Department File Number : | M201575440 |
Claim Number : | 107257 |
Date Submitted : | 8/5/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
OPHTHALMIC MUTUAL INSURANCE COMPANY (A R.R.G.) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-3047990 | |||||
Insurer Contact Information | |||||
Type | Entity Name | ||||
Entity | MRCG | ||||
Street Address | |||||
PO Box 431271 | |||||
City | State | Zip | |||
Miami | FL | 33243-1271 | |||
Phone | Ext | Fax | E-Mail Address | ||
(305) 668 - 0432 | (305) 668 - 0433 | MMORENO@MRCG.ORG |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Nishita | Patel | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 1925 Mizell Avenue | ||||
City | State | Zip Code | County | ||
Winter Park | FL | 32792 | Orange | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
OMC0007321 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME113176 | Surgery - Opthalmology |
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 | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL (ORLANDO) | 100007 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/14/2013 | 4/15/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Cataract, left eye | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient underwent cataract surgery with phacoemulsification by insured. During surgery, insured noted a tear in the posterior capsule and thus proceeded with an anterior vitrectomy. The patient became agitated and began to move causing injury to the anterior capsule. The patient remained aphakic for placement of secondary IOL at later time, which was accomplished. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis made. This was an intraoperative complication. | |||||
Principal Injury Giving Rise To The Claim | |||||
Temporary aphakic OS requiring secondary IOL placement at later date. There was no permanent injury. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 6/1/2015 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
5/15/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $20,395 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Investigation of care rendered revealed that the insured's medical care and treatment was appropriate and within the standard of care. |
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. NISHITA PATEL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. NISHITA PATEL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).