| Department File Number : | M201884337 |
| Claim Number : | 24031-01 |
| Date Submitted : | 2/14/2018 |
| 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 | Jeffrey | Burmeister | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2762 Dunn Avenue | ||||
| City | State | Zip Code | County | ||
| Jacksonville | FL | 32218 | Duval | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1PD0009488 | $500,000 | $1,500,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Podiatric Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| PO1913 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Duval | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/3/2014 | 6/23/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Black ingrown toenail, left foot | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Nail avulsion of ingrown toenail, reduction of dystrophic nail; Keflex prescribed | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| This was a long standing patient with insured, who presented on 2/4/2014 for a painful toenail that she reportedly smashed and bruised and the nail was growing back irregularly. An avulsion of the ingrown nail was performed, as well as a reduction of the dystrophic nail. Patient returned once more with the same problem as the prior visit and the same procedure was performed with Keflex being prescribed. On 6/3/2014 patient returned again for the same ingrown toenail and a digital block was performed and complete left hallux nail was avulsed. On the follow up visit, patient had minimal pain and there was no sign of infection. However, on 9/29/14 patient returned with more pain and drainage in the left hallux nail bed and the nail was not growing back. The nail borders were examined and revealed no abscess but the area bled when probed. Patient was referred to a dermatologist for a biopsy to determine cause. Patient was ultimately diagnosed with Clarks Level IV Melanoma. Patient claims insured was negligent for failing to timely diagnose her melanoma, and for failing to timely refer her to a specialist for diagnostic work of her left great toe. | |||||
| Severity Of Injury | |||||
| Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 2/5/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | |||||
| 2/8/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $450,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $108,867 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $9,307 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| 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. JEFFREY BURMEISTER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JEFFREY BURMEISTER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).