Department File Number : | M201886486 |
Claim Number : | FL-NON-01 |
Date Submitted : | 9/19/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
APPLIED MEDICO-LEGAL SOLUTIONS RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
81-0603029 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Julie | Moore | |||
Street Address | |||||
101 E. Park Blvd. | |||||
City | State | Zip | |||
Plano | TX | 75074 | |||
Phone | Ext | Fax | E-Mail Address | ||
(866) 520 - 6896 | jmontague@bpmp.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jeffrey | Kugler | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 3618 Lantana Road, Ste. 100 | ||||
City | State | Zip Code | County | ||
Lake Worth | FL | 33462 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
G-AMS-116857 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME64441 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
WELLINGTON REGIONAL MEDICAL CENTER | 110010 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/29/2016 | 7/9/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
L5-S1 degenerative disc disease, L5-S1 herniated nucleus pulposus, left L4 right L4 and R L5 neuroforaminal stenosis. Central spinal stenosis at L3-4, L4-5, and L5-S1. Multi-level spinal stenosis at L3-4 and L5-S1, and mild central and bilateral lateral recess stenosis at L4-L5 level. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
L5-S1 anterior lumbar interbody fusion and removal of pelvic mass | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
During retroperitoneal approach performed by Dr. Ramon Vazquez, he noted a pelvic mass and removed it as suggestive of gynecological malignancy. Pathology studies revealed presumed mass was patient's left vestigial kidney. | |||||
Principal Injury Giving Rise To The Claim | |||||
Improper removal of patient's pelvic kidney. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/2/2017 | 50-2017-CA-O12082 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 6/8/2018 | ||||
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 | |||||
6/13/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $20,021 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Improve communication with other surgeons in cases regarding any patient anatomic anomalies prior to procedure. |
Updates | |
No updates found. |
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Does Dr. JEFFREY KUGLER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JEFFREY KUGLER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).