Medical Malpractice Cases

Medical Malpractice Cases In Clay County Florida

Dr. Kelly A Segina Medical Malpractice Lawsuits - Court Case # 04-CA-706E

Indemnity Paid: $1,000,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536701
Claim Number :502257
Date Submitted :9/20/2005
 
Insurer Information
 
Insurer NameCoverage Type
AMERICAN HEALTHCARE INDEMNITY COMPANYPrimary
Insurer FEINProfessional License Number
59-2048400 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualTerryMBinns
Street Address
1888 Century Park East, Suite 800
CityStateZip
Los AngelesCA90067
PhoneExtFaxE-Mail Address
(310) 556 - 7488 (310) 556 - 7400Tbinns@scpie-ahi.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualKellyASegina
Insurer TypeStreet Address of Practice
Licensed421 Kingsley Avenue, Suite 401
CityStateZip CodeCounty
Orange ParkFL32073Clay
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
60411$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME78973Surgery - Obstetrics - Gynecology 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FClay
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
ORANGE PARK MEDICAL CENTER100226
Location of Institutional InjuryOther Location of Institutional Injury
Labor and Delivery Room 
Date of OccurrenceDate Reported to Insurer
11/15/20021/2/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Full term pregnancy with labor.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
C-section.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
29 y/o, female sustained injury to the uterine artery during a C-section resulting in hypotension and hypovolemic conditions. Uterine artery was successfully repaired; however, patient has evidence of a permanent injury.
Severity Of Injury
Permanent: Major - Paraplegia, blindness, loss of two limbs, brain damage.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/19/200404-CA-706E
County Suit Filed inDate of Final Disposition
Clay8/23/2005
Other Defendants Involved in this Claim
Kelly A. San Gregory, M.D., PA., dba Comprehensive Women's C
Orange Park Medical Center
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
8/23/2005
 
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$33,609
All Other Loss Adjustment Expense Paid$9,093
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
Interviews with investigator and defense counsel, review interrogatories & expert opinions, deposition.
 
Updates
 
No updates found.

 

 

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Dr. JERRY F HUMPHRIES Medical Malpractice Lawsuits - Court Case # 2017-CA-1075

Indemnity Paid: $1,000,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201987983
Claim Number : EHC-FL-17-364765
Date Submitted : 2/22/2019
 
Insurer Information
 
Insurer Name Coverage Type
EmCare Holdings, Inc. Primary
Insurer FEIN Professional License Number
75-173235 SI
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
IndividualJERRYFHUMPHRIES
Insurer TypeStreet Address of Practice
Self-Insurer2001 KINGSLEY AVENUE
CityStateZip CodeCounty
ORANGE PARKFL32073Orange
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HAZ 1040025381-15$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME112733Emergency Medicine - No Major Surgery 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MClay
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
ORANGE PARK MEDICAL CENTER100226
Location of Institutional InjuryOther Location of Institutional Injury
OtherER
Date of OccurrenceDate Reported to Insurer
9/14/20154/6/2017
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
POSSIBLE STROKE
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED FAILURE TO DIAGNOSE
Principal Injury Giving Rise To The Claim
STROKE AND NEUROLOGICAL INJURIES
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/14/20172017-CA-1075
County Suit Filed inDate of Final Disposition
Clay2/22/2019
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
1/15/2019
 
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$82,881
All Other Loss Adjustment Expense Paid$55,531
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.

 

Dr. Eugene Bebeau Medical Malpractice Lawsuits - Court Case # 10-GA-25

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201368498
Claim Number :40314-01
Date Submitted :10/2/2013
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualEugene Bebeau
Insurer TypeStreet Address of Practice
Licensed820 Prudential Dr., Suite 606
CityStateZip CodeCounty
JacksonvilleFL32207Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
99038$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59387Anesthesiology80151

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FDuval
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
BAPTIST MEDICAL CENTER AND WOLFSON 100088
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
2/17/20106/15/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was diagnosed with iron deficiency anemia and had to undergo a surgical procedure to rule out the cause.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
The patient suffered hypoxia while under general anesthesia for a hysteroscopy and D&C, which led to a brain injury.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
The patient's permanent brain damage after the episode of hypoxia.
Severity Of Injury
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/29/201210-GA-25
County Suit Filed inDate of Final Disposition
Clay9/9/2013
Other Defendants Involved in this Claim
Pennington, M.D., John
Fernandez, D.O., Kristin
Baptist Medical Center-South
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
9/9/2013
 
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$32,023
All Other Loss Adjustment Expense Paid$25,862
Injured Person's Total Non-Economic Loss$500,000
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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Dr. Marc H Blasser Medical Malpractice Lawsuits - Court Case # 03-CA-412

Indemnity Paid: $500,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200535743
Claim Number :A01-25094-01
Date Submitted :7/6/2005
 
