MA
MUJTABA ARIFA
AM210861 · 08/24/1935 · Updated 04/30/2026
On Hold
Basic Information
| Patient Record Number: | AM210861 |
| Date of Birth: | 08/24/1935 |
| Age: | 90 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/30/2026 05:12 PM |
Contact Information
| Mobile Phone: | (847) 208-8625 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
3020 35TH St.
Oak Brook, IL 60523 Coordinates: 41.8245683, -87.9931769
Oak Brook, IL 60523 Coordinates: 41.8245683, -87.9931769
Home Health Nurse
Home Health Providers, PC
| Phone: | N/A |
| Fax: | (708) 444-8268 |
| Status: | Active |
Medicare Part B Deductible
Current Year (2026)
| Total Deductible: | $283.00 |
| Remaining: | $283.00 |
Annual Wellness Visit
Last wellness visit: 01/21/2027
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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Patient Documents
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Total Claims-
Total Paid-
Denials-
Payment RateRemittance Claims
| Service Date | Procedure | Provider | Billed | Allowed | Paid | Status | Remit Date |
|---|---|---|---|---|---|---|---|
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Patient On Hold
Hold Reason: No Certification on Practice Fusion
Hold Since: 07/02/2025
Hold Until: Indefinite