Department File Number : | M201576220 |
Claim Number : | 13-0216-A-12 |
Date Submitted : | 10/30/2015 |
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 | Tamla | Lloyd | |||
Street Address | |||||
4651 Salisbury Road, Suite 410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 296 - 2887 | (904) 296 - 1245 | tlloyd@fdinsurancecompany.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kimberly | Ruzek | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1700 S. Tamiami Trail | ||||
City | State | Zip Code | County | ||
Sarasota | FL | 34239 | Sarasota | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MG000228 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME90361 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Sarasota | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/7/2012 | 10/7/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient presented to Manatee Memorial ER via ambulance on 10/7/12 with diffuse injuries to the neck and abdominal region sustained in a frontal impact vehicle accident. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The insured interpreted the CT scan of the patient's chest, abdomen, and chest via teleradiology. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
None made | |||||
Principal Injury Giving Rise To The Claim | |||||
The insured suffered blunt impact abdominal trauma. It was alleged that the patient improperly read the initial CT images. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/7/2012 | 2014 CA 001661 AX | ||||
County Suit Filed in | Date of Final Disposition | ||||
Manatee | 10/27/2015 | ||||
Other Defendants Involved in this Claim | |||||
SMH Radiology Associates, PA Erbella, Jose Tampa Bay Surgical Group, LLP Manatee Memorial Hospital Steinman, Richard Manatee Lakewood Radiology Associates, LLC | |||||
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 | $27,574 | ||||||||||||||||||||
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 | |||||||||||||||||||||
The circumstances of this case were discussed with the insured and risk management was notified. Risk management discussed the case with the insured. |
Updates | |
No updates found. |
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Does Dr. KIMBERLY RUZEK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. KIMBERLY RUZEK, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).