| Department File Number : | M201887101 |
| Claim Number : | F15-0273-A-15 |
| Date Submitted : | 11/20/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| FD INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-3704679 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Diane | M | McNab | ||
| Street Address | |||||
| 9372 Lake Serena Drive | |||||
| City | State | Zip | |||
| Boca Raton | FL | 33496 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (954) 439 - 0580 | dmcnab@norcal-group.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jose | Contreras | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 7000 W 20th Avenue, Suite G126 | ||||
| City | State | Zip Code | County | ||
| Hialeah | FL | 33016 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MG000695 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME91657 | Internal Medicine - 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 | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| PALMETTO GENERAL HOSPITAL | 100187 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | hospital | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/11/2015 | 12/7/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient presented to the emergency room via emergency rescue due to a syncope event while driving. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| The patient was admitted to the hospital by this health care provider. An MRI/MRA of the brain and consultation with a neurologist was requested. A lesion was diagnosed and an outpatient neurosurgical workup was recommended by the neurologist. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis. A lesion had been identified and an outpatient neurosurgical workup was recommended by the neurologist. The patient alleged premature discharge from the hospital and improper communication with the findings on the MRI/MRA. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The patient follow up as instructed with the specialist, however, shortly thereafter, the patient sustained an intracerebral hemorrhage causing neurological impairment. | |||||
| Severity Of Injury | |||||
| Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 4/12/2016 | 16-008463CA15 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 10/26/2018 | ||||
| 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 | |||||
| 11/1/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $200,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $114,503 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $114,503 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insured met and conferenced with defense attorney and claims specialist. | |||||||||||||||||||||
| Updates | |
| No updates found. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Does Dr. JOSE CONTRERAS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSE CONTRERAS, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).