Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Department File Number : | M201782266 |
Claim Number : | DSNRRG-FPCC-16-35298 |
Date Submitted : | 6/9/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS & SURGEONS NATIONAL RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
68-0656137 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JOSE | R | PONTE | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3675 J DEWEY GRAY CIR STE 300 | ||||
City | State | Zip Code | County | ||
AUGUSTA | GA | 30909 | Out of state | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
16-010810-01 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME51306 | Surgery - pediatric |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
PLANTATION GENERAL HOSPITAL | 100167 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | PICU | ||||
Date of Occurrence | Date Reported to Insurer | ||||
2/10/2016 | 11/11/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
RESPIRATORY DISTRESS SYMPTOMS | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
ADMITTED TO PICU AND TESTS RUN | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
FAILURE TO DIAGNOSE ENCEPHALITIS | |||||
Principal Injury Giving Rise To The Claim | |||||
BRAIN DAMAGE | |||||
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 | 6/9/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
5/9/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $87,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $12,023 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $3,100 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
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.
Department File Number : | M201679317 |
Claim Number : | CLFL3264A |
Date Submitted : | 8/2/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CENTURION MEDICAL LIABILITY PROTECTIVE RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-1145017 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | LETIA | SHELTON | |||
Street Address | |||||
3100 SOUTH GESSNER ROAD SUITE 600 | |||||
City | State | Zip | |||
HOUSTON | TX | 77063 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 353 - 1624 | lshelton@proclaimamerica.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | JOSE | R | PONTE | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 17105 GULF PINE CIRCLE | ||||
City | State | Zip Code | County | ||
WELLINGTON | FL | 33414 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL3264 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME51306 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
PALM BEACH REGIONAL HOSPITAL | 100207 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/4/2012 | 5/30/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
STEVENS-JOHNSON SYNDROME | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
MISDIAGNOSED FLU | |||||
Diagnostic Code : | 695.13 | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
FLU | |||||
Principal Injury Giving Rise To The Claim | |||||
MISDIAGNOSES/STEVEN-JOHNSONS SYNDROME | |||||
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 | ||||
5/30/2014 | 12345678910 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Osceola | 6/8/2016 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
6/8/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $62,500 | ||||||||||||||||||||
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 | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Department File Number : | M201885228 |
Claim Number : | FL0281 |
Date Submitted : | 5/2/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HEALTHCARE UNDERWRITERS GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
74-3129288 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Yvette | de la Morena | |||
Street Address | |||||
1250 S. Pine Island Road Suite 300 | |||||
City | State | Zip | |||
Plantation | FL | 33324 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 923 - 1900 | ymorena@hugroups.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jose | R | Ponte | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 17105 Gulf Pine Circle | ||||
City | State | Zip Code | County | ||
Wellington | FL | 33414 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
001-003 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME51306 | Pediatrics - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
NORTHWEST MEDICAL CENTER | 100189 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Emergency Room | ||||
Date of Occurrence | Date Reported to Insurer | ||||
8/10/2010 | 5/31/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Treatment was sought grunting and poor oral intake | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Alleged failure to diagnose sepsis and bacterial meningitis. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Brain damage | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/8/2011 | 11-21232 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 3/9/2018 | ||||
Other Defendants Involved in this Claim | |||||
Pediatrix Medical Group Mednax Plantation General Hospital Santiago, Annette Marante, Alberto A Florida Pediatric Critical Care PA Flores, Leslie A | |||||
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 | |||||
4/12/2018 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $67,055 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Discussed with insured. |
Updates | |
No updates found. |
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Does Dr. JOSE R PONTE, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JOSE R PONTE, MD has at least 6 medical malpractice case(s), lawsuit(s), or complaint(s).