| Department File Number : | M201574436 |
| Claim Number : | 18343-01 |
| Date Submitted : | 4/30/2015 |
| 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 | Karen | Kessler | |||
| Street Address | |||||
| 3000 Meridian Blvd., Suite 400 | |||||
| City | State | Zip | |||
| Franklin | TN | 37067 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (615) 371 - 8776 | 2249 | kkessler@picagroup.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jason | Bottoms | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2835 W. DeLeon St. | ||||
| City | State | Zip Code | County | ||
| Tampa | FL | 33609 | Hillsborough | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1PD0033739 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Podiatric Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PO3304 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Hillsborough | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| NORTHSIDE HOSPITAL | 100238 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/15/2010 | 8/9/2012 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Painful degenerative joint disease and a plantar-flexed position of left ankle | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Left ankle arthrodesis | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient initially presented to insured in June 2009, with primary complaints of left ankle pain. Insured recommended a fusion procedure, which was performed at the end of July 2009. Thereafter, patient seemed to do well post-op; however, he returned to insured in February 2010, where a revision was discussed, as apparently he had experienced a non-union. The first procedure in question was a left ankle arthrodesis and this was performed on 7/27/2009. Patient continued to have complications, namely a development of a post-op wound and concerns about delayed healing of the fusion. Insured ordered a CT scan in July 2010, and it was believed another non-union had occurred. Over the next several months, patient returned on several occasions complaining of ongoing pain and, in July 2011, because insured believed there was yet another non-union, he recommended that patient have a total ankle implant placed. This was performed on October 3, 2011. Post-op, patient developed an infection, and there were concerns of cellulitis so insured recommended the implant be removed to which the patient consented. In February 2012, the patient was seen by another doctor who, due to patient¿s complicated surgical history, recommended either a reconstruction surgery or amputation. Due to the ongoing pain and infection, the patient consented to amputation which took place on February 27, 2012. Patient alleges insured improperly performed the surgery of 10/03/11 and failed to properly treat him thereafter, resulting in a BKA. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 9/17/2012 | 12-13413C1 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pinellas | 4/28/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Ankle & Foot Center of Tampa Bay, P.A. | |||||
| 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 | |||||
| 4/28/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $650,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $31,200 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $1,045 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| None - Specialty code #80993 | |||||||||||||||||||||
| 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. JASON BOTTOMS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JASON BOTTOMS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).