Dr. TOMMY RAY, MD Medical Malpractice Cases, Lawsuits, and Complaints

Phycicians Practice Address

Dr. TOMMY RAY, MD

108 Bruin Cove

Indemnity Paid: $150,000.00

Insurer Information

Insurer Name				Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC				Primary
Insurer FEIN		Professional License Number
59-6614702
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Kelly			Andrews
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(904) 360 - 3038			kandrews@thedoctors.com

Insured Information

Type	First Name		MI	Last Name
Individual	Tommy			Ray
Insurer Type		Street Address of Practice
Licensed		108 Bruin Cove
City		State	Zip Code	County
Pearl		MS	39208	Pasco
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
CL099143		$250,000		$750,000
Profession or Business			Other Profession or Business
Physician Assistant
License Number		Specialty Code & Classification		Certification Number
PA9104972		Surgery - Orthopedic

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
Physician's Office
Name of Institution		Code

Location of Institutional Injury		Other Location of Institutional Injury
Other		Physician's Office
Date of Occurrence		Date Reported to Insurer
5/1/2009		4/11/2011

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Follow up for left knee debridement and contracture release following total knee replacement.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Removal of indwelling pain pump catheter.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Catheter segments broke off during removal and were left in the wound.Manufacturer later recalled device because of breakage problem.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Legal Information

Date of Suit			Circuit Court Case Number
7/14/2011			51 2011 CA 3107WS
County Suit Filed in			Date of Final Disposition
Pasco			2/7/2014
Other Defendants Involved in this Claim
Styker Manufacturing
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

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$150,000

Loss Adjust Expense Paid to Defense Counsel

$54,037

All Other Loss Adjustment Expense Paid

$13,380

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

Insurance company staff consulted with insured to discuss preventative measures.Patient Safety referral is made if appropriate

*NR:Prior to 04/28/1999 this field was not required in submitted claims.

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Does Dr. TOMMY RAY, MD have any medical malpractice cases, lawsuits, or complaints?

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