Department File Number : | M201575595 |
Claim Number : | 02013-08-663-002 |
Date Submitted : | 8/24/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-114949 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Amy | A | Villareal | ||
Street Address | |||||
16255 Bay Vista Drive | |||||
City | State | Zip | |||
Tampa | FL | 33760 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 519 - 1274 | amy.villareal@baycare.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Harshadkumar | Patel | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 900 Carillon Parkway, Mailbox 17 | ||||
City | State | Zip Code | County | ||
St. Petersburg | FL | 33716 | Pinellas | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
112-31-714 | $250,000 | $75,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME111568 | Physciatry - Including Child |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pinellas | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
MORTON PLANT HOSPITAL | 100127 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/27/2012 | 10/17/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
26yof with known HX of psychiatric disorder, numberous admission, drug abuse and domestic abuse admitted herself for increased depression related to domestic abuse and death of family member. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Physician oversaw her treatment during the 4 day admission. Upon discharge, physician prescribed a 30 day supply of methadone. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
The following day, the patient overdosed on methadone, as well as medications/drugs not prescribed by Dr. Patel and died. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/11/2015 | 14-001567-CI | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 7/21/2015 | ||||
Other Defendants Involved in this Claim | |||||
Morton Plant Hospital | |||||
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 | |||||
7/21/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $100,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $58,318 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Any risk issues have been/will be addressed. |
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. HARSHADKUMAR PATEL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. HARSHADKUMAR PATEL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).