Department File Number : | M201988396 |
Claim Number : | 160204 |
Date Submitted : | 4/5/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
FD INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-3704679 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Richard | Petersen | |||
Street Address | |||||
4651 Salisbury Rd. #410 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(904) 309 - 8142 | (904) 394 - 7134 | rpetersen@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Srinivas | Dontineni | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 3358 Lamanga Drive | ||||
City | State | Zip Code | County | ||
Melbourne | FL | 32940 | Volusia | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
722523N | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME88036 | Internal Medicine - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Brevard | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
WUESTHOFF MEMORIAL HOSPITAL | 23960034 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/25/2014 | 12/14/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Ischemic bowel | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient presented to Wuesthoff Hospital in Melbourne, FL on 10/25/14 w nausea, vomiting, abdominal pain. He was admitted when Dr. Doniteni ordered a CT scan without contrast that was interpreted as "normal." Over the next several days, Dr. Doniteni's contact with the patient was limited. After several consults with specialists from 10/25/14 to 10/29/14, two specialists formulated a plan to observe the plaintiff while ruling out other issues. On 10/29/14, exploratory surgery confirmed a mesentric ischemic bowel. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
The patient presented to Wuesthoff Hospital in Melbourne, FL on 10/25/14 w nausea, vomiting, abdominal pain. He was admitted when Dr. Doniteni ordered a CT scan without contrast that was interpreted as "normal." Over the next several days, Dr. Doniteni's contact with the patient was limited. After several consults with specialists from 10/25/14 to 10/29/14, two specialists formulated a plan to observe the plaintiff while ruling out other issues. On 10/29/14, exploratory surgery confirmed a mesentric ischemic bowel. | |||||
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 | ||||
3/20/2017 | 2017-CA-018698 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Brevard | 3/15/2019 | ||||
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 | ||||
Other | Settled between parties | ||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
3/20/2019 |
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 | $73,558 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Circumstances of the case were discussed with insured & risk management. |
Updates | |
No updates found. |
Department File Number : | M201988058 |
Claim Number : | 146765 |
Date Submitted : | 3/6/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICUS INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-5623491 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Diane | M | McNab | ||
Street Address | |||||
4651 Salisbury Road | |||||
City | State | Zip | |||
Boca Raton | FL | 33496 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 439 - 0580 | dmcnab@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | SRINIVAS | DONTINENI | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 3358 Lamanga Drive | ||||
City | State | Zip Code | County | ||
Melbourne | FL | 32940 | Brevard | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FL-160119881 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME88036 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Brevard | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BAY MEDICAL CENTER | 100026 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/15/2013 | 10/30/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient presented to the emergency room with questionable TIA symptoms. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The patient was urgently admitted into the hospital and stat consults were called for neurology and vascular surgery. A stat ultrasound of the carotid artery indicated that there was an occlusion in the right internal artery. The specialist and the patient agreed to further work up on an outpatient basis. The specialist instructed the patient to follow up with him within seven days. This did not occur and the patient sustained a stroke before being seen by the specialist. It was alleged this provider did not ensure that an appointment had been made with the specialist prior to discharge. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis by this provider. | |||||
Principal Injury Giving Rise To The Claim | |||||
Stroke | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/29/2016 | 05-2016CA013655 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Brevard | 2/22/2019 | ||||
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 | |||||
2/5/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $55,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $250,000 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $250,000 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Insured met and conferenced with adjuster and attorney. |
Updates | |
No updates found. |
Does Dr. SRINIVAS DONTINENI, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SRINIVAS DONTINENI, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).