Department File Number : | M202091165 |
Claim Number : | TH-18-LLA-397496 |
Date Submitted : | 1/20/2020 |
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 | SIBAT | F | CHAUDARY | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 1 TAMPA GENERAL CIRCLE, SUITE A327 | ||||
City | State | Zip Code | County | ||
TAMPA | FL | 33606 | Hillsborough | ||
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 | |||
ME87755 | Anesthesiology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
NORTHSIDE HOSPITAL | 100238 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/11/2017 | 6/28/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
AORTIC VALVE STENOSIS | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
PLACEMENT OF LINES WAS UNEVENTFUL FOR TAVR. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
ALLEGED POSSIBLE IMPROPER TECHNIQUE DURING PLACEMENT OF INTERVAL JUGULAR VEIN CATHETER PRIOR TO TAVR. | |||||
Principal Injury Giving Rise To The Claim | |||||
PERFORATION ENERGENT OPEN HEART SURGERY AND PROLONGED HOSPITALIZATION. | |||||
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 | ||||
10/9/2018 | 18-006630-CI-11 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Pinellas | 1/20/2020 | ||||
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 subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
11/14/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $245,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $197,508 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $78,617 | ||||||||||||||||||||
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. |
Does Dr. SIBAT F CHAUDARY, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SIBAT F CHAUDARY, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).