Medical Malpractice Cases

Medical Malpractice Cases In Santa Rosa County Florida

Dr. NATHAN W PATTERSON Medical Malpractice Lawsuits - Court Case # 12-1612-CA

Indemnity Paid: $1,650,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201678809
Claim Number : 168273
Date Submitted : 8/1/2016
 
Insurer Information
 
Insurer Name Coverage Type
PROASSURANCE CASUALTY COMPANY Primary
Insurer FEIN Professional License Number
38-2317569  
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
 
TypeFirst NameMILast Name
IndividualNATHANWPATTERSON
Insurer TypeStreet Address of Practice
Licensed1040 Gulf Breeze Pkwy, Suite 207
CityStateZip CodeCounty
Gulf BreezeFL32561Santa Rosa
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP60794$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME91684Surgery - Plastic 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSanta Rosa
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
GULF BREEZE HOSPITAL110003
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
10/8/201010/14/2010
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Umbilical hernia, saline implants
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Abdominoplasty, liposuction of hips, umbilical hernia repair, exchange of breast implants
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
no misdiagnosis reported
Principal Injury Giving Rise To The Claim
Death
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/14/201312-1612-CA
County Suit Filed inDate of Final Disposition
Santa Rosa6/19/2016
Other Defendants Involved in this Claim
Wiles, Ronald
Patterson Plastic Surgery PA
Riley, Scott A
Pensacola Nephrology PA
Gary, John D
Gore, Angela A
Kellen, David
Rao, Rammohan S
Gulf Breeze Hospital
Apollo MD
Dolister, Michael J
Pulmonary Medicine PA
Live Oak Med Association
Stage of Legal System at which Settlement was Reached or Award Made
During trial, but before court verdict.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
OtherSettled
Arbitration
Claim subject to arbitration, but settlement reached in lieu of award.
Date of Payment
6/19/2016
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$1,650,000
Loss Adjust Expense Paid to Defense Counsel$233,449
All Other Loss Adjustment Expense Paid$97,322
Injured Person's Total Non-Economic Loss$1,650,000
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
Insured discussed case with defense counsel, insurance personnel, and medical experts.
 
Updates
 
 
Date of Change:7/7/2016 9:27:06 AM
Reason for Change:updated indemnity amount
 
Field ChangedFormer ValueNew Value
Indemnity Paid01650000
Injured Person Total Non-Economic Loss01650000
Settlement Reached01
 
Date of Change:8/1/2016 4:48:41 PM
Reason for Change:updated ALAE information
 
Field ChangedFormer ValueNew Value
Amount of Loss Adjustment Expense Paid to Defense Counsel153064233449
All Other Loss Adjustment Expense Paid6891197322

 

 

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Dr. Steven Kronlage Medical Malpractice Lawsuits - Court Case # 2011-802-CA

Indemnity Paid: $500,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201575038
Claim Number : 273222
Date Submitted : 6/25/2015
 
Insurer Information
 
Insurer Name Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE) Primary
Insurer FEIN Professional License Number
95-3014772  
Insurer Contact Information
Type First Name MI Last Name
Individual Tiffany D Taylor
Street Address
13450 West Sunrise Blvd
City State Zip
Sunrise FL 33323
Phone Ext Fax E-Mail Address
(877) 320 - 0748     TTaylor@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualSteven Kronlage
Insurer TypeStreet Address of Practice
Licensed1040 Gulf Breeze Suite 209
CityStateZip CodeCounty
Gulf BreezeFL32561Santa Rosa
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
0480867$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME86563Surgery - Orthopedic 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilitySurgical Center
Name of InstitutionCode
PACE SURGERY CENTER14960664
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
8/4/200910/16/2009
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was undergoing wrist surgery and was burned from a hot wrist tower which was sterilized by surgical center staff.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Right wrist arthroscopic surgery.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Alleged burns to wrist and forearm.
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
9/19/20112011-802-CA
County Suit Filed inDate of Final Disposition
Santa Rosa6/12/2015
Other Defendants Involved in this Claim
Pace Ambulatory Surgery Center, LLC
Stage of Legal System at which Settlement was Reached or Award Made
After appeal.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
Judgment for the plaintiff after appeal ... 
Arbitration
Claim not subject to Arbitration.
Date of Payment
6/8/2015
 
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$550,000
All Other Loss Adjustment Expense Paid$0
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
Unknown
 
Updates
 
No updates found.

