Department File Number : | M202091149 |
Claim Number : | PPLRRG-MF-17-386546 |
Date Submitted : | 1/17/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS PROFESSIONAL LIABILITY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
33-1010508 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | MICHAEL | D | FRIEDMAN | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 4106 W LAKE MARY BLVD., STE 215 | ||||
City | State | Zip Code | County | ||
LAKE MARY | FL | 32746 | Seminole | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
104557 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME41479 | Urology- minor surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Seminole | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | CENTRAL FLORIDA UROLOGY | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/7/2016 | 1/31/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
VAGINAL MESH SLING REMOVAL | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
BLADDER NECK SUSPENSION AND TRANSOBTURATOR TAPE PROCEDURE | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
ALLEGED FAILURE TO PROPERLY EVALUATE, DIAGNOSE AND INFORM OF RISKS AND COMPLICATIONS | |||||
Principal Injury Giving Rise To The Claim | |||||
ADDITIONAL SURGERY AND PAIN. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
6/12/2018 | 2018-CA-1413-09-G | ||||
County Suit Filed in | Date of Final Disposition | ||||
Seminole | 12/30/2019 | ||||
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 subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
11/7/2019 |
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 | $66,210 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $18,559 | ||||||||||||||||||||
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 | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
Does Dr. MICHAEL D FRIEDMAN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MICHAEL D FRIEDMAN, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).