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 Drive, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423043(904) 358 - 6728montague@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMarcHBlasser
Insurer TypeStreet Address of Practice
Licensed1715 Village Way
CityStateZip CodeCounty
Orange ParkFL32073Clay
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
33367$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME59868Surgery - Urological80145

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FClay
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
ORANGE PARK MEDICAL CENTER100226
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
3/29/200111/14/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient received a nephrectomy after being diagnosed with huge cyst/mass that totally engulfed kidney.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
There was no injury. Kidney was removed due to this large cyst.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis made on behalf of this insured.
Principal Injury Giving Rise To The Claim
This patient suffered from bi-polar disorder. By finding attorneys to mis-represent her case, she was claiming that her kidney should not have been removed since the mass/cyst was benign.
Severity Of Injury
Emotional Only - Fright, no physical damage

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/15/200303-CA-412
County Suit Filed inDate of Final Disposition
Clay6/8/2005
Other Defendants Involved in this Claim
Tullot, Dr.
Orange Park Medical Center
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
6/8/2005
 
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$34,089
All Other Loss Adjustment Expense Paid$25,000
Injured Person's Total Non-Economic Loss$500,000
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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Dr. Mary Youngblood Medical Malpractice Lawsuits - Court Case # 10-CA-1385

Indemnity Paid: $495,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201161067
Claim Number :37796-01
Date Submitted :7/18/2011
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMary Youngblood
Insurer TypeStreet Address of Practice
Licensed2100 Kingsley Avenue
CityStateZip CodeCounty
Orange ParkFL32073Clay
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
87713$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME63721Rheumatology - No Surgery80252

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MDuval
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
8/15/200810/15/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Rheumatoid arthritis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient was treated with methotrexate, steroids and anti-inflammatories as well as general medical care and evaluation.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Disputed allegations of failing to appreciate S & S of patient's underlying cardiac disease and make appropriate referral to a specialist or provide hospital admission to work up possible cardiac etiology.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/26/201010-CA-1385
County Suit Filed inDate of Final Disposition
Clay6/28/2011
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
6/28/2011
 
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$13,873
All Other Loss Adjustment Expense Paid$8,260
Injured Person's Total Non-Economic Loss$495,000
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.

 

 

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

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Dr. Michael S Gilligan Medical Malpractice Lawsuits - Court Case # 03-CA-171

Indemnity Paid: $450,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200747275
Claim Number :B02070535
Date Submitted :10/9/2007
 
Insurer Information
 
Insurer NameCoverage Type
TIG INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
94-1517098 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualKathleenLMentel
Street Address
125 S. Wacker Drive, Suite 700
CityStateZip
ChicagoIL60606
PhoneExtFaxE-Mail Address
(312) 267 - 6045 (312) 606 - 0167lori_mentel@tigspecialty.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMichaelSGilligan
Insurer TypeStreet Address of Practice
Licensed1409 Kingsley Way, Bldg #8
CityStateZip CodeCounty
Orange ParkFL32073Clay
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HCF39258849$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME53014Surgery - General 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MClay
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
ORANGE PARK MEDICAL CENTER100226
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
7/11/20009/20/2002
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Abdominal pains, nausea, vomiting, which were diagnosed as pancreatitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
laparoscopic cholecystectomy
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Plaintiff does not dispute the diagnosis of pancreatitis.
Principal Injury Giving Rise To The Claim
Plaintiff questions the appropriateness of the treatment for pancreatitis.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
3/24/200303-CA-171
County Suit Filed inDate of Final Disposition
Clay10/1/2007
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
Othervoluntary dismissal post settlement
Arbitration
Claim not subject to Arbitration.
Date of Payment
10/1/2007
 
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$70,201
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$250,000$0
Wage Loss$200,000$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
None taken of which I am aware.
 
Updates
 
No updates found.

 

 

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Dr. LEONARDO L ALONSO Medical Malpractice Lawsuits - Court Case # 2016-CA-001057

Indemnity Paid: $375,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201988129
Claim Number : EMC-FL-16XS-414432
Date Submitted : 3/13/2019
 
Insurer Information
 
Insurer Name Coverage Type
EmCare Holdings, Inc. Primary
Insurer FEIN Professional License Number
75-173235 SI
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
IndividualLEONARDOLALONSO
Insurer TypeStreet Address of Practice
Self-Insurer831 CHICOPIT LANE
CityStateZip CodeCounty
JACKSONVILLEFL32225Clay
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
Emcare 2016-Excess$250,000$750,000
Profession or BusinessOther Profession or Business
Osteopathic Physician 
License NumberSpecialty Code & ClassificationCertification Number
OS6584Emergency Medicine - No Major Surgery 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MClay
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
ORANGE PARK MEDICAL CENTER100226
Location of Institutional InjuryOther Location of Institutional Injury
OtherHER
Date of OccurrenceDate Reported to Insurer
6/24/20146/20/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
CVA
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED FAILURE TO DIAGNOSE
Principal Injury Giving Rise To The Claim
DELAYED TREATMENT
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
11/3/20162016-CA-001057
County Suit Filed inDate of Final Disposition
Clay3/13/2019
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
3/5/2019
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$375,000
Loss Adjust Expense Paid to Defense Counsel$92,725
All Other Loss Adjustment Expense Paid$21,839
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.

