Department File Number : | M202091077 |
Claim Number : | CLA0410371 |
Date Submitted : | 1/13/2020 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
NORCAL MUTUAL INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
94-2301054 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Diane | M | McNab | ||
Street Address | |||||
5555 Gate Parkway, Suite 150 | |||||
City | State | Zip | |||
Jacksonville | FL | 32256 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 439 - 0580 | dmcnab@norcal-group.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Hamidreza | Moghaddam | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 527 NE 124th St | ||||
City | State | Zip Code | County | ||
Miami | FL | 33161 | Dade | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
72592N | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME91771 | Internal Medicine - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Dade | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
NORTH SHORE MEDICAL CENTER | 100029 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Patients' Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/29/2017 | 4/10/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
The patient presented to the emergency room of the hospital with complaints of chronic low back pain which radiated down her right extremity into her toes on the right foot. An Ultrasound showed no evidence of DTV. An MRI L Spine demonstrated a herniated disc. Neurosurgery did not feel there was a need for emergent surgery. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
This health provider admitted the patient. The patient had been consulted by orthopedic and neurology. The consultants suggested the patient could be discharged and followed up on an outpatient basis. | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis. On the day of discharged, the patient developed shortness of breath. Her O2 sat was a 9 so a Code Rescue was called. The patient was intubated but developed respiratory failure and died. It was alleged that this provider failed to call in appropriate consults and failed to appropriately risk stratify the patient and begin the patient on anti-coagulant prophylaxis which lead to the untimely death of the patient from bilateral pulmonary emboli. | |||||
Principal Injury Giving Rise To The Claim | |||||
Bilateral Pulmonary Emboli | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
8/1/2018 | 15th Judicial | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 11/18/2019 | ||||
Other Defendants Involved in this Claim | |||||
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 Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
11/21/2019 |
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 | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
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Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Insured met and conferenced with defense attorney and claims specialist. |
Updates | |
No updates found. |
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
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Does Dr. HAMIDREZA MOGHADDAM, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. HAMIDREZA MOGHADDAM, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).