Dr. JACKELINE GOMEZ-JORGE, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. JACKELINE GOMEZ-JORGE, MD

1200 N.W. 14th Street, 1st Floor

Indemnity Paid: $0.00

Insurer Information

Insurer Name				Coverage Type
SAMARITAN RISK RETENTION GROUP, INC.				Primary
Insurer FEIN		Professional License Number
20-3433505
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	NANCY			CARR
Street Address
11440 SW 88th STREET
City				State	Zip
MIAMI				FL	33176
Phone	Ext	Fax	E-Mail Address
(305) 274 - 4070		(305) 274 - 2701	carol.lobacz@nccrms.com

Insured Information

Type	First Name		MI	Last Name
Individual	Jackeline			Gomez-Jorge
Insurer Type		Street Address of Practice
Licensed		1200 N.W. 14th Street, 1st Floor
City		State	Zip Code	County
Miami		FL	33125	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
SPL1011		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME66752		Radiology - Diagnostic - No Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Dade
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
HEALTHSOUTH DOCTORS' HOSPITAL		100020
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
6/30/2009		5/19/2011

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Dysphagia due to multiple strokes.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Dislodgement of percutaneous gastrostomy tube several days post placement.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
There was no misdiagnosis made of this patient.
Principal Injury Giving Rise To The Claim
Death as a result of sepsis (MRSA) and multi-system failure. The claimant alleged the PEG was improperly placed. These allegations were not substantiated and claim was dismissed.
Severity Of Injury
Permanent: Death.

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			7/31/2012
Other Defendants Involved in this Claim
Doctors Hospital
Stage of Legal System at which Settlement was Reached or Award Made
Claim or suit abandoned.
Final Method of Claim Disposition
No Payment Made
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

$5,000

All Other Loss Adjustment Expense Paid

$6,500

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Not applicable.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Does Dr. JACKELINE GOMEZ-JORGE, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JACKELINE GOMEZ-JORGE, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases