GW
GERALD WOLTER
WG985348 · 01/10/1954 · Updated 06/05/2026
On Hold
Basic Information
| Patient Record Number: | WG985348 |
| Date of Birth: | 01/10/1954 |
| Age: | 72 |
| Sex: | male |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 06/05/2026 06:28 PM |
Contact Information
| Mobile Phone: | (815) 230-5100 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
504 Kildeer Dr,
Apt 313
Bolingbrook, IL 60440 Coordinates: 41.7154266, -88.0469991
Apt 313
Bolingbrook, IL 60440 Coordinates: 41.7154266, -88.0469991
Home Health Nurse
AVIENSE HH INC
| Phone: | (815)-230-5100 |
| Fax: | (815)-846-0841 |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Discharge History
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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 485 on PF
Hold Since: 07/03/2025
Hold Until: Indefinite