Dr. CARLOS BUSTAMANTE RIVAS, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. CARLOS BUSTAMANTE RIVAS, MD

20814 West Dixie Highway

Miami, FL

33180

Dade

Court Case # 02-20401 CA-03

Indemnity Paid: $105,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M201160351
Claim Number :	25814-01
Date Submitted :	4/4/2011

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	Odessa			Choice
Street Address
1000 Riverside Avenue, Suite 800
City				State	Zip
Jacksonville				FL	32204
Phone	Ext	Fax	E-Mail Address
(800) 741 - 3742	3045	(904) 358 - 6728	odessa.choice@fpic.com

Insured Information

Type	First Name		MI	Last Name
Individual	CARLOS			BUSTAMANTE RIVAS
Insurer Type		Street Address of Practice
Licensed		20814 West Dixie Highway
City		State	Zip Code	County
Miami		FL	33180	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
17850		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME59145		Infectious Diseases - No Surgery		80246

Medical Malpractice Closed Claims Report

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
PARKWAY REGIONAL MEDICAL CENTER		100114
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
12/29/1999		3/18/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Sepsis.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
None.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None.
Principal Injury Giving Rise To The Claim
Death.
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
8/29/2002			02-20401 CA-03
County Suit Filed in			Date of Final Disposition
Dade			3/15/2011
Other Defendants Involved in this Claim
Goldsand, M.D., Carl Williams, D.O., Edward Frost, M.D., Jason Corrales, M.D., Carlos Gedallovich, M.D., Milton Edelstein, M.D., Simon Herschelman, D.O., Marc Parkway Regional Medical 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 Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
3/15/2011

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$105,000

Loss Adjust Expense Paid to Defense Counsel

$64,170

All Other Loss Adjustment Expense Paid

$25,822

Injured Person's Total Non-Economic Loss

$105,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$242,749	$0
Wage Loss	$0	$0
Other Expenses	$4,700	$0

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

Insurance company staff consulted with insured to discuss preventative measures. Risk management referral is made if appropriate.

Updates

No updates found.

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Court Case #

Indemnity Paid: $0.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201887222
Claim Number :	354421
Date Submitted :	12/7/2018

Insurer Information

Insurer Name				Coverage Type
DOCTORS COMPANY, AN INTERINSURANCE EXCHANGE (THE)				Primary
Insurer FEIN		Professional License Number
95-3014772
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	CARLOS		I	BUSTAMANTE RIVAS
Insurer Type		Street Address of Practice
Licensed		20814 West Dixie Highway
City		State	Zip Code	County
Miami		FL	33180	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
0965179		$250,000		$750,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
ME59145		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	Dade
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
AVENTURA HOSPITAL AND MEDICAL CTR.		100131
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
8/23/2016		4/4/2017

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Severe back pain.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Antibiotic therapy while admitted.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None-plaintiff alleges failure to diagnose and appropriately treat developing epidural abscess.
Principal Injury Giving Rise To The Claim
Plaintiff developed osteomyelitis and epidural abscess but was treated appropriately and discharged without sequelae.
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

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			11/13/2018
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?

Indemnity Paid by Insurer on behalf of Insured

Loss Adjust Expense Paid to Defense Counsel

$9,456

All Other Loss Adjustment Expense Paid

$1,591

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

Insurance company staff consulted with insured to discuss preventative measures. Patient Safety referral is made if appropriate.

Updates

No updates found.

Frequently Asked Questions

Does Dr. CARLOS BUSTAMANTE RIVAS, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. CARLOS BUSTAMANTE RIVAS, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases