SP
SHANTABEN PATEL
PS714048 · 04/09/1939 · Updated 05/20/2026
On Hold
Basic Information
| Patient Record Number: | PS714048 |
| Date of Birth: | 04/09/1939 |
| Age: | 87 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 05/20/2026 05:38 PM |
Contact Information
| Mobile Phone: | (847) 620-9182 |
| Home Phone: | N/A |
| Email: | patelhiralu@gmail.com |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
44 S Josephine Ct,
Des Plaines, IL 60016 Coordinates: 42.0507933, -87.922287
Des Plaines, IL 60016 Coordinates: 42.0507933, -87.922287
Home Health Nurse
No Home Health Nurse assigned
Medicare Part B Deductible
Current Year (2026)
| Total Deductible: | $283.00 |
| Remaining: | $283.00 |
Annual Wellness Visit
Last wellness visit: 05/19/2027
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: healing rehab
Hold Since: 06/19/2025
Hold Until: Indefinite