SW
SUSAN WARR
WS606265 · 05/06/1949 · Updated 05/08/2026
On Hold
Basic Information
| Patient Record Number: | WS606265 |
| Date of Birth: | 05/06/1949 |
| Age: | 77 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 05/08/2026 07:02 PM |
Contact Information
| Mobile Phone: | (773) 965-1010 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
17400 Kedzie Ave
Apt. 147
Hazel Crest, IL 60429 Coordinates: 41.5735101, -87.6960246
Apt. 147
Hazel Crest, IL 60429 Coordinates: 41.5735101, -87.6960246
Home Health Nurse
Jardin Home Health
| Phone: | (773) 231-7505 |
| Fax: | (847) 752-4940 |
| Status: | Active |
Medicare Part B Deductible
Current Year (2026)
| Total Deductible: | $283.00 |
| Remaining: | $79.78 |
Annual Wellness Visit
Last wellness visit: 07/01/2026
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: 07/02/2025
Hold Until: Indefinite