Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
*NR:Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
*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 : | M202091880 |
Claim Number : | 24480-01 |
Date Submitted : | 3/18/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PROASSURANCE INSURANCE COMPANY OF AMERICA | Primary | ||||
Insurer FEIN | Professional License Number | ||||
58-1403235 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Angeline | Schave | |||
Street Address | |||||
3000 Meridian Blvd. Ste. 400 | |||||
City | State | Zip | |||
Franklin | TN | 37067 | |||
Phone | Ext | Fax | E-Mail Address | ||
(615) 371 - 8776 | 2998 | (615) 986 - 1945 | aschave@picagroup.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | TATIANA | WELLENS | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 101 6th St. NW | ||||
City | State | Zip Code | County | ||
Winter Haven | FL | 33881 | Polk | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
1PD0050118 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Podiatric Physician | |||||
License Number | Specialty Code & Classification | Certification Number | |||
PO2760 |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Polk | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Outpatient Facility | |||||
Name of Institution | Code | ||||
DAY SURGERY CENTER | 14960571 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/4/2015 | 10/5/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Calcaneal valgus; Tear of the posterior tibial tendon, right lower extremity | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Medial calcaneal displacement osteotomy with rigid internal fixation; Repair of the posterior tibial tendon, right lower extremity with GraftJacket | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
Patient presented to the insured for right foot pain. Patient was diagnosed with pain from arthritis along the right tibialis anterior tendon with moderate swelling. An ultrasound revealed tendonitis and x-rays of the right foot revealed localized stage 2 partial rupture. Patient was to have an MRI of the right ankle. Surgery was discussed and performed on 3.4.15 by the insured. Patient had delayed healing post-op, delayed fusion of the calcaneal osteomy and stress fracture dorsally on body of calcaneus anterior process. Patient alleges insured failed to timely and appropriately diagnose the disorders prior to surgery and the problems following surgery. | |||||
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 | 2/27/2020 | ||||
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 | |||||
3/4/2020 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $90,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $366,268 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $2,216 | ||||||||||||||||||||
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 | |||||||||||||||||||||
Specialty Code - 80993 |
Updates | |
No updates found. |
Does Dr. TATIANA WELLENS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TATIANA WELLENS, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).