Department File Number : | M201988510 |
Claim Number : | 220928 |
Date Submitted : | 9/26/2019 |
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 | Suresh | Chavakula | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 5050 Mason corbin Court | ||||
City | State | Zip Code | County | ||
Fort Myers | FL | 33907 | Lee | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
MP54692 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME78992 | Gastroenterology - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Lee | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
LEE MEMORIAL HOSPITAL-CLEVELAND | 100012 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
10/16/2016 | 6/13/2017 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Ischemic bowel, necrotic small bowel of the distal ileum, necrosis at the confluence of the entire right ascending colon to the transverse colon. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Failure to timely order a surgery consult and CT scan resulting in the patient¿s death. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No Misdiagnosis made | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient developed a distended abdomen with severe diffuse pain, became hypotensive and had an exploratory laparotomy and went into ventricular tachycardia and asystole during surgery and died. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
1/25/2018 | 18-CA-000344 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Lee | 4/1/2019 | ||||
Other Defendants Involved in this Claim | |||||
Gastroenterology Consultants of Southwest Florida, P.A. | |||||
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 | |||||
4/16/2019 |
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 | $64,052 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $21,536 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $250,000 | ||||||||||||||||||||
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. |
Does Dr. SURESH CHAVAKULA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SURESH CHAVAKULA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).