| Department File Number : | M201885712 |
| Claim Number : | 2017FL255 |
| Date Submitted : | 6/21/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS CASUALTY RISK RETENTION GROUP, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 27-3867083 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jody | Schwahn | |||
| Street Address | |||||
| 611 Druid Road E, Suite 512 | |||||
| City | State | Zip | |||
| clearwater | FL | 33756 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 581 - 6400 | 1014 | jschwahn@physicianscasualty.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | MITCHELL | SUPLER | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2706 Rew Circle | ||||
| City | State | Zip Code | County | ||
| Orlando | FL | 34761 | Orange | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| PCX-2017-714 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME64445 | Surgery - Neurology - Including Child | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Orange | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| HEALTH CENTRAL | 100030 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 12/9/2015 | 9/6/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| The patient fell getting into his vehicle and landed on his back. He presented to the ER and CT scan and MRI revealed a hyperextension type fracture of the L2 vertabra body. Although surgical and nonsurgical options were discussed, the patient was treated conservatively and nonsurgical treatment was recommended. The patient was given a TLSO brace to wear at all times with the exception of being in bed and admitted to a rehab facility for physical therapy. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Patient was given a TLSO brace to wear and admitted to a rehab facility for physical therapy. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Paraplegic with bowel and urine incontinence. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/31/2018 | 2018-CA-000102-O | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Orange | 6/20/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Orlando Health Central Inc., d/b/a Health Central Hospital Nandlall, Baney Central Florida Inpatient Medicine, LLC Health Services of Ocoee, LLC d/b/a Lake Bennett Health and | |||||
| 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 | |||||
| 6/20/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $240,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $31,030 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $2,923 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Due to the patient's co-morbidities, the insured's position on whether to take the patient immediately to surgery is one in which he stands behind. | |||||||||||||||||||||
| Updates | |
| No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. MITCHELL SUPLER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MITCHELL SUPLER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).