Department File Number : | M201883997 |
Claim Number : | 14185-01 |
Date Submitted : | 1/8/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Angeline | Schave | |||
Street Address | |||||
3000 Meridian Blvd. Ste. 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2998 | (615) 986 - 1945 | aschave@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Earlie | O | Hairston | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2919 Commercial Way | ||||
City | State | Zip Code | County | ||
Spring Hill | FL | 34606 | Hernando | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0020436 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3162 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hernando | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
BROOKSVILLE REGIONAL HOSPITAL | 100071 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/9/2006 | 4/9/2009 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
hallux valgus deformity, left foot | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Left Foot Austin bunionectomy with pin fixation | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient first presented to insured on 10/30/2006 with complaints of a painful bunion on her left foot. After examination, insured discussed the problem and treatment in detail including conservative and surgical treatment. An X-ray of the left foot and lab work was ordered which revealed a hallux valgus deformity. On 11/9/2006 insured performed surgery. Post-operatively patient healed well but was non-compliant with physical therapy and in acquiring a Dynasplint. Plaintiff alleges the insured failed to properly perform the surgery resulting in post-operative complications, failed to timely and properly identify, diagnose and disclose surgical complications resulting in nerve damage. | |||||
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 | ||||
9/8/2009 | CA-09-3046 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hernando | 1/2/2018 | ||||
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 | |||||
1/4/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $125,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $96,441 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $8,062 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Specialty code = 80993 |
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. EARLIE O HAIRSTON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. EARLIE O HAIRSTON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).