Dr. SUSAN M RENDON, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. SUSAN M RENDON, MD

913 E. North Blvd.

Leesburg, FL

34748

Lake

Court Case # 2009-CA-007513 MP

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201057246
Claim Number :	29725
Date Submitted :	8/13/2010

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Susan		M	Rendon
Insurer Type		Street Address of Practice
Licensed		913 E. North Blvd.
City		State	Zip Code	County
Leesburg		FL	34748	Lake
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 0105304 09		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME62396		Pharmacology - Clinical

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Lake
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Outpatient Facility		Pathology Lab
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Other		Pathology Lab
Date of Occurrence		Date Reported to Insurer
10/27/2006		3/2/2009

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Stomach cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Read pathology slides
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose cancer
Principal Injury Giving Rise To The Claim
Stomach cancer resulting in death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
7/7/2009			2009-CA-007513 MP
County Suit Filed in			Date of Final Disposition
Osceola			8/10/2010
Other Defendants Involved in this Claim
Pathology Medical Laboratories, 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
4/29/2010

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

$31,904

All Other Loss Adjustment Expense Paid

$11,954

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$135,000	$0
Wage Loss	$39,869	$0
Other Expenses	$15,521	$519,902

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

Updates

Date of Change:

8/13/2010 11:00:42 AM

Reason for Change:

Report updated to reflect Court Document final disposition date of 08/10/10

Field Changed	Former Value	New Value
Date of Final Disposition	29-APR-10	10-AUG-10

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Court Case # 10-CA-4729

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201159757
Claim Number :	33898
Date Submitted :	2/10/2011

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2248	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Susan		M	Rendon
Insurer Type		Street Address of Practice
Licensed		913 E. North Blvd.
City		State	Zip Code	County
Leesburg		FL	34748	Lake
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 0105304 10		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME62396		Pathology - No Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Lake
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		Pathology Lab
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Other		Pathology Lab
Date of Occurrence		Date Reported to Insurer
5/15/2008		5/10/2010

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Melanoma
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Pathology slide review
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose melanoma
Principal Injury Giving Rise To The Claim
Melanoma
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/1/2010			10-CA-4729
County Suit Filed in			Date of Final Disposition
Lake			2/8/2011
Other Defendants Involved in this Claim
Crews, DO, Steven
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
1/25/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$200,000

Loss Adjust Expense Paid to Defense Counsel

$18,087

All Other Loss Adjustment Expense Paid

$10,708

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$92,000	$100,000
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

Updates

Date of Change:

2/10/2011 10:36:30 AM

Reason for Change:

Report updated to reflect Court Document final disposition date of 02/08/11

Field Changed	Former Value	New Value
Date of Final Disposition	25-JAN-11	08-FEB-11

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Frequently Asked Questions

Does Dr. SUSAN M RENDON, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. SUSAN M RENDON, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).