Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
Medical Malpractice Closed Claims Report
This page is not displaying certain sensitive information. |
Department File Number : | M201885843 |
Claim Number : | 1527879 |
Date Submitted : | 7/10/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
HALLMARK SPECIALTY INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
74-2378996 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Pamela | M | Burke | ||
Street Address | |||||
615 Crescent Executive Court, Suite 212 | |||||
City | State | Zip | |||
Lake Mary | FL | 32746 | |||
Phone | Ext | Fax | E-Mail Address | ||
(828) 255 - 5171 | (321) 972 - 0122 | pamelaburke@hamlinandburton.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Mohamed | M | Akhiyat | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 3100 U. S. 1 South | ||||
City | State | Zip Code | County | ||
St. Augustine | FL | 32086 | St. Johns | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
FLM900174-01 | $250,000 | $750,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME59459 | Surgery - Obstetrics - Gynecology |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Putnam | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
PUTNAM COMMUNITY MEDICAL CENTER | 100232 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Labor and Delivery Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
8/28/2014 | 10/15/2015 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Labor and delayed delivery of infant girl resulting in hypoxic ischemic brain injury consistent with global hypoxic ischemic injury. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Spontaneous vaginal delivery over intact perineum. | |||||
Diagnostic Code : | 763.82 | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
Failure to recognize fetal decelerations and prolonged rupture of membranes. | |||||
Principal Injury Giving Rise To The Claim | |||||
Birth injury - hypoxic ischemic brain injury. | |||||
Severity Of Injury | |||||
Permanent: Grave - Quadraplegia, severe brain damage, lifelong care or fatal prognosis. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
*NR | |||||
County Suit Filed in | Date of Final Disposition | ||||
*NR | 12/1/2017 | ||||
Other Defendants Involved in this Claim | |||||
Putnam Community Medical Center | |||||
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 | ||||
Other | Claim accepted by FL Birth-Related NICA | ||||
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 | $49,775 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $57,586 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $7,500 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
Undetermined steps taken by co-defendant hospital. Insured physician has made no changes to his practice. |
Updates | |
No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. MOHAMED AKHIYAT, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. MOHAMED AKHIYAT, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).