Dr. HOUSAM MOURSI, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. HOUSAM MOURSI, MD

4510 Gentrice Drive

Valrico, FL

33594

Hillsborough

Court Case # 18-A-0005991

Indemnity Paid: $550,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201987609
Claim Number :	162558
Date Submitted :	1/15/2019

Insurer Information

Insurer Name				Coverage Type
HEALTH CARE INDEMNITY, INC.				Primary
Insurer FEIN		Professional License Number
61-0904881
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Christina		J	Stoker
Street Address
1100 Dr. Martin Luther King Jr. Blvd, Ste. 500
City				State	Zip
Nashville				TN	37203
Phone	Ext	Fax	E-Mail Address
(615) 344 - 1779		(866) 715 - 7235	christina.stoker@hcahealthcare.com

Insured Information

Type	First Name		MI	Last Name
Individual	HOUSAM			MOURSI
Insurer Type		Street Address of Practice
Licensed		3444 LITHIA PINECREST ROAD
City		State	Zip Code	County
VALRICO		FL	33594	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
HCI-10115		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Osteopathic Physician
License Number		Specialty Code & Classification		Certification Number
OS7173		Emergency Medicine - No Major 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	Hillsborough
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
BRANDON REGIONAL HOSPITAL		100243
Location of Institutional Injury		Other Location of Institutional Injury
Other		EMERGENCY ROOM
Date of Occurrence		Date Reported to Insurer
11/1/2015		9/8/2017

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
COMPLAINTS OF PAIN, WEAKNESS AND SWELLING OF RIGHT KNEE.
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
FLUID ASPIRATED FROM JOINT AND SENT FOR TESTING; KNEE WAS XRAYED, PATIENT DISCHARGED.
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
*NR
Principal Injury Giving Rise To The Claim
NECROTIZING FASCIITIS.
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
2/13/2018			18-A-0005991
County Suit Filed in			Date of Final Disposition
Hillsborough			12/20/2018
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
11/27/2018

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$550,000

Loss Adjust Expense Paid to Defense Counsel

$37,664

All Other Loss Adjustment Expense Paid

$11,840

Injured Person's Total Non-Economic Loss

$200,000

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$350,000	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

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

REFERRED TO RISK MANAGEMENT.

Updates

No updates found.

Court Case # 07-CA-160

Indemnity Paid: $50,000.00

Medical Malpractice Closed Claims Report

Department File Number :	M200951971
Claim Number :	SGI-06-55759
Date Submitted :	1/6/2009

Insurer Information

Insurer Name				Coverage Type
CITADEL INSURANCE, RISK RETENTION GROUP				Primary
Insurer FEIN		Professional License Number
20-8474742
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Nancy		J	Thomas
Street Address
9821 Katy Freeway
City				State	Zip
Houston				TX	77024
Phone	Ext	Fax	E-Mail Address
(713) 935 - 8868		(713) 461 - 8130	nancy_thomas@ajg.com

Insured Information

Type	First Name		MI	Last Name
Individual	HOUSAM			MOURSI
Insurer Type		Street Address of Practice
Licensed		4510 Gentrice Drive
City		State	Zip Code	County
Valrico		FL	33594	Hillsborough
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
CMI AE 0801 046		$100,000		$24,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
OS7173		Emergency Medicine - No Major Surgery

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Polk
City			State	Zip Code

Location where injury occured		Other location where injury occured
Emergency Room
Name of Institution		Code
BARTOW MEMORIAL HOSPITAL		100121
Location of Institutional Injury		Other Location of Institutional Injury
Radiology, Emergency Room
Date of Occurrence		Date Reported to Insurer
12/24/2004		10/4/2006

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Subdural hematoma
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Alleged failure to review history, premature discharge
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Treated for cut on middle of back
Principal Injury Giving Rise To The Claim
Subdural hematoma, additional medical care
Severity Of Injury
Temporary: Major - Burns, surgical material left, drug side effect, brain damage.Recovery delayed.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
2/5/2007			07-CA-160
County Suit Filed in			Date of Final Disposition
Polk			12/30/2008
Other Defendants Involved in this Claim
Bartow 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 subject to arbitration, but settlement reached in lieu of award.
Date of Payment
8/27/2008

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$50,000

Loss Adjust Expense Paid to Defense Counsel

$60,335

All Other Loss Adjustment Expense Paid

$10,530

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.

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Frequently Asked Questions

Does Dr. HOUSAM MOURSI, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. HOUSAM MOURSI, MD has at least 2 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases