Medical Malpractice Cases

Medical Malpractice Cases In Citrus County Florida

Dr. TODD BERGAN Medical Malpractice Lawsuits - Court Case # 2016 ca 0000 18a

Indemnity Paid: $1,250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201680069
Claim Number : CORP-15-317115
Date Submitted : 10/20/2016
 
Insurer Information
 
Insurer Name Coverage Type
Team Health, Inc. Primary
Insurer FEIN Professional License Number
62-1562558  
Insurer Contact Information
Type First Name MI Last Name
Individual Kathy A Stockton
Street Address
1900 W. LOOP S., STE. 1500
City State Zip
Houston TX 77027
Phone Ext Fax E-Mail Address
(713) 935 - 2404   (713) 461 - 8130 kathy_stockton@westernlitigation.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualTODD BERGAN
Insurer TypeStreet Address of Practice
Self-Insurer1987 EAST C-476
CityStateZip CodeCounty
BUSHNELLFL33513Citrus
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
6797715$250,000$750,000
Profession or BusinessOther Profession or Business
OtherPA
License NumberSpecialty Code & ClassificationCertification Number
PA9102600  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Hospital/InstitutionSEVEN RIVERS REGIONAL MEDICAL CENTER
Name of InstitutionCode
N/A000000
Location of Institutional InjuryOther Location of Institutional Injury
OtherER
Date of OccurrenceDate Reported to Insurer
1/10/20149/9/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
SPINAL CORD HEMATOMA
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO DIAGNOSE SPINAL CORD HEMATOMA
Principal Injury Giving Rise To The Claim
PARTIAL QUADRIPLEGIC
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/11/20162016 ca 0000 18a
County Suit Filed inDate of Final Disposition
Citrus10/20/2016
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
10/6/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,250,000
Loss Adjust Expense Paid to Defense Counsel$36,370
All Other Loss Adjustment Expense Paid$28,387
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
unknown
 
Updates
 
No updates found.

 

 

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Dr. Brandon W Covert Medical Malpractice Lawsuits - Court Case # 15-000473 CA (A)

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679753
Claim Number : 1028151-01
Date Submitted : 8/22/2017
 
Insurer Information
 
Insurer Name Coverage Type
MEDICAL PROTECTIVE COMPANY (THE) Primary
Insurer FEIN Professional License Number
35-0506406  
Insurer Contact Information
Type First Name MI Last Name
Individual Lynn Louthan
Street Address
5814 Reed Road
City State Zip
Ft Wayne IN 46835
Phone Ext Fax E-Mail Address
(260) 486 - 0778     reportaclaim@medpro.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualBrandonWCovert
Insurer TypeStreet Address of Practice
Licensedc/o Citrus Memorial Hospital, 502 W Highland Blvd
CityStateZip CodeCounty
InvernessFL34452Citrus
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
766923$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS9984Radiology - Diagnostic - Minor Surgery 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CITRUS MEMORIAL HOSPITAL100023
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
7/1/20139/8/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient on Coumadin; fell and hit head
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Interpreted CT of head
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to identify subdural hematoma
Principal Injury Giving Rise To The Claim
Patient died 3 days later after second fall at hospital
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/30/201515-000473 CA (A)
County Suit Filed inDate of Final Disposition
Citrus9/16/2016
Other Defendants Involved in this Claim
Citrus Memoral Health System
Associated Radiologists of Inverness PA
Parikh MD, Bharat
Citrus Neuroscience Institute PA
Nerella MD, Nishant
Citrus Cardiology Consultants
Kim MD, Peter
Ocala Heart Institute Inc
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/15/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$18,772
All Other Loss Adjustment Expense Paid$4,106
Injured Person's Total Non-Economic Loss$440,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
N/A
 
Updates
 
 
Date of Change:8/22/2017 2:40:49 PM
Reason for Change:ALE UPDATE 8/22/2017
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel1327918772
All Other Loss Adjustment Expense Paid36534106

 

 

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Dr. CARLOS A POTTINGER Medical Malpractice Lawsuits - Court Case # 2017-CA-000905

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201887014
Claim Number : 162115
Date Submitted : 11/14/2018
 
Insurer Information
 
Insurer Name Coverage Type
HEALTH CARE INDEMNITY, INC. Primary
Insurer FEIN Professional License Number
61-0904881  
Insurer Contact Information
Type First Name MI Last Name
Individual Christina J Stoker
Street Address
1100 Dr. Martin Luther King Jr. Blvd, Ste. 500
City State Zip
Nashville TN 37203
Phone Ext Fax E-Mail Address
(615) 344 - 1779   (866) 715 - 7235 christina.stoker@hcahealthcare.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualCARLOSAPOTTINGER
Insurer TypeStreet Address of Practice
Licensed2206 WILBORN AVE MOB 1
CityStateZip CodeCounty
SOUTH BOSTONVA24592Out of state
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HCI-10116$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME103639Surgery - Obstetrics - Gynecology 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CITRUS MEMORIAL HOSPITAL100023
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
12/26/20167/28/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
PRESENTED WITH ABDOMINAL PAIN AT 31 WEEKS GESTATION.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
LABOR AND DELIVERY.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
EMERENCY C-SECTION; UTERINE RUPTURE AND FETAL DEMISE.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
12/29/20172017-CA-000905
County Suit Filed inDate of Final Disposition
Citrus10/18/2018
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/5/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$44,973
All Other Loss Adjustment Expense Paid$9,355
Injured Person's Total Non-Economic Loss$494,918
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$5,082$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
REFERRED TO RISK MANAGEMENT.
 
