Department File Number : | M201988730 |
Claim Number : | 26849-01 |
Date Submitted : | 5/13/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Angeline | Schave | |||
Street Address | |||||
3000 Meridian Blvd. Ste. 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2998 | (615) 986 - 1945 | aschave@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jasmine | N | Raymond | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3104 17th Street | ||||
City | State | Zip Code | County | ||
Saint Cloud | FL | 34769 | Osceola | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0055157 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3723 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Osceola | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
ORLANDO CENTER FOR OUTPATIENT SURGERY | 148 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/29/2016 | 8/1/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Hallux valgus, left | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Bunionectomy with 1st metatarsal osteotomy with pin fixation, left | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient presented to the insured with painful bunions on both feet. Treatment options were discussed with the patient and an injection was administered to each first MPJ, along with a 3-view x-ray of both feet. 2 weeks later the patient showed a brief level of improvement sustained with the injection. Surgery was discussed and performed on the left foot on 11/29/16 by the insured. Postoperatively the patient experienced pain and swelling and an Unna boot was used. A dehiscence was noted at a later visit and Augmentin was prescribed. The patient¿s range of motion was significantly restricted so a Dynasplint was ordered to enhance motion. The patient did not return for subsequent care. Patient alleges insured improperly performed surgery resulting in an unstable osteotomy, which required corrective surgery. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 4/25/2019 | ||||
Other Defendants Involved in this Claim | |||||
Orlando Foot & Ankle Clinic, Inc. | |||||
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 | |||||
5/2/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $75,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $17,192 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $614 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Specialty Code - 80993 |
Updates | |
No updates found. |
Does Dr. JASMINE N RAYMOND, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JASMINE N RAYMOND, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).