Department File Number : | M201678126 |
Claim Number : | SHI-SRS-14-281515 |
Date Submitted : | 5/6/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
CONTINENTAL CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2114545 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kathy | A | Stockton | ||
Street Address | |||||
1900 W. LOOP S., STE. 1500 | |||||
City | State | Zip | |||
Houston | TX | 77027 | |||
Phone | Ext | Fax | E-Mail Address | ||
(713) 935 - 2404 | (713) 461 - 8130 | kathy_stockton@westernlitigation.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | RICHARD | S | GORDON | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1613 N. HARRISON PARKWAY, SUITE 200 | ||||
City | State | Zip Code | County | ||
FORT LAUDERDALE | FL | 33323 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HAZ 4015997057-4 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME96910 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | GOOD SAMARITAN MEDICAL CENTER - FLORIDA | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
1/24/2013 | 12/24/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
ANNUAL MAMMOGRAM | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
MAMMOGRAM | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
MISREAD | |||||
Principal Injury Giving Rise To The Claim | |||||
BREAST CANCER | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
10/6/2015 | 32241867 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 5/6/2016 | ||||
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 subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
4/19/2016 |
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 | $9,531 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $375 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Unknown. |
Updates | |
No updates found. |
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Department File Number : | M201680135 |
Claim Number : | FL-ICSF-37-ERP |
Date Submitted : | 10/26/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
APPLIED MEDICO-LEGAL SOLUTIONS RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
81-0603029 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Julie | Moore | |||
Street Address | |||||
101 E. Park Blvd. | |||||
City | State | Zip | |||
Plano | TX | 75074 | |||
Phone | Ext | Fax | E-Mail Address | ||
(866) 520 - 6896 | jmontague@bpmp.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Richard | Gordon | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 5352 Linton Boulevard | ||||
City | State | Zip Code | County | ||
Delray Beach | FL | 33484 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
G-AMS-115258-2 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME96910 | Radiology - Diagnostic - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Palm Beach | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Outpatient Facility | Midtown Imaging Jupiter | ||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
2/22/2012 | 11/24/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Intraductal carcinoma of the right breast. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Digital bilateral diagnostic mammogram with CAD and ultrasound of the bilateral breasts | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
New nodularity seen in each breast due to cyst. No suspicious findings. | |||||
Principal Injury Giving Rise To The Claim | |||||
Biopsy of the right breast done 9 months later revealed intraductal carcinoma. Plaintiff alleged this Insured Physician failed to diagnose right breast malignancy resulting in delay of diagnosis and treatment. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
9/18/2015 | 15-CA-010605 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 10/12/2016 | ||||
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 | |||||
4/18/2016 |
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 | $39,863 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Over-read of diagnostic mammogram and/or ultrasound. |
Updates | |
No updates found. |
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Does Dr. RICHARD S GORDON, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RICHARD S GORDON, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).