Department File Number : | M201886663 |
Claim Number : | 25857-01 |
Date Submitted : | 10/9/2018 |
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 | Francisco | Oliva | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 801 Monterey St. #203 | ||||
City | State | Zip Code | County | ||
Miami | FL | 33134 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0010189 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO1917 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Location | Miami Medical Research Institute | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Miami Medical Research Institute | ||||
Date of Occurrence | Date Reported to Insurer | ||||
10/18/2015 | 10/25/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Diabetic foot ulcerations, left | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Clinical trial of new topical medication | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient was involved in a clinical trial for a new topical medication for diabetic foot ulcerations and the insured was the principal investigator for the clinical trial. However there was not much interaction between the insured and the patient as most of the care was provided by the ARNP. During the clinical trial, the patient was treated for an ulcer under the left first metatarsal/hallux with the new topical medication which improved over several visits . Patient claims that insured rendered care that was inappropriate resulting in infection and a mid-foot amputation. | |||||
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 | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 9/25/2018 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
9/27/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $90,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $26,343 | ||||||||||||||||||||
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. FRANCISCO OLIVA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. FRANCISCO OLIVA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).