Department File Number : | M201885801 |
Claim Number : | 15-001454CA |
Date Submitted : | 7/2/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HOMELAND INSURANCE COMPANY OF NEW YORK | Excess | ||||
Insurer FEIN | Professional License Number | ||||
52-1568827 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Deogracias | Caangay | |||
Street Address | |||||
3970 Hidden Acres Circle S | |||||
City | State | Zip | |||
North Fort Myers | FL | 33903 | |||
Phone | Ext | Fax | E-Mail Address | ||
(239) 997 - 8336 | (239) 997 - 8336 | drdeo@caangay.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Deogracias | L | Caangay | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 9981 S. Healthpark Drive | ||||
City | State | Zip Code | County | ||
Fort Myers | FL | 33908 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PHY - 0628-14 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME36038 | Neonatal/Perinatal Medicine |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LEE MEMORIAL HOSPITAL-HEALTHPARK | 120005 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | NICU | ||||
Date of Occurrence | Date Reported to Insurer | ||||
11/13/2013 | 2/4/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The PICC was inserted and misplaced by the nurses of Lee Memorial, specifically Nurse Cynthia Mytnik and Nurse Cristina Reynolds. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
PICC line insertion on the artery | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
The PICC was not in the optimal place that it needed to be a central line and furthermore, Baby Jackson's left upper extremity began to show signs and symptoms of arterial vasoconstriction as a result of the PICC misplacement. | |||||
Principal Injury Giving Rise To The Claim | |||||
Ischemic amputation of left forearm. | |||||
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 | ||||
2/4/2015 | 15-001454CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lee | 3/3/2018 | ||||
Other Defendants Involved in this Claim | |||||
Liu, William F Sultan, Shahid Lee Memorial Health System | |||||
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 | |||||
3/3/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $3,000,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201886478 |
Claim Number : | 18-CA-000522 |
Date Submitted : | 9/18/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HOMELAND INSURANCE COMPANY OF NEW YORK | Excess | ||||
Insurer FEIN | Professional License Number | ||||
52-1568827 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Deogracias | L | Caangay | ||
Street Address | |||||
3970 Hidden Acres Circle S. | |||||
City | State | Zip | |||
North Fort Myers | FL | 33903 | |||
Phone | Ext | Fax | E-Mail Address | ||
(239) 997 - 8336 | (239) 997 - 8336 | drdeo@caangay.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Deogracias | Caangay | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 3970 Hidden Acres Circle S. | ||||
City | State | Zip Code | County | ||
North Fort Myers | FL | 33903 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PHY-0628-14 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME36038 | Neonatal/Perinatal Medicine |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LEE MEMORIAL HOSPITAL-HEALTHPARK | 120005 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Nursery | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/23/2013 | 1/30/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Hypoxic, ischemic encephalopathy, secondary to multiple respiratory arrest, secondary to respiratory failure. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
bilateral thoracentesis | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
pleural effusion, secondary to infiltration of PIC line. | |||||
Principal Injury Giving Rise To The Claim | |||||
multiple respiratory arrests | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/30/2017 | CACE16023038 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 4/9/2018 | ||||
Other Defendants Involved in this Claim | |||||
Lee Memorial Health System PEDIATRIX MEDICAL GROUP OF FLORIDA INC Liu, William Abril, Ivan Sultan, Shahid Singh, Kultar Pao, Elaine Felton, April Ciambrello, Lisa | |||||
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 subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
4/9/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $3,000,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Root cause analysis Quality Performance Improvement Procedures |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201886050 |
Claim Number : | PMG-15-AO-330485 |
Date Submitted : | 8/1/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Pediatrix Medical Group, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
26-359560 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | DEOGRACIAS | CAANGAY | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | C/O 1301 CONCORD TERRACE | ||||
City | State | Zip Code | County | ||
SUNRISE | FL | 33323 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PHY-0628-14 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME36038 | Pediatrics - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | LEE MEMORIAL HOSPITAL - FLORIDA | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/23/2013 | 4/14/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
PICC LINE COMPLICATION | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
TREATED BY SEVERAL PHYSICIANS WHILE IN HOSPITAL | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
ALLEGED FAILURE TO RECOGNIZE A COMPLICATION | |||||
Principal Injury Giving Rise To The Claim | |||||
HYPOXIC BRAIN INJURY | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/24/2017 | CACE-16-023038 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 6/21/2018 | ||||
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 subject to arbitration, but settlement reached in lieu of award. | |||||
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 | $1,000,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $28,644 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $118,566 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201885293 |
Claim Number : | PMG-13-AO-247138-1 |
Date Submitted : | 5/14/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Pediatrix Medical Group, Inc. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
26-359560 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | DEOGRACIAS | L | CAANGAY | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | C/O SCHELL COOLEY, 5057 KELLER SPRINGS, SUITE 425 | ||||
City | State | Zip Code | County | ||
ADDISON | TX | 75001 | Out of state | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PHY-0071-12 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME36038 | Neonatal/Perinatal Medicine |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LEE MEMORIAL HOSPITAL-HEALTHPARK | 120005 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Nursery | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/13/2013 | 11/18/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
NEWBORN | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
NEWBORN | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
NO MISDIAGNOSIS | |||||
Principal Injury Giving Rise To The Claim | |||||
OCCLUDED PICC LINE R/I LEFT ARM AMPUTATION | |||||
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 | ||||
6/22/2015 | 15-001454-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lee | 5/14/2018 | ||||
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 subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
4/27/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $1,000,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $510,583 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $223,652 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201781784 |
Claim Number : | PMG-15-AO-321263 |
Date Submitted : | 4/10/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Pediatrix Medical Group | Primary | ||||
Insurer FEIN | Professional License Number | ||||
99-9999999 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | DEOGRACIAS | L | CAANGAY | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 2776 CLEVELAND AVE. | ||||
City | State | Zip Code | County | ||
FORT MYERS | FL | 33901 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PHY-0628-14 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME36038 | Pediatrics - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LEE MEMORIAL HOSPITAL-HEALTHPARK | 120005 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/20/2013 | 11/17/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
NEW BORN | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
LABOR AND DELIVERY | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
ALLEGEDLY NOT TREATED WITH APPROPRIATE ANTIBIOTICS | |||||
Principal Injury Giving Rise To The Claim | |||||
SEPSIS AND NECROTIZING ENTEROCOLITIS R/I DEATH. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 3/10/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Claim or suit abandoned. | |||||
Final Method of Claim Disposition | |||||
Dropped before Action Filed | |||||
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 | $25,931 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $8,146 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
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. DEOGRACIAS L CAANGAY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. DEOGRACIAS L CAANGAY, MD has at least 5 medical malpractice case(s), lawsuit(s), or complaint(s).