Department File Number : | M201677907 |
Claim Number : | PLFLHH083845 |
Date Submitted : | 4/12/2016 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
Florida Hospital Heartland and Lake Placid | Primary | ||||
Insurer FEIN | Professional License Number | ||||
59-0725553 | 4171 | ||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Matthew | Evans | |||
Street Address | |||||
900 Hope Way | |||||
City | State | Zip | |||
Altamonte Springs | FL | 32712 | |||
Phone | Ext | Fax | E-Mail Address | ||
(407) 357 - 2272 | matt.evans@ahss.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Stewart | A | Skipper | ||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 4301 SUN N LAKE BLVD | ||||
City | State | Zip Code | County | ||
Sebring | FL | 33872 | Highlands | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
8258 -2015 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME41089 | Surgery - General |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Highlands | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
FLORIDA HOSPITAL-HEARTLAND MEDICAL CTR. | 100109 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/2/2014 | 8/25/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
UPPER GI BLEED/ANEMIA OF BLOOD LOSS, RECENT PULMONARY EMBOLISM, AND LOWER EXTREMITY DVT WITH BLACK STOOLS FOR 5 DAYS. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
INFERIOR VENA CAVA FILTER PLACEMENT. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
ALLEGED MAL-DEPLOYMENT OF AN IRRETRIEVABLE INFERIOR VENACAVA (IVC) FILTER INTO PATIENT'S LEFT RENAL VEIN INCREASED THE RISK OF CLOTTING IN THE RENAL VEIN REQUIRING LONG-TERM TREATMENT WITH COUMADIN TO AVOID KIDNEY DAMAGE. | |||||
Severity Of Injury | |||||
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 3/23/2016 | ||||
Other Defendants Involved in this Claim | |||||
Florida Hospital Heartland Medical Center | |||||
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 | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
3/23/2016 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $99,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
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 | |||||||||||||||||||||
n/a |
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.
Does Dr. STEWART A SKIPPER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. STEWART A SKIPPER, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).