| Department File Number : | M201472098 |
| Claim Number : | 2014-9-30-11 |
| Date Submitted : | 9/24/2014 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS CASUALTY RISK RETENTION GROUP, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 27-3867083 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Kimberly | Pollick | |||
| Street Address | |||||
| 510 Druid Road, Suite D | |||||
| City | State | Zip | |||
| Clearwater | FL | 33756 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 581 - 6400 | kim@physicianscasualty.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | FRANCISCO | LOPEZ BERMUDEZ | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 9350 SW 72nd street | ||||
| City | State | Zip Code | County | ||
| miami | FL | 33173 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PCX-2013-304 | $250 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Podiatric Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PO3365 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Other Location | Surgery Center | ||||
| Name of Institution | Code | ||||
| MEDICAL ARTS SURGERY CENTER AT SOUTH MIAMI | 14960546 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 9/30/2011 | 10/7/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Achilles tendinitis and enthesopathy of the left foot. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Assisted in repair and reattachment of the achilles tendon of the left foot. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleges that other less invasive options should have been tried prior to surgery. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/21/2014 | 2014 00 1122 CA 01 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 7/16/2014 | ||||
| Other Defendants Involved in this Claim | |||||
| BUTTITA, OKSANA Suarez, Janet | |||||
| 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 | |||||
| 7/9/2014 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $18,954 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $2,112 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Clearly differentiate each physicians involvement in patient care and continue to document patient non compliance and insistence on surgery when conservative therapy fails. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. FRANCISCO LOPEZ BERMUDEZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. FRANCISCO LOPEZ BERMUDEZ, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).