| Department File Number : | M201573308 |
| Claim Number : | 10-08-0126-A |
| Date Submitted : | 1/11/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| FD INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-3704679 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Tamla | Lloyd | |||
| Street Address | |||||
| 4651 Salisbury Road, Suite 410 | |||||
| City | State | Zip | |||
| Jacksonville | FL | 32256 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 296 - 2887 | 212 | (904) 296 - 1245 | tlloyd@fdinsurancecompany.com | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Osvaldo | De La Pedraja | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 4776 S.W. 8th Street | ||||
| City | State | Zip Code | County | ||
| Coral Gables | FL | 33134 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 10331 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME23531 | Radiology - Diagnostic - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Dade | ||||
| 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 | ||||
| 12/8/2008 | 6/18/2010 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient was referred to this insured for a mammogram. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Mammogram | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| The insured's read of the mammogram on Dec 10, 2008 stated there was no evidence of malignancy. A screening mammogram performed on the patient in Jan. of 2010 revealed a mass in her right breast. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleging that insured failed to properly interpret a digital bilateral breast mammogram. Pt had invasive duct carcinoma. | |||||
| Severity Of Injury | |||||
| Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 11/19/2010 | 10-60481 CA 11 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 12/17/2014 | ||||
| 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 | |||||
| 12/17/2014 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $195,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $82,467 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Circumstances of this case have been discussed with insured and risk management was notified. Risk management has discussed case with insured. | |||||||||||||||||||||
| Updates | |||||||
| Date of Change: | 1/11/2016 10:41:28 AM | ||||||
| Reason for Change: | Updated LAE amount. | ||||||
| |||||||
This page is not displaying certain sensitive information.
Does Dr. OSVALDO DE LA PEDRAJA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. OSVALDO DE LA PEDRAJA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).