Dr. JUAN J CARRERE, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. JUAN J CARRERE, MD

63 BARKLEY CIR STE 103

FORT MYERS, FL

33907

Lee

Court Case # 04 CA 002211

Indemnity Paid: $50,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200850240
Claim Number :	271877
Date Submitted :	8/10/2009

Insurer Information

Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Mary			Osborn
Street Address
5814 Reed Rd
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(800) 463 - 3776	6604	(260) 486 - 0785	Mary.Osborn@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	JUAN		J	CARRERE
Insurer Type		Street Address of Practice
Licensed		63 BARKLEY CIR STE 103
City		State	Zip Code	County
FORT MYERS		IN	33907	Lee
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
686992		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME85054		Surgery - Gastroenterology

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Lee
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		BARKLEY SURGICAL CENTER
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
2/18/2003		9/9/2003

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CANCER SCREENING
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
COLONOSCOPIC POLYPECTOMY
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
IMPROPER PERFORMANCE OF PROCEDURE
Principal Injury Giving Rise To The Claim
PERFORATION
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
6/1/2004			04 CA 002211
County Suit Filed in			Date of Final Disposition
Lee			6/23/2008
Other Defendants Involved in this Claim
GASTROENTEROLOGY ASSOC BARKLEY SURGICENTER
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
6/30/2008

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

$60,983

All Other Loss Adjustment Expense Paid

$21,085

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

N/A

Updates

Date of Change:

1/9/2009 3:14:56 PM

Reason for Change:

UPDATED ALE ON THIS CASE

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	17634	21085
Amount of Loss Adjustment Expense Paid to Defense Counsel	53696	60934

Date of Change:

8/10/2009 4:51:03 PM

Reason for Change:

ALE UPDATE

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	60934	60983

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Court Case #

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201680266
Claim Number :	53552
Date Submitted :	11/10/2016

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Juan		J	Carrere
Insurer Type		Street Address of Practice
Licensed		2721 Del Prado Blvd., Ste. 200
City		State	Zip Code	County
Cape Coral		FL	33904	Lee
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1601624 11		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME85054		Gastroenterology - Minor Surgery

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Lee
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Cape Health Surgery Center
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Special Procedure Room
Date of Occurrence		Date Reported to Insurer
4/20/2015		6/11/2015

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Screening colonoscopy
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Screening colonoscopy
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly perform procedure
Principal Injury Giving Rise To The Claim
Intra-abdominal hemorrhage
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			10/19/2016
Other Defendants Involved in this Claim

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?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$93,371	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

Updates

No updates found.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Frequently Asked Questions

Does Dr. JUAN J CARRERE, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. JUAN J CARRERE, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

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