Department File Number : | M202093269 |
Claim Number : | 388352 |
Date Submitted : | 8/13/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
95-3014772 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kelly | Andrews | |||
Street Address | |||||
12724 Gran Bay Parkway, W., Suite 400 | |||||
City | State | Zip | |||
Jacksonville | FL | 32258 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 360 - 3038 | kandrews@thedoctors.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | RICHARD | ROACH | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 12109 CR 103 | ||||
City | State | Zip Code | County | ||
OXFORD | FL | 34484 | Sumter | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1633213 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME117782 | Urology - no surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Sumter | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Other Hospital/Institution | ADVANCED UROLOGY INSTITUTE (LEESBURG) | ||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | Physician's Office | ||||
Date of Occurrence | Date Reported to Insurer | ||||
9/21/2017 | 8/13/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Renal calculus. (kidney stones) | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Left ESWL. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged improper management of anti-coagulant pre-operatively resulting in stroke and neurologic injury. | |||||
Severity Of Injury | |||||
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/17/2020 | 2019-CA-517 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Sumter | 8/10/2020 | ||||
Other Defendants Involved in this Claim | |||||
Advanced Urology Institute | |||||
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 | |||||
8/10/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $500,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $14,415 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,633 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $468,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
The case was discussed with the insured and medical experts. |
Updates | |
No updates found. |
Department File Number : | M201887179 |
Claim Number : | 1027026-01 |
Date Submitted : | 12/3/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Richard | M | Roach | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 12109 County Road 103 Ste 2 | ||||
City | State | Zip Code | County | ||
Oxford | FL | 34484 | Sumter | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
57588 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME117782 | Surgery - Urological |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Lake | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LEESBURG REGIONAL MEDICAL CENTER | 100084 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/14/2014 | 6/29/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Right renal calculus | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Right percutaneous Nephrolithotomty | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to rule out stone fragments, failure to request a urinalysis | |||||
Principal Injury Giving Rise To The Claim | |||||
Urosepsis resulting in kidney failure and dialysis | |||||
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 | ||||
12/22/2017 | 35-2016-CA-002140 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lake | 11/26/2018 | ||||
Other Defendants Involved in this Claim | |||||
The Advanced Urology Specialists of FL LLC Tran MD, Dan N Florida Hospital Medical Group Inc dba Lake Surgical Associa Leesburg Regional Medical Center Inc Central Florida Health Inc dba Leesburg Regional Medical Cen Advanced Urology Insitute LLC | |||||
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 | |||||
11/19/2018 |
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 | $25,275 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $12,939 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $125,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
n/a |
Updates | |
No updates found. |
Does Dr. RICHARD ROACH, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RICHARD ROACH, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).