 

 

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

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Dr. Hani Razek Medical Malpractice Lawsuits - Court Case # 12-546-CA

Indemnity Paid: $300,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201576132
Claim Number : FP4266501
Date Submitted : 10/21/2015
 
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
12724 Gran Bay Parkway W. Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualHani Razek
Insurer TypeStreet Address of Practice
Licensed1717 North E. Street, Suite 333
CityStateZip CodeCounty
PensacolaFL32501Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
FP-CL104983$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME85853Cardiovascular Disease - No Surgery 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSanta Rosa
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
BAPTIST HOSPITAL100093
Location of Institutional InjuryOther Location of Institutional Injury
Special Procedure Room 
Date of OccurrenceDate Reported to Insurer
7/5/20101/27/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Fatigue, difficulty sleeping, elevated blood pressure and dyspnea on exertion.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Consult for stress echocardiogram.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failing to properly interpret the patient's stress echocardiogram properly and alert the patient's PCP to order further diagnostic testing and treatment to prevent a fatal MI.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/10/201212-546-CA
County Suit Filed inDate of Final Disposition
Santa Rosa10/16/2015
Other Defendants Involved in this Claim
Langhorne Cardiology Consultants, Inc., DBA Cardiology Cons.
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
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$300,000
Loss Adjust Expense Paid to Defense Counsel$14,529
All Other Loss Adjustment Expense Paid$9,565
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
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Dr. ANDREW EISENBERG Medical Malpractice Lawsuits - Court Case # 14000557CAMXAX

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201679765
Claim Number : 2014517672
Date Submitted : 9/26/2016
 
Insurer Information
 
Insurer Name Coverage Type
EDCare PGPA Primary
Insurer FEIN Professional License Number
99-9999999 mm999999999999
Insurer Contact Information
Type First Name MI Last Name
Individual Daniel   Turpen
Street Address
9800 Richmond, Suite 425
City State Zip
Houston TX 77042
Phone Ext Fax E-Mail Address
(713) 914 - 3243   (713) 914 - 3250 daniel.turpen@sedgwickcms.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualANDREW EISENBERG
Insurer TypeStreet Address of Practice
Self-Insurer147 Explorer Drive
CityStateZip CodeCounty
OspreyFL34229Sarasota
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
HPP-EDCare 500K SIR $500,000$500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME92155Emergency Medicine - Including 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
 MSarasota
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SANTA ROSA MEDICAL CENTER100124
Location of Institutional InjuryOther Location of Institutional Injury
OtherER
Date of OccurrenceDate Reported to Insurer
10/5/20133/4/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
abdominal Aortic aneurysm
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ER evaluation
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
abdominal Aortic aneurysm
Principal Injury Giving Rise To The Claim
wrongful death
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
5/16/201414000557CAMXAX
County Suit Filed inDate of Final Disposition
Santa Rosa7/28/2016
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 not subject to Arbitration.
Date of Payment
7/28/2016
 
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$211,631
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
Risk Management review
 
Updates
 
No updates found.

 

 

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Dr. Nathan W Patterson Medical Malpractice Lawsuits - Court Case # 99999

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201988206
Claim Number : 208115
Date Submitted : 7/10/2019
 
Insurer Information
 
Insurer Name Coverage Type
PROASSURANCE CASUALTY COMPANY Primary
Insurer FEIN Professional License Number
38-2317569  
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
 
TypeFirst NameMILast Name
IndividualNathanWPatterson
Insurer TypeStreet Address of Practice
Licensed4707 North Davis Hwy
CityStateZip CodeCounty
PensacolaFL32503Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
MP60794$1,000,000$3,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME91684Surgery - Plastic 

