Department File Number : | M201472129 |
Claim Number : | 1013156 |
Date Submitted : | 1/27/2016 |
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 | Susan | K | Spielman | ||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Fort Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0340 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Ponnavolu | D | Reddy | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1204 Carlton Avenue | ||||
City | State | Zip Code | County | ||
Lake Wales | FL | 33853 | Highlands | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
C35207 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME85679 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Polk | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LAKE WALES MEDICAL CENTER | 100099 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/17/2011 | 11/13/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Hip fracture | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Exam; request for clearance for surgery | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to continue anticoagulation after discharge | |||||
Principal Injury Giving Rise To The Claim | |||||
Death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/27/2013 | 2012-CA-4848-0000 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Polk | 9/16/2014 | ||||
Other Defendants Involved in this Claim | |||||
Lozano MD, Gilberto Lozano Internal Medicine LLC Lakeland Home Care Services LLC Lake Wales Hospital Corporation Florida Joint and Spine Institute PA Oropeza MD, Oscar A Lake Wales Pediatric/Internal Medicine 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 | |||||
9/15/2014 |
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 | $80,958 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $30,773 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $229,000 | ||||||||||||||||||||
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: | 2/13/2015 11:54:47 AM | |||||||||
Reason for Change: | ALE UPDATE | |||||||||
| ||||||||||
Date of Change: | 8/25/2015 4:46:07 PM | |||||||||
Reason for Change: | ALE UPDATE | |||||||||
| ||||||||||
Date of Change: | 1/27/2016 2:40:57 PM | |||||||||
Reason for Change: | ALE UPDATE 1/27/2016 | |||||||||
|
This page is not displaying certain sensitive information.
Does Dr. PONNAVOLU D REDDY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PONNAVOLU D REDDY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).