Medical Malpractice Cases

Dr. Muhammad Amin Medical Malpractice Cases

Court Case # 14-72CA

Indemnity Paid: $225,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201472850
Claim Number : FP4392501
Date Submitted : 12/4/2014
 
Insurer Information
 
Insurer Name Coverage Type
FIRST PROFESSIONALS INSURANCE COMPANY, INC Primary
Insurer FEIN Professional License Number
59-6614702  
Insurer Contact Information
Type First Name MI Last Name
Individual Kelly   Andrews
Street Address
12724 Gran Bay Parkway, W., Suite 400
City State Zip
Jacksonville FL 32258
Phone Ext Fax E-Mail Address
(904) 360 - 3038     kandrews@thedoctors.com
 
Insured Information
 
Type First Name MI Last Name
Individual Muhammad   Amin
Insurer Type Street Address of Practice
Licensed 420 E. Bryd Avenue
City State Zip Code County
Bonifay FL 32425 Holmes
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FP-CL099552 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME33481 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
  M Holmes
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
DOCTORS' MEMORIAL HOSPITAL (BONIFAY) 100078
Location of Institutional Injury Other Location of Institutional Injury
Other Emergency Room
Date of Occurrence Date Reported to Insurer
6/15/2012 1/2/2013
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Patient presented with flu like symptoms, and was later diagnosed with bacterial meningitis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Patient admitted for observation and provided supportive care.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Disputed allegations of failure to properly monitor and timely diagnose and treat meningitis.
Principal Injury Giving Rise To The Claim
Alleged cognitive and behavioral deficits
Severity Of Injury
Permanent: Minor - Loss of fingers, loss or damage to organs. Includes non-disabling injuries.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/10/2014 14-72CA
County Suit Filed in Date of Final Disposition
Holmes 11/21/2014
Other Defendants Involved in this Claim
Doctors Memorial Hopsital
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
 
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $225,000
Loss Adjust Expense Paid to Defense Counsel $24,855
All Other Loss Adjustment Expense Paid $14,638
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
Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.
 
Updates
 
No updates found.

 

 

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Court Case # 2014-CA-00072

Indemnity Paid: $215,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 
Department File Number : M201574358
Claim Number : 137284
Date Submitted : 4/21/2015
 
Insurer Information
 
Insurer Name Coverage Type
MEDICUS INSURANCE COMPANY Primary
Insurer FEIN Professional License Number
20-5623491  
Insurer Contact Information
Type First Name MI Last Name
Individual Dionysia   Lawson
Street Address
560 Davis Street
City State Zip
San Francisco CA 94111
Phone Ext Fax E-Mail Address
(415) 735 - 2013   (415) 735 - 2097 dlawson@norcalmutual.com
 
Insured Information
 
Type First Name MI Last Name
Individual Muhammad   Amin
Insurer Type Street Address of Practice
Licensed 420 East Byrd Ave
City State Zip Code County
Bonifay FL 32425 Holmes
Policy Number Per Claim Policy Limits Aggregate Policy Limits
FL16025187 $250,000 $750,000
Profession or Business Other Profession or Business
Medical Doctor  
License Number Specialty Code & Classification Certification Number
ME33481 Family Physicians or General Practitioners - 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 Holmes
City State Zip Code
     
Location where injury occured Other location where injury occured
Emergency Room  
Name of Institution Code
DOCTORS' MEMORIAL HOSPITAL (BONIFAY) 100078
Location of Institutional Injury Other Location of Institutional Injury
Patients' Room  
Date of Occurrence Date Reported to Insurer
6/15/2012 5/8/2014
 
Diagnostic Information
 
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
acute gastroenteritis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Delay in Diagnosis and Treatment of bacterial meningitis.
Diagnostic Code :  
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
Disputed allegation in the delay of diagnosis of bacterial meningitis in this then 3-year-old male resulting in neurological insult.
Severity Of Injury
Permanent: Significant - Deafness, loss of limb, loss of eye, loss of one kidney or lung.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

 

Legal Information
 
Date of Suit Circuit Court Case Number
3/10/2014 2014-CA-00072
County Suit Filed in Date of Final Disposition
Holmes 1/23/2015
Other Defendants Involved in this Claim
Holmes County 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
12/3/2014
 
Financial Information
 
Was there a settlement Resulting in payment to the Plaintiff? Yes
Indemnity Paid by Insurer on behalf of Insured $215,000
Loss Adjust Expense Paid to Defense Counsel $2,145
All Other Loss Adjustment Expense Paid $1,750
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
Insured met and conferenced with Claims Specialist and Defense Attorney
 
Updates
 
 
Date of Change: 4/21/2015 2:46:52 PM
Reason for Change: I entered the worng claim number
 
Field Changed Former Value New Value
Claim Number 95404 137284

 

 

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

This page is not displaying certain sensitive information.

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