Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Department File Number : | M201471775 |
Claim Number : | 13-04-70168-A |
Date Submitted : | 9/4/2014 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDMAL DIRECT INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
27-2813188 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | William | S | Bliss | ||
Street Address | |||||
1 Independent Drive | |||||
City | State | Zip | |||
Jacksonville | FL | 32202 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 482 - 4068 | (904) 354 - 4813 | saunders@mymedmal.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Sheela | Shah | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 649 US Hwy 1, Suite 211 | ||||
City | State | Zip Code | County | ||
North Palm Beach | FL | 33408 | Palm Beach | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL707442 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME75721 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | St. Lucie | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
ST LUCIE SURGERY CENTER | 280 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/1/2011 | 4/23/2013 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Bilateral pulmonary embolus and insterstitial opacities consistent with pneumonia. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Hospitalist care and monitoring of feeding tube. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Alleged failure to recognize malfunctioning feeding tube. | |||||
Principal Injury Giving Rise To The Claim | |||||
Death resulting from hypotension, renal failure and septic shock. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/1/2013 | 50-2013-CA-011663-MB | ||||
County Suit Filed in | Date of Final Disposition | ||||
Palm Beach | 8/5/2013 | ||||
Other Defendants Involved in this Claim | |||||
Matadial, Jayshree Sanders, Douglas Kindred Hospital | |||||
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 | |||||
Disposed of by Court | |||||
Court Decision | Other | ||||
Summary judgment for the defendant. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $79,572 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
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 consulted with company personnel. |
Updates | |
No updates found. |
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Does Dr. SHEELA SHAH, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SHEELA SHAH, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).