Department File Number : | M201987775 |
Claim Number : | CLFL5053A |
Date Submitted : | 2/1/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CENTURION MEDICAL LIABILITY PROTECTIVE RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1145017 | |||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | Medical Risk Consultant Group | ||||
Street Address | |||||
PO Box 140457 | |||||
City | State | Zip | |||
Coral Gables | FL | 33114 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 445 - 3040 | (888) 909 - 5304 | MMORENO@MRCG.ORG |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Frank | M | Russo | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 12700 Yardley Drive | ||||
City | State | Zip Code | County | ||
Boca Raton | FL | 33428 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL5053 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME78954 | Anesthesiology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
RAND SURGICAL PAVILLION CORP | 124 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | medical office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
7/15/2014 | 5/9/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Cataracts OU | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient presented for medical evaluation and consultation prior to cataract surgery. She was hypertensive, but denied a history of hypertension and was diagnosed with White Coat syndrome. Following surgery, the patient suffered an embolic stroke. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
None. The patient's hypertension was appropriately recognized prior to surgery. | |||||
Principal Injury Giving Rise To The Claim | |||||
Embolic stroke resulting in mild cognitive impairment. | |||||
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 | ||||
11/8/2016 | 16-019965 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 11/12/2018 | ||||
Other Defendants Involved in this Claim | |||||
Rand Surgical Pavilion Corp. Stein, Scott C Nagler, Robert S Rand Eye Institute | |||||
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 | |||||
10/11/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Evaluation of claim, inclusive of review of the care rendered by medical experts revealed care rendered by insured was appropriate and did not cause the alleged injury. |
Updates | |
No updates found. |
Does Dr. FRANK M RUSSO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. FRANK M RUSSO, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).