Dr. MIRATIQULLAH HESSAMI, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. MIRATIQULLAH HESSAMI, MD

33425 E LAKE JOANNA DR

EUSTIS, FL

32736

Lake

Court Case # 14CA1158

Indemnity Paid: $200,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201782828
Claim Number :	31788-1
Date Submitted :	8/15/2017

Insurer Information

Insurer Name				Coverage Type
LANCET INDEMNITY RISK RETENTION GROUP INC.				Primary
Insurer FEIN		Professional License Number
26-1479165
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Christopher			Teter
Street Address
2810 West St. Isabel Street Suite 100
City				State	Zip
Tampa				FL	33602
Phone	Ext	Fax	E-Mail Address
(813) 290 - 8282	265		cteter@lancetindemnity.com

Insured Information

Type	First Name		MI	Last Name
Individual	MIRATIQULLAH			HESSAMI
Insurer Type		Street Address of Practice
Licensed		33425 EAST LAKE JOANNA DRIVE
City		State	Zip Code	County
Eustis		FL	32736	Lake
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
LR090900000182		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME81337		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	Lake
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
VILLAGES REGIONAL HOSPITAL, THE		23960032
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
12/18/2011		3/19/2014

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Treatment was sought for a hematoma secondary to a vascular intervention.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to properly workup and acquire the appropriate consults.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
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 Suit			Circuit Court Case Number
6/13/2014			14CA1158
County Suit Filed in			Date of Final Disposition
Lake			7/27/2017
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
7/27/2017

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

$260,000

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$200,000	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Insurer is unaware of what steps have been taken.

Updates

No updates found.

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

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Court Case #

Indemnity Paid: $110,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201887300
Claim Number :	LRRG-MH-17-387698
Date Submitted :	12/14/2018

Insurer Information

Insurer Name				Coverage Type
LANCET INDEMNITY RISK RETENTION GROUP INC.				Primary
Insurer FEIN		Professional License Number
26-1479165
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	MIRATIQULLAH			HESSAMI
Insurer Type		Street Address of Practice
Licensed		33425 EAST LAKE JOANNA DRIVE
City		State	Zip Code	County
EUSTIS		FL	32736	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
LR090900000182		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME81337		Internal Medicine - Minor 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
			M	Polk
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Hospital/Institution		LEESBURG REGIONAL MEDICAL CENTER
Name of Institution		Code
N/A		000000
Location of Institutional Injury		Other Location of Institutional Injury
Other		ER
Date of Occurrence		Date Reported to Insurer
5/12/2017		1/22/2018

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
FALL AND HEAD INJURY
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
SEEN IN ER AND PLANS TO ADMIT
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
ALLEGED FAILURE TO PROPERLY DIAGNOSE BRAIN BLEED
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 Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			11/29/2018
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
11/7/2018

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$110,000

Loss Adjust Expense Paid to Defense Counsel

$8,948

All Other Loss Adjustment Expense Paid

$3,245

Injured Person's Total Non-Economic Loss

Deductible

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

UNKNOWN

Updates

No updates found.

Court Case # 03 ca 4087

Indemnity Paid: $10,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200537729
Claim Number :	269988
Date Submitted :	10/25/2005

Insurer Information

Insurer Name				Coverage Type
MEDICAL PROTECTIVE COMPANY (THE)				Primary
Insurer FEIN		Professional License Number
35-0506406
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Karina		L	Dobberstein
Street Address
5814 Reed Rd
City				State	Zip
Fort Wayne				IN	46835
Phone	Ext	Fax	E-Mail Address
(260) 486 - 0490		(260) 486 - 0808	karina.dobberstein@ge.com

Insured Information

Type	First Name		MI	Last Name
Individual	MIRATIQULLAH			HESSAMI
Insurer Type		Street Address of Practice
Licensed		33425 E LAKE JOANNA DR
City		State	Zip Code	County
EUSTIS		FL	32736	Lake
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
652689		$500,000		$1,500,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME81337		Internal Medicine - Minor Surgery		UNK

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

Date of Occurrence		Date Reported to Insurer
2/5/2002		9/8/2003

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
COMPLAINTS OF WEAKNESS, VOMITING
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
ADMITTED TO EMERGENCY ROOM
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
FAILURE TO TREAT
Principal Injury Giving Rise To The Claim
PAIN AND SUFFERING
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
12/11/2003			03 ca 4087
County Suit Filed in			Date of Final Disposition
Lake			5/25/2005
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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
5/25/2005

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$10,000

Loss Adjust Expense Paid to Defense Counsel

$54,546

All Other Loss Adjustment Expense Paid

$26,380

Injured Person's Total Non-Economic Loss

Deductible

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

n/a

Updates

No updates found.

This page is not displaying certain sensitive information.

Frequently Asked Questions

Does Dr. MIRATIQULLAH HESSAMI, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. MIRATIQULLAH HESSAMI, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases