Melanie Rose Gammel, PA

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

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Plan participation

Not verified

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California Medical Board record

Licence G51660 · Cancelled

Licence status: Cancelled · since 1983 · University of New Mexico School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$30,061

Medicare paid this office $30,061 for 241 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

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Largest Original Medicare bills

New patient visit (30+ min)	65	$5,467	$84
Short return visit (20+ min)	68	$5,161	$71
Return visit (30+ min)	48	$5,152	$90
New patient visit (45+ min)	39	$4,867	$125
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	60	$3,218	$50

See all 9 services

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Every Original Medicare service billed

New patient visit (30+ min)	65	$5,467	$84
Short return visit (20+ min)	68	$5,161	$71
Return visit (30+ min)	48	$5,152	$90
New patient visit (45+ min)	39	$4,867	$125
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	60	$3,218	$50
Detection test by nucleic acid for multiple types influenza virus	22	$2,065	$94
Short return visit	22	$1,120	$47
X-ray of chest, 2 views	20	$594	$15
Automated urinalysis test	19	$44	$2

Who their Medicare patients are

241 Original Medicare patients in 2024. Average age 74 · Under 65 5% · 85 and older 11% · Women 68% · Also on Medicaid 7% · Health risk score 0.80. At or below the middle of the specialty; the typical physician assistant clinician is at 1.31.

Conditions among them: High blood pressure 52% · Coronary heart disease 16% · Depression 15% · Chronic kidney disease 14% · Cancer 13% · Atrial fibrillation 13% · Diabetes 10% · Heart failure 5% · COPD 5% · Stroke 5%.

The office billed $128,928, Medicare allowed $40,414 and paid $30,061; for 508 services of 35 kinds; $157 of it was for drugs given in the office and $29,904 for care.

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

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Original Medicare by year

2024	241	508	74	0.80	$128,928	$30,061
2023	132	293	75	0.80	$62,505	$16,018
2022	369	918	75	0.85	$177,365	$51,926
2021	185	342	72	0.78	$70,727	$19,639
2020	252	410	72	0.81	$83,415	$22,298
2019	117	261	71	0.85	$60,238	$11,065
2018	81	150	71	0.85	$37,511	$6,938
2017	87	99	69	1.54	$44,522	$6,435
2016	148	166	69	1.24	$83,581	$13,703
2015	188	1,177	71	0.87	$228,464	$60,776
2014	87	481	72	0.74	$91,177	$27,642

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: 8 services

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Original Medicare services billed in 2023

Short return visit (20+ min)	42	$3,559	$70
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	61	$3,419	$50
Return visit (30+ min)	22	$2,428	$106
Short return visit	30	$1,870	$53
New patient visit (30+ min)	18	$1,370	$76
Detection test by nucleic acid for multiple types influenza virus	11	$1,127	$94
New patient visit (15+ min)	19	$1,010	$53
X-ray of chest, 2 views	11	$203	$11

2022: 7 services

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Original Medicare services billed in 2022

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	250	$16,008	$51
Short return visit	142	$10,956	$57
New patient visit (15+ min)	99	$7,194	$73
Short return visit (20+ min)	70	$5,699	$76
New patient visit (30+ min)	51	$4,531	$89
Return visit (30+ min)	21	$2,343	$106
Automated urinalysis test	23	$64	$2

2021: 6 services

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Original Medicare services billed in 2021

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	111	$5,798	$51
New patient visit (15+ min)	59	$4,318	$73
Short return visit	50	$2,860	$57
New patient visit (30+ min)	34	$2,777	$82
Short return visit (20+ min)	33	$2,236	$66
Automated urinalysis test	11	$25	$2

2020: 8 services

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Original Medicare services billed in 2020

New patient visit (15+ min)	108	$8,300	$77
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	114	$5,950	$51
New patient visit (30+ min)	33	$2,172	$66
Short return visit	42	$1,952	$46
Return visit (30+ min)	25	$1,336	$53
Short return visit (20+ min)	18	$1,146	$64
New patient visit (10+ min)	15	$704	$47
Insertion of needle into vein for collection of blood sample	11	$36	$3

2019: 7 services

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Original Medicare services billed in 2019

New patient visit (30+ min)	59	$4,327	$73
Return visit (30+ min)	39	$3,060	$70
Short return visit (20+ min)	18	$1,361	$54
X-ray of chest, 2 views	16	$178	$10
Inhalation treatment for airway obstruction or sputum production	13	$176	$12
Automated urinalysis test	11	$27	$2
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	15	$1	None

2018: 2 services

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Original Medicare services billed in 2018

New patient visit (30+ min)	43	$2,960	$69
Return visit (30+ min)	21	$2,208	$79

2017: 3 services

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Original Medicare services billed in 2017

Emergency department visit with high level of medical decision making	24	$2,768	$115
Emergency department visit with moderate level of medical decision making	26	$1,577	$61
Emergency department visit with low level of medical decision making	31	$1,034	$33

2016: 3 services

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Original Medicare services billed in 2016

Emergency department visit with moderate level of medical decision making	81	$6,424	$79
Emergency department visit with high level of medical decision making	43	$5,031	$117
Emergency department visit with low level of medical decision making	26	$970	$37

2015: 16 services

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Original Medicare services billed in 2015

