| Department File Number : | M201679835 |
| Claim Number : | SAM-IG-006918 |
| Date Submitted : | 9/30/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| SAMARITAN RISK RETENTION GROUP, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-3433505 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | NANCY | CARR | |||
| Street Address | |||||
| 11440 SW 88th STREET | |||||
| City | State | Zip | |||
| MIAMI | FL | 33176 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (305) 274 - 4070 | (305) 274 - 2701 | carol.lobacz@nccrms.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | JUAN | FRIAS | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 975 Baptist Way | ||||
| City | State | Zip Code | County | ||
| HOMESTEAD | FL | 33033 | Monroe | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| SPL 1064 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME101120 | Emergency Medicine - No Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Dade | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| HOMESTEAD HOSPITAL (DADE) | 100125 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 7/16/2015 | 12/18/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| PATIENT PRESENTED TO ED WITH COMPLAINTS OF HEADACHE AND LEFT-SIDED WEAKNESS. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| THERE WAS NO OPERATION, DIAGNOSTIC OR TREATMENT PROCEDURE RENDERED CAUSING THE INJURY. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| THERE WAS NO MISDIAGNOSIS OF THE PATIENT'S CONDITION. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| THE CLAIMANT'S ATTORNEY ALLEGED A DELAY IN DIAGNOSIS AND TREATMENT OF STROKE-LIKE SYMPTOMS. THE PATIENT WAS ADMITTED TO THE FLOOR AND SUBSEQUENTLY TRANSFERRED TO ANOTHER FACILITY WHERE HE UNDERWENT AN EMERGENT THROMBECTOMY AND SUSTAINED NEUROLOGICAL INJURIES. THIS CASE WAS SETTLED ON BEHALF OF THIS PRACTITIONER AS A BUSINESS DECISION IN ORDER TO AVOID PROTRACTED LITIGATION AND POTENTIAL PERSONAL EXPOSURE TO THE PHYSICIAN. | |||||
| 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 | 3/6/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| FERNANDEZ, PEDRO WILLIAMS, LORNA FERNANDEZ, FERNANDO MIGUELEZ, MANUEL AHOUBIM, DANIEL NEGRIN, JOSE BAPTIST HOSPITAL OF MIAMI HOMESTEAD HOSPITAL | |||||
| 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 | |||||
| 3/16/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $125,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $2,862 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $125,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| NOT APPLICABLE. | |||||||||||||||||||||
| 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 : | M201887205 |
| Claim Number : | SAM-IG-007800 |
| Date Submitted : | 12/6/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| SAMARITAN RISK RETENTION GROUP, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-3433505 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | NANCY | CARR | |||
| Street Address | |||||
| 11440 SW 88th STREET | |||||
| City | State | Zip | |||
| MIAMI | FL | 33176 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (305) 274 - 4070 | (305) 274 - 2701 | carol.lobacz@nccrms.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Juan | J | Frias | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 10101 Lakeside Drive | ||||
| City | State | Zip Code | County | ||
| Coral Gables | FL | 33156 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| SPL 1060 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME101120 | Emergency Medicine - No Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Monroe | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| HOMESTEAD HOSPITAL (DADE) | 100125 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 12/29/2016 | 11/7/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The discharge diagnosis was myocardial infarction and the patient was treated with thrombolytic therapy. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| There was no operation, diagnostic or treatment procedure that caused injury. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis made of the patient's condition. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| The patient was diagnosed with myocardial infarction and treated with thrombolytic therapy. He was transferred to another facility for further evaluation and treatment. The claimant's attorney alleged that the treatment of thrombolytic therapy was contraindicated, however, the allegations were unsupported and the Notice of Intent was voluntarily withdrawn. | |||||
| 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 | 8/30/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Baptist Hospital Homestead Hospital | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Claim or suit abandoned. | |||||
| Final Method of Claim Disposition | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $11,149 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $16,481 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Physician discussed case with defense counsel and claim consultant. | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201678625 |
| Claim Number : | SAM-IG-005465 |
| Date Submitted : | 6/5/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| SAMARITAN RISK RETENTION GROUP, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-3433505 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | NANCY | CARR | |||
| Street Address | |||||
| 11440 SW 88th STREET | |||||
| City | State | Zip | |||
| MIAMI | FL | 33176 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (305) 274 - 4070 | (305) 274 - 2701 | carol.lobacz@nccrms.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Juan | Frias | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 975 Baptist Way | ||||
| City | State | Zip Code | County | ||
| Homestead | FL | 33030 | Monroe | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| SPL 1060 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME101120 | Emergency Medicine - No Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Monroe | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| HOMESTEAD HOSPITAL (DADE) | 100125 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/23/2010 | 6/15/2012 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Right lateral malleolus fracture and fractures of the posterior and lateral malleoli. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| There was no operation, diagnostic or treatment procedure rendered causing the injury. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis of this patient. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient was seen in the ED for diagnosis of a left ankle fracture. The patient was stabilized and referred to her podiatrist for further treatment on an outpatient basis. The plaintiff's attorney alleged a failure to properly treat resulting in displaced bimalleolar fractures. This allegation was never substantiated by an expert and this lawsuit was voluntarily dismissed against this practitioner. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 10/23/2012 | 12-41100 CA 31 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 3/28/2014 | ||||
| Other Defendants Involved in this Claim | |||||
| Maederer, Mark Gershben, Darryl Vega, Otto Marin, Edgar HomesteadMed, PA Homestead Hospital Mark Maederer, JR, DPM, Inc Miami Foot Center | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Claim or suit abandoned. | |||||
| Final Method of Claim Disposition | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $30,839 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $6,976 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Not applicable. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
Does Dr. JUAN FRIAS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. JUAN FRIAS, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).