Department File Number : | M201783688 |
Claim Number : | MM272592 |
Date Submitted : | 11/28/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EVANSTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2950161 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | CRYSTAL | L | ALSTONBAYTON | ||
Street Address | |||||
4600 COX ROAD | |||||
City | State | Zip | |||
GLEN ALLEN | VA | 23060 | |||
Phone | Ext | Fax | E-Mail Address | ||
(804) 864 - 3731 | (855) 662 - 7535 | CALSTONBAYTON@MARKELCORP.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | PRADEEP | SINGH | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 15012 BALMORAL LOOP | ||||
City | State | Zip Code | County | ||
FORT MYERS | FL | 33919 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MM824817 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Other | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME105044 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LEE MEMORIAL HOSPITAL-HEALTHPARK | 120005 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
12/5/2013 | 9/10/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
CLAIMANT'S ENTIRE SMALL BOWEL WAS NECROTIC AND GANGRENOUS REQUIRING RESECTION OF SMALL BOWEEL AND REVERSAL OF GASTRIC BYPASS | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
ALLEGING FAILURE TO ASSESS CLAIMANT WITH WORSENING ABDOMINAL PAIN BEGINNING ON 12.05.2014 | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
THE SUMMONS AND COMLAINT ALLEGE A FAILURE TO ASSESS A PATIENT WITH WORSENING ABDOMINAL PAIN. LATER IT WAS DISCOVERED THE PATIENTS ENTIRE SMALL BOWEL WAS NECROTIC AND GANGRENOUS. THE PATIENTS SMALL BOWEL WAS RESECTED AND HER GASTRIC BYPASS WAS REVERSED | |||||
Principal Injury Giving Rise To The Claim | |||||
SMALL BOWEL WAS NECROTIC AND GANGRENOUS. THE PATIENTS SMALL BOWEL WAS RESECTED AND HER GASTRIC BYPASS WAS REVERSED | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/6/2015 | 14CA003522 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lee | 4/4/2017 | ||||
Other Defendants Involved in this Claim | |||||
WAHEED, AYESHA RODRIGUEZ, FREDDIE M SATYAVOLU, ANURADHA TROPE, BRADLEY W LEE MEMORIAL HEALTH SYSTEM FOUNDATION INC DBA CAPE CORAL HOS LEE MEMORIAL HEALTH SYSTEM FOUNDATION INC HOSPITALISTS MANAGEMENT GROUP LLC | |||||
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 | |||||
6/22/2017 |
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 | $215,574 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $11,653 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $200,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
NONE |
Updates | |||||||
Date of Change: | 11/28/2017 5:50:32 PM | ||||||
Reason for Change: | Multiple practitioners with divided settlements. These individual settlements were not reflected; therefore, I needed to adjust each to reflect their individual contribution to the total settlement. | ||||||
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Does Dr. PRADEEP SINGH, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. PRADEEP SINGH, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).