| Department File Number : | M201885420 |
| Claim Number : | 24382-01 |
| Date Submitted : | 6/1/2018 |
| 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 | Evguenia | Gonzalez | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 4801 Swift Road, Ste. F | ||||
| City | State | Zip Code | County | ||
| Sarasota | FL | 34231 | Sarasota | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1PD0048146 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Podiatric Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PO3509 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Sarasota | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| LAKEWOOD RANCH MEDICAL CENTER | 23960046 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/14/2014 | 9/14/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| hallux valgus of the left foot; hallux valgus of the right foot; Capsulitis of the 1st metatarsophalangeal joint, right foot; Capsulitis of the 1st metatarsophalangeal joint, left foot; Capsulitis of the 2nd metatarsophalangeal joint, right foot; Capsulitis of the 2nd metatarsophalangeal joint, left foot; Metatarsalgia of the left foot; Metatarsalgia of the right foot. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Lapidus procedure of the left foot; First metatarsal Austin osteotomy of the right foot; Capsulotomy of the 1st metarsophalangeal joint of the right foot; Capsulotomy of the 1st metatarsophalangeal joint, left foot; Capsulotomy of the 2nd metatarsophalangeal joint, left foot; Capsulotomy of the 2nd metatarsophalangeal joint, right foot; Weil osteotomy of the 2nd metatarsal, left foot; Weil osteotomy of the 2nd metatarsal, right foot | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient began treating with insured on 5/23/14 with symptomatic bunions on each foot. Patient had taken normal precautions without improvement and sought surgical intervention. Over-the-counter orthotics was dispensed and the patient was advised of the benefit from surgery and seen for her preoperative appointment on 7/11/14 with surgery performed on 7/14/14. Post-op the patient did well but developed hardware related pain and a nonunion of the left foot MTC joint. Insured discussed surgery to remove hardware with the patient. Unknown to the insured, the patient sought a second opinion and removal of the hardware was performed by another doctor. Patient returned to insured on 3/23/15 with severe left foot pain. X-rays were taken and a discussion regarding comparison of all prior X-rays showing progression of bone changes. Insured recommended surgery but patient again sought another doctor who performed surgery to remove the hardware. Patient never returned to the insured. Patient alleges insured failed to adequately evaluate her foot pathology, failed to recognize and treat a non-union, failed to maintain adequate progress notes and performed unnecessary Lapidus procedure. | |||||
| 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 | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 5/21/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Advanced Foot & Ankle Care, Inc. | |||||
| 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 | |||||
| 5/22/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $150,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $21,194 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $1,897 | ||||||||||||||||||||
| 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. EVGUENIA GONZALEZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. EVGUENIA GONZALEZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).