Dr. TEODULO MATIONG, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. TEODULO MATIONG, MD

10201 State Road #52

Indemnity Paid: $250,000.00

Insurer Information

Insurer Name				Coverage Type
CLARENDON NATIONAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
52-0266645
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Nancy			Thomas
Street Address
2000 West Sam Houston Parkway South, 19th Floor; One Briarlake Plaza
City				State	Zip
Houston				TX	77042-361
Phone	Ext	Fax	E-Mail Address
(713) 935 - 8868		(713) 461 - 8130	nancy_thomas@ajg.com

Insured Information

Type	First Name		MI	Last Name
Individual	Teodulo			Mationg
Insurer Type		Street Address of Practice
Licensed		10201 State Road #52
City		State	Zip Code	County
Hudson		FL	34669	Pasco
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
CMP0006574		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME28139		Internal Medicine - No Surgery

Injured Person Information

First Name	MI	Last Name		Date of Birth

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

Location where injury occured		Other location where injury occured
Other Location		Mationg Medical Center
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury

Date of Occurrence		Date Reported to Insurer
7/1/2000		10/1/2003

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Rectal bleeding
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged no colonoscopy performed
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Attributed rectal bleeding to hemorrhoids
Principal Injury Giving Rise To The Claim
Alleged delay in diagnosis and treatment for colon cancer, which has metasticized into lungs.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Legal Information

Date of Suit			Circuit Court Case Number
2/23/2004			51-2004-CA-000559
County Suit Filed in			Date of Final Disposition
Pasco			6/28/2004
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
After arbitration is initiated or prior to suit being filed.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/3/2004

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

$7,140

All Other Loss Adjustment Expense Paid

$1,050

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

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

Unknown

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Does Dr. TEODULO MATIONG, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. TEODULO MATIONG, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).