Department File Number : | M201677621 |
Claim Number : | EMP-0249-09 |
Date Submitted : | 3/18/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EMERGENCY MEDICINE PROFESSIONAL ASSURANCE COMPANY RISK RETENTION GROUP | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1141933 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Leroy | Honora | |||
Street Address | |||||
3100 S. Gessner, Suite 600 | |||||
City | State | Zip | |||
Houston | TX | 77063 | |||
Phone | Ext | Fax | E-Mail Address | ||
(800) 771 - 9818 | 1626 | (866) 393 - 8910 | lhonora@proclaimamerica.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Enrique | Ruiz | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 4918 Escalante Dr | ||||
City | State | Zip Code | County | ||
North Port | FL | 34287 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
EMPAC2010-131 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | Physician Assistant | ||||
License Number | Specialty Code & Classification | Certification Number | |||
PA9104245 |
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 | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
GULF COAST HOSPITAL (FORT MYERS) | 111522 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/17/2010 | 2/18/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient presented with complaint of twisting right knee and felt pop, with a history of knee replacement. Later determined to have DVT and developed compartment syndrome | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Fasciotomy of right lower leg followed by above the knee amputation | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
DVT with compartment syndrome | |||||
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 | ||||
7/10/2012 | 12CA002120 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lee | 12/2/2015 | ||||
Other Defendants Involved in this Claim | |||||
D'Souza, Raynita Gulf Coast MD, PA Mehalik, John Reed, Karen B Orthopedic Center of Florida, PA Lee Memorial Health System d/b/a Gulf Coast Medical Center | |||||
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 | |||||
12/2/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $247,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $192,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Review policies and procedures with regards to the need for appropriate and timely consultations to identify any deficiencies and correct same |
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. ENRIQUE RUIZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ENRIQUE RUIZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).