Dr. MICHAEL S SHAHLA, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. MICHAEL S SHAHLA, MD

8800 Terrene Court, Ste 102

Bonita Springs, FL

34135

Lee

Court Case # 12-CA-002905

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201367258
Claim Number :	1009045-01
Date Submitted :	1/27/2014

Insurer Information

Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Susan			Spielman
Street Address
5814 Reed Road
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0340			reportaclaim@medpro.com

Insured Information

Type	First Name		MI	Last Name
Individual	MICHAEL		S	SHAHLA
Insurer Type		Street Address of Practice
Licensed		8800 Terrene Court, Ste 102
City		State	Zip Code	County
Bonita Springs		FL	34135	Lee
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
725158		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME99285		Internal Medicine - No Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Lee
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

Date of Occurrence		Date Reported to Insurer
9/1/2011		7/13/2012

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Nephrotic Syndrome; leg swelling
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Sent to emergency department for doppler study to rule out occlusion
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to recommend cardiac or vascular consult and hospitalize immediately
Principal Injury Giving Rise To The Claim
Two amputation procedures on one leg
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/5/2012			12-CA-002905
County Suit Filed in			Date of Final Disposition
Lee			5/20/2013
Other Defendants Involved in this Claim
Shahla Medical Group 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
5/20/2013

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

$32,305

All Other Loss Adjustment Expense Paid

$7,427

Injured Person's Total Non-Economic Loss

$125,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

N/A

Updates

Date of Change:

9/23/2013 2:36:20 PM

Reason for Change:

Update ALE

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	1022	4662
Amount of Loss Adjustment Expense Paid to Defense Counsel	12248	18974

Date of Change:

1/27/2014 4:41:07 PM

Reason for Change:

ALE UPDATE

Field Changed	Former Value	New Value
All Other Loss Adjustment Expense Paid	4662	7427
Amount of Loss Adjustment Expense Paid to Defense Counsel	18974	32305

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Frequently Asked Questions

Does Dr. MICHAEL S SHAHLA, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. MICHAEL S SHAHLA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).