| Department File Number : | M201679053 |
| Claim Number : | 206059 |
| Date Submitted : | 8/3/2018 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PROASSURANCE INDEMNITY COMPANY, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 63-0720042 | |||||
| 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 | TIMOTHY | DE SANTIS | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1461 Marseille Drive | ||||
| City | State | Zip Code | County | ||
| Miami Beach | FL | 33141 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MP94757 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME73376 | Gynecology - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Broward | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| MEMORIAL REGIONAL HOSPITAL(HOLLYWOOD) | 100038 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Labor and Delivery Room | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 1/6/2015 | 7/29/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Intrauterine Pregnancy at 34 weeks gestation with placenta previa and placenta percreta | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Repeat C-section/hysterectomy | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis | |||||
| Principal Injury Giving Rise To The Claim | |||||
| 22 YOF underwent C-section/hysterectomy, suffered intraoperative cardiac arrest and expired from uncertain cause. | |||||
| Severity Of Injury | |||||
| Permanent: Death. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| 12/9/2015 | CACE-15-020296 | ||||
| County Suit Filed in | Date of Final Disposition | ||||
| Broward | 7/5/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| Sheridan Healthcare AmSung Corp Sheridan Health Corp Inc Channey, Stephen B Montoya-Miles, Jean M Maracic, Lindy Ann Memorial Regional Hospital Sheridan Holdings Inc All Women's Healthcare Inc Julie Hyun-Joo Kang, DO | |||||
| 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 | |||||
| 6/28/2016 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $1,000,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $16,996 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $12,074 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $1,000,000 | ||||||||||||||||||||
| 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 | |||||||||||||
| Date of Change: | 3/14/2017 11:36:04 AM | ||||||||||||
| Reason for Change: | updated ALAE information | ||||||||||||
| |||||||||||||
| Date of Change: | 8/3/2018 2:37:22 PM | ||||||||||||
| Reason for Change: | updated alae | ||||||||||||
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This page is not displaying certain sensitive information.
| Department File Number : | M201679801 |
| Claim Number : | 202839 |
| Date Submitted : | 1/3/2017 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| PROASSURANCE INDEMNITY COMPANY, INC. | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 63-0720042 | |||||
| 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 | dstokes@proassurance.com | ||||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Timothy | De Santis | |||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 1461 Marseille Drive | ||||
| City | State | Zip Code | County | ||
| Miami Beach | FL | 33141 | Dade | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| MP94757 | $1,000,000 | $3,000,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Medical Doctor | |||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ME73376 | Gynecology - No Surgery | ||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Broward | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Inpatient Facility | |||||
| Name of Institution | Code | ||||
| MEMORIAL REGIONAL HOSPITAL(HOLLYWOOD) | 100038 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 5/21/2013 | 4/10/2015 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Dysfunctional Uterine Bleeding | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| Total Abdominal Hysterectomy, Bilateral Salpingo-oophorectomy | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| No misdiagnosis | |||||
| Principal Injury Giving Rise To The Claim | |||||
| 46 YOF u/w total abdominal hysterectomy/bilateral salpingo-oophorectomy and developed postop pelvic abscess and wound healing problems necessitating multiple subsequent procedures. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 9/25/2016 | ||||
| Other Defendants Involved in this Claim | |||||
| 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 | |||||
| Dropped before Action Filed | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | No | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $0 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $5,814 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $2,055 | ||||||||||||||||||||
| 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 | |||||||||||||||||||||
| Insured discussed case with defense counsel, insurance personnel, and medical experts. | |||||||||||||||||||||
| Updates | ||||||||||
| Date of Change: | 10/3/2016 1:11:32 PM | |||||||||
| Reason for Change: | updated ALAE information | |||||||||
| ||||||||||
| Date of Change: | 1/3/2017 10:25:59 AM | |||||||||
| Reason for Change: | Updated ALAE information | |||||||||
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*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. TIMOTHY DE SANTIS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TIMOTHY DE SANTIS, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).