| Department File Number : | M202092968 |
| Claim Number : | 390665 |
| Date Submitted : | 7/14/2020 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 95-3014772 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Sarah | E | Johnson | ||
| Street Address | |||||
| 12724 GRAN BAY PKWY W, Suite 400 | |||||
| City | State | Zip | |||
| JACKSONVILLE | FL | 32258 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (904) 362 - 3041 | Sarah.Johnson@thedoctors.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Paul | D | Jo | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 3201 SE 3rd Avenue, Suite A | ||||
| City | State | Zip Code | County | ||
| Ocala | FL | 34471 | Marion | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 1866717 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME72987 | Urology- minor surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Marion | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | Physicians Office | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 2/17/2017 | 10/7/2019 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| urothelial cancer stage IV | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Our insured ordered several diagnostic studies including CTs of theabdomen with and without contrast that were interpreted by aradiologist on 02/24/17 and 01/26/18. The radiologist reported therewere no abnormalities on the studies. The patient continued to havehematuria for which our insured continued to monitor with medication,additional scanning and an additional cystoscopy. In 10/2018 thepatient a bladder tumor was revealed on an additional abdominal CT.The insured performed excision and biopsy. The pathology indicatedno malignancy. Following additional symptoms, the patient wasreferred for an additional CT scan which revealed in infiltrative mass inher right kidney extending to her ureter. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Alleged failure to diagnose transitional cell carcinoma. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Hematuria reported to pt.'s PCP, pt. was referred to our insuredurologist. | |||||
| Severity Of Injury | |||||
| Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 1/15/2020 | 20-CA-0077 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Marion | 5/22/2020 | ||||
| Other Defendants Involved in this Claim | |||||
| Trigg, Lance P Radiology Imaging Associates | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 6/22/2020 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $400,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $28,790 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $8,854 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate. | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201884855 |
| Claim Number : | 1041868-01 |
| Date Submitted : | 8/28/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 35-0506406 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Lynn | Louthan | |||
| Street Address | |||||
| 5814 Reed Road | |||||
| City | State | Zip | |||
| Ft Wayne | IN | 46835 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (260) 486 - 0778 | reportaclaim@medpro.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Paul | D | Jo | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2301 SE 3rd Ave Bldg 100 | ||||
| City | State | Zip Code | County | ||
| Ocala | FL | 34471 | Marion | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 783512 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME72987 | Surgery - Urological | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Marion | ||||
| 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 | ||||
| 12/7/2015 | 3/24/2017 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| hematuria (blood in urine) | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| cystoscopy and IV pyelograms | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| failure to order a cell cytology diagnosis test | |||||
| Principal Injury Giving Rise To The Claim | |||||
| delay in diagnosis of bladder cancer resulting in increased morbidity | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 5/18/2017 | 2017-CP-835 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Marion | 3/14/2018 | ||||
| Other Defendants Involved in this Claim | |||||
| Urology Care Center of Central Florida PA | |||||
| 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 | |||||
| 3/14/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $14,590 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $5,880 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $240,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| n/a | |||||||||||||||||||||
| Updates | ||||||||||
| Date of Change: | 3/28/2018 2:43:26 PM | |||||||||
| Reason for Change: | looked up counties and made change according to address | |||||||||
| ||||||||||
| Date of Change: | 3/28/2018 2:46:09 PM | |||||||||
| Reason for Change: | looked up counties and made changes accordingly | |||||||||
| ||||||||||
| Date of Change: | 8/28/2018 10:47:11 AM | |||||||||
| Reason for Change: | ALE UPDATE | |||||||||
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Does Dr. PAUL D JO, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PAUL D JO, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).