| Department File Number : | M201573943 |
| Claim Number : | 1322629 |
| Date Submitted : | 3/25/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HALLMARK SPECIALTY INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 74-2378996 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Pamela | M | Burke | ||
| Street Address | |||||
| 61 Logan Circle | |||||
| City | State | Zip | |||
| Asheville | NC | 28806 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (828) 258 - 7019 | (321) 972 - 0122 | pamelaburke@hamlinandburton.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Paul | Citrin | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 38135 Market Square | ||||
| City | State | Zip Code | County | ||
| Zephyrhills | FL | 33542 | Pasco | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FLM900127-01 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME38131 | Physicians or Surgeons - Major Surgery. NOC classification. | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Sumter | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| PASCO COMMUNITY HOSPITAL | 100211 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 12/28/2010 | 1/24/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Tubulo-villous adenoma of the duodenum. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Removal of significant portion of patient's stomach during surgery which plaintiff alleges was neither required nor appropriate, to treat a tubule-villous adenoma with high grade dysplasia of the duodenum. Plaintiff alleges a full thickness resection with intra-operative confirmation of completion of resection should have been done instead. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis made. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Postoperative pancreatitis and pancreatic fistula. | |||||
| Severity Of Injury | |||||
| Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 6/3/2013 | 2013-CA-003448-CA-AX | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pasco | 1/31/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Florida Medical Clinic | |||||
| 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 | |||||
| 2/12/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $230,650 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $19,350 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $200,000 | ||||||||||||||||||||
| Deductible | $200,000 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Internal review by risk management. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
| Department File Number : | M201677047 |
| Claim Number : | 1425464 |
| Date Submitted : | 2/9/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| HALLMARK SPECIALTY INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 74-2378996 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Pamela | M | Burke | ||
| Street Address | |||||
| 615 Crescent Executive Ct., Suite 212 | |||||
| City | State | Zip | |||
| Lake Mary | FL | 32746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (828) 255 - 5171 | (321) 972 - 0122 | pamelaburke@hamlinandburton.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Paul | Citrin | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 38135 Market Square | ||||
| City | State | Zip Code | County | ||
| Zephyrhills | FL | 33542 | Pasco | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| FLM900127-03 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME38131 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Pasco | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Florida Hospital Zephyrhills | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 9/29/2012 | 11/3/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Gangrenous gallbladder | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Laparoscopic Cholecystectomy | |||||
| Diagnostic Code : | 575.0 | ||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis made. Complication occurred during surgery (postoperative hemorrhage from cystic artery). | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Postoperative hemorrhage from cystic artery. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 4/30/2015 | 2015-CA-001260 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pasco | 1/29/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Florida Medical Clinic Chakola, Paul East Pasco PUlmonary and Critical Care Associates, Inc. Florida Hospital Zephyrhills | |||||
| 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 | |||||
| 2/4/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $50,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Internal review by risk management. | |||||||||||||||||||||
| Updates | |
| No updates found. |
This page is not displaying certain sensitive information.
Does Dr. PAUL CITRIN, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PAUL CITRIN, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).