| Department File Number : | M201573637 |
| Claim Number : | 2013-09-402-007 |
| Date Submitted : | 2/27/2015 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| LEXINGTON INSURANCE COMPANY | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 25-114949 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Amy | A | Villareal | ||
| Street Address | |||||
| 16255 Bay Vista Drive | |||||
| City | State | Zip | |||
| Tampa | FL | 33760 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 519 - 1274 | amy.villareal@baycare.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Ricardo | Ubillus | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 2055 Little Road | ||||
| City | State | Zip Code | County | ||
| New Port Richey | FL | 34655 | Pinellas | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 112-31-715 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME37910 | Cardiovascular Disease - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Pinellas | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| N/A | 000000 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 4/12/2011 | 7/9/2013 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| This case involves the death of a 74 year old. The patient had been under the care of our insured cardiologist for many years, who in 2009 discovered the patient¿s prosthetic metallic aortic value was leaking, however the insured did not believe treatment was warranted and believed ongoing complaints were pulmonary in nature. The patient was later hospitalized in February 2012, after a TEE revealed among other things, the prosthetic heart value was leaking significantly and causing recurrent CHF. Emergent surgery was required that was very complicated. The patient never recovered and after 25 days of hospitalization was transferred to a long term facility and later died on 4-12-2012. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Failure to properly manage leaking valve. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Complicated subsequent cardiac procedure that required 25 days hospitalization and subsequent transfer to long term care. The patient died a few months later. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 5/1/2014 | 51-2013-CA-0062222 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hillsborough | 2/3/2015 | ||||
| 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 | |||||
| 2/3/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $125,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $19,984 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Any risk issues have been/will be addressed. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. RICARDO UBILLUS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RICARDO UBILLUS, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).