Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
*NR:Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information. |
Department File Number : | M201781384 |
Claim Number : | 23123-01 |
Date Submitted : | 3/9/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Karen | Kessler | |||
Street Address | |||||
3000 Meridian Blvd., Suite 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2249 | kkessler@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Samir | Vakil | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 352 Milus St. | ||||
City | State | Zip Code | County | ||
Punta Gorda | FL | 33950 | Charlotte | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0050228 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO2258 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Charlotte | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
1/16/2015 | 11/5/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Cellulitis of left hallux | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Debridement of left hallux and application of dressing; antibiotics from PCP continued | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient present to insured on or about 11/7/2014 with bleeding, infected, inflamed ulcer of the left great toe. She had been initially seen and placed on antibiotics by her PCP and referred to insured. Insured began and continued palliative treatment until 12/12/2014 when patient presented with a gangrenous ulcer of her left hallux. Insured referred her to a vascular surgeon, who determined that patient had significantly compromised blood flow to her left extremity and immediately performed surgery to improve the blood flow to her left leg. The left great toe also had osteomyelitis and did not sufficiently improve, requiring amputation in February 2015. Patient alleges the amputation occurred because insured did not timely refer her for a vascular consult. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/29/2016 | 16000377CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Charlotte | 3/6/2017 | ||||
Other Defendants Involved in this Claim | |||||
Foot & Ankle Centers of Charlotte County, 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 | |||||
3/7/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $49,117 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $12,230 | ||||||||||||||||||||
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 | |||||||||||||||||||||
None - Specialty code #80993 |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Department File Number : | M201781400 |
Claim Number : | 23123-01 |
Date Submitted : | 3/13/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PODIATRY INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Amanda | S | Fountain | ||
Street Address | |||||
352 Milus St | |||||
City | State | Zip | |||
Punta Gorda | FL | 33950 | |||
Phone | Ext | Fax | E-Mail Address | ||
(941) 639 - 0025 | (941) 347 - 7271 | afountain@footandanklecc.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Samir | Vakil | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 352 Milus St | ||||
City | State | Zip Code | County | ||
Punta Gorda | FL | 33950 | Charlotte | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0050228 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO2258 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Charlotte | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
11/7/2014 | 3/1/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Ulcer of other part of foot, ICD 9: 707.15Gangrene ICD 9: 785.4Diabetes Mellitus without mention of complication type II ICD 9:250.00Atherosclerosis of native arteries of the extremities, unspecified ICD 9:440.20 | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Necrotic ulcer plantar aspect of left great toe.Left toe was debrided multiple times over a two month period. Patient continued to walk on the ulceration after she was told no weight bearing. Acute compromise to toe on 12/12/14, resulted in vascular test and referral to vascular physician. Patient did not see vascular physician as requested, toe improved. Patient finally saw vascular physician and he found stenosis in patients left upper and lower leg. Improvement after revascularization, patient was compliant until she saw the wound was improving and then began walking on it again which resulted in amputation of the toe. | |||||
Diagnostic Code : | 707.15 | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
None. | |||||
Principal Injury Giving Rise To The Claim | |||||
Ulcer of the left great toe complicated by non compliance of the patient with important medical history of diabetes mellitus type II, and atherosclerosis of native arteries. | |||||
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 | ||||
3/1/2016 | 16000377CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Charlotte | 2/23/2017 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within 90 days of suit being filed. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Award for plaintiff. | |||||
Date of Payment | |||||
2/23/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Not Applicable |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. SAMIR VAKIL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SAMIR VAKIL, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).