Updates
 
No updates found.

 

 

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

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Dr. Robert N Ulseth Medical Malpractice Lawsuits - Court Case # 2018-CA-000540A

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201988349
Claim Number : 65915
Date Submitted : 3/31/2019
 
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) 470 - 3813   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRobertNUlseth
Insurer TypeStreet Address of Practice
Licensed3120 SW 27th Ave Ste 300
CityStateZip CodeCounty
OcalaFL34471Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1616040 08$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME56394Anesthesiology 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CITRUS MEMORIAL HOSPITAL100023
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
5/25/20171/18/2018
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Post-op free air and continued pain
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Prescribed narcotic pain medication
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to stop or change pain management
Principal Injury Giving Rise To The Claim
Over medication
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/3/20182018-CA-000540A
County Suit Filed inDate of Final Disposition
Citrus3/13/2019
Other Defendants Involved in this Claim
Abraham, MD, Sunoj
Modi, MD, Fagunkumar
Shah, MD, Vikram
Citrus Pulmonary Consultants
Comprehensive Pain Management
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/13/2019
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$40,906
All Other Loss Adjustment Expense Paid$9,957
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$135,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured
 
Updates
 
No updates found.

 

Dr. HARRIETT SMITH-MCKINNEY Medical Malpractice Lawsuits - Court Case # 2007 CA 5316

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200951973
Claim Number :EMC-AO-07-70617
Date Submitted :1/6/2009
 
Insurer Information
 
Insurer NameCoverage Type
CONTINENTAL CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
36-2114545 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualHARRIETT SMITH-MCKINNEY
Insurer TypeStreet Address of Practice
Licensed32511 Timber Lake Drive
CityStateZip CodeCounty
Mount DoraFL32759Lake
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-5$250,000$750,000
Profession or BusinessOther Profession or Business
OtherPhysician Assistant
License NumberSpecialty Code & ClassificationCertification Number
PA2621  

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
CITRUS MEMORIAL HOSPITAL100023
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/8/20054/17/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe hypertension, rash
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to order more extensive testing, failure to admit
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Treatment related
Principal Injury Giving Rise To The Claim
Bilateral nephrectomy
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/15/20072007 CA 5316
County Suit Filed inDate of Final Disposition
Citrus12/31/2008
Other Defendants Involved in this Claim
Citrus Memorial Hospital
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
11/11/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
NA
 
Updates
 
No updates found.

 

 

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Dr. Patrick Jean Medical Malpractice Lawsuits - Court Case # 2007 CA 5316

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200951974
Claim Number :EMC-FL-07-68372
Date Submitted :1/6/2009
 
Insurer Information
 
Insurer NameCoverage Type
CONTINENTAL CASUALTY COMPANYPrimary
Insurer FEINProfessional License Number
36-2114545 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPatrick Jean
Insurer TypeStreet Address of Practice
Licensed3198 CR 575
CityStateZip CodeCounty
BushnellFL33513Sumter
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ1040025381-5$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME38598Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
CITRUS MEMORIAL HOSPITAL100023
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
3/8/20054/17/2007
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe hypertension, rash
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to order more extensive testing, failure to admit
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Treatment related
Principal Injury Giving Rise To The Claim
Bilateral nephrectomy
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
10/15/20072007 CA 5316
County Suit Filed inDate of Final Disposition
Citrus12/31/2008
Other Defendants Involved in this Claim
Citrus Memorial Hospital
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
11/11/2008
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$0
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown
 
Updates
 
No updates found.

 

 

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Dr. Harold Bradfield Medical Malpractice Lawsuits - Court Case # 2010 CA 1131

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201057720
Claim Number :LTC-CAPT-93815
Date Submitted :6/28/2010
 
Insurer Information
 
Insurer NameCoverage Type
Jackson Healthcare, Inc.Primary
Insurer FEINProfessional License Number
81-0652936 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancyJThomas
Street Address
9821 Katy Freeway
CityStateZip
HoustonTX77024
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualHarold Bradfield
Insurer TypeStreet Address of Practice
Self-Insurer4533 39th Street South
CityStateZip CodeCounty
St. PetersburgFL33711Pinellas
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
2009-2010$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78650Radiology - Diagnostic - No Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CITRUS MEMORIAL HOSPITAL100023
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
4/29/200612/3/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Head injury after jumping over wall
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
CT scan reviewed by subject of this report
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Failure to diagnose
Principal Injury Giving Rise To The Claim
Failure to diagnose brain tumor
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/25/20102010 CA 1131
County Suit Filed inDate of Final Disposition
Citrus6/23/2010
Other Defendants Involved in this Claim
Citrus Memorial Hospital
Stage of Legal System at which Settlement was Reached or Award Made
After court verdict and prior to filing of notice of appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Directed verdict for plaintiff. 
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
5/21/2010
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$500,000
Loss Adjust Expense Paid to Defense Counsel$37,019
All Other Loss Adjustment Expense Paid$1,438
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Unknown.
 
