| Department File Number : | M201574462 |
| Claim Number : | MCH-H-006203A |
| Date Submitted : | 5/3/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MIAMI CHILDREN'S HOSPITAL | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-0638499 | 4067 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | NANCY | CARR | |||
| Street Address | |||||
| 11440 SW 88th STREET | |||||
| City | State | Zip | |||
| MIAMI | FL | 33176 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (305) 274 - 4070 | (305) 274 - 2701 | carol.lobacz@nccrms.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Oranit | Shaked | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 3100 S.W. 62nd Avenue | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33155 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| HPL/GL 2013/00 13/14 | $3,000,000 | $5,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME92042 | Pediatrics - No Surgery | ||||
| 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 Inpatient Facility | |||||
| Name of Institution | Code | ||||
| MIAMI CHILDREN'S HOSPITAL | 110199 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/12/2013 | 4/9/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient presented to ER with complaints of fever and headache and recent diagnosis of acute viral gastritis and hematuria with antibiotic treatment. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Not applicable. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis made of this patient. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged delay in diagnosis and treatment of bacterial endocarditis in the ER. Subsequently, the child underwent mitral valve replacement with cardiopulmonary bypass and PFO closure and was discharged home on antibiotics. Allegations were not substantiated against this physician and the Notice of Intent was voluntarily withdrawn. | |||||
| 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 | 1/14/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Castaneda, Ana Fierro-Cobas, Victoria | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Claim or suit abandoned. | |||||
| Final Method of Claim Disposition | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $6,335 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $11,342 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Not applicable. | |||||||||||||||||||||
| 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.
| Department File Number : | M201679986 |
| Claim Number : | MCH-H-005640B |
| Date Submitted : | 10/13/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MIAMI CHILDREN'S HOSPITAL | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 59-0638499 | 4067 | ||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | NANCY | CARR | |||
| Street Address | |||||
| 11440 SW 88th STREET | |||||
| City | State | Zip | |||
| MIAMI | FL | 33176 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (305) 274 - 4070 | (305) 274 - 2701 | carol.lobacz@nccrms.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Oranit | Shaked | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 3100 S.W. 62nd Avenue | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33155 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| HPL/GL 2011-00 11/12 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME92042 | Pediatrics - No Surgery | ||||
| 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 Inpatient Facility | |||||
| Name of Institution | Code | ||||
| MIAMI CHILDREN'S HOSPITAL | 110199 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 9/12/2010 | 7/12/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Viral symptoms including fever and sore throat, negative lumbar puncture. Viral encephalitis. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Not applicable. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| There was no misdiagnosis made of this patient. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient with prior diagnosis of viral syndrome and negative spinal tap was admitted to the hospital via the ED for hydration and monitoring. Despite aggressive treatment his condition deteriorated and he was diagnosed with acute encephalitis of unknown etiology, static encephalopathy characterized by refractory epilepsy, permanent vegetative state and spastic quadriparesis. The plaintiff attorney alleged failure to order and administer antibiotics and Acyclovir for herpes for a patient with viral symptoms and negative lumbar puncture. The claim against this practitioner was dismissed without prejudice. | |||||
| Severity Of Injury | |||||
| Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 10/9/2012 | 12-039570 CA 01 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 8/11/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Wolfsdorf, Raszynski & Sussmane, MD, PA Baptist Medical Plaza at West Kendall UCC Anthony Pizarro, MD, PA Pizarro, Anthony Meyer, Keith | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Claim or suit abandoned. | |||||
| Final Method of Claim Disposition | |||||
| No Payment Made | |||||
| Court Decision | Other | ||||
| Other | Voluntary Dismissal with Prejudice | ||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $247,820 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $136,701 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| None required. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
Does Dr. ORANIT SHAKED, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ORANIT SHAKED, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).