| Department File Number : | M201884933 |
| Claim Number : | 59253601 |
| Date Submitted : | 4/4/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PHYSICIANS INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 13-4235490 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | John | D | King | ||
| Street Address | |||||
| 901 south mopac Blvd V ste 400 | |||||
| City | State | Zip | |||
| Austin | TX | 78746 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (512) 425 - 5940 | (512) 328 - 8067 | john-king@tmlt.org | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Pedro | Reimon | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 13155 SW 42nd Street, Ste 106 | ||||
| City | State | Zip Code | County | ||
| Miami | FL | 33175 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 141659 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME58770 | 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 | ||||
| Other Location | fell on street near home | ||||
| Name of Institution | Code | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | practitoner's office | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/22/2014 | 5/2/2016 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Patient presented to reporting physician's office after a history of a fall or slip playing football. Patient complained of left side groin pain. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Physician explained patient and noted a decreased in range of motion in left leg and pelvis. Physician diagnosed a groin strain and provided anti-inflammatory medications. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Patient underwent physician therapy and was subsequently seen by a chiropractor who ordered an x-ray, 5 months after the initial injury. X-ray showed a fracture of the left femoral hip. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient underwent hip surgery and several weeks of therapy after the diagnosis. Plaintiffs claim delay in diagnosis of hip fracture. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 9/15/2016 | 2016-024119-CA-01 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Dade | 3/26/2018 | ||||
| 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 | |||||
| 3/16/2018 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $155,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $45,000 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $6,754 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $75,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| none | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. PEDRO REIMON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PEDRO REIMON, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).