Updates
 
No updates found.

 

 

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Dr. Eric W Hirsch Medical Malpractice Lawsuits - Court Case # 2013-CA-000167A

Indemnity Paid: $495,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368422
Claim Number :37899/41327
Date Submitted :11/26/2013
 
Insurer Information
 
Insurer NameCoverage Type
MAG MUTUAL INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
58-1449198 
Insurer Contact Information
TypeEntity Name
EntityMAG Mutual Insurance Company
Street Address
8427 South Park Circle Suite 130
CityStateZip
OrlandoFL32819
PhoneExtFaxE-Mail Address
(407) 370 - 3813 (407) 370 - 2247ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEricWHirsch
Insurer TypeStreet Address of Practice
LicensedPO Box 1990
CityStateZip CodeCounty
Crystal RiverFL34423Citrus
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1616017 02$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME95650Surgery - Orthopedic 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CITRUS MEMORIAL HOSPITAL100023
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
4/26/20116/23/2011
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Vascular complication following knee revision surgery.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to timely diagnose and treat vascular complication.
Principal Injury Giving Rise To The Claim
Above the knee amputation.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
2/25/20132013-CA-000167A
County Suit Filed inDate of Final Disposition
Citrus11/15/2013
Other Defendants Involved in this Claim
Citrus Orthopaedic & Joint Institute
Citrus Memorial Hospital
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
9/6/2013
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$495,000
Loss Adjust Expense Paid to Defense Counsel$24,063
All Other Loss Adjustment Expense Paid$11,050
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$305,000$0
Wage Loss$0$0
Other Expenses$0$400,000
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk management has counseled insured.
 
Updates
 
 
Date of Change:11/26/2013 11:49:50 AM
Reason for Change:Report udpated to reflect Court Document final disposition date of 11/15/13
 
Field ChangedFormer ValueNew Value
Date of Final Disposition06-SEP-1315-NOV-13

 

 

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Dr. Jayanth G Rao Medical Malpractice Lawsuits - Court Case # 2017-CA-000700A

Indemnity Paid: $450,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201987602
Claim Number : 61958
Date Submitted : 1/15/2019
 
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   (404) 842 - 3319 ctschanz@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualJayanthGRao
Insurer TypeStreet Address of Practice
Licensed3201 SW 33rd Rd
CityStateZip CodeCounty
OcalaFL34474Marion
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1616056 06$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME65465Radiation Therapy 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilityFlorida Regional Cancer Center
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
8/22/20145/2/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Skin cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Re-radiating previously treated areas
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to provide safe radiation treatment
Principal Injury Giving Rise To The Claim
Osteomyelitis and left BKA
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/28/20172017-CA-000700A
County Suit Filed inDate of Final Disposition
Citrus10/29/2018
Other Defendants Involved in this Claim
21st Century Oncology
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/29/2018
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$450,000
Loss Adjust Expense Paid to Defense Counsel$59,152
All Other Loss Adjustment Expense Paid$22,248
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$300,000$0
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
 
No updates found.

 

Dr. Rafik Abadier Medical Malpractice Lawsuits - Court Case # 2005CA 3977

Indemnity Paid: $400,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200743911
Claim Number :A05-32494-03
Date Submitted :1/12/2007
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualCheriMMontague
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualRafik Abadier
Insurer TypeStreet Address of Practice
Licensed308 W Highland Blvd.
CityStateZip CodeCounty
InvernessFL34452Citrus
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
28009$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59443Cardiovascular Disease - No Surgery80422

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FCitrus
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
CITRUS MEMORIAL HOSPITAL100023
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
9/13/20035/9/2005
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Treatment was sought for chest pain of unknown etiology.Patient diagnosed with atypical chest pain, ruled out acute myocardial infarction.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Intra-arterial injection of phenergan by nursing staff.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis and treatment of intra-arterial injection of phenergan.
Principal Injury Giving Rise To The Claim
Amputation of right hand.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
9/26/20052005CA 3977
County Suit Filed inDate of Final Disposition
Citrus12/22/2006
Other Defendants Involved in this Claim
Citrus Cardiology Consultants
Citrus Memorial Hospital
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 DecisionOther
No Court Proceedings. 
Arbitration
Claim not subject to Arbitration.
Date of Payment
12/22/2006
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$400,000
Loss Adjust Expense Paid to Defense Counsel$23,024
All Other Loss Adjustment Expense Paid$17,631
Injured Person's Total Non-Economic Loss$400,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$0$0
Wage Loss$0$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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