 

Dr. Peter McGraw Medical Malpractice Lawsuits - Court Case # 2016-CA-000675

Indemnity Paid: $350,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201988593
Claim Number : 56807
Date Submitted : 4/26/2019
 
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
IndividualPeter McGraw
Insurer TypeStreet Address of Practice
Licensed3599 University Blvd S Bldg 300
CityStateZip CodeCounty
JacksonvilleFL32216Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600004 19$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME87291Radiology - 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
 MClay
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
ORANGE PARK MEDICAL CENTER100226
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
6/30/20143/2/2016
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right eye laceration
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Brain CT
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to identify cranial abnormality
Principal Injury Giving Rise To The Claim
Cranial abnormality
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
6/28/20162016-CA-000675
County Suit Filed inDate of Final Disposition
Clay4/9/2019
Other Defendants Involved in this Claim
Drs. Mori Bean & Brooks
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
4/9/2019
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$58,406
All Other Loss Adjustment Expense Paid$39,914
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
Risk management has counseled insured
 
Updates
 
No updates found.

 

Dr. Paul A Moir Medical Malpractice Lawsuits - Court Case # 2004-CA-137

Indemnity Paid: $350,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200433537
Claim Number :18444
Date Submitted :11/9/2005
 
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 - 2247cwehner@magmutual.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualPaulAMoir
Insurer TypeStreet Address of Practice
Licensed8282 Woodgrove Road
CityStateZip CodeCounty
JacksonvilleFL32256Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600584 01$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME76950Emergency Medicine - No Major Surgery03843

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MDuval
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
ORANGE PARK MEDICAL CENTER100226
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
8/5/20029/12/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Massive pseudomonas infection of right eye due to retained foreign body embedded in retina
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Removal of metal fragment
Diagnostic Code :369.9
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to obtain emergent ophthalmology consult
Principal Injury Giving Rise To The Claim
Permanent loss of vision in right eye due to infection
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
2/12/20042004-CA-137
County Suit Filed inDate of Final Disposition
Clay1/7/2005
Other Defendants Involved in this Claim
Orange Park Medical Center
Jacksonville Emergency Consultants, P.A.
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
11/23/2004
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$350,000
Loss Adjust Expense Paid to Defense Counsel$16,803
All Other Loss Adjustment Expense Paid$4,672
Injured Person's Total Non-Economic Loss$350,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$15,000$0
Wage Loss$3,600$0
Other Expenses$0$0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Risk Management has counseled insured
 
Updates
 
 
Date of Change:11/9/2005 9:54:29 AM
Reason for Change:Corrected various fields pursuant to State audit
 
Field ChangedFormer ValueNew Value
All Other Loss Adjustment Expense Paid21004672
Amount of Loss Adjustment Expense Paid to Defense Counsel1937416803
Defendant Entity NameOrange Park Medical Center
Defendant Entity NameOrange Park Medical CenterJacksonville Emergency Consultants, P.A.
Date of Final Disposition23-NOV-0407-JAN-05

 

 

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Dr. Michael Smith Medical Malpractice Lawsuits - Court Case # 2009-CA-2147

Indemnity Paid: $325,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201264461
Claim Number :38682-01
Date Submitted :8/1/2012
 
Insurer Information
 
Insurer NameCoverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INCPrimary
Insurer FEINProfessional License Number
59-6614702 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualOdessa Choice
Street Address
1000 Riverside Avenue, Suite 800
CityStateZip
JacksonvilleFL32204
PhoneExtFaxE-Mail Address
(800) 741 - 37423045(904) 358 - 6728odessa.choice@fpic.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMichael Smith
Insurer TypeStreet Address of Practice
Licensed5218 Jammes Road, Suite C
CityStateZip CodeCounty
JacksonvilleFL32210Duval
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
31042$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Dentistry 
License NumberSpecialty Code & ClassificationCertification Number
DN13788Endodondics80211

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FDuval
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
  
Date of OccurrenceDate Reported to Insurer
5/15/20085/11/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Root canals on teeth #18 & #19.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Root canal on teeth #18 & #19.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Patient claims insured kept her mouth open for excessive periods of time causing TMJ-Temporomandibular Joint Pain.
Principal Injury Giving Rise To The Claim
TMJ-Temporomandibular Joint Pain.
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs.Includes non-disabling injuries.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/20/20092009-CA-2147
County Suit Filed inDate of Final Disposition
Clay7/11/2012
Other Defendants Involved in this Claim
Michael R. Smith, D.M.D., P.A.
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
7/11/2012
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$325,000
Loss Adjust Expense Paid to Defense Counsel$50,090
All Other Loss Adjustment Expense Paid$50,301
Injured Person's Total Non-Economic Loss$325,000
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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