant's office. Upon review of her radiology tests, ER records and physical examination, the data indicated no vascular emergency | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Defendant ordered routine vascular tests that were completed in two days and indicated that the patient's leg was non salvageable. The patient did not report to any defendant during that interim period that the condition of the patient's leg was worsening | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
ALLEGED FAILURE TO RECOGNIZE OCCLUDED GRAFT. EVENTUAL LEFT LEG AMPUTATION | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/31/2016 | 2016-CA-001763 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Escambia | 5/21/2018 | ||||
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 | |||||
4/19/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $20,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $8,073 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,650 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $18,150 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
REVIEW OF POLICIES AND PROCEDURES. |
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. DAVID S LEVITAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DAVID S LEVITAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).