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSanta Rosa
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Other Outpatient FacilitySurgery Center
Name of InstitutionCode
CORNERSTONE SURGICARE LLC14960747
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
7/31/201510/21/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Symptomatic macromastia
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Breast Reduction
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No Misdiagnosis made
Principal Injury Giving Rise To The Claim
Infection
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/31/201899999
County Suit Filed inDate of Final Disposition
Santa Rosa7/3/2019
Other Defendants Involved in this Claim
Nahtan W Patterson, MD, PL d/b/a Patterson Plastic Surgery
Nathan W Patterson, MD, PL
Stage of Legal System at which Settlement was Reached or Award Made
Within 90 days of suit being filed.
Final Method of Claim Disposition
Settled by parties
Court DecisionOther
No Court Proceedings. 
Arbitration
Award for plaintiff.
Date of Payment
3/15/2019
 
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$37,417
All Other Loss Adjustment Expense Paid$11,198
Injured Person's Total Non-Economic Loss$250,000
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
Insured discussed case with defense counsel, insurance personnel, and medical experts.
 
Updates
 
No updates found.

 

Dr. Matthew Warner Medical Malpractice Lawsuits - Court Case # 04-618-CA

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200639405
Claim Number :SG-02-32657
Date Submitted :2/6/2006
 
Insurer Information
 
Insurer NameCoverage Type
EVEREST INDEMNITY INSURANCE COMPANYPrimary
Insurer FEINProfessional License Number
22-3520347 
Insurer Contact Information
TypeFirst NameMILast Name
IndividualNancy  Thomas
Street Address
2000 West Sam Houston Parkway South, 19th Floor; One Briarlake Plaza
CityStateZip
HoustonTX77042-361
PhoneExtFaxE-Mail Address
(713) 935 - 8868 (713) 461 - 8130nancy_thomas@ajg.com
 
Insured Information
 
TypeFirst NameMILast Name
IndividualMatthew Warner
Insurer TypeStreet Address of Practice
Licensed4493 Luke Avenue
CityStateZip CodeCounty
DestinFL32541Okaloosa
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
4700000046-021$1,000,000$5,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME65994Emergency Medicine - No Major Surgery 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSanta Rosa
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Emergency Room 
Name of InstitutionCode
SANTA ROSA MEDICAL CENTER100124
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
12/18/20033/23/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Child brought to E.D. and was told to take to other facility for fever, vomiting, achiness and red splotches on legs.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Seen atSanta Rosa by Dr. Warner.Ordered Flu test and throat swab and given Gatorage.Discharged with prescription for Amoxil and tylenol or Motrin.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
No misdiagnosis
Principal Injury Giving Rise To The Claim
Alleged failure to diagnose bacterial meningitis resulting in death
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
7/23/200404-618-CA
County Suit Filed inDate of Final Disposition
Santa Rosa1/30/2006
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
10/24/2005
 
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$39,911
All Other Loss Adjustment Expense Paid$10,631
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. Jerry D Leventhal Medical Malpractice Lawsuits - Court Case # 2004-CA-000720

Indemnity Paid: $250,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200642084
Claim Number :19989
Date Submitted :10/11/2006
 
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
IndividualJerryDLeventhal
Insurer TypeStreet Address of Practice
Licensed10 Hanover Drive
CityStateZip CodeCounty
Flagler BeachFL32136Flagler
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600439 02$500,000$1,500,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME69470Family Physicians or General Practitioners - No Surgery65401

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSanta Rosa
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Physician's Office 
Name of InstitutionCode
  
Location of Institutional InjuryOther Location of Institutional Injury
Patients' Room 
Date of OccurrenceDate Reported to Insurer
6/14/20035/14/2004
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Shin wound
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Clean and dress wound prescribe Augmentin
Diagnostic Code :682.6
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to diagnose vibrio vulnificus and administer appropriate antibiotics
Principal Injury Giving Rise To The Claim
Fasciotomy and skin grafting
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/25/20042004-CA-000720
County Suit Filed inDate of Final Disposition
Santa Rosa9/6/2006
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
8/17/2006
 
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$19,738
All Other Loss Adjustment Expense Paid$18,660
Injured Person's Total Non-Economic Loss$250,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$400,000$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
 
 
Date of Change:10/11/2006 11:48:31 AM
Reason for Change:Report updated to reflect Court document date of Final Dismissal of 09/06/06.
 
