Department File Number : | M201678059 |
Claim Number : | 175570 |
Date Submitted : | 10/7/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
38-2317569 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Stokes | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 802 - 4790 | dstokes@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Gregory | P | Gebauer | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1641 Tamiami Trail, Suite 1 | ||||
City | State | Zip Code | County | ||
Port Charlotte | FL | 33948 | Charlotte | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP38150 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME106531 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Charlotte | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
FAWCETT MEMORIAL HOSPITAL | 100236 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/8/2011 | 1/9/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Back pain with radiation, degenerative disc disease with severe disc collapse. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Transforaminal interbody Fusion and posteriorlateral fusion and instrumentation. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Does not apply | |||||
Principal Injury Giving Rise To The Claim | |||||
Unstable gait and cognitive changes. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/20/2013 | 13-002153-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Charlotte | 8/20/2013 | ||||
Other Defendants Involved in this Claim | |||||
Fawcett Memorial Hospital Hess, Samuel J Raider, Andrew L Advanced Orthopedic Center of Charlotte County MUPPAVARAPU, SWAROOP | |||||
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 subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $95,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $40,829 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $14,319 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $95,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed care with defense counsel, insurance personnel, and medical experts. |
Updates | ||||||||||||||||
Date of Change: | 5/5/2016 1:32:59 PM | |||||||||||||||
Reason for Change: | Updated diagnisis information. | |||||||||||||||
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Date of Change: | 5/12/2016 5:02:49 PM | |||||||||||||||
Reason for Change: | Updated indemnity amount | |||||||||||||||
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Date of Change: | 6/2/2016 1:49:01 PM | |||||||||||||||
Reason for Change: | updated ALAE amounts | |||||||||||||||
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Date of Change: | 7/13/2016 4:19:39 PM | |||||||||||||||
Reason for Change: | updated ALAE amounts | |||||||||||||||
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Date of Change: | 10/7/2016 11:30:19 AM | |||||||||||||||
Reason for Change: | updated ALAE information | |||||||||||||||
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Does Dr. GREGORY P GEBAUER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GREGORY P GEBAUER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).