Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Department File Number : | M201472693 |
Claim Number : | 194018 |
Date Submitted : | 5/12/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
38-2317569 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Tracy | M | Harris | ||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 439 - 7932 | tharris@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Samuel | J | Hess | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1641 Tamiami Trail - Suite 1 | ||||
City | State | Zip Code | County | ||
Port Charlotte | FL | 33948 | Charlotte | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP38150 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME93944 | Surgery - Orthopedic |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Charlotte | ||||
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 | ||||
10/7/2011 | 3/31/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Patient alleges negligence in the administration of epidural injections resulting in injuries. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Patient alleges negligence in the administration of epidural injections resulting in injuries. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Patient alleges negligence in the administration of epidural injections resulting in injuries. | |||||
Principal Injury Giving Rise To The Claim | |||||
permanent spinal damage. | |||||
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 | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 3/24/2015 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
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 | |||||
1/22/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $240,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $7,747 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $4,322 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $240,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
¿Insured discussed case with defense counsel, insurance personnel, and medical experts.¿ |
Updates | ||||||||||||||||||||||||||||||||||||||||||||||
Date of Change: | 1/14/2015 2:58:56 PM | |||||||||||||||||||||||||||||||||||||||||||||
Reason for Change: | updated financials | |||||||||||||||||||||||||||||||||||||||||||||
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Date of Change: | 3/26/2015 2:02:37 PM | |||||||||||||||||||||||||||||||||||||||||||||
Reason for Change: | Updated financial information | |||||||||||||||||||||||||||||||||||||||||||||
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Date of Change: | 4/2/2015 4:49:11 PM | |||||||||||||||||||||||||||||||||||||||||||||
Reason for Change: | Changes Made | |||||||||||||||||||||||||||||||||||||||||||||
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Date of Change: | 5/12/2016 4:22:38 PM | |||||||||||||||||||||||||||||||||||||||||||||
Reason for Change: | Updated legal fees and non economic loss information. | |||||||||||||||||||||||||||||||||||||||||||||
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*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 : | M201678053 |
Claim Number : | 175497 |
Date Submitted : | 10/7/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE CASUALTY COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
38-2317569 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Denise | Stokes | |||
Street Address | |||||
100 Brookwood Place | |||||
City | State | Zip | |||
Birmingham | AL | 35209 | |||
Phone | Ext | Fax | E-Mail Address | ||
(205) 802 - 4790 | dstokes@proassurance.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Samuel | J | Hess | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 1641 Tamiami Trail, Suite 1 | ||||
City | State | Zip Code | County | ||
Port Charlotte | FL | 33948 | Charlotte | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP38150 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME93944 | Surgery - Orthopedic |
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 | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
FAWCETT MEMORIAL HOSPITAL | 100236 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/8/2011 | 1/9/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Back pain with radiation, degenerative disc disease with severe disc collapse. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Transforaminal interbody fusion and posteriorlateral fusion and instrumentation. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Does not apply. | |||||
Principal Injury Giving Rise To The Claim | |||||
Unstable gait and cognitive changes. | |||||
Severity Of Injury | |||||
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/20/2013 | 13-002153-CA | ||||
County Suit Filed in | Date of Final Disposition | ||||
Charlotte | 4/18/2016 | ||||
Other Defendants Involved in this Claim | |||||
Fawcett Memorial Hospital MUPPAVARAPU, SWAROOP Raider, Andrew L Advanced Orthopedic Center of Charlotte County Gebauer, Gregory P Hess, Samuel J | |||||
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 | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $95,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $40,838 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $14,319 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $95,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured discussed case with defense consel, insurance personnel, and medical experts. |
Updates | |||||||||||||||||||||||||
Date of Change: | 5/5/2016 1:39:36 PM | ||||||||||||||||||||||||
Reason for Change: | Updated diagnostic information. | ||||||||||||||||||||||||
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Date of Change: | 5/12/2016 4:15:32 PM | ||||||||||||||||||||||||
Reason for Change: | Updated indemnity amount. | ||||||||||||||||||||||||
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Date of Change: | 6/2/2016 1:44:07 PM | ||||||||||||||||||||||||
Reason for Change: | updated ALAE amounts | ||||||||||||||||||||||||
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Date of Change: | 7/13/2016 4:12:44 PM | ||||||||||||||||||||||||
Reason for Change: | updated ALAE amounts | ||||||||||||||||||||||||
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Date of Change: | 10/7/2016 11:19:26 AM | ||||||||||||||||||||||||
Reason for Change: | updated ALAE information | ||||||||||||||||||||||||
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Does Dr. SAMUEL J HESS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SAMUEL J HESS, MD has at least 4 medical malpractice case(s), lawsuit(s), or complaint(s).