Field ChangedFormer ValueNew Value
Date of Final Disposition11-AUG-0606-SEP-06

 

 

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Dr. Ancil L Lindley Medical Malpractice Lawsuits - Court Case # 57-2001-CA-000853

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200536464
Claim Number :14192
Date Submitted :8/29/2005
 
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
IndividualAncilLLindley
Insurer TypeStreet Address of Practice
Licensed5250 Stewart Street
CityStateZip CodeCounty
MiltonFL32570Santa Rosa
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600006 02$3,000,000$5,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME19922Radiology - Diagnostic - Minor Surgery2701

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FEscambia
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
JAY HOSPITAL100048
Location of Institutional InjuryOther Location of Institutional Injury
Radiology, Emergency Room 
Date of OccurrenceDate Reported to Insurer
1/28/20007/19/2001
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Breast Cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Screening mammogram, spot compression views, and ultrasound
Diagnostic Code :233.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged delay in diagnosis of breast cancer
Principal Injury Giving Rise To The Claim
Breast cancer
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
1/28/200257-2001-CA-000853
County Suit Filed inDate of Final Disposition
Santa Rosa8/17/2005
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
8/17/2005
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$200,000
Loss Adjust Expense Paid to Defense Counsel$145,985
All Other Loss Adjustment Expense Paid$0
Injured Person's Total Non-Economic Loss$200,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$281,639$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
 
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Dr. Howell J Martin Medical Malpractice Lawsuits - Court Case # 12-001633-CA

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M201469459
Claim Number :42345
Date Submitted :1/17/2014
 
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
IndividualHowellJMartin
Insurer TypeStreet Address of Practice
Licensed545 Brent Lane
CityStateZip CodeCounty
PensacolaFL32503Escambia
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1601332 08$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME23750Surgery - Urological 

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MSanta Rosa
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Outpatient Facility 
Name of InstitutionCode
SANTA ROSA MEDICAL CENTER100124
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
9/24/20108/21/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Split stream
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
TURP
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged unnecessary performance of TURP
Principal Injury Giving Rise To The Claim
Urethral strictures and voiding dysfunction
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
12/12/201212-001633-CA
County Suit Filed inDate of Final Disposition
Santa Rosa1/2/2014
Other Defendants Involved in this Claim
Martin & Plunkett, MD, PA
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
1/2/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$200,000
Loss Adjust Expense Paid to Defense Counsel$25,646
All Other Loss Adjustment Expense Paid$11,130
Injured Person's Total Non-Economic Loss$0
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$15,382$50,000
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.

 

 

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Dr. John Lee Medical Malpractice Lawsuits - Court Case # 08-00157CA

Indemnity Paid: $200,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200954663
Claim Number :36794-01
Date Submitted :8/25/2009
 
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
IndividualJohn Lee
Insurer TypeStreet Address of Practice
Licensed4252 Woodbine Road
CityStateZip CodeCounty
PaceFL32571Santa Rosa
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
45202$250,000$750,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME50043Surgery - Obstetrics - Gynecology80153

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 FSanta Rosa
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
WEST FLORIDA REG. MED. CTR (PENSACOLA)100231
Location of Institutional InjuryOther Location of Institutional Injury
Operating Suite 
Date of OccurrenceDate Reported to Insurer
12/16/20053/5/2008
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe adhesive disease, cystic ovaries.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Bilateral, salpingo-oophorectomy, appendectomy, partial omentectomy and lysis of adhesions.
Diagnostic Code : 
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Disputed allegations of delay in diagnosis of a bowel perforation, resulting in additional treatment and delayed recovery.
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
8/21/200808-00157CA
County Suit Filed inDate of Final Disposition
Santa Rosa8/3/2009
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
8/3/2009
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$200,000
Loss Adjust Expense Paid to Defense Counsel$6,330
All Other Loss Adjustment Expense Paid$3,585
Injured Person's Total Non-Economic Loss$200,000
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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