Department File Number : | M201783290 |
Claim Number : | 24362-02 |
Date Submitted : | 10/5/2017 |
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 | Elizabeth | A | Davis | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 2326 S. Congress Ave., Ste. 1A | ||||
City | State | Zip Code | County | ||
West Palm Beach | FL | 33406 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0052637 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3642 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
NORTHWEST MEDICAL CENTER | 100189 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/4/2016 | 9/20/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Plantar Fasciitis; Bilateral calcaneal spurs | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Bilateral plantar fasciotomy | |||||
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 7/22/15 with complaints of heal pain and pulling in her arch. Insured began conservative treatment over the next six visits. On 2/4/2016, insured performed surgery without complication. Post-op patient had mild pain. Insured administered an injection and instructed patient to use a CAM walker for three weeks. Patient showed some improvement, however on the last visit on 4/13/16, the patient complained of pain and swelling at surgical site and arch. Insured provided an injection and discussed possible pain management, as well as, ordered an MRI. Patient alleges insured failed to recognize the patient suffered from tarsal tunnel syndrome, failed to perform the proper tarsal tunnel release surgery, and damaged the patient's nerves by incising the plantar fascia at a point too far distal to the insertion of the fascia into the calcaneus during the surgery injuring the foot's nerves. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 9/27/2017 | ||||
Other Defendants Involved in this Claim | |||||
Dabul, Nicole Feit & Goldberg Foot Specialists, P.A. | |||||
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 | |||||
9/28/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $112,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $8,836 | ||||||||||||||||||||
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 | |||||||||||||||||||||
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. ELIZABETH A DAVIS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ELIZABETH A DAVIS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).