WD
WAYNE DAVENPORT
DW336889 · 10/11/1938 · Updated 04/10/2026
On Hold
Basic Information
| Patient Record Number: | DW336889 |
| Date of Birth: | 10/11/1938 |
| Age: | 87 |
| Sex: | male |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
Contact Information
| Mobile Phone: | (773) 787-7981 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
5325 S Cottage Grove Ave
Apt. 509
Chicago, IL 60615 Coordinates: 41.7976868, -87.6059563
Apt. 509
Chicago, IL 60615 Coordinates: 41.7976868, -87.6059563
Home Health Nurse
OPTIMUM HEALTHCARE SERVICES
| Phone: | 773-878-8753 |
| Fax: | 773-878-8738 |
| Status: | Active |
Medicare Part B Deductible
Current Year (2025)
| Total Deductible: | $257.00 |
| Remaining: | $0.00 ✓ Deductible Met |
Annual Wellness Visit
Overdue
(29 days ago)
(29 days ago)
| Next Due Date: | 05/01/2026 |
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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Patient Documents
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Total Claims-
Total Paid-
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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: 07/03/2025
Hold Until: Indefinite