Department File Number : | M201988701 |
Claim Number : | 25357-01 |
Date Submitted : | 5/9/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Angeline | Schave | |||
Street Address | |||||
3000 Meridian Blvd. Ste. 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2998 | (615) 986 - 1945 | aschave@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Ramy | Fahim | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 8175 Market Street | ||||
City | State | Zip Code | County | ||
Youngstown | OH | 44512 | Out of state | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0051028 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO3618 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
NAPLES COMM. HOSPITAL (N. COLLIER) | 100018 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
4/6/2015 | 5/19/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Peripheral neuropathy; Mononeuritis; Morton¿s neuroma left second interspace; Compressive neuropathy with pain to the left common peroneal; superficial peroneal; deep peroneal nerves | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
External neurolysis of common peroneal, superficial peroneal and deep peroneal nerves; Excision of Morton¿s neuroma | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient presented to the insured for the first time on 1/27/15 with an 18 month history of pain involving the left foot. Insured diagnosed the patient with Morton¿s Neuroma. Patient objected to continuing conservative treatment and opted for surgery. Surgery was performed by the insured on 4/6/15. Patient seemed to progress well in healing postop, but continued to complain of pain. Patient alleges that the procedure was improperly performed and caused permanent nerve damage. | |||||
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 | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 4/18/2019 | ||||
Other Defendants Involved in this Claim | |||||
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 | |||||
4/18/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $150,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $51,320 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,629 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Specialty Code - 80993 |
Updates | |
No updates found. |
Does Dr. RAMY FAHIM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RAMY FAHIM, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).