| Department File Number : | M201782469 |
| Claim Number : | 59257501 |
| Date Submitted : | 6/29/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 13-4235490 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | John | D | King | ||
| Street Address | |||||
| 901 south mopac Blvd V ste 400 | |||||
| City | State | Zip | |||
| Austin | TX | 78746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Leslie | E | Diaz | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 840 US 1, Suite 120 | ||||
| City | State | Zip Code | County | ||
| North Palm Beach | FL | 33408 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 131997 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME64006 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Palm Beach | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Physician's Office | |||||
| Name of Institution | Code | ||||
| CENTRAL PALM BEACH SURGERY CENTER LTD | 147 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | physician's office | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 8/8/2014 | 5/26/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient developed infection following bilateral breast implant procedure | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient presented post-operative infection following bilateral mastectomy with breast implant procedure. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Plaintiffs alleged physician failed to timely diagnose and treat post-operative infection which led to the removal of the breast implants. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| As a result of the allegations, Plaintiffs claimed to have lost significant breast tissue from the infection where she had developed scarring and incurred significant medical expenses. | |||||
| 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 | ||||
| 11/3/2016 | 50-2016-CA-011668 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Palm Beach | 6/7/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | |||||
| 6/7/2017 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $38,650 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $8,650 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $200,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| none taken | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
| Department File Number : | M201884044 |
| Claim Number : | 59202001 |
| Date Submitted : | 1/9/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 13-4235490 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | John | D | King | ||
| Street Address | |||||
| 901 south mopac Blvd V ste 400 | |||||
| City | State | Zip | |||
| Austin | TX | 78746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Leslie | Diaz | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 840 US Highway 1, Ste 120 | ||||
| City | State | Zip Code | County | ||
| North Palm Beach | FL | 33408 | Palm Beach | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 131997 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME64006 | Internal Medicine - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Palm Beach | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| JUPITER MEDICAL CENTER | 100253 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Critical Care Unit | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 6/8/2011 | 8/19/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| patient presented to the emergency room in altered mental status after undergoing facial cosmetic surgery 5 days earlier. While in the ED, patient was intubated as she was in acute respiratory failure. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient was admitted into critical care unit and seen by multitude of specialists including insured physician. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Patient was diagnosed with Group A streptococcal toxic shock syndrome. Patient's blood pressure rapidly declined as her physicians tried to increase blood flow to her vital organs. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| As a result of patient's dangerous low blood pressure, patient was administered medication which allow blood flow to her vital organs but in doing do, restricted blood flow to her extremities. This was done to save the patient's life. As a result, patient underwent a bilateral BKA and lost her left hand. Plaintiffs filed a lawsuit against several of the treating physicians including the insured physician for her injuries. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/9/2015 | 502013 CA 018595 AB | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Palm Beach | 12/12/2017 | ||||
| Other Defendants Involved in this Claim | |||||
| murphy, mark Jupiter Medical Center Syed, baqir Palm Beach Ear Nose and Throat | |||||
| 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 | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| Other | Plaintiff voluntarily dismissed insured physician | ||||
| 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 | $216,540 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $63,454 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| none taken- insured physician provided care within the standard of care | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. LESLIE E DIAZ, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. LESLIE E DIAZ, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).