Department File Number : | M201472363 |
Claim Number : | 1009579-01 |
Date Submitted : | 8/26/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Susan | K | Spielman | ||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Fort Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0340 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Steven | W | Feick | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 520 North Lecanto Hwy, c/o Allen Ridge Diagnostic Imaging | ||||
City | State | Zip Code | County | ||
Lecanto | FL | 34461 | Citrus | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
740260 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME84814 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Citrus | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Date of Occurrence | Date Reported to Insurer | ||||
5/28/2010 | 8/10/2012 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Screening mammography | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Mammogram | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to diagnose breast cancer | |||||
Principal Injury Giving Rise To The Claim | |||||
One year delay in treatment | |||||
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 | ||||
2/21/2013 | 2013-CA-00249A | ||||
County Suit Filed in | Date of Final Disposition | ||||
Citrus | 10/9/2014 | ||||
Other Defendants Involved in this Claim | |||||
Associated Radiologists of Inverness 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 | |||||
10/8/2014 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $150,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $16,984 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $7,384 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $75,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
N/A |
Updates | ||||||||||
Date of Change: | 2/13/2015 10:32:22 AM | |||||||||
Reason for Change: | ALE UPDATE | |||||||||
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Date of Change: | 8/26/2015 8:46:24 AM | |||||||||
Reason for Change: | ALE UPDATE | |||||||||
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This page is not displaying certain sensitive information.
Department File Number : | M201575900 |
Claim Number : | 1024705-03 |
Date Submitted : | 2/21/2017 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
MEDICAL PROTECTIVE COMPANY (THE) | Primary | ||||
Insurer FEIN | Professional License Number | ||||
35-0506406 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Lynn | Louthan | |||
Street Address | |||||
5814 Reed Road | |||||
City | State | Zip | |||
Ft Wayne | IN | 46835 | |||
Phone | Ext | Fax | E-Mail Address | ||
(260) 486 - 0778 | reportaclaim@medpro.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | STEVEN | W | FEICK | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 520 North Lecanto Hwy | ||||
City | State | Zip Code | County | ||
Lecanto | FL | 34461 | Citrus | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
740260 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME84814 | Radiology - Diagnostic - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Citrus | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
CITRUS MEMORIAL HOSPITAL | 100023 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/10/2011 | 3/4/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Chest discomfort, respiratory distress, cough | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
2 chest X-rays and chest CT | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to detect and report spiculated densities in upper lobe of right lung | |||||
Principal Injury Giving Rise To The Claim | |||||
Lung cancer | |||||
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 | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 9/15/2015 | ||||
Other Defendants Involved in this Claim | |||||
Ceballos MD, Thomas K Jehle MD, Eve M Associated Radiologists of Inverness PA | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
Final Method of Claim Disposition | |||||
Dropped before Action Filed | |||||
Court Decision | Other | ||||
Other | Not Pursued | ||||
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 | $4,722 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $1,736 | ||||||||||||||||||||
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 | |||||||||||||||||||||
N/A |
Updates | ||||||||||
Date of Change: | 1/28/2016 9:39:53 AM | |||||||||
Reason for Change: | ALE UPDATE 1/28/2016 | |||||||||
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Date of Change: | 2/21/2017 2:04:54 PM | |||||||||
Reason for Change: | ALE UPDATE 2/21/2017 | |||||||||
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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.
Does Dr. STEVEN W FEICK, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. STEVEN W FEICK, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).