| Department File Number : | M201783180 |
| Claim Number : | 2014-08-221-009 |
| Date Submitted : | 9/21/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| Lexington Insurace Company | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 25-114949 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Jessica | Hayden | |||
| Street Address | |||||
| 2985 Drew Street | |||||
| City | State | Zip | |||
| Clearwater | FL | 33764 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (727) 519 - 1268 | jessica.hayden@baycare.org | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Stephen | Butler | |||
| Insurer Type | Street Address of Practice | ||||
| Self-Insurer | 1601 Timberlane Drive | ||||
| City | State | Zip Code | County | ||
| Plant City | FL | 33566 | Pasco | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| 114-67-160 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME61505 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Pasco | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| SOUTH FLORIDA BAPTIST HOSPITAL | 100132 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 3/9/2013 | 4/21/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Gall stones, Cholecystitis, Cholelithiasis with obstructive jaundice and morbid obesity. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Laparoscopic cholecystectomy, intraoperative cholangiogram, ERCP, papillotomy and stone extraction. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| *NR | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Complications post laparoscopic cholecystectomy, intraoperative cholangiogram, ERCP, papillotomy and stone extraction, with post op duck of Luschka bile leak, leading to multi-organ system failure, severe sepsis, and death to patient delay in retuning to hospital. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 8/22/2014 | 14-CA-182 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Pasco | 9/7/2017 | ||||
| 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 | |||||
| 9/7/2017 | |||||
| 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 | $118,532 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Any risk issues have been/will be addressed. | |||||||||||||||||||||
| 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 : | M201990569 |
| Claim Number : | 172743 |
| Date Submitted : | 1/28/2020 |
| 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 | Lauren | Archer | |||
| Street Address | |||||
| 100 Brookwood Place | |||||
| City | State | Zip | |||
| Birmingham | AL | 35209 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (205) 439 - 7921 | larcher@proassurance.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | STEPHEN | M | BUTLER | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 12630 Tradition Drive | ||||
| City | State | Zip Code | County | ||
| Dade City | FL | 33525 | Hillsborough | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MP61505 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Marriage and Family Therapist | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME61505 | |||||
| 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 | ||||
| SOUTH FLORIDA BAPTIST HOSPITAL | 100132 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 10/5/2009 | 8/1/2011 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| change in bowel habits and previous small bowel obstruction | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Colonoscopy with perforation and repair | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No Description of any misdiagnosis made of the patient¿s actual condition | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Alleged delay in diagnosis and treatment of postoperative complications from surgical repair of a colon perforation. | |||||
| 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 | ||||
| 5/25/2012 | 12-08462 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hillsborough | 11/14/2019 | ||||
| Other Defendants Involved in this Claim | |||||
| Stephen M Butler, MD, PA | |||||
| 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 | |||||
| 11/1/2019 | |||||
| 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 | $50,614 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $19,803 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $50,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Insured discussed case with defense counsel, insurance personnel and medical experts. | |||||||||||||||||||||
| Updates | |
| No updates found. |
| Department File Number : | M201576112 |
| Claim Number : | 162956 |
| Date Submitted : | 9/22/2017 |
| 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 | (205) 802 - 4710 | claimscompliancereporting@proassurance.com | |||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Stephen | M | Butler | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 12630 Tradition Drive | ||||
| City | State | Zip Code | County | ||
| Dade City | FL | 33525 | Pasco | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MP39554 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME61505 | Surgery - General | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| M | Polk | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| Lakeland Regional Medical Center | 100157 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Patients' Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/9/2008 | 11/11/2009 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| symptoms associated with gallstones confirmed by ultrasound | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| perforated gastric ulcer 2 days post-cholecystectomy | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No Misdiagnosis Made | |||||
| Principal Injury Giving Rise To The Claim | |||||
| Plaintiff suffered post-surgical complications from gastric ulcer perforation following cholecystectomy requiring additional surgeries. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 3/9/2010 | 10-CA-4414 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Hillsborough | 9/25/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Stephen M. Butler, MD, PA | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| After court verdict and prior to filing of notice of appeal. | |||||
| Final Method of Claim Disposition | |||||
| Disposed of by Court | |||||
| Court Decision | Other | ||||
| Directed verdict for 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 | $190,307 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $94,501 | ||||||||||||||||||||
| 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 discussed case with defense counsel, insurance personnel, and medical experts | |||||||||||||||||||||
| Updates | ||||||||||
| Date of Change: | 5/6/2016 9:55:18 AM | |||||||||
| Reason for Change: | updated Legal fees paid and expenses paid information. | |||||||||
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| Date of Change: | 6/2/2016 1:39:47 PM | |||||||||
| Reason for Change: | updated ALAE amounts | |||||||||
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| Date of Change: | 7/8/2016 4:02:11 PM | |||||||||
| Reason for Change: | updated ALAE amounts | |||||||||
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| Date of Change: | 10/7/2016 11:13:44 AM | |||||||||
| Reason for Change: | updated ALAE information | |||||||||
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| Date of Change: | 11/3/2016 9:14:00 AM | |||||||||
| Reason for Change: | updated ALAE information | |||||||||
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| Date of Change: | 12/29/2016 8:57:08 AM | |||||||||
| Reason for Change: | updated ALAE information | |||||||||
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| Date of Change: | 4/11/2017 9:57:37 AM | |||||||||
| Reason for Change: | updated ALAE information | |||||||||
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| Date of Change: | 7/19/2017 10:23:16 AM | |||||||||
| Reason for Change: | Claim adjusting expense. | |||||||||
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| Date of Change: | 9/22/2017 3:42:27 PM | |||||||||
| Reason for Change: | updated ALAE information | |||||||||
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Does Dr. STEPHEN BUTLER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. STEPHEN BUTLER, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).