Dr. RAYMOND WATERS, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. RAYMOND WATERS, MD

14100 Fivay Road, Suite 300

Hudson, FL

34667

Pasco

Court Case # 51-2003 CA 1513 H

Indemnity Paid: $100,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200433435
Claim Number :	18479-01
Date Submitted :	5/2/2007

Insurer Information

Insurer Name				Coverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATION				Primary
Insurer FEIN		Professional License Number
38-2102867
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Christine			Sampson
Street Address
200 East Gaines Street
City				State	Zip
Tallahassee				FL	32399
Phone	Ext	Fax	E-Mail Address
(850) 413 - 5358		(850) 921 - 8243	Christine.Sampson@fldfs.com

Insured Information

Type	First Name		MI	Last Name
Individual	Raymond			Waters
Insurer Type		Street Address of Practice
Licensed		14100 Fivay Road, Suite 300
City		State	Zip Code	County
Hudson		FL	34667	Pasco
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
127622		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME38648		Surgery - Thoracic

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Pasco
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Hospital/Institution		Bayonet Point Regional Hospital
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
10/24/2001		1/16/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented to E.R. with an acute M.I.He was in need of surgical intervention to correct blockage of blood flow to his heart.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
It is alleged that the insured delayed in removing cardiac pacemaker after the patient had coronary artery bypass graft surgery.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
It is alleged that the pocket and pacemaker leads grew MERSA and the patient developed an infection, respiratory failure and ultimately died.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
5/6/2003			51-2003 CA 1513 H
County Suit Filed in			Date of Final Disposition
Pasco			11/16/2004
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
11/4/2004

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$100,000

Loss Adjust Expense Paid to Defense Counsel

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insured consulted with claims personnel and defense counsel.$100,000.00 was paid in full and final settlement of all claims on behalf of the insured.

Updates

Date of Change:

10/18/2005 2:22:03 PM

Reason for Change:

Minor chages needed to be made.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	0	42471
All Other Loss Adjustment Expense Paid	0	15237

Date of Change:

5/2/2007 11:40:19 AM

Reason for Change:

OIR updating Historical Closed Claim data.

Field Changed	Former Value	New Value
Amount of Loss Adjustment Expense Paid to Defense Counsel	42471	0
Portal User Name	Nancy Kirsch	Christine Sampson
All Other Loss Adjustment Expense Paid	15237	0

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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One or more fields in this claim have failed internal data validation testing.

Court Case # 02-593-CI

Indemnity Paid: $25,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200537231
Claim Number :	18065-01
Date Submitted :	10/20/2005

Insurer Information

Insurer Name				Coverage Type
AMERICAN PHYSICIANS ASSURANCE CORPORATION				Primary
Insurer FEIN		Professional License Number
38-2102867
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Nancy			Kirsch
Street Address
327 Plaza Real, Suite 319
City				State	Zip
Boca Raton				FL	33432
Phone	Ext	Fax	E-Mail Address
(561) 362 - 3332		(561) 417 - 6125	nkirsch@acaponline.com

Insured Information

Type	First Name		MI	Last Name
Individual	RAYMOND		S	WATERS
Insurer Type		Street Address of Practice
Licensed		14100 FIVAY ROAD, SUITE 300
City		State	Zip Code	County
HUDSON		FL	34667	Pasco
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
127662		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME38648		Surgery - Thoracic

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Pasco
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Hospital/Institution		Bayonet Point Medical Center, Hudson, FL
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
3/16/2000		8/28/2001

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The claimant sought out the insured for coronary bypass surgery.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Coronary artery bypass grafting surgery.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
It is alleged that the patient suffered a radial nerve injury in left forearm where radial artery was harvested.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
1/22/2002			02-593-CI
County Suit Filed in			Date of Final Disposition
Pinellas			5/5/2005
Other Defendants Involved in this Claim
Bayonet Point Cardiac Surgical Associates, P.A.
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
5/4/2005

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$25,000

Loss Adjust Expense Paid to Defense Counsel

$26,048

All Other Loss Adjustment Expense Paid

$11,726

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insured consulted with claims personnel and defense counsel.$25,000.00 was paid in full and final settlement of all claims on behalf of the insured.

Updates

Date of Change:

10/12/2005 3:20:23 PM

Reason for Change:

The DATE OF OCCURRENCE has been corrected to show 3-16-2000.

Field Changed	Former Value	New Value
Date Injury Occurred	16-MAY-00	16-MAR-00

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

This page is not displaying certain sensitive information.

Frequently Asked Questions

Does Dr. RAYMOND WATERS, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. RAYMOND WATERS, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).