Gretl Lam, MD
Hospice/Palliative Care · Sunnyvale
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 2
- 2 carriers
- Offices
- 3
Offices
3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group
Plans that list them
2 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Lam’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
2 of 2 plans
| Alignment Health Sutter Advantage +More (HMO) | Alignment Health Plan | Listed | Oct 3, 2026 |
| DualConnect (HMO D-SNP) | Santa Clara Family Health Plan | Listed | Sep 1, 2026 |
Original Medicare doctor bills
$11,958
Medicare paid this office $11,958 for 40 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 30 | $4,035 | $130 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 22 | $3,539 | $86 |
| Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 32 | $3,297 | $22 |
Who their Medicare patients are
40 Original Medicare patients in 2024. Average age 71 · Women 55% · Also on Medicaid 57% · Health risk score 3.66. Above the middle of the specialty; the typical hospice and palliative care clinician is at 2.98.
Conditions among them: High blood pressure 75% · Heart failure 53% · Chronic kidney disease 53% · Diabetes 48% · COPD 48% · Coronary heart disease 35% · Depression 35% · Dementia 33%.
The office billed $44,497, Medicare allowed $15,327 and paid $11,958; for 244 services of 8 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 40 | 244 | 71 | 3.66 | $44,497 | $11,958 |
| 2023 | 46 | 337 | 71 | 2.65 | $51,846 | $15,911 |
| 2022 | 23 | 43 | 71 | 2.84 | $13,746 | $4,091 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 3 services
| Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 39 | $5,317 | $23 |
| Initial hospital care with moderate level of medical decision making at least 75 minutes | 34 | $4,871 | $128 |
| Subsequent hospital care with moderate levelof medical decision making at least 50 minutes | 21 | $3,899 | $93 |
Professional record
- NPI
- 1184159253
- Licence
- MN 69419
- Trained
- New York University School of Medicine, 2017
- Video visits
- Lists video visits
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207RH0002X (207RH0002X)
- Mailing address
- Po Box 276950, Sacramento, CA, 95827
- NPI first listed
- 2017-04-26
- NPI last updated
- 2025-09-22
- NPI record certified
- 2025-09-22
This is when the NPI record was last certified, not a medical board exam.