Department File Number : | M201575186 |
Claim Number : | 305561 |
Date Submitted : | 7/14/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Wood | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1900 Harrison Avenue | ||||
City | State | Zip Code | County | ||
Panama City | FL | 32405 | Escambia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
0935435 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Physician Assistant | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PA9102115 | Dermatology - All Other |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Escambia | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Physicians Office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
6/7/2010 | 4/30/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient complained of a breakout on his face, which was identified as a cyst, a papule and a nodule. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
An incision & drain was performed on the cyst. A shave biopsy of the nodule confirmed squamous cell carcinoma in situ with adnexal extension to the peripheral and deep margins; no invasive carcinoma was identified. This was treated with ED & C times three. A shave biopsy of the papule confirmed invasive, moderately differentiated squamous cell carcinoma extending to the peripheral and deep margins, which was referred to a MOHS surgeon for further treatment. Aldara treatment was generalized to the general area secondary to an increased level of actinic keratosis and solar elastosis. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Disputed allegations of failing to obtain clear margins, resulting in deeper excision that would have resulted in discovery and diagnosis of MAC. This allegedly would have led to earlier surgery and less extension of the cancer and less surgical damage. | |||||
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 | ||||
8/8/2013 | 13-1381CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Bay | 5/6/2013 | ||||
Other Defendants Involved in this Claim | |||||
Byron, Charles Dermatology Associates of Bay County, PA | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $75,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $16,833 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,120 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. |
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. KELLY WOOD, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KELLY WOOD, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).