| Department File Number : | M201677032 |
| Claim Number : | 107585 |
| Date Submitted : | 2/6/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| OPHTHALMIC MUTUAL INSURANCE COMPANY (A R.R.G.) | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 94-3047990 | |||||
| Insurer Contact Information | |||||
| Type | Entity Name | ||||
| Entity | Medical Risk Consultant Group | ||||
| Street Address | |||||
| PO Box 431271 | |||||
| City | State | Zip | |||
| Miami | FL | 33243-1271 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (305) 668 - 0432 | (305) 668 - 0433 | MMORENO@MRCG.ORG | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Gregory | M | Lewis | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2 Schircliff Way | ||||
| City | State | Zip Code | County | ||
| Jacksonville | FL | 32204 | Duval | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| OMC0012496 | $2,000,000 | $4,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME101630 | Surgery - Opthalmology | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Duval | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| BAPTIST MEDICAL CENTER - BEACHES | 100117 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/7/2014 | 4/20/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Severe pain OS, visual acuity 20/200 when first seen. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient with significant ocular history OS - multiple retinal detachment surgeries including placement of scleral buckle. Referred to insured due to severe pain OS with an indication of an infected scleral buckle. Patient taken for exploratory surgery, resulting in removal of foreign body. Patient had postoperative complications including elevated IOP and suspected scleritis. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis. The patient had a known complication of surgery. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Loss of vision left eye. | |||||
| 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 | 12/30/2015 | ||||
| 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 | |||||
| 12/14/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $450,000 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Claim reviewed by medical experts who felt care rendered by insured was appropriate and within the standard of care. The patient suffered a known complication of ocular surgery. | |||||||||||||||||||||
| 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. GREGORY M LEWIS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GREGORY M LEWIS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).