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	66	$29,636	None
Aspiration and/or injection of fluid from large joint	85	$11,432	$40
Short return visit (20+ min)	60	$3,866	$50
X-ray of knee, 4 or more views	53	$2,113	$30
Return visit (30+ min)	26	$1,989	$74
New patient visit (30+ min)	21	$1,574	$75
New patient visit (45+ min)	15	$1,453	$97
Aspiration and/or injection of fluid large joint using ultrasound guidance	20	$1,385	$58
Emergency department visit with high level of medical decision making	11	$1,368	$124
Emergency department visit with moderate level of medical decision making	15	$1,262	$84
Short return visit	24	$880	$33
Ultrasonic guidance for needle placement	13	$586	$45
X-ray of shoulder, minimum of 2 views	21	$490	$20
Injection, triamcinolone acetonide, not otherwise specified, 10 mg	43	$286	None
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml	11	$45	$2
Injection, ropivacaine hydrochloride, 1 mg	24	$3	None

2014: 9 services

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Original Medicare services billed in 2014

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	35	$13,294	None
Aspiration and/or injection of fluid from large joint	53	$4,928	$39
New patient visit (45+ min)	24	$2,747	$114
Short return visit (20+ min)	37	$2,123	$52
X-ray of knee, 4 or more views	29	$1,099	$33
Return visit (30+ min)	11	$860	$78
Ultrasonic guidance for needle placement	14	$738	$49
X-ray of shoulder, minimum of 2 views	17	$499	$24
Injection, triamcinolone acetonide, not otherwise specified, 10 mg	17	$89	None

Medicaid work

$13,105 in 2022

Medicaid paid $13,105 for 472 billed services this clinician did in 2022, up to 68 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

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Largest Medicaid services in 2022

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique	290	$10,205
OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES	81	$1,462
Short return visit	101	$1,437

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Medicaid work by year

2022	472	3	68	$13,105
2021	137	2	48	$5,684

See the largest Medicaid services in earlier years

2021

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Largest Medicaid services in 2021

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique	117	$5,293
Short return visit	20	$391

Drugs they prescribed that Part D paid

$9,371

Pharmacies billed $9,371 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

203 generic and fewer than 11 brand-name prescriptions · $9,371 in drug cost · 120 antibiotic prescriptions to 95 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

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Largest Part D drug costs

Paxlovid	16	$2,797	$175
Albuterol Sulfate Hfa	25	$641	$23
Nitrofurantoin Mono-Macro	11	$212	$16
Azithromycin	31	$140	$5
Amoxicillin-Clavulanate Potass	22	$137	$6

See all 8 drugs

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Every Part D drug this clinician prescribed

Paxlovid	16	$2,797	$175
Albuterol Sulfate Hfa	25	$641	$23
Nitrofurantoin Mono-Macro	11	$212	$16
Azithromycin	31	$140	$5
Amoxicillin-Clavulanate Potass	22	$137	$6
Mupirocin	11	$58	$5
Cephalexin	17	$42	$2
Sulfamethoxazole-Trimethoprim	12	$27	$2

Year by year

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Part D prescribing by year

2024	245	162	None	None	$9,371
2023	87	53	0% (0)	None	$1,022
2022	142	101	None	None	$1,777
2021	69	56	0% (0)	None	$838
2020	65	45	None	None	$1,294
2019	152	92	None	16%	$4,180
2018	123	75	None	20%	$3,231
2017	105	68	24% (25)	None	$830
2016	135	85	27% (36)	None	$1,218
2015	53	34	None	None	$599
2014	14	12	0% (0)	None	$261

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

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Part D drugs prescribed in 2023

Cephalexin	12	$54	$5

2022: 1 drug

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Part D drugs prescribed in 2022

Cephalexin	41	$264	$6

2021: 1 drug

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Part D drugs prescribed in 2021

Cephalexin	15	$70	$5

2019: 3 drugs

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Part D drugs prescribed in 2019

Azithromycin	22	$161	$7
Cephalexin	22	$104	$5
Prednisone	17	$35	$2

2018: 5 drugs

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Part D drugs prescribed in 2018

Proair Hfa	12	$747	$62
Cephalexin	21	$118	$6
Azithromycin	16	$111	$7
Amoxicillin-Clavulanate Potass	11	$98	$9
Prednisone	13	$36	$3

2017: 3 drugs

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Part D drugs prescribed in 2017

Cephalexin	18	$93	$5
Hydrocodone-Acetaminophen	13	$45	$3
Prednisone	11	$33	$3

2016: 4 drugs

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Part D drugs prescribed in 2016

Hydrocodone-Acetaminophen	24	$118	$5
Cephalexin	13	$102	$8
Naproxen	23	$85	$4
Prednisone	16	$40	$2

2015: 1 drug

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Part D drugs prescribed in 2015

Meloxicam	28	$98	$4

2014: 1 drug

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Part D drugs prescribed in 2014

Meloxicam	12	$44	$4

Money from drug and device companies

$23 in 2025

A payment is not proof that care is biased.

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Payments by company

DePuy Synthes Sales	Trufill	$23	1 payment Meals for Trufill · 2025-12-09 · $23

See the published payment

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Every published payment

DePuy Synthes Sales	Meals · 2025-12-09	Trufill	$23

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score: 96.5 / 100; Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI: 1376956912
Licence: CA 51660California G51660: Cancelled
Group: Sutter Bay Medical Foundation
Video visits: Lists video visits
Gender: Female

More record details

Sole proprietor: No
Taxonomy: Physician assistant (363A00000X)
Mailing address: 3400 Data Dr, Rancho Cordova, CA, 95670
NPI first listed: 2014-06-10
NPI last updated: 2025-08-22
NPI record certified: 2025-08-22

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 2500 Milvia St, Berkeley, CA, 94704