Department File Number : | M202092002 |
Claim Number : | 2019-09-200-003 |
Date Submitted : | 3/31/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-114949 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kaye | Monello | |||
Street Address | |||||
2985 Drew Street | |||||
City | State | Zip | |||
Clearwater | FL | 33759 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 754 - 9268 | (727) 519 - 1276 | kaye.monello@baycare.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Ahmet | Donmezer | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 6901 Simmons Loop | ||||
City | State | Zip Code | County | ||
Riverview | FL | 33578 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
120-73-194 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME105801 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SAINT JOSEPH'S HOSPITAL | 100075 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/16/2018 | 3/21/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
48 yr old male presented to the ED with right sided only vision changes occurring shortly before arrival. He had no facial droop, motor weakness, speech impairment, dizziness or complaints with walking. A retinal issue was suspected. An Ophthalmology consultation was ordered by the ED physician at that time and the patient was driven to the appointment. By the time the patient arrived at the office of the Ophthalmologist he was showing signs of homonymous hemianopia and he was returned to the ED for evaluation of occipital stroke. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The ED physician performed an assessment including physical exam and confrontational visual field tests of both eyes. The patient¿s peripheral vision was not affected in his left eye. The MD discussed the patient¿s condition with the ophthalmologist who agreed that the patient should be seen in his office for a consultation. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
It is alleged that the ED physician failed to diagnose an occipital stroke, but upon presentation it was documented that the patient¿s eye changes were on the right side only. This initial presentation was extremely atypical for an occipital stroke A stroke will present with visual loss in both eyes. In retrospect it is likely that at the time of the initial presentation the patient¿s stroke was evolving since he did not demonstrate any signs or symptoms of a stroke. The patient sustained permanent vision loss in both eyes with no peripheral vision from 1:00 -6:00 o¿clock on the right side. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/30/2019 | 19-CA-007887 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 3/18/2020 | ||||
Other Defendants Involved in this Claim | |||||
St. Joseph's 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 Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
3/18/2020 |
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 | $22,603 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Any risk issues have been addressed. |
Updates | |
No updates found. |
Department File Number : | M202092003 |
Claim Number : | 2019-09-200-003 |
Date Submitted : | 3/31/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
LEXINGTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
25-114949 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Kaye | Monello | |||
Street Address | |||||
2985 Drew Street | |||||
City | State | Zip | |||
Clearwater | FL | 33759 | |||
Phone | Ext | Fax | E-Mail Address | ||
(727) 754 - 9268 | (727) 519 - 1276 | kaye.monello@baycare.org |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Ahmet | Donmezer | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 6901 Simmons Loop | ||||
City | State | Zip Code | County | ||
Riverview | FL | 33578 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
120-73-194 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME105801 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
SAINT JOSEPH'S HOSPITAL | 100075 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Radiology, Emergency Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
11/16/2018 | 3/21/2019 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
48 yr old male presented to the ED with right sided only vision changes occurring shortly before arrival. He had no facial droop, motor weakness, speech impairment, dizziness or complaints with walking. A retinal issue was suspected. An Ophthalmology consultation was ordered by the ED physician at that time and the patient was driven to the appointment. By the time the patient arrived at the office of the Ophthalmologist he was showing signs of homonymous hemianopia and he was returned to the ED for evaluation of occipital stroke. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
The ED physician performed an assessment including physical exam and confrontational visual field tests of both eyes. The patient¿s peripheral vision was not affected in his left eye. The MD discussed the patient¿s condition with the ophthalmologist who agreed that the patient should be seen in his office for a consultation. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
*NR | |||||
Principal Injury Giving Rise To The Claim | |||||
It is alleged that the ED physician failed to diagnose an occipital stroke, but upon presentation it was documented that the patient¿s eye changes were on the right side only. This initial presentation was extremely atypical for an occipital stroke A stroke will present with visual loss in both eyes. In retrospect it is likely that at the time of the initial presentation the patient¿s stroke was evolving since he did not demonstrate any signs or symptoms of a stroke. The patient sustained permanent vision loss in both eyes with no peripheral vision from 1:00 -6:00 o¿clock on the right side. | |||||
Severity Of Injury | |||||
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/30/2019 | 19-CA-007887 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 3/18/2020 | ||||
Other Defendants Involved in this Claim | |||||
St. Joseph's 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 Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
3/18/2020 |
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 | $22,603 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Any risk issues have been addressed. |
Updates | |
No updates found. |
Department File Number : | M201987978 |
Claim Number : | EMC-FL-15-327019 |
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 | |||||
Type | First Name | MI | Last Name | ||
Individual | AHMET | DONMEZER | |||
Insurer Type | Street Address of Practice | ||||
Self-Insurer | 6901 ST JOSEPH'S HOSPITAL SOUTH | ||||
City | State | Zip Code | County | ||
RIVERVIEW | FL | 33578 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
HAZ1040025381-13 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME105801 | Emergency Medicine - No Major Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Emergency Room | |||||
Name of Institution | Code | ||||
BRANDON REGIONAL HOSPITAL | 100243 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Other | ER | ||||
Date of Occurrence | Date Reported to Insurer | ||||
4/6/2014 | 2/23/2016 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
UGI BLEED | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
TREATED IN ICU | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
NO MISDIAGNOSIS | |||||
Principal Injury Giving Rise To The Claim | |||||
DEATH | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
11/8/2016 | 16-CA-010359 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 2/22/2019 | ||||
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 Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim subject to arbitration, but settlement reached in lieu of award. | |||||
Date of Payment | |||||
1/22/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $99,999 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $92,470 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $15,023 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
UNKNOWN |
Updates | |
No updates found. |
Does Dr. AHMET DONMEZER, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. AHMET DONMEZER, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).