| Department File Number : | M201575581 |
| Claim Number : | 59208901 |
| Date Submitted : | 8/20/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 13-4235490 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Antrine | Long | |||
| Street Address | |||||
| 361 Hillsboro Blvd. | |||||
| City | State | Zip | |||
| Deerfield Beach | FL | 33441 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (954) 788 - 5184 | (954) 944 - 1382 | along@picinsurance.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Gary | Weiss | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1051 Port Malabar Blvd NE, Suite 6 | ||||
| City | State | Zip Code | County | ||
| Palm Bay | FL | 32905 | Brevard | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 131828 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME39943 | Neurology - Including Child - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Brevard | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Does not apply | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/11/2013 | 3/12/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| PATIENT PRESENTED TO THE INSURED DUE TO COMPLAINTS OF SHOULDER AND NECK PAIN, HEADACHES, AND INTERMITTENT NUMBNESS AND TINGLING SENSATION IN BOTH HANDS, NUMBNESS IN HIS ELBOWS AND FINGERS, AND REPORTED DROPPING THINGS. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| AN MRA OF THE CEREBRAL ARTERIES WAS PERFORMED ON 2/11/ | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| INSURED IS WELL TRAINED TO READ MRA AND HAS BEEN READING THEM FOR YEARS. THE PATIENT HAD AN ANEURYSM OF AN ANTERIOR CEREBRAL ARTERY THAT WAS NOT APPREACIATED DURING THE READ PERFORMED BY THE INSURED. THE PATIENT WAS HOSPITALIZED ON 3/19/13 DUE TO COMPLICATIONS RELATED TO THE ANEURYSM | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 7/18/2014 | 02-2014-CA-33004 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Brevard | 7/13/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | |||||
| 7/24/2015 | |||||
| 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 | $39,065 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $63,507 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| None to report | |||||||||||||||||||||
| 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. GARY WEISS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GARY WEISS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).