Department File Number : | M201987940 |
Claim Number : | 22663-01 |
Date Submitted : | 2/15/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Angeline | Schave | |||
Street Address | |||||
3000 Meridian Blvd. Ste. 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2998 | (615) 986 - 1945 | aschave@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Michael | Pasternac | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 9831 NW 58th St. Ste. 127 | ||||
City | State | Zip Code | County | ||
Doral | FL | 33178 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0044976 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO2971 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
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 | ||||
9/9/2014 | 7/7/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Diabetic Ulcer | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Routine diabetic foot care | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient had been treating with the insured periodically for almost 2 years for routine diabetic foot care. The patient had developed a diabetic ulcer on the left foot and was referred to the wound care center where he received care on several occasions. He was seen by the insured again on 9/8/14 and the toes were noted to demonstrate changing color and signs of ischemia. Patient was referred to a vascular surgeon, however, the patient began experiencing fever and chills and was hospitalized. The patient¿s condition continued to deteriorate and a transmetatarsal amputation was performed. Patient alleges insured failed adequately assess the ulcer, stage the ulcer, timely treat the ulcer and timely refer the patient to a vascular surgeon. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/12/2016 | 2016-023092-CA-01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 2/4/2019 | ||||
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 not subject to Arbitration. | |||||
Date of Payment | |||||
2/7/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $225,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $116,208 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,910 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Specialty Code - 80993 |
Updates | |
No updates found. |
Does Dr. MICHAEL PASTERNAC, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MICHAEL PASTERNAC, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).