| Department File Number : | M201988707 |
| Claim Number : | TH-17-LLA-388911-RH |
| Date Submitted : | 5/9/2019 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| TEAM HEALTH, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 62-1562558 | |||||
| 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 | RONALD | KOURY | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 654 QUEENS HARBOR BLVD. | ||||
| City | State | Zip Code | County | ||
| JACKSONVILLE | FL | 32225 | Clay | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| ES1800 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| OS8090 | Emergency Medicine - Including Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Clay | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| ORANGE PARK MEDICAL CENTER | 100226 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Other | ER | ||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/20/2018 | 3/7/2018 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| TESTICULAR TORSION | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| SEEN IN ER | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| ALLEGED FAILURE TO DIAGNOSE AND TIMELY TREAT | |||||
| Principal Injury Giving Rise To The Claim | |||||
| LOSS OF TESTICLE | |||||
| 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 | 5/9/2019 | ||||
| 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 subject to arbitration, but settlement reached in lieu of award. | |||||
| Date of Payment | |||||
| 4/23/2019 | |||||
| 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 | $15,254 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $5,844 | ||||||||||||||||||||
| 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. |
| Department File Number : | M201679517 |
| Claim Number : | FL-TEG-11-ERP |
| Date Submitted : | 8/24/2016 |
| 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 | Ronald | Koury | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 2001 Kingsley Avenue | ||||
| City | State | Zip Code | County | ||
| Orange Park | FL | 32073 | Clay | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| G-AMS-115975-ERP | $500,000 | $1,500,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Osteopathic Physician | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| OS8090 | Emergency Medicine - No Major Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Clay | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Emergency Room | |||||
| Name of Institution | Code | ||||
| ORANGE PARK MEDICAL CENTER | 100226 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Radiology, Emergency Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/28/2011 | 2/13/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Bilateral community-acquired pneumonia, sepsis, septic shock, acute renal failure, liver failure, DIC. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Lab testing, x-rays and medications were prescribed. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Insured Physician diagnosed patient with bronchitis and wanted to admit the patient for further evaluation and treatment. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Patient refused admission and agreed to follow up with his PCP and pulmonologist the same day. Two days later patient was admitted with diagnosis of sepsis and expired 5 days later. Plaintiff alleged that this Insured Physician failed to failed to admit patient at earlier ED visit. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 5/2/2014 | 16-2014-CA-3484 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Duval | 8/24/2016 | ||||
| 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 | |||||
| 5/4/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $99,999 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $211,749 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Review procedures for patient consent for admission. | |||||||||||||||||||||
| Updates | |
| No updates found. |
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Does Dr. RONALD KOURY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. RONALD KOURY, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).