Department File Number : | M201576428 |
Claim Number : | POC-H-006110 |
Date Submitted : | 12/1/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Baptist Health South Florida | Primary | ||||
Insurer FEIN | Professional License Number | ||||
65-0267668 | 0000 | ||||
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 | Jason | Kiner | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 8900 North Kendall Drive | ||||
City | State | Zip Code | County | ||
Miami | FL | 33174 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PIC 2013/14 PIC 12 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME107327 | Neurology - Including Child - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAPTIST HOSPITAL OF MIAMI | 100008 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/5/2011 | 1/30/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Acute infarct of the left cerebellum and a questionable basilar artery thrombosis. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
There was no operation, diagnostic or treatment procedure causing injury. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis made of this patient's actual condition. | |||||
Principal Injury Giving Rise To The Claim | |||||
Brain damage allegedly due to delay in performance of MRI, delay in diagnosis of additional basilar artery thrombus with subsequent emergent angiography, stenting and thrombectomy. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 6/9/2014 | ||||
Other Defendants Involved in this Claim | |||||
Gupta, Amitabh Lopez, Leticia Escatel, Eva Baptist Hospital of Miami, Inc. Sheridan Emergency Physician Services of South Dade | |||||
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? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $16,787 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $18,332 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Not applicable. |
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 KINER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JASON KINER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).