Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201575998 |
Claim Number : | PLFHWE078116 |
Date Submitted : | 10/5/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Florida Hospital Wesley Chapel | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-8488713 | 4508 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Matthew | Evans | |||
Street Address | |||||
900 Hope Way | |||||
City | State | Zip | |||
Altamonte Springs | FL | 32714 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 357 - 2272 | matt.evans@ahss.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JOHN | A | FERLITA | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 2600 BRUCE B DOWNS BLVD | ||||
City | State | Zip Code | County | ||
WESLEY CHAPEL | FL | 33544 | Pasco | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
8528-2014 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME45789 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Pasco | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
Florida Hospital Wesley Chapel | 23960099 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/15/2014 | 5/20/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
DYSMENORREA/MENSTRAL PAIN | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
PATIENT DEVELOPED AN OBSTRUCTION OF THE RIGHT URETER AND HYDRONEPHROSIS FOLLOWING PROCEDURE AND ALLEGES THAT THE VAGINAL SUTURE WAS THE CAUSE OF THE OBSTRUCTION. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
PATIENT DEVELOPED AN OBSTRUCTION OF THE RIGHT URETER AND HYDRONEPHROSIS FOLLOWING PROCEDURE AND ALLEGES THAT THE VAGINAL SUTURE WAS THE CAUSE OF THE OBSTRUCTION. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 9/23/2015 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
9/23/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $150,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
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. JOHN FERLITA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOHN FERLITA, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).