Medical Malpractice Cases

Dr. Mark Jacobson Medical Malpractice Cases

Court Case # 2004-CA-366

Indemnity Paid: $750,000.00

Medical Malpractice Closed Claims Report

 
Department File Number :M200746961
Claim Number :18523
Date Submitted :9/17/2007
 
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
IndividualMarkDJacobson
Insurer TypeStreet Address of Practice
Licensed801 East Dixie Avenue #104
CityStateZip CodeCounty
LeesburgFL34748Lake
Policy NumberPer Claim Policy LimitsAggregate Policy Limits
PSL 1600001 04$2,000,000$4,000,000
Profession or BusinessOther Profession or Business
Medical Doctor 
License NumberSpecialty Code & ClassificationCertification Number
ME67158Radiology - Diagnostic - Minor Surgery3605

Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First NameMILast NameDate of Birth
    
Street AddressGenderCounty where Injury Occurred
 MLake
CityStateZip Code
   
Location where injury occuredOther location where injury occured
Hospital Inpatient Facility 
Name of InstitutionCode
LEESBURG REGIONAL MEDICAL CENTER100084
Location of Institutional InjuryOther Location of Institutional Injury
Critical Care Unit 
Date of OccurrenceDate Reported to Insurer
7/23/20039/16/2003
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Right superficial femoral arterial occlusive disease
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Percutaneous angioplasty
Diagnostic Code :1942.0
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to properly manage patient after angioplasty
Principal Injury Giving Rise To The Claim
Petroperitoneal hematoma and extravasation
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of SuitCircuit Court Case Number
1/28/20042004-CA-366
County Suit Filed inDate of Final Disposition
Lake8/10/2007
Other Defendants Involved in this Claim
Paymani, MD, Mahrad
Hessami, MD, Miratiqullah
Radiology Associates of Central Florida
Central Florida Health Care Development Corp.
Leesburg Regional Medial 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
9/7/2007
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff?Yes
Indemnity Paid by Insurer on behalf of Insured$750,000
Loss Adjust Expense Paid to Defense Counsel$101,501
All Other Loss Adjustment Expense Paid$36,134
Injured Person's Total Non-Economic Loss$750,000
Deductible$0
Injured Person's Total Economic Loss
 Incurred to DateAnticipated
Medical Expense$70,000$0
Wage Loss$0$250,000
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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Court Case # 13-314CI8

Indemnity Paid: $350,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201576388
Claim Number : 0AA957447
Date Submitted : 11/23/2015
 
Insurer Information
 
Insurer Name Coverage Type
HOMELAND INSURANCE COMPANY OF NEW YORK Primary
Insurer FEIN Professional License Number
52-1568827  
Insurer Contact Information
Type First Name MI Last Name
Individual Mike   Clark
Street Address
199 Scott Swamp Road
City State Zip
Farmington CT 06032
Phone Ext Fax E-Mail Address
(860) 321 - 2544   (877) 256 - 5067 mclark@onebeaconpro.com
 
Insured Information
 
Type First Name MI Last Name
Individual Mark D Jacobson
Insurer Type Street Address of Practice
Licensed 769 County Road 466
City State Zip Code County
Lady Lake FL 32159 Lake
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MPP416011 $1,000,000 $3,000,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME67158 Internal Medicine - No Surgery  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Pinellas
City State Zip Code
     
Location where injury occured Other location where injury occured
Hospital Inpatient Facility  
Name of Institution Code
BAYFRONT MEDICAL CENTER 100032
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
1/4/2011 8/10/2012
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
The patient was admitted to Bayfront Medical Center subsequent to a motor vehicle crash in which she suffered internal injuries. Dr. Jacobson interpreted a computed tomography angiogram of the patient's thorax to investigate a possible descending aortic pseudo-aneurysm.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Dr. Jacobson interpreted a computed tomography angiogram of the patient's thorax to investigate a possible descending aortic pseudo-aneurysm. Dr. Jacobson interpreted the films as showing healing fractures of the right clavicle and several right ribs, interval improvement in bibasilar pulmonary contusions, stable ductus bump, and, ultimately, no appreciable dissection.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
The patient's estate alleged that Dr. Jacobson did not identify a diaphragmatic laceration.
Principal Injury Giving Rise To The Claim
During the patient's hospitalization, two prior CT angiograms were obtained and neither suggested any injury to the diaphragm. Dr. Jacobson's care and treatment of the patient was reviewed by nationally-renowned expert radiologist Michael Federle, M.D. of Stanford University School of Medicine, who strongly supported the accuracy of Dr. Jacobson's interpretation of the subject films. The medical examiner's testimony also corroborated that the spleen and stomach did not herniate through the diaphragm until after the CTA, which was interpreted by Dr. Jacobson.
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
1/9/2013 13-314CI8
County Suit Filed in Date of Final Disposition
Pinellas 11/9/2015
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 not subject to Arbitration.
Date of Payment
11/12/2015
 
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 $68,213
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 Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Not known at this time
 
Updates
 
No updates found.

 

 

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Court Case # 35-2016-CA-000945

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201783233
Claim Number : F15-0106-A-14
Date Submitted : 10/2/2017
 
Insurer Information
 
Insurer Name Coverage Type
FD INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-3704679  
Insurer Contact Information
Type First Name MI Last Name
Individual Jessica   Lance
Street Address
4651 Salisbury Rd Suite 410
City State Zip
Jacksonville FL 32256
Phone Ext Fax E-Mail Address
(904) 309 - 8129   (904) 309 - 8129 jlance@norcal-group.com
 
Insured Information
 
Type First Name MI Last Name
Individual Mark   Jacobson
Insurer Type Street Address of Practice
Licensed 769 Co Rd 466
City State Zip Code County
Lady Lake FL 32159 Lake
Policy Number Per Claim Policy Limits Aggregate Policy Limits
MS001437 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME67158 Radiology - interventional  

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report


 
 
Injured Person Information
 
First Name MI Last Name Date of Birth
       
Street Address Gender County where Injury Occurred
  F Lake
City State Zip Code
     
Location where injury occured Other location where injury occured
Physician's Office  
Name of Institution Code
   
Location of Institutional Injury Other Location of Institutional Injury
Other Physician's office
Date of Occurrence Date Reported to Insurer
11/6/2014 5/11/2015
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Radiculopathy, pain in cervical spine
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Injection of an iodine solution prior to an epidural steroid injection
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
no misdiagnosis
Principal Injury Giving Rise To The Claim
alleged allergic reaction to contrast solution
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 Suit Circuit Court Case Number
5/24/2016 35-2016-CA-000945
County Suit Filed in Date of Final Disposition
Lake 8/10/2017
Other Defendants Involved in this Claim
 
Stage of Legal System at which Settlement was Reached or Award Made
Claim or suit abandoned.
Final Method of Claim Disposition
No Payment Made
Court Decision Other
No Court Proceedings.  
Arbitration
Claim not subject to Arbitration.
Date of Payment
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? No
Indemnity Paid by Insurer on behalf of Insured $0
Loss Adjust Expense Paid to Defense Counsel $121,007
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 Date Anticipated
Medical Expense $0 $0
Wage Loss $0 $0
Other Expenses $0 $0
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely
Case discussed with insured. Risk management will contact if necessary
 
Updates
 
No updates found.

 

 

This page is not displaying certain